The model includes a description of the geometry of the middle ear components and dynamic equations of vibration. The proposed method is quick, practical, low-cost, and, most importantly, noninvasive as compared with histologic section methods.
On the basis of our biomechanical analysis, the optimal thickness of a cartilage graft for myringoplasty appears to be 0.1 to 0.2 mm for medium and large TM perforations. For small perforations, a cartilage of less than 1.0 mm is a good compromise between mechanical stability and low acoustic transfer loss.
In order to present a systematic and practical approach that uses high-resolution computed tomography (HRCT) to derive models of the middle ear for finite element analysis (FEA). This prospective study included 31 subjects with normal hearing and no previous otological disorders. Temporal bone images obtained from 15 right ears and 16 left ears were used for evaluation and reconstruction. High-resolution computed tomography of temporal bone was performed using simultaneous acquisition of 16 sections with a collimated slice thickness of 0.625 mm. All images were transferred to an Amira visualization system for 3D reconstruction. The created 3-D model was translated into two commercial modeling packages, Patran and ANSYS, for finite element analysis. The characteristic dimensions of the model were measured and compared with previous published histological section data. This result confirms that the geometric model created by the proposed method is accurate except the tympanic membrane is thicker than that of histological section method. No obvious difference in the geometrical dimension between right and left ossicles was found (p > 0.05). The 3D model created by finite element method and predicted umbo and stapes displacements are close to the bounds of the experimental curves of Nishihara's, Huber's, and Gan's data across the frequency range of 100-8000 Hz. The model includes a description of the geometry of the middle ear components, and dynamic equations of vibration. The proposed method is quick, practical, low cost and most importantly, non-invasive as compared with histological section methods.
The aim of the present study was to analyze the human mastoid cavity on sound transmission using finite element method. Pressure distributions in the external ear canal and middle ear cavity at different frequencies were demonstrated. Our results showed that, first, blocking the aditus improves middle ear sound transmission in the 1500-to 2500-Hz range and decreases displacement in frequencies below 1000 Hz when compared with the normal ear. Second, at frequencies lower than 1000 Hz, the acoustic pressures were almost uniformly distributed in the external ear canal and middle ear cavity. At high frequencies, higher than 1000 Hz, the pressure distribution varied along the external ear canal and middle ear cavity. Third, opening the aditus, the pressures difference in dB between the middle ear cavity and external ear canal were larger than those of the closed mastoid cavity in low frequency (<1000 Hz). Finally, there was no significant difference in the acoustic pressure between the oval window and round window is noted and increased by 5 dB by blocking the aditus. These results suggest that our complete FE model including the mastoid cavity is potentially useful and can provide more information in the study of middle ear biomechanics.
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