Measurement of middle ear transfer function in temporal bones using electromagnetic excitation-comparison to sound excitation and evaluation of influencing factors: Comparison to sound excitation and evaluation of influencing factors

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

Abstract

Hearing a sound produces vibrations of the ossicles in the middle ear, which can be measured in the micrometer to nanometer range. Destruction of middle ear structures results most commonly from chronic inflammatory diseases. In these cases, passive and active middle ear implants are used for reconstruction of the ossicular chain. The positioning of the implants depends primarily on the surgeon's experience. So far, no objective assessment has been conducted to affirm if the chosen positioning is the best in each specific case. We have established a new method, allowing us to measure the middle ear transfer function (METF) intraoperatively. Using the new method, a magnet is placed on the umbo of the malleus handle and is stimulated by a coil positioned underneath the head. The resulting vibration is measured on the stapes footplate using Laser Doppler vibrometry (LDV). Acoustic and electromagnetic excitation show comparable METF in lower frequencies, which differ up to 10 dB in frequencies over 1 kHz. The position of the coil does not play a relevant part in the METF, whereas the location of the magnet on the tympanic membrane highly impacts the METF. This technique demonstrates reproducible results. Electromagnetic excitation is comparable to sound excitation and is suited for measuring the METF. A stable positioning of the magnet on the umbo is essential in order to acquire valid data.

Details

OriginalspracheEnglisch
Aufsatznummer108233
FachzeitschriftHearing research
Jahrgang405
PublikationsstatusVeröffentlicht - Juni 2021
Peer-Review-StatusJa

Externe IDs

PubMed 33915399
ORCID /0000-0002-3061-0171/work/142241310
ORCID /0000-0003-3894-1175/work/148603714
ORCID /0000-0002-1519-3111/work/149081509

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Electromagnetic excitation, Intraoperative control, LDV, Tympanoplasty

Bibliotheksschlagworte