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Updated: Jul 7, 2026

High-Speed Human Temporal Bone Sectioning for the Assessment of COVID-19-Associated Middle Ear Pathology
Published on: May 18, 2022
Bone-conduction propagation in the human body: implications for high-frequency therapy.
Martin L Lenhardt1, Abraham Shulman, Barbara A Goldstein
1Ceres Biotechnology, LLC, Program in Biomedical Engineering, Virginia Commonwealth University, Richmond, VA 23298-0168, USA. lenhardt@vcu.edu
Fluid conduction, not bone, is key for sound transmission across the head. This finding impacts understanding unilateral hearing loss and the masking dilemma, even at high frequencies.
Area of Science:
- Acoustics
- Bioengineering
- Otolaryngology
Background:
- Understanding sound transmission through biological tissues is crucial for audiology.
- The relative contribution of fluid versus bone pathways to head-related sound propagation remains incompletely understood.
Purpose of the Study:
- To investigate the role of fluid and bone conduction in ultrasonic transmission across the human head.
- To evaluate the effectiveness of different pathways for sound propagation in various simulated and in vivo conditions.
Main Methods:
- Ultrasonic transmission was measured in a dry skull, a water-filled skull, a cadaver head, and six human subjects.
- Measurements were conducted across a range of frequencies, including up to 80 kHz.
Main Results:
- Fluid conduction was found to be essential for sound propagation across the head.
- The bone pathway demonstrated significantly less effectiveness compared to the fluid pathway.
- Minimal ear isolation (less than 10 dB) was observed even at high frequencies (up to 80 kHz).
Conclusions:
- Fluid pathways are critical for sound transmission through the head, significantly outweighing bone conduction.
- The limited ear isolation suggests implications for managing unilateral hearing loss and the masking dilemma.
- These findings highlight the importance of fluid dynamics in auditory perception and intervention strategies.
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