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Discovering Middle Ear Anatomy by Transcanal Endoscopic Ear Surgery: A Dissection Manual
Published on: January 11, 2018
Study of age-related changes in Middle ear transfer function.
Lei Zhou1, Na Shen1, Miaolin Feng2
1Department of Otorhinolaryngology-Head and Neck Surgery, Shanghai Zhongshan Hospital affiliated to Fudan University , Xuhui District , P. R. China.
Osteoporosis (OP) may affect middle ear ossicles with age, potentially altering sound transmission. However, simulations suggest these age-related bone and tissue changes have minimal impact on hearing function in older adults.
Area of Science:
- Biomedical Engineering
- Otolaryngology
- Gerontology
Background:
- Osteoporosis (OP) is prevalent in aging populations and linked to otosclerosis.
- Previous research has not examined OP in the malleus, incus, or stapes, nor its impact on middle ear function.
Purpose of the Study:
- To investigate the occurrence of OP in human middle ear ossicles (malleus, incus, stapes).
- To assess the effect of OP and other age-related changes on middle ear transfer function using finite element (FE) modeling.
Main Methods:
- Refinement of an existing FE model with viscoelastic properties for middle ear soft tissues.
- Simulation of OP in the three ossicles and analysis of its influence on middle ear transfer function.
- Investigation of age-related changes like joint and ligament stiffness.
Main Results:
- Simulated OP of ossicles increased high-frequency displacement of the umbo and stapes footplate.
- Increased stiffness of middle ear soft tissues reduced low-frequency middle ear gain.
- Loosened joints or ligaments enhanced umbo and stapes footplate displacement.
Conclusions:
- Age-related changes in middle ear ossicles, including OP and joint stiffness, may occur.
- These specific age-related changes appear to have a limited effect on overall middle ear transfer function in the elderly.
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