Revealing the Effects of Tympanic Membrane Implant Mechanical Properties on High-Frequency Hearing Loss After Clinical Myringoplasty: A Finite Element Analysis
机构:[1]School of Aerospace Engineering, Tsinghua University, Beijing, People's Republic of China[2]Department of Mechanics and Tianjin Key Laboratory of Nonlinear Dynamics and Control, Tianjin University, Tianjin, People's Republic of China[3]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[4]Beijing Engineering Research Center of Audiological Technology, Beijing, People's Republic of China
Myringoplasty is most commonly used to treat tympanic membrane (TM) perforation. Clinical data have shown that unexplained high-frequency (above 3 kHz) hearing loss often occurs after myringoplasty. In this paper, a finite element (FE) model of the partial external and middle ear (ME) of the human ear, which considers the actual perforation and TM implants, is developed to reveal the mechanical mechanism of high-frequency hearing loss after implantation of temporalis fascia and cartilage commonly used in myringoplasty. The SFP displacement is proposed to evaluate the myringoplasty effect, which is proved to be better than the current practice of laser Doppler vibrometer (LDV) of umbo vibration. The model-derived results can replicate the phenomenon of better low-frequency (below 1 kHz) hearing recovery and severe high-frequency hearing loss after myringoplasty. Numerical results show that a temporalis fascia and cartilage implant, whose stiffness is smaller compared with normal PT, fails to fully restore hearing above 3 kHz, where higher-order vibration modes appear early, with more severe localization of TM energy and weakening of TM sound transmission. Moreover, the excessive thickness of implants compared to normal pars tensa (PT) leads to a decrease in the first resonant frequency (RF) and the high-frequency magnitude of the SFP displacement. Furthermore, the numerical study shows that TM implants with modulus higher than 45 MPa and density smaller than 1200 kg/m3 can restore high-frequency hearing better. This study has implications for choosing and designing the appropriate TM implants for myringoplasty.
基金:
Key Research and Development Program of the Ministry of Science and Technology of China/Research on Crucial Technologies of Micro-Pump for Repetitive Inner Ear Drug Delivery; National Natural Science Foundation of China [11972205, 11921002, 11972210]
第一作者机构:[1]School of Aerospace Engineering, Tsinghua University, Beijing, People's Republic of China
通讯作者:
通讯机构:[3]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China[4]Beijing Engineering Research Center of Audiological Technology, Beijing, People's Republic of China
推荐引用方式(GB/T 7714):
Shi Huibin,Yan Ziming,Li Yifeng,et al.Revealing the Effects of Tympanic Membrane Implant Mechanical Properties on High-Frequency Hearing Loss After Clinical Myringoplasty: A Finite Element Analysis[J].INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING.2025,41(3):doi:10.1002/cnm.70028.
APA:
Shi, Huibin,Yan, Ziming,Li, Yifeng,Sun, Yongtao,Wang, Jie&Liu, Zhanli.(2025).Revealing the Effects of Tympanic Membrane Implant Mechanical Properties on High-Frequency Hearing Loss After Clinical Myringoplasty: A Finite Element Analysis.INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING,41,(3)
MLA:
Shi, Huibin,et al."Revealing the Effects of Tympanic Membrane Implant Mechanical Properties on High-Frequency Hearing Loss After Clinical Myringoplasty: A Finite Element Analysis".INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING 41..3(2025)