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Revealing the Effects of Tympanic Membrane Implant Mechanical Properties on High-Frequency Hearing Loss After Clinical Myringoplasty: A Finite Element Analysis

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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 [4]Beijing Engineering Research Center of Audiological Technology, Beijing, People's Republic of China
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关键词: high-frequency hearing loss mechanical properties myringoplasty TM implants

摘要:
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.

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出版当年[2025]版:
大类 | 4 区 医学
小类 | 2 区 数学与计算生物学 3 区 数学跨学科应用 4 区 工程:生物医学
最新[2025]版:
大类 | 4 区 医学
小类 | 2 区 数学与计算生物学 3 区 数学跨学科应用 4 区 工程:生物医学
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出版当年[2023]版:
Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Q2 MATHEMATICS, INTERDISCIPLINARY APPLICATIONS Q3 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Q2 MATHEMATICS, INTERDISCIPLINARY APPLICATIONS Q3 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]School of Aerospace Engineering, Tsinghua University, Beijing, People's Republic of China
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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
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