Hearing sensations are caused by air- and bone-guided sound. Of course, other biological materials like tendons, muscles and tissue are also involved during conduction of sound. To study the influence of bone conduction, a formerly developed finite element model was excited by harmonic pressure signals at the cochlea wall. The clinical finding during middle ear surgery, namely the increase in bone conduction sensitivity with removed footplate, was confirmed. Other psychoacoustic effects with bone conduction are described in the early experiments by Bárány, who proved the cancellation of air- and bone-conducted sound in humans. The simultaneous stimulation of the cochlea wall and the phase-reversed stimulation of the stapes footplate in the finite element model confirmed his findings. Further clues to the solution of unsolved problems in audiology and middle ear pathology are given.
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http://dx.doi.org/10.1159/000095283 | DOI Listing |
Bioact Mater
April 2025
Department of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, PR China.
Bioelectrical stimulation is a powerful technique used to promote tissue regeneration, but it can be hindered by an "electrical overload" phenomenon in the core region of stimulation. We develop a threaded microneedle electrode system that protects against "electrical overload" by delivering medicinal hydrogel microspheres into the core regions. The threaded needle body is coated with polydopamine and chitosan to enhance the adhesion of microspheres, which are loaded into the threaded grooves, allowing for their stereoscopic release in the core regions.
View Article and Find Full Text PDFActa Otolaryngol
January 2025
Department of Otomicrosurgery, Sixth Medical Center of The PLA General Hospital, Beijing, China.
Background: In some rare cases of congenital aplasia of the oval window (OW), malformed facial nerve (FN) locations covering the most or entire OW present a challenge to hearing reconstruction, there is no a highly effective surgical hearing reconstruction methods.
Aims/objectives: To update a Scala tympani drill-out technique (SDT) for abnormal FN course covering the OW.
Material And Methods: All patients of congenital atresia of the OW was recruited between August 2014 and July 2023 in a tertiary-care center.
Int Arch Otorhinolaryngol
January 2025
Department of Otorhinolaryngology, Head and Neck Surgery, Army College of Medical Sciences, Brar Square, Delhi Cantonment, New Delhi, India.
Stapedotomy is the standard of care in the surgical management of clinical otosclerosis. It is a precise and technically demanding craft requiring impeccable surgical skills. Both conventional and laser-assisted procedures aim to achieve closure of the air-bone gap (ABG) with minimum collateral damage.
View Article and Find Full Text PDFAm J Audiol
January 2025
School of Audiology & Speech Language Pathology, Bharati Vidyapeeth (Deemed to be University), Pune, India.
Purpose: The present study examined masseteric vestibular evoked myogenic potential (mVEMP) responses in children and compared these results with those of adults, using both air- and bone-conduction modes of stimulation.
Method: Fifteen children and fifteen adults with hearing thresholds below 15 dB HL were considered for the study. Ipsilateral 500-Hz narrow-band chirp (NB CE-chirp) evoked mVEMP responses were elicited via a zygomatic montage through both air- and bone-conduction modes of stimulation.
Med Sci Monit
January 2025
Department of Otolaryngology, Jagiellonian University Medical College, Cracow, Poland.
BACKGROUND The Carhart effect consists of a reduction in bone conduction thresholds associated with conductive hearing loss. The aim of this study was to evaluate the role of the Carhart effect in predicting outcomes from surgery in 3 age groups. MATERIAL AND METHODS This study included 532 patients with conductive hearing loss due to otosclerosis, otitis media with effusion, and chronic otitis media who underwent surgery between 2010 and 2020.
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