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MIDDLE EAR MECHANICS IN RESEARCH AND OTOLOGY

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MIDDLE EAR MECHANICS

IN RESEARCH AND OTOLOGY

Proceedings of the 4th International Symposium Zurich, Switzerland 27 - 30 July 2006

Editors

Alexander Huber

UniversityHospitalZurich, Switzerland

Albrecht Eiber

Universityof Stuttgart. Germany

r pWorld Scientific

N E W JERSEY LONDO N - SINGAPORE BElJlNG - S H A N G H A I HONG KONG - TAIPEI - C H E N N A I

Published by

World Scientific Publishing Co. Pte. Ltd.

5 Toh Tuck Link, Singapore 596224

USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601

UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE

British Library Cataloguing-in-Publication Data

A catalogue record for this book is available from the British Library.

MIDDLE EAR MECHANICS IN RESEARCH AND OTOLOGY

Copyright © 2007 by PD Dr. med. Alexander Huber and Dr.-Ing. Albrecht Eiber

All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Editors.

ISBN-13 978-981-270-737-6

ISBN-10 981-270-737-9

Printed in Singapore.

PREFACE

Insummer2006,the4thInternationalSymposiumonMiddleEarMechan-

 

ics in Research and Otology was held at the University of Zurich, Switzer-

 

land. More than 250 participants from 33 countries of all five continents

 

came together to present their newest results of research, to exchange their

 

knowledge in practical applications, to discuss open questions and to dis-

 

cover new unsolved problems.

 

Thisbookincludesrepresentativeandselectivearticlesoflecturesand

 

papers held during the symposium and thereby gives an overview of the

 

ongoingresearchandcurrentknowledgeinfunctionandmechanicsofthe

 

normal, diseased and reconstructed middle ear. It covers basic research,

 

engineering and clinical aspects of evaluation, diagnosis and surgery of

 

the middle ear as well as implantable hearing devices. These subjects have

 

been discussed in a very broad and interdisciplinary way between the par-

 

ticipants. The 44 contributions went through a peer review process by the

 

scientific committee.

 

After this fourth meeting of experts in a successful and developing

 

series, this book follows the tradition of the organizers of the previous

 

conferencestocollectthecontributionsof thesymposium.The1st sympo-

 

sium was held 1996 in Dresden and was initiated by K.B.Hüttenbrink, the

v

2nd symposium was organized by S.N.Merchant and J.J.Rosowski 1999

 

in Boston and the 3rd symposium was held 2003 in Matsuyama, arranged

 

by K.Gyo and H.Wada. We are proud to continue these series and to add

 

a collection of current and interesting contributions presented and dis-

 

cussed intensively in Zurich during MEMRO 2006.

 

ThemeetinginZurichtookplaceinaverypersonalatmosphere;ithas

 

initialized and promoted many fruitful discussions with di erent points of

 

view. The symposium gave good opportunities to maintain old friendships

 

and to create new ones. We are very grateful to all helpers, institutions and

 

sponsors that made this symposium so successful. Our special thanks go

 

to “Baugarten Stiftung” in Zurich that generously funded the printing and distribution of this book.

The participants decided to continue the tradition of MEMRO and meetagain2009inStanford.Wearesurethatthenextmeetingwillfurther improvetheknowledgeinunderstandingandtreatmentofthenormaland the diseased middle ear.

Albrecht Eiber

Institute of Engineering and Computational Mechanics,

University of Stuttgart

Alexander Huber

Department of Otolaryngology Head and Neck Surgery,

University of Zurich

vi

CONTENTS

Preface

v

 

Albrecht Eiber, Alexander Huber

 

 

OverviewandRecentAdvancesinBoneConductionPhysiology

1

 

Stefan Stenfelt

 

 

MiddleEarStaticPressure:Measurement,RegulationandE ects

10

 

onMiddleEarMechanics

 

 

J.J.J. Dirckx

 

 

OssicularMotionDuringChangesinStaticPressureintheAvian

21

 

MiddleEar

 

 

Robert Mills, Marek Zadrozniak, Zhang Jie

 

 

DirectMeasurementsandMonitoringofMiddleEarPressure

26

 

Henrik Jacobsen, Joris J.J. Dirckx, Michael Gaihede,

 

 

Kjell Tveterås

 

 

DynamicVersusStaticPressureEvokedPotentials.Indications

36

vii

ofCentralMiddleEarPressureControlinHumans

 

 

Saber A.K. Sami, Michael Gaihede, Lars-Gustav Nielsen,

 

 

Asbjørn M. Drewes

 

 

SubannularVentilationTubesinTreatmentofChronicTubal

46

 

Dysfunction–Resultsin85ConsecutiveCases

 

 

Martin Glümer Jensen, Henrik Jacobsen,

 

 

Michael Lyhne Gaihede, Jørn Rosborg

 

 

OntheWaytoDi erentiallyDiagnosingMiddle-Earand

53

Inner-EarDisorders

 

Diana Ţurcanu, Ernst Dalho , Hans-Peter Zenner,

 

Anthony W. Gummer

 

TowardanUnderstandingofMiddleEarMechanicsUsing

59

Otoreflectance:TheCharacteristicsofEnergyReflectances

 

Fei Zhao, Rhys Meredith, Natasha Wotherspoon,

 

Andrew Rhodes

 

ANewDiagnosticApparatusforOssicularFixation:Evaluation

69

ofUsabilityThroughMeasurementsinHumanTemporalBones

 

andinPatients

 

Takuji Koike, Shinji Hamanishi, Yu Yuasa, Ryo Yuasa,

 

Toshimitsu Kobayashi, Hideko H. Nakajima,WadeChien,

 

MichaelE.Ravicz,SaumilN.Merchant,John J. Rosowski,

 

Richard L. Goode, Hiroshi Wada

 

SourcesofVariabilityinReflectanceMeasurementsonNormal

78

HumanEars

 

Susan E. Voss, Nicholas J. Horton, Rebecca R. Woodbury,

 

Caitlyn A. Shea, Ashley H. Smith

 

OcclusionoftheEarCanalanditsE ectsonHearingTests

87

Kiyofumi Gyo, Toshiki Maetani, Naoto Hato,

 

Masamitsu Hyodo

 

EstimationofStapesPistonMotionwithUni-Directional

94

MeasurementsisPronetoError

 

viiiW.F. Decraemer, S.M. Khanna, O. de La Rochefoucauld, W. Dong, J.J.J. Dirckx, E.S. Olson

ExperimentalInvestigationsontheFunctionalE ectofOssicular

102

JointFixation

 

Ch. O ergeld, N. Lazurashvili, M. Bornitz, Th. Beleites,

 

Th. Zahnert

 

PostoperativeTympanograminTympanoplastywithThinSection

109

CartilageIsland

 

Chin-saeng Cho, Jae-soo Lee, Dong-sik Chang,

 

Myung-soo Choi, Kyung-you Park, Byoung-duk Lim

 

DoNon-PistonComponentsContributetoScalaVestibuliPressure

116

BehindtheFootplateinGerbils?

 

W.F. Decraemer, O. de La Rochefoucauld, W. Dong,

 

S.M. Khanna, J. J.J. Dirckx, E.S. Olson

 

MechanicalExcitationofComplexStapesMotioninGuineaPigs

123

Albrecht Eiber, Christian Breuninger, Damien Sequeira,

 

Alexander Huber

 

TheE ectsofComplexStapesMotionontheResponseofthe

130

CochleainGuineaPigs

 

Damien Sequeira, Christian Breuninger, Albrecht Eiber,

 

Alexander Huber

 

FactorsA ectingMeasurementofEar-CanalPressuretoStapes

136

VelocityTransferFunction

 

Toshiki Maetani, Sunil Puria, Richard L. Goode

 

AcuteTympanicMembranePerforationsHealwithoutSignificant

146

LossofStrength

 

M. von Unge, J.J.J. Dirckx, A. Rahman, M. Hultcrantz

 

BoostofTransmissionatthePedicleoftheIncusintheChinchilla

154

MiddleEar

 

Mario A. Ruggero, Andrei N. Temchin, Yun-Hui Fan,

 

Hongxue Cai, Luis Robles

 

FromImagingoftheMastoidtoMechatronicSurgery:

158

TheRobin-Project

 

Marcus M. Maassen , Hans P. Zenner , Raphael Ciuman,

ix

Dirk Malthan, Armin Schäfer, Florian Damman,

 

Erwin Schwaderer, Jan Stallkamp, Stefan Wössner,

 

Dirk Bartz, Jesus Rodriguez Jorge

 

OssicularReconstructionUsingStoredIncusinPlannedTwo-Stage

164

Tympanoplasty

 

Kiyofumi Gyo, Toshiki Maetani, Naoto Hato, Masamitsu Hyodo

 

IncusInterposition:SurgicalHighlightsandAudiologicalResults

169

Ch. Röösli, A. de Ataide, Ch. Schlegel-Wagner, T.E. Linder