Finite-element modelling of the normal and surgically repaired cat middle ear
Keywords:
ear, finite element analysis, hearing, middle-ear ossicular chain, conductive hearing loss, ossicular discontinuity, incudal long process, stapes superstructure, malleus-stapes assembly, finite-element model, middle-ear surgeryAbstract
Discontinuity of the middle-ear ossicular chain results in conductive hearing loss. The most common type of ossicular discontinuity is caused by loss of the incudal long process; the second most common type is caused by loss of both the incudal long process and the stapes superstructure. When the incudal long process alone is missing, a prosthesis (e.g., ossicular bone graft) can be fitted between the manubrium of the malleus and the head of the stapes; the resulting structure is called a malleus-stapes assembly (MSA). When both the incudal long process and the stapes superstructure are missing, a prosthesis can be fitted between the manubrium and the stapedial footplate; this structure is called a malleus-footplate assembly (MFA). The MSA and the MFA do not result in the complete elimination of hearing loss. A quantitative understanding of the mechanics of the normal and surgically repaired middle ear should elucidate some of the reasons for this failure and would aid in the design of middle-ear prostheses. This paper presents a finite-element model of the normal cat middle ear. The model was modified to investigate the effects of middle-ear surgery. The models are limited to low frequencies and sound pressure levelsAdditional Files
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