不同激振位置对压电式人工中耳听力补偿性能的影响

doi:10.3969/j.issn.0258-8021.2017.04.006

Abstract
Figure/Table
References
Related Citation (10)

Download: PDF (1075 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract To study the influence of stimulating positions on the hearing compensation performance of piezoelectric middle ear implant (MEI) and ascertain the optimal position for this type ofMEIs, we established a finite element model of human ear, The reliability of the model was verified by comparing the model-predicted results with the experimental data. Based on the model, the displacement stimulation was applied to the umbo, incus body, incus long process and round window. Then, the stimulating positions on the piezoelectric MEI's performance was studied by analyzing the corresponding displacements of the stapes footplate and basilar membrane. Using the displacement of stapes as an evaluation criterion, the round-window stimulation's performance was underestimated at higher frequencies. Compared with the umbo and incus body, basilar membrane displacement at the characteristic place was greater under the incus long process excitation. Basilar membrane displacement at characteristic place was the smallest when under the excitation of incus body. Basilar membrane displacement of the round-window stimulation at the characteristic place was smaller than that at the other positions at lower frequencies, but the exciting effect was the best at middle and high frequencies. In conclusion, the hearing compensation effect of incus long process excitation was the optimum, and the hearing compensation effect of round window excitation was the worst at frequencies below 400 Hz. When the frequency was higher than 1 kHz, the hearing compensation effect of round window excitation was better than that at the other positions. The traditional evaluation criteria that use the stapes footplate displacement would underestimate the performance of the round-window stimulating type MEI.

Key words： middle ear implants piezoelectric actuator stimulating positions finite element analysis

Received: 19 September 2016

PACS:

R197.39

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Zhang Ying
	Liu Houguang
	Rao Zhushi
	Huang Xinsheng
	Yang Jianhua
	Yang Shanguo

Cite this article:

Zhang Ying,Liu Houguang,Rao Zhushi, et al. Effects of Different Stimulating Positions on the Hearing Compensation Performance of Piezoelectric Middle Ear Implant[J]. Chinese Journal of Biomedical Engineering, 2017, 36(4): 426-433.

URL:

http://cjbme.csbme.org/EN/10.3969/j.issn.0258-8021.2017.04.006 OR http://cjbme.csbme.org/EN/Y2017/V36/I4/426

[1] Counter P. Implantable hearing aids [J]. Proceedings of the Institution of Mechanical Engineers Part H, Journal of Engineering in Medicine, 2008, 222(6): 837-852.
[2] Zhao Fei, Koike T, Wang Jie, et al. Finite element analysis of the middle ear transfer functions and related pathologies [J]. Medical Engineering & Physics, 2009, 31(8): 907-916.
[3] Nakajima HH, Merchant SN, Rosowski JJ. Performance considerations of prosthetic actuators for round-window stimulation [J]. Hearing Research, 2010, 263(1): 114-119.
[4] 姚文娟,陈懿强,叶志明,等. 耳听力系统生物力学研究进展[J]. 力学与实践, 2013, 35(6):1-10.
[5] 刘后广, 塔娜, 饶柱石. 新型人工中耳压电振子设计 [J]. 振动与冲击, 2011, 30(7): 112-115.
[6] Hong EP, Park IY, Seong KW, et al. Evaluation of an implantable piezoelectric floating mass transducer for sensorineural hearing loss [J]. Mechatronics, 2009, 19(6):965-971.
[7] Hamanishi S, Koike T, Matsuki H, et al. A new electromagnetic hearing aid using lightweight coils to vibrate the ossicles [J]. Ieee Transactions on Magnetics, 2004, 40(5): 3387-3393.
[8] Song Yulin, Jian Jhongting, Chen Weizen, et al. The development of a non-surgical direct drive hearing device with a wireless actuator coupled to the tympanic membrane [J]. Applied Acoustics, 2013, 74(12): 1511-1518.
[9] Perkins R, Fay JP, Rucker P, et al. The EarLens system: New sound transduction methods [J]. Hearing Research, 2010, 263(1): 104-113.
[10] Bruschini L, Forli F, Santoro A, et al. Fully implantable Otologics MET Carina device for the treatment of sensorineural hearing loss. Preliminary surgical and clinical results [J]. Acta Otorhinolaryngologica Italica, 2009, 29(2):79-85.
[11] Liu Houguang, Rao Zhushi, Huang Xinsheng, et al. An incus-body driving type piezoelectric middle ear implant design and evaluation in 3D computational model and temporal bone [J]. The Scientific World Journal, 2014, 2014(4):121624.
[12] Gan RZ, Dai Chenkai, Wang Xuelin, et al. A totally implantable hearing system-Design and function characterization in 3D computational model and temporal bones [J]. Hearing Research, 2010, 263(1): 138-144.
[13] Liu Houguang, Ta Na, Ming Xiaofeng, et al. Design of floating mass type piezoelectric actuator for implantable middle ear hearing devices [J]. Chinese Journal of Mechanical Engineering, 2009, 22(2): 221-226.
[14] Tringali S, Pergola N, Berger P, et al. Fully implantable hearing device with transducer on the round window as a treatment of mixed hearing loss [J]. Auris Nasus Larynx, 2009, 36(3): 353-358.
[15] 王学林,龚义群,凌玲,等.外耳道静压对声音传递和耳蜗输入影响数值分析 [J]. 中国生物医学工程学报, 2012, 31(3):388-395.
[16] Nakajima HH, Dong W, Olson ES, et al. Evaluation of round window stimulation using the floating mass transducer by intracochlear sound pressure measurements in human temporal bones [J]. Otology and neurotology, 2010, 31(3): 506-511.
[17] 王学林, 胡于进. 蜗窗激励评价的有限元计算模型研究 [J]. 力学学报, 2012, 44(3): 622-630.
[18] Liu Houguang, Ge Shirong, Chen Gang, et al. Transducer type and design influence on the hearing loss compensation behaviour of the electromagnetic middle ear implant in a finite element analysis [J]. Advances in Mechanical Engineering, 2014, 6:867108.
[19] Bornitz M, Hardtke HJ, Zahnert T. Evaluation of implantable actuators by means of a middle ear simulation model [J]. Hearing Research, 2010, 263(1): 145-151.
[20] Colletti V, Soli SD, Carner M, et al. Treatment of mixed hearing losses via implantation of a vibratory transducer on the round window[J].International Journal of Audiology, 2006, 45(10):600-608.
[21] Beltrame AM, Martini A, Prosser S, et al. Coupling the VibrantSoundbridge to cochlea round window: auditory results in patients with mixed hearing loss [J]. Otology & Neurotology, 2009, 30(2):194-201.
[22] Tian Jiabin, Huang Xinsheng, Rao Zhushi, et al. Finite element analysis of the effect of actuator coupling conditions on round window stimulation [J]. Journal of Mechanics in Medicine and Biology, 2015, 15(4):1550048.
[23] Gentil F, Parente M, Martins P, et al. The influence of the mechanical behaviour of the middle ear ligaments: A finite element analysis [J]. Proceedings of the Institution of Mechanical Engineers Part H-Journal of Engineering in Medicine, 2011, 225(1): 68-76.
[24] Gan RZ, Sun Qunli, Feng Bin, et al. Acoustic-structural coupled finite element analysis for sound transmission in human ear - Pressure distributions [J]. Medical Engineering & Physics, 2006, 28(5): 395-404.
[25] 刘迎曦, 李生, 孙秀珍. 人耳传声数值模型 [J]. 力学学报, 2008, 40(1): 107-113.
[26] 王振龙,王学林,胡于进, 等. 基于中耳与耳蜗集成有限元模型的耳声传递模拟 [J]. 中国生物医学工程学报, 2011, 30(1):60-66.
[27] Hong EP, Kim MK, Park IY, et al. Vibration Modeling and Design of Piezoelectric Floating Mass Transducer for Implantable Middle Ear Hearing Devices [J]. Ieice Transactions on Fundamentals of Electronics Communications & Computer Sciences, 2007, 90(8):1620-1627.
[28] Rosowski JJ, Chien W, Ravicz ME, et al. Testing a Method for Quantifying the Output of Implantable Middle Ear Hearing Devices [J]. Audiology & Neurotology, 2007, 12(4): 265-276.
[29] Bekesy GV. Experiments in hearing [M]. New York: McGraw-Hill, 1960: 1-745.
[30] Gundersen T, Skarstein O, Sikkeland T. A Study of the vibration of the basilar membrane in human temporal bone preparations by the use of the mossbauer effect [J]. Acta Oto-Laryngologica, 1978, 86(1-6): 225-232.
[31] Puria S, Peake WT, Rosowski JJ. Sound-pressure measurements in the cochlear vestibule of human-cadaver ears [J]. Journal of the Acoustical Society of America, 1997, 101(1):2754-2770.
[32] Aibara R, Welsh JT, Puria S, et al. Human middle-ear sound transfer function and cochlear input impedance [J]. Hearing Research,2001,152 (1):100-109.
[33] Gelfand SA. Hearing: An introduction to psychological and physiological acoustics [M].(5th Edition), Boca Raton: CRC Press, 2009.
[34] Kim MK, Park IY, Song BS, et al. Fabrication and optimal design of differential electromagnetic transducer for implantable middle ear hearing device [J]. Biosensors & Bioelectronics, 2006, 21(11):2170-2175.
[35] 陈永正, 张天宇. 人工中耳的研究现状 [J]. 国际耳鼻咽喉头颈外科杂志, 2010, 34(4):201-204.
[36] Schmuziger N, Schimmann F, wengen D, et al. Long-term assessment after implantation of the Vibrant Soundbridge device [J]. Ontology & Neurotology, 2006, 27(2):183-188.
[37] Sato R, Ono Y. The displacement of the stapes by the reflex of the human stapedius muscle [J]. Acta Oto-Laryngologica, 1969, 68(1-6):509-513.
[38] Volandri G, Di PF, Forte P, et al. Model-oriented review and multi-body simulation of the ossicular chain of the human middle ear [J]. Medical Engineering & Physics, 2012, 34(9):1339-1355.
[39] Moore BCJ. Cochlear hearing loss: physiological, psychological, and technical issues [M]. 2nd Edition, Chichester: John Wiley & Sons, 2007:1-332.
[40] Pok SM, Schlogel M, Boheim K. Clinical experience with the active middle ear implant Vibrant Soundbridge in sensorineural hearing loss [J]. Advances in Oto-Rhino-Laryngology, 2010, 69:51-58.
[41] Stieger C, Rosowski JJ, Nakajima HH. Comparison of forward (ear-canal) and reverse (round-window) sound stimulation of the cochlea [J]. Hearing Research, 2013, 301(1):105-114.
[42] Nakajima HH, Dong W, Olson ES, et al. Differential Intracochlear Sound Pressure Measurements in Normal Human Temporal Bones[J]. Journal of the Association for Research in Otolaryngology, 2009, 10(1):23-36.