Rosowski John J, Lee Chung Yi
Department of Otolaryngology and Eaton-Peabody Laboratory, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA.
Hear Res. 2002 Dec;174(1-2):183-95. doi: 10.1016/s0378-5955(02)00655-x.
The pars flaccida of the tympanic membrane has a small role in regulating middle-ear static pressure (Acta Physiol. Scand. 118 (1983) 337; Hear. Res. 118 (1998) 35) and can also modify the response of the middle ear to low-frequency sound pressures by shunting ear-canal volume velocity around the pars tensa (Hear. Res. 13 (1984) 83; Hear. Res. 106 (1997) 39; Diversity in Auditory Mechanics (1997) 129; Audiol. Neuro-Otol. 4 (1999) 129). It has been hypothesized that these two functions can interact to reduce the effect of middle-ear static pressure on sound transmission through the middle ear (Hear. Res. 153 (2001) 146). This paper tests this hypothesis by measuring the effect of static pressure on the sensitivity of the p. tensa and the coupled malleus to sound, before and after immobilizing the p. flaccida. The results are consistent with a limited role of the p. flaccida in influencing the effect of static pressure on the p. tensa's acoustic response. However, this effect is only observed at low frequencies and over the +/-1 cm H(2)0 range of middle-ear static pressures. The results also suggest that large negative middle-ear pressures can induce a change in the mode of tympanic membrane motion regardless of the state of the p. flaccida.
鼓膜松弛部在调节中耳静压方面作用较小(《斯堪的纳维亚生理学杂志》118卷(1983年)第337页;《听觉研究》118卷(1998年)第35页),并且还能通过使外耳道容积速度绕过紧张部来改变中耳对低频声压的反应(《听觉研究》13卷(1984年)第83页;《听觉研究》106卷(1997年)第39页;《听觉力学的多样性》(1997年)第129页;《听力学与神经耳科学》4卷(1999年)第129页)。据推测,这两种功能可能相互作用,以降低中耳静压对声音通过中耳传播的影响(《听觉研究》153卷(2001年)第146页)。本文通过测量在固定松弛部前后,静压对紧张部及与之相连的锤骨的声敏感性的影响来验证这一推测。结果表明,松弛部在影响静压对紧张部声学反应的作用方面较为有限。然而,这种影响仅在低频以及中耳静压±1厘米水柱的范围内观察到。结果还表明,无论松弛部的状态如何,中耳的大幅负压均可引起鼓膜运动模式的改变。