Chien Wade, Rosowski John J, Ravicz Michael E, Rauch Steven D, Smullen Jennifer, Merchant Saumil N
Department of Otolaryngology, Eaton-Peabody Laboratory, Massachusetts Eye & Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA.
Hear Res. 2009 Mar;249(1-2):54-61. doi: 10.1016/j.heares.2008.11.011. Epub 2008 Dec 11.
Sound-induced stapes velocity (Vs) was measured intraoperatively in 14 patients undergoing cochlear implantation. All 14 patients had no history of middle-ear pathology, and their ossicular chains appeared normal on intraoperative inspection and palpation. The magnitude of the mean Vs (normalized by simultaneously-measured ear-canal sound pressure) was stiffness-dominated at frequencies below 1 kHz, increased up to approximately 4 kHz, and then decreased at higher frequencies. The phase of the mean velocity was +0.2 periods at 0.3 kHz, and gradually became a phase lag at higher frequencies. The mean Vs measured in this study was similar to that of seven ears reported in the only other published study of live human measurements (Huber et al., 2001). We also made measurements of Vs in fresh cadaveric temporal bones using a technique identical to that used in live ears, including similar measurement angles and location. The mean Vs measured in the cadaveric ears under these conditions was similar to the mean Vs measurements in the 14 live ears. This indicates that middle-ear mechanics are similar in live and cadaveric ears. In addition, interspecies comparisons were made between our live human Vs and the Vs reported in different animal studies. There were some clear similarities in Vs across species, as well as differences. The primary interspecies differences were in the magnitude of the Vs as well as in the frequency of transitions in the magnitudes' frequency dependence from rising to flat or falling.
在14例接受人工耳蜗植入手术的患者中,术中测量了声音诱发的镫骨速度(Vs)。所有14例患者均无中耳病变史,术中检查和触诊时其听骨链外观正常。平均Vs的大小(通过同时测量的耳道声压进行归一化)在1 kHz以下频率以劲度为主导,在约4 kHz时增加,然后在更高频率时下降。平均速度的相位在0.3 kHz时为+0.2周期,在更高频率时逐渐变为相位滞后。本研究中测量的平均Vs与另一项已发表的活人测量研究(Huber等人,2001年)中报告的7只耳朵的情况相似。我们还使用与活人耳朵相同的技术,包括相似的测量角度和位置,对新鲜尸体颞骨中的Vs进行了测量。在这些条件下,尸体耳朵中测量的平均Vs与14只活人耳朵中的平均Vs测量结果相似。这表明活人和尸体耳朵的中耳力学相似。此外,我们还对活人Vs与不同动物研究中报告的Vs进行了种间比较。种间在Vs方面既有一些明显的相似之处,也有差异。主要的种间差异在于Vs的大小以及大小的频率依赖性从上升到平坦或下降的转变频率。