Satoda Takahiro, Shimoe Saiji, Makihira Seicho, Tamamoto Mitsuhiro, Matsumoto Atsue, Hara Kumiko, Noso Maki, Niitani Yoshie, Sugiyama Masaru, Takemoto Toshinobu, Murayama Takeshi, Amano Hideaki, Nikawa Hiroki
School of Oral Health Science, Faculty of Dentistry, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8553, Japan.
Kaibogaku Zasshi. 2009 Jun;84(2):41-6.
In students' dissection practice, it is very difficult to teach students the structures and functions of the middle ear ossicles. The middle ear ossicles are too small to explain their structures and functions. Models are useful in explaining these points, but there have been no models that accurately explain the movements of the middle ear ossicles and the functions of the muscles in the middle ear. This time, we have made a model of middle ear ossicles. Our ear ossicles are made of paper-mache with metal in it. The incudomalleolar and incudostapedial articulations are made of rubber. The tensor tympani and the stapedius muscles are made of wire and the two wires can be fixed by cord stoppers. Our model explains clearly the following mechanisms of the middle ear ossicles. 1. The mechanism of sound conduction system. When the sound vibrates the tympanic membrane, malleus and incus rotate together. The long process of the incus pushes the head of the stapes. The sound is amplified by leverage. 2. Attenuation of sound by contractions of tensor tympani and stapedius muscles. When a loud sound is transmitted through the ossicular system, the tensor tympani muscle pulls the malleus inward while the stapedius muscle pulls the stapes outward. These two forces oppose each other and increase rigidity of the ossicular system, thus reducing the ossicular conduction. 3. The mechanism of how paralysis of stapedius muscle, caused by an injury to the facial nerve, results in hyperacusis. 4. This model also suggests a possible reason why the pars lucida of the tympanic membrane exists.
在学生的解剖实习中,向学生讲授中耳听小骨的结构和功能非常困难。中耳听小骨太小,难以解释其结构和功能。模型有助于解释这些要点,但一直没有能准确解释中耳听小骨运动及中耳肌肉功能的模型。此次,我们制作了一个中耳听小骨模型。我们的听小骨由含有金属的纸浆制成。砧镫关节和镫骨砧关节由橡胶制成。鼓膜张肌和镫骨肌由金属丝制成,两根金属丝可用绳塞固定。我们的模型清晰地解释了中耳听小骨的以下机制。1. 声音传导系统的机制。当声音使鼓膜振动时,锤骨和砧骨一起旋转。砧骨长突推动镫骨头。声音通过杠杆作用被放大。2. 鼓膜张肌和镫骨肌收缩对声音的衰减作用。当大声通过听骨系统传导时,鼓膜张肌将锤骨向内拉,而镫骨肌将镫骨向外拉。这两种力量相互对抗,增加了听骨系统的刚性,从而减少了听骨传导。3. 面神经损伤导致镫骨肌麻痹引起听觉过敏的机制。4. 该模型还提出了鼓膜光锥存在的一个可能原因。