Szymański Marcin, Rusinek Rafał, Zadrozniak Marek, Warmiński Jerzy, Morshed Kamal
Klinika Otolaryngologii i Onkologii Laryngologicznej Uniwersytet Medyczny w Lublinie.
Otolaryngol Pol. 2009 Mar-Apr;63(2):182-5. doi: 10.1016/S0030-6657(09)70103-9.
The knowledge of the physiology of the normal ear is important to understand the function of the ear. It is especially crucial in the reconstruction of the destroyed ear to apply the knowledge of the normal ear. We present results of tympanic membrane vibrations measurements using Laser Doppler Vibrometer in human temporal bone specimens. Six temporal bone specimens were harvested within 48 hours of death and stored cooled until preparation. The preparation included mastoidectomy with posterior tympanotomy and partial resection of the facial nerve to visualize the stapes with its footplate. We measured velocity and displacement of each quadrant of the tympanic membrane and the umbo with the laser Vibrometer equipped with velocity and displacement decoders. The sensor head OFV-534 produced and read the reflected laser beam directed at a measured point with a dedicated micromanipulator attached to an operating microscope. A retro-reflective tape was used to enhance the reflection of the laser beam. Vibrations were induced by a acoustic stimulation at the tympanic membrane. The results of the measurements were corrected to a sound pressure in the external ear canal. Laser Doppler Vibrometer system allows an undisturbed measurement of vibrations in the middle ear. Posterior quadrants of the tympanic membrane have greater velocity and displacement than anterior quadrants in lower frequencies up to 2 kHz.
了解正常耳朵的生理学知识对于理解耳朵的功能很重要。在重建受损耳朵时,应用正常耳朵的知识尤为关键。我们展示了使用激光多普勒振动计在人类颞骨标本中测量鼓膜振动的结果。在死亡后48小时内采集了六个颞骨标本,并冷藏保存直至制备。制备过程包括乳突切除术、后鼓室切开术以及部分面神经切除术,以便观察镫骨及其脚板。我们使用配备了速度和位移解码器的激光振动计测量了鼓膜每个象限以及鼓膜脐的速度和位移。OFV - 534传感器头产生并读取由连接到手术显微镜的专用显微操作器对准测量点的反射激光束。使用了反光带以增强激光束的反射。通过在鼓膜处进行声刺激来诱发振动。测量结果被校正为外耳道中的声压。激光多普勒振动计系统允许对中耳的振动进行无干扰测量。在高达2kHz的较低频率下,鼓膜的后象限比前象限具有更大的速度和位移。