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耳蜗关键结构病变与感音性聋发病机制分析。

Pathogenic mechanism analysis of cochlear key structural lesion and phonosensitive hearing loss.

机构信息

Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, 44106, USA.

School of Mechanics and Engineering Science, Shanghai University, Shanghai, 200072, People's Republic of China.

出版信息

Biomech Model Mechanobiol. 2024 Feb;23(1):87-101. doi: 10.1007/s10237-023-01760-z. Epub 2023 Aug 7.

Abstract

Due to ethical issues and the very fine and complex structure of the cochlea, it is difficult to directly perform experimental measurement on the human cochlea. Therefore, the finite element method has become an effective and replaceable new research means. Accurate numerical analysis on human ear using finite element method can provide better understanding of sound transmission and can be used to assess the influence of diseases on hearing and to treat hearing loss. In this research, a three-dimensional (3D) finite element model (FEM) of the human ear of cochlea was presented to investigate the destruction of basilar membrane (BM), round window (RW) sclerosis and perilymph fistula, the key structures of the cochlea, and analyze the effects of these abnormal pathological states in the cochlea on cochlear hearing, resulting in the changes in cochlear sense structure biomechanical behavior and quantitative prediction of the degree and harm of the disorder to the decline of human hearing. Therefore, this paper can deepen reader's understanding of the cochlear biomechanical mechanism and provide a theoretical foundation for clinical otology.

摘要

由于伦理问题和耳蜗非常精细和复杂的结构,很难直接对人耳蜗进行实验测量。因此,有限元方法已成为一种有效的替代新研究手段。使用有限元方法对人耳进行精确的数值分析,可以更好地了解声音的传播,并可用于评估疾病对听力的影响,以及治疗听力损失。在这项研究中,提出了一个人耳蜗的三维(3D)有限元模型(FEM),以研究基底膜(BM)、圆窗(RW)硬化和外淋巴瘘等耳蜗关键结构的破坏,并分析耳蜗内这些异常病理状态对耳蜗听力的影响,导致耳蜗感觉结构生物力学行为的变化,并对紊乱对人听力下降的程度和危害进行定量预测。因此,本文可以加深读者对耳蜗生物力学机制的理解,并为临床耳科学提供理论基础。

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