Gerhardt K J, Huang X, Arrington K E, Meixner K, Abrams R M, Antonelli P J
Department of Communication Processes and Disorders, University of Florida, Gainesville 32611, USA.
Am J Otolaryngol. 1996 Nov-Dec;17(6):374-9. doi: 10.1016/s0196-0709(96)90069-1.
Although the air-conduction pathway is the principal mode of sound transmission to the inner ear, this may not be true for the fetus in utero. The fetus detects and responds to sounds in the maternal environment. Exogenous sounds can reach the fetal inner ear through the ear canal and middle ear system, bone conduction, or both. This study was designed to compare the effectiveness of these two routes of sound transmission by recording cochlear microphonic potentials from the fetus in utero in response to airborne sounds.
Cochlear microphonics (CMs) recorded from one round window (RW) of fetal sheep in utero were obtained in three conditions: (1) head uncovered; (2) head covered with a neoprene hood; and (3) head covered with a neoprene hood fashioned with a hole that permitted the pinna and ear canal to be exposed. Tone bursts (0.5, 1.0, and 2.0 kHz) were delivered through a loudspeaker at high intensities (100 to 135 dB sound pressure level) to the flank of the ewe. CMs were detected with indwelling electrodes, amplified, and averaged. CM input-output functions were obtained from the fetus in each of the three conditions described above.
CMs recorded with the head uncovered were more sensitive than were the CMs recorded with the hood in place. There was no difference in sensitivity between the condition during which the head was completely covered and the condition in which the pinna and ear canal are exposed.
The principal mode of sound transmission into the fetal inner ear is through bone conduction.
尽管气传导通路是声音传入内耳的主要方式,但对于子宫内的胎儿而言可能并非如此。胎儿能够检测并对母体环境中的声音做出反应。外源声音可通过耳道和中耳系统、骨传导或两者同时作用传入胎儿内耳。本研究旨在通过记录子宫内胎儿对空气传播声音的耳蜗微音电位,比较这两种声音传播途径的有效性。
在三种情况下获取子宫内胎羊一侧圆窗记录的耳蜗微音电位(CMs):(1)头部未覆盖;(2)头部覆盖氯丁橡胶帽;(3)头部覆盖有带孔的氯丁橡胶帽,该孔允许耳廓和耳道暴露。以高强度(100至135分贝声压级)通过扬声器向母羊侧腹发送短纯音(0.5、1.0和2.0千赫)。用植入电极检测CMs,进行放大并平均。从上述三种情况下的胎儿获取CM输入-输出函数。
头部未覆盖时记录的CMs比戴帽时记录的CMs更敏感。头部完全覆盖的情况与耳廓和耳道暴露的情况之间在敏感性上没有差异。
声音传入胎儿内耳的主要方式是通过骨传导。