Hüttenbrink Kb

Experiments on the Coupling of an Active Middle Ear Implant to the Stapes Footplate

BACKGROUND Although the function of active middle ear implants in cases of intact ossicular chains and ventilated middle ears is well known, information about sound transfer function to the inner ear in cases of chronic middle ear effusion and defective middle ear structures is needed. A temporal bone model was developed to measure (1) the coupling of the active middle ear implant Vibrant Soundbridge in cases of nonventilated radical cavities, and (2) the effect of effusion and cartilage shielding. METHODS Three fresh human temporal bone specimens were studied. After preparation of a radical cavity, the floating mass transducer was coupled to the stapes footplate. The transducer was stimulated with 50 mV multisinus signals and inner ear fluid vibration was measured using a microphone in the round window niche. Several coupling conditions were simulated with mass and stiffness variations and cartilage shielding. RESULTS Coupling modality and prestress have the most influence on the sound transfer function to the inner ear. Cartilage shielding may ensure better coupling of the FMT to the footplate. The effect of middle ear effusion is negligible. CONCLUSION The Vibrant Soundbridge provides good sound transfer to the inner ear not only in cases of coupling onto an intact ossicular chain in a ventilated middle ear but also in cases of coupling to the stapes footplate in non-ventilated radical cavities.

3D-Rekonstruktion anatomischer Strukturen mit der Visualisierungssoftware TIM

EINLEITUNG Im Rahmen von Lehre und Forschung in der Medizin ist es in vielen Fällen wünschenswert, neben den zweidimensionalen Darstellungen in anatomischen Atlanten auch über räumliche Abbildungen anatomischer Strukturen zu verfugen. Die moderne Rechentechnik bietet heute die Möglichkeit, auf der Basis von Originalbilddaten des Menschen SD-Rekonstruktionen verschiedener Körperteile und Organe zu erzeugen. Anhand von zwei Anwendungsbeispielen Respirationstrakt und Ohrsollten die Einsaizmöglichkeiten der Visualisierungssoftware TIM für diesen Zweck getestet werden.