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1.
Arq. bras. med. vet. zootec. (Online) ; 73(6): 1287-1293, Nov.-Dec. 2021. tab, ilus
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1355687

RESUMO

The social and economic roles of goat farming in Northeastern Brazil, allied to the fact that the use of goat middle ear ossicles for research and human ear surgery training has not yet been proposed, justify the study of their applicability as an experimental model. The middle ears of 19 goats (Capra aegagrus hircus) from the bone collection of the Laboratory and Didactic Anatomy Museum of Domestic and Wild Animals of the Federal University of Vale do São Francisco (UNIVASF) were dissected. The malleus, incus, and stapes were evaluated regarding their macroscopic morphology and biometry (length, width, and height). Ossicle morphology was similar to sheep, human, and bovine morphology. The malleus was 1.3 times heavier and 2.2 times longer than the incus, and 9.0 times heavier and 3.7 times longer than the stapes. The size relationship was positive between the stapes and the malleus and negative between the stapes and the incus. It is concluded that the middle ear size and the anatomical similarities with human ossicles make goats a useful model for experimental scientific studies, reconstructive surgery practice of the ossicular chain, and human ear surgery training.(AU)


Tanto o papel social quanto o econômico da caprinocultura na região Nordeste do Brasil, somados ao fato de que o uso de ossículos da orelha média de caprinos para estudos e treinamento cirúrgico otológico humano ainda não foi proposto, justificam o estudo de sua aplicabilidade como modelo experimental. Foram dissecadas as orelhas médias de 19 caprinos (Capra aegagrus hircus), provenientes do ossuário do Laboratório e Museu Didático de Anatomia dos Animais Domésticos e Silvestres - Universidade Federal do Vale do São Francisco. Martelos, bigornas e estribos tiveram a morfologia macroscópica e a biometria (comprimento, largura e altura) avaliadas. A morfologia dos ossículos assemelhou-se a de ovinos, humanos e bovinos. O martelo foi 1,3 vez mais pesado e 2,2 vezes mais comprido que a bigorna e 9,0 vezes mais pesado e 3,7 vezes mais comprido que o estribo. A relação de tamanho entre o estribo e o martelo foi positiva, e entre o estribo e a bigorna negativa. Conclui-se que o tamanho da orelha média e as semelhanças anatômicas com os ossículos humanos tornam os caprinos um modelo útil para estudos científicos experimentais, prática cirúrgica reconstrutiva da cadeia ossicular e treinamento cirúrgico otológico humano.(AU)


Assuntos
Animais , Estribo/anatomia & histologia , Cabras/anatomia & histologia , Ossículos da Orelha/anatomia & histologia , Bigorna/anatomia & histologia , Martelo/anatomia & histologia , Biometria , Modelos Animais
2.
Surg Radiol Anat ; 43(2): 153-159, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32812128

RESUMO

PURPOSE: The aims of the present study were to identify detailed positional relationship between the auditory ossicles and to provide theoretic navigational guidelines for optimal prosthesis adaptation and effective malleostapedotomy. METHODS: Fifty sides of the temporal bone from donated cadavers were scanned by MicroCT and the malleus, incus, stapes and tympanic membrane were materialized three dimensionally using computer software. Dimensions between the auditory ossicles closely related to malleostapedotomy were measured twice. RESULTS: The grip site of malleus handle was mean 1.8 mm superior and mean 1.3 mm anterior, and linear distance between the grip site of malleus handle and the footplate of the stapes was mean 6.5 mm. The stapes was not parallel to the tympanic membrane and rotated mean 10.7° posteriorly relative to the tympanic membrane. CONCLUSION: Surgeons should start with at least 8.75 mm prosthesis to cover the upper limits of potential anatomy and then trim down to the individualization to the case. The ideal loop morphology has to be oval shape more than 1.4 mm in the long diameter and 1.0 mm in the short diameter. The wire of the prosthesis has to be bended at the two points: about 10° anteriorly at the most proximal point of the wire and about 50° superiorly at the stapes head point.


Assuntos
Martelo/anatomia & histologia , Implantação de Prótese/métodos , Cirurgia do Estribo/métodos , Estribo/anatomia & histologia , Idoso , Cadáver , Feminino , Humanos , Imageamento Tridimensional , Complicações Intraoperatórias/etiologia , Complicações Intraoperatórias/prevenção & controle , Masculino , Martelo/diagnóstico por imagem , Martelo/cirurgia , Prótese Ossicular/efeitos adversos , Implantação de Prótese/efeitos adversos , Estribo/diagnóstico por imagem , Cirurgia do Estribo/efeitos adversos , Técnicas Estereotáxicas , Osso Temporal/anatomia & histologia , Osso Temporal/diagnóstico por imagem , Microtomografia por Raio-X
3.
Acta Otolaryngol ; 140(11): 899-903, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32700991

RESUMO

BACKGROUND: Ultra-high-resolution computed tomography (U-HRCT) utilizes a 1024 × 1024 matrix with 0.25-mm section thickness, offering better spatial resolution than conventional multi-detector row CT to detect anatomic data for otologic surgery. AIMS: We examined stapes footplate thickness using U-HRCT in relation to stapedotomy to predict the difficulty of the surgical procedure. MATERIALS AND METHODS: Subjects were 12 otosclerosis patients and 25 controls who underwent diagnostic U-HRCT. A profile curve (Hounsfield units) was used to measure stapes footplate thickness along a perpendicular line across the stapes footplate in a plane parallel to the lateral semicircular canal. RESULTS: Footplate thickness was smaller at the midpoint than just before the anterior crus and just after the posterior crus. Interobserver variability was lowest at the midpoint, where foot plate thickness was significantly greater in the affected ear in otosclerosis patients compared with controls (0.60 ± 0.09 mm vs 0.46 ± 0.04 mm; p < .001). Otosclerosis patients were detected using U-HRCT with a high area under the curve. Difficulty in the stapes opening procedure correlated with stapes footplate thickness. CONCLUSIONS: Footplate thickness on U-HRCT correlated with temporal bone anatomy and corresponded to surgical difficulty. Significance: U-HRCT-derived anatomic data is useful for evaluating the stapes.


Assuntos
Otosclerose/patologia , Cirurgia do Estribo , Estribo/anatomia & histologia , Tomografia Computadorizada por Raios X/métodos , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Prótese Ossicular , Otosclerose/diagnóstico por imagem , Janela do Vestíbulo/patologia , Curva ROC , Estudos Retrospectivos , Estribo/diagnóstico por imagem , Estribo/patologia , Osso Temporal/anatomia & histologia , Osso Temporal/diagnóstico por imagem
4.
Anat Rec (Hoboken) ; 303(12): 2977-2999, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-31967384

RESUMO

A detailed anatomy of the braincase and stapes of the subadult specimen of Diadectes absitus from early Permian sediments of Germany are described for the first time based on the high-resolution X-ray microcomputed tomography. In contrast to previous studies of Diadectes, the bones of the braincase (opisthotic, prootic, supraoccipital, basioccipital, exoccipital, basisphenoid, and sphenethmoid), and parasphenoid of D. absitus are not co-ossified, but suturally defined. This has allowed for a reconstruction of a complete braincase with all sutures between the individual bones. The opisthotic, prootic, and supraocciptal contain a well-preserved endosseous labyrinth. The three-dimensional-reconstruction of its cavities shows a well-preserved vestibule, three semicircular canals, and well-developed cochlear recess. In addition, a shallow subarcuate fossa is present on the ventral surface of the supraoccipital, which lies medial to the anterior semicircular canal. A typical feature of the diadectid braincase is the presence of the otic tube leading from the fenestra vestibuli to the vestibule. A revision of the topology of this structure is presented here. Here, we describe new structures of the stapes, especially in its proximal portion, as well as its position to the fenestra vestibuli. These structures are described for the first time not only in D. absitus, but for the genus.


Assuntos
Orelha Média/anatomia & histologia , Crânio/anatomia & histologia , Estribo/anatomia & histologia , Animais , Orelha Média/diagnóstico por imagem , Fósseis , Alemanha , Crânio/diagnóstico por imagem , Estribo/diagnóstico por imagem , Vertebrados , Microtomografia por Raio-X
5.
Laryngoscope ; 130(3): 768-775, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31077404

RESUMO

OBJECTIVES: To compare the results of ossiculoplasty with two different partial ossicular replacement prostheses (PORP) to ossiculoplasty with a total ossicular replacement prosthesis (TORP) in patients with an intact stapes suprastructure. METHODS: All patients required primary or revision surgery for chronic middle ear disease and ossicular reconstruction with either a PORP or a TORP, as well as a with an intact stapes suprastructure. In total, 141 patients receiving classic tympanoplasty with PORP (N = 92), ossiculoplasty with PORP with ball joint (N = 22), or TORP (N = 27) between January 2011 and March 2017 were included in this study. The inclusion criterion was an intact stapes suprastructure. The underlying indication for surgery was either middle ear disease, such as cholesteatoma, or revision surgery for audiological improvement. The main outcome measures were four-frequency pure tone average (0.5, 1, 2, 3 kHz) at early and late follow-up after ossiculoplasty, the effects of clinical factors including the underlying middle ear disease, and primary or revision surgery. RESULTS: All patients showed a significantly reduced air-bone gap (ABG 0.5, 1, 2, 3 kHz) at late follow-up (mean: 18 dB) compared to preoperative measurements (mean: 25.5 dB). A significantly better outcome in ABG closure was shown among patients with a preoperatively intact tympanic membrane, with an intact stapes suprastructure or without preexisting cholesteatoma. Outcome was not significantly influenced by the prosthesis-type, the creation of an open mastoid cavity, the status of the mucosa, or the indication for surgery. CONCLUSION: TORP with an intact stapes suprastructure is a safe procedure and provides audiological outcomes similar to PORP. LEVEL OF EVIDENCE: 2C Laryngoscope, 130:768-775, 2020.


Assuntos
Otopatias/cirurgia , Prótese Ossicular , Substituição Ossicular , Timpanoplastia , Adulto , Colesteatoma da Orelha Média/cirurgia , Feminino , Humanos , Masculino , Desenho de Prótese , Reoperação , Estribo/anatomia & histologia , Resultado do Tratamento
6.
J Neurosci Methods ; 330: 108481, 2020 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-31669291

RESUMO

OBJECTIVES: Research using rat as an in-vivo model has played an important role in otological research. The rat ear anatomy has been described; however, detailed surgical procedures to access the temporal bone are limited. The authors present a technique to approach the inner ear of rat that was standardized by cadaveric dissections and later replicated in living animals. METHODS: Adult Wistar albino rats were dissected via the post-auricular approach. The emphasis was on early identification of the facial nerve that formed a reliable landmark for the tympanic bulla, which in turn houses the round window and stapedial artery. The point of identification of facial nerve was postero-inferior to the external auditory meatus. The procedure was then repeated in living animals. RESULTS: Seventeen cadaveric rats were dissected. Initially, the investigators attempted to identify the facial nerve at its crossing over the external auditory meatus. However, that method was found to be unsatisfactory. The facial nerve was then attempted to be identified in its course postero-inferior to the external auditory meatus. The technique improved drastically, and the facial nerve was identified promptly and reliably. The procedure was then repeated in seven living rats under general anaesthesia. The major issues encountered were bleeding from the stapedial artery, hematoma of the pinna in one rat. CONCLUSION: This study suggests that the post-auricular approach is a feasible and less time consuming route for round window drug delivery experiments in Wistar albino rats. Recognition of anatomical landmarks, particularly the facial nerve is the key to surgery.


Assuntos
Artéria Carótida Interna/anatomia & histologia , Nervo Facial/anatomia & histologia , Procedimentos Neurocirúrgicos/métodos , Janela da Cóclea/anatomia & histologia , Janela da Cóclea/cirurgia , Estribo/anatomia & histologia , Animais , Humanos , Modelos Animais , Ratos
7.
Med Sci Monit ; 25: 2679-2686, 2019 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-30975972

RESUMO

BACKGROUND Otosclerosis is a primary disease of the bony labyrinth. In the course of otosclerosis, abnormal resorption and recalcification of the endochondral layer of the temporal bone is observed. The otosclerotic process most commonly develops in the anterior part of the oval window. MATERIAL AND METHODS We analyzed stapes superstructures from 4 patients undergoing surgery for otosclerosis. The first step involved tissue assessment under a scanning electron microscope. The resulting images were analyzed in terms of morphological changes. The stapes superstructure was then divided into small "ossicles", including fragments from the closest vicinity of the stapes footplate and a fragment of the head of the stapes. This material was examined using a scanning electron microscope with a unit for chemical analysis in microareas. RESULTS Chemical analysis confirms the appearance of considerable quantities of the following elements: carbon, oxygen, potassium, and calcium, and the appearance of small quantities of sodium and magnesium. Based on a detailed analysis of the chemical composition, these fragments could represent a calcium phosphate compound from the following system: CaO-P2O5-H2O. Fragments of the superstructure from the region closest to the base of the stapes demonstrated a considerably larger presence of carbon, oxygen, and nitrogen, which most likely suggests an increased metabolic process in this region. CONCLUSIONS Our analysis revealed an increased metabolic activity in the closest vicinity of the otosclerotic focus, the fissula ante fenestram. The increased metabolism correlated with the bone tissue changes seen on scanning electron microscopy.


Assuntos
Estribo/metabolismo , Adulto , Fosfatos de Cálcio/análise , Feminino , Humanos , Pessoa de Meia-Idade , Estribo/anatomia & histologia , Estribo/ultraestrutura
8.
J Laryngol Otol ; 133(3): 187-191, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30821225

RESUMO

BACKGROUND: The anatomy of the membranous labyrinth within the vestibule has direct implications for surgical intervention. The anatomy of the otoliths has been studied, but there is limited information regarding their supporting connective tissue structures such as the membrana limitans in humans. METHODS: One guinea pig and 17 cadaveric human temporal bones were scanned using micro computed tomography, after staining with 2 per cent osmium tetroxide and preservation with Karnovsky's solution, with a resolution from 1 µm to 55 µm. The data were analysed using VGStudio Max software, rendered in three-dimensions and published in augmented reality. RESULTS: In 50 per cent of ears, the membrana limitans attached directly to the postero-superior part of the stapes footplate. If attachments were present in one ear, they were present bilaterally in 100 per cent of cases. CONCLUSION: Micro computed tomography imaging allowed three-dimensional assessment of the inner ear. Such assessments are important as they influence the surgical intervention and the evolution of future innovations.


Assuntos
Estribo/anatomia & histologia , Vestíbulo do Labirinto/anatomia & histologia , Animais , Cobaias , Humanos , Imageamento Tridimensional , Estribo/diagnóstico por imagem , Osso Temporal/anatomia & histologia , Osso Temporal/diagnóstico por imagem , Vestíbulo do Labirinto/diagnóstico por imagem , Vestíbulo do Labirinto/cirurgia , Microtomografia por Raio-X
9.
Folia Morphol (Warsz) ; 78(3): 600-605, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30687911

RESUMO

BACKGROUND: The aim of the study was to determine morphometric and macroanatomic features of auditory ossicles and the tympanic bulla in wolf. MATERIALS AND METHODS: For this purpose, 7 skulls of adult male wolf were used in the study. Auditory ossicles was photographed on a dissection microscope after it was removed from the skull. A total of 14 morphometric measurements were taken among the different points of malleus, incus and stapes in Image J programme. Mean values of the measurements were obtained and statistically compared in terms of sides (right-left). RESULTS: In male wolves, the lengths of the right and left malleus were determined as mean 9.35 ± 0.14 and 9.57 ± 0.25 mm, the lengths of the incus as mean 3.01 ± 0.32 and 2.94 ± 0.16 mm, and the lengths of the stapes as mean 2.57 ± 0.12 and 2.59 ± 0.14 mm, respectively. The differences were not statistically significant when all the morphometric parameters were compared in terms of sides (p > 0.05). CONCLUSIONS: It is considered that this study will contribute to the anatomical studies to be conducted in the Canidae family regarding auditory ossicles.


Assuntos
Ossículos da Orelha/anatomia & histologia , Lobos/anatomia & histologia , Animais , Bigorna/anatomia & histologia , Masculino , Estribo/anatomia & histologia
10.
Ear Nose Throat J ; 97(4-5): 116-121, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29940679

RESUMO

Although human stapes are known to have varied dimensions and the footplate is considered to be oval (fitting as it does into the oval window), few studies of high-resolution imaging of these structures have been performed. No study appears to have addressed the bilateral symmetry of stapes dimensions or to have determined if an association exists between the size of the stapes and the size of mastoid pneumatization; a small mastoid pneumatization is an indicator of childhood otitis media. We obtained 41 ear-normal cadaver crania specimens for study in our temporal bone laboratory and isolated 10 for further analysis: the 5 with the largest areas of mastoid pneumatization and the 5 with the smallest. Microcomputed tomography of tissue blocks was performed on the in situ stapes. Using ImageJ software, we created a three-dimensional model of each stapes. The mean height of these stapes was 3.43 mm (range: 3.20 to 3.80), the mean length of the footplates was 2.71 mm (range: 2.52 to 2.97), and the mean width of the footplates was 1.23 mm (range: 1.12 to 1.46). Qualitatively, the footplate was shaped like a human footprint in moist sand, as Eysell described in 1870. The dimensions of the stapes were found to be bilaterally symmetrical in general, but there was no correlation between these dimensions and the size of mastoid pneumatization. The distribution of footplate widths may be bimodal, which is consistent with the observation of Sim et al that men have wider footplates than do women.


Assuntos
Estribo/diagnóstico por imagem , Microtomografia por Raio-X/métodos , Adulto , Cadáver , Feminino , Humanos , Masculino , Estribo/anatomia & histologia , Osso Temporal/diagnóstico por imagem
11.
Proc Biol Sci ; 285(1873)2018 02 28.
Artigo em Inglês | MEDLINE | ID: mdl-29467266

RESUMO

Middle ear ossicles (malleus, incus, stapes) are known for few multituberculate taxa, and three different stapedial morphotypes have been suggested: (i) slender, columelliform and microperforate, (ii) robust and rod-like, and (iii) bicrural. Reinvestigation of Upper Jurassic (Kimmeridgian) mammalian petrosals from the Guimarota coal mine in central Portugal (Western Europe) revealed an asymmetric bicrural stapes (ABS) in the paulchoffatiid Pseudobolodon oreas The middle ear ossicles displaced inside the osseous vestibule were detected by a µCT analysis. The Kimmeridgian age of the Guimarota stapes exceeds the stapes from the Early Cretaceous (Barremian) of Asia (about 122-124 Ma) by approximately 30 Myr, and is only slightly younger than the stapes of the recently described Oxfordian euharamiyidan Arboroharamiya allinhopsoni The Guimarota stapes indicates that the stapes of Lambdopsalis, described as columelliform and microperforate (small stapedial foramen), does not represent a general condition for multituberculates. The stapes of Pseudobolodon is bicrural, the anterior crus sits centrally on the oval footplate, and the stapedial head is simple and smaller than the footplate. We hypothesize that the ABS evolved from the symmetric bicrural stapes (SBS) of non-mammaliaform cynodonts. The ABS appears to be the ancestral morphotype of the mammalian SBS, and the mammalian columelliform imperforate stapes.


Assuntos
Evolução Biológica , Fósseis/anatomia & histologia , Mamíferos/anatomia & histologia , Estribo/anatomia & histologia , Animais , Portugal
12.
J Morphol ; 279(4): 441-457, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-27228358

RESUMO

The middle ear bones of Mesozoic mammals are rarely preserved as fossils and the morphology of these ossicles in the earliest mammals remains poorly known. Here, we report the stapes and incus of the euharamiyidan Arboroharamiya from the lower Upper Jurassic (∼160 Ma) of northern China, which represent the earliest known mammalian middle ear ossicles. Both bones are miniscule in relation to those in non-mammalian cynodonts. The skull length/stapedial footplate diameter ratio is estimated as 51.74 and the stapes length as the percentage of the skull length is 4%; both numbers fall into the stapes size ranges of mammals. The stapes is "rod-like" and has a large stapedial foramen. It is unique among mammaliaforms in having a distinct posterior process that is interpreted as for insertion of the stapedius muscle and homologized to the ossified proximal (stapedial) end of the interhyal, on which the stapedius muscle attached. The incus differs from the quadrate of non-mammalian cynodonts such as morganucodontids in having small size and a slim short process. Along with lack of the postdentary trough and Meckelian groove on the medial surface of the dentary, the ossicles suggest development of the definitive mammalian middle ear (DMME) in Arboroharamiya. Among various higher-level phylogenetic hypotheses of mammals, the one we preferred places "haramiyidans" within Mammalia. Given this phylogeny, development of the DMME took place once in the allotherian clade containing euharamiyidans and multituberculates, probably independent to those of monotremes and therians. Thus, the DMME has evolved at least three times independently in mammals. Alternative hypothesis that placed "haramiyidans" outside of Mammalia would require independent acquisition of the DMME in multituberculates and euharamiyidans as well as parallel evolution of numerous derived similarities in the dentition, occlusion pattern, mandibles, cranium, and postcranium between the two groups and between "haramiyidans" and other mammals. J. Morphol. 279:441-457, 2018. © 2016 Wiley Periodicals, Inc.


Assuntos
Evolução Biológica , Ossículos da Orelha/anatomia & histologia , Mamíferos/anatomia & histologia , Animais , China , Fósseis , Bigorna/anatomia & histologia , Mandíbula/anatomia & histologia , Filogenia , Estribo/anatomia & histologia , Fatores de Tempo
13.
Eur Arch Otorhinolaryngol ; 274(7): 2733-2739, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28439694

RESUMO

Functional outcomes and complications in otosclerosis surgery are governed by the surgeon's experience. Thus, teaching the procedure to residents to guide them through the learning process as quickly as possible is challenging. Artificial 3D-printed temporal bones are replacing cadaver specimens in many institutions to learn mastoidectomy, but these are not suitable for middle ear surgery training. The goal of this work was to adapt such an artificial temporal bone to aid the teaching of otosclerosis surgery and to evaluate this tool. We have modified a commercially available 3D-printed temporal bone by replacing the incus and stapes of the model with in-house 3D-printed ossicles. The incus could be attached to a 6-axis force sensor. The stapes footplate was fenestrated and attached to a 1-axis force sensor. Six junior surgeons (residents) and seven senior surgeons (fellows or consultants) were enrolled to perform piston prosthesis placement and crimping as performed during otosclerosis surgery. The time required to perform the tasks and the forces applied to the incus and stapes were collected and analyzed. No statistically significant differences were observed between the junior and senior groups for time taken to perform the tasks and the forces applied to the incus during crimping and placement of the prosthesis. However, significantly lower forces were applied to the stapes by the senior surgeons in comparison with the junior surgeons during prosthesis placement (junior vs senior group, 328 ± 202.9 vs 80 ± 99.6 mN, p = 0.008) and during prosthesis crimping (junior vs senior group, 565 ± 233 vs 66 ± 48.6 mN, p = 0.02). We have described a new teaching tool for otosclerosis surgery based on the modification of a 3D-printed temporal bone to implement force sensors on the incus and stapes. This tool could be used as a training tool to help the residents to self-evaluate their progress with recording of objective measurements.


Assuntos
Modelos Anatômicos , Prótese Ossicular , Otosclerose/cirurgia , Impressão Tridimensional , Implantação de Prótese/educação , Cirurgia do Estribo/educação , Osso Temporal/anatomia & histologia , Feminino , Humanos , Bigorna/anatomia & histologia , Bigorna/cirurgia , Masculino , Estribo/anatomia & histologia , Osso Temporal/cirurgia
14.
Hear Res ; 348: 16-30, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28189837

RESUMO

The stapes is held in the oval window by the stapedial annular ligament (SAL), which restricts total peak-to-peak displacement of the stapes. Previous studies have suggested that for moderate (<130 dB SPL) sound levels intracochlear pressure (PIC), measured at the base of the cochlea far from the basilar membrane, increases directly proportionally with stapes displacement (DStap), thus a current model of impulse noise exposure (the Auditory Hazard Assessment Algorithm for Humans, or AHAAH) predicts that peak PIC will vary linearly with DStap up to some saturation point. However, no direct tests of DStap, or of the relationship with PIC during such motion, have been performed during acoustic stimulation of the human ear. In order to examine the relationship between DStap and PIC to very high level sounds, measurements of DStap and PIC were made in cadaveric human temporal bones. Specimens were prepared by mastoidectomy and extended facial recess to expose the ossicular chain. Measurements of PIC were made in scala vestibuli (PSV) and scala tympani (PST), along with the SPL in the external auditory canal (PEAC), concurrently with laser Doppler vibrometry (LDV) measurements of stapes velocity (VStap). Stimuli were moderate (∼100 dB SPL) to very high level (up to ∼170 dB SPL), low frequency tones (20-2560 Hz). Both DStap and PSV increased proportionally with sound pressure level in the ear canal up to approximately ∼150 dB SPL, above which both DStap and PSV showed a distinct deviation from proportionality with PEAC. Both DStap and PSV approached saturation: DStap at a value exceeding 150 µm, which is substantially higher than has been reported for small mammals, while PSV showed substantial frequency dependence in the saturation point. The relationship between PSV and DStap remained constant, and cochlear input impedance did not vary across the levels tested, consistent with prior measurements at lower sound levels. These results suggest that PSV sound pressure holds constant relationship with DStap, described by the cochlear input impedance, at these, but perhaps not higher, stimulation levels. Additionally, these results indicate that the AHAAH model, which was developed using results from small animals, underestimates the sound pressure levels in the cochlea in response to high level sound stimulation, and must be revised.


Assuntos
Cóclea/fisiologia , Audição/fisiologia , Rampa do Tímpano/fisiologia , Rampa do Vestíbulo/fisiologia , Estribo/fisiologia , Estimulação Acústica , Acústica , Cadáver , Ossículos da Orelha/fisiologia , Orelha Média/fisiologia , Impedância Elétrica , Humanos , Lasers , Prótese Ossicular , Pressão , Modelos de Riscos Proporcionais , Janela da Cóclea/fisiologia , Som , Estribo/anatomia & histologia , Osso Temporal/anatomia & histologia , Osso Temporal/fisiologia
15.
Hear Res ; 337: 65-9, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27244698

RESUMO

The Mongolian gerbil (Meriones unguiculatus) is commonly used in hearing research because the hearing frequency spectrum of the gerbil is rather similar to that of the human being. However, a precise description of the surgical post-auricular route has not been reported. The aim of this technical note is to provide details on the procedure and the surgical anatomy of the post-auricular route in the Mongolian gerbil. Surgery was performed under general anesthesia on eight (2 males and 6 females) adult Mongolian gerbils. All steps of the post-auricular route were detailed. This surgery provided an access to the following structures: the semi-circular posterior and lateral canals, the external auditory meatus, the tympanic membrane, the round window, the stapes, the stapedial artery and the reliefs of the cochlea. No anatomic variation was noticed among the 8 animals. This post-auricular route in the Mongolian gerbil defines a brief and simple surgery, overall standardized as a consequence of the absence of common anatomic variation, with painless and uncomplicated post-operative stage.


Assuntos
Procedimentos Cirúrgicos Otológicos/métodos , Membrana Timpânica/anatomia & histologia , Membrana Timpânica/cirurgia , Animais , Pavilhão Auricular , Feminino , Gerbillinae , Audição , Humanos , Masculino , Período Pós-Operatório , Estribo/anatomia & histologia , Cirurgia do Estribo
16.
Hear Res ; 340: 99-106, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27034152

RESUMO

Determining the degree of ossicular fixation is a difficult task, with the final assessment often being made with manual palpation during exploratory tympanotomy. A more objective method to evaluate ossicular fixation would be valuable. In this paper we describe a new method which makes use of a magnet and coil to measure ossicular motion through the ear canal with an elevated tympanic membrane. We report measurements of the vibration response at the umbo, the tip of the incus long process and the lateral posterior crus of the stapes before and after artificially fixing the stapes footplate and anterior mallear ligament with luting cement. Results were obtained on temporal bones, but the practicality of the method allows easy clinical implementation. Velocity ratios between different measurement points along the ossicular chain may provide a quantitative indication of the degree of stapes fixation. Isolated anterior mallear ligament fixation was not distinguishable from the unfixed condition.


Assuntos
Ossículos da Orelha/cirurgia , Prótese Ossicular , Osso Temporal/anatomia & histologia , Osso Temporal/fisiologia , Membrana Timpânica/anatomia & histologia , Estimulação Acústica , Audição , Perda Auditiva Condutiva/cirurgia , Humanos , Bigorna/anatomia & histologia , Martelo/anatomia & histologia , Som , Estribo/anatomia & histologia , Osso Temporal/cirurgia
17.
Int. j. morphol ; 34(1): 268-275, Mar. 2016. ilus
Artigo em Espanhol | LILACS | ID: lil-780504

RESUMO

El cerdo doméstico (Sus scrofa domestica) ha sido utilizado como modelo para estudiar métodos de implante en el oído medio previo a estudios clínicos humanos. Diferentes investigaciones han destacado la utilidad en este ámbito, como también su alta comparabilidad morfológica en relación con los humanos. Sin embargo, las descripciones anatómicas sobre sus huesecillos auditivos son insuficientes, al igual que las comparaciones en relación con el humano. Por ello, con el objetivo de realizar una descripción detallada de la anatomía de dichos huesecillos comparados con los del humano, se procedió a disecar seis cabezas de cerdo, de las cuales se extrajeron sus huesecillos para observar su morfología. Los resultados preliminares demostraron que la cadena de huesecillos del Cerdo comparte la presencia de las mismas formaciones anatómicas que se pueden identificar en los huesecillos del hombre, pero aún así existen diferencias descriptivas y morfométricas en la morfología de ellas. Los resultados permitieron concluir que existe alta comparabilidad morfológica entre ambas cadenas de huesecillos debido a sus diferencias y similitudes, lo cual lo hace ser un buen modelo didáctico para el estudio y la enseñanza de la morfología auditiva en distintos niveles educacionales.


The domestic Pig (Sus scrofa domestica)has been used as a model to study implants methods in clinical cases of the human middle ear. Different studies have highlighted the usefulness in this area, as well as its high morphological comparability with regard to humans. However, the anatomical descriptions about its ear bones are scarce, as comparisons in relation to the human. Therefore, in order to make a detailed description of the anatomy of these bones compared to human, it was necessary to dissect six pig heads of which its ossicles were removed to observe its morphology. Preliminary results showed that the pig'sossicles share the same anatomical formations that can be identified in the human ones, but there are some descriptive and morphometric differences in its morphology. The results concluded that there is high comparability between both morphological ossicular chains due to their differences and similarities, which makes it a great teaching model for the study and teaching of auditory morphology at different educational levels.


Assuntos
Humanos , Animais , Ossículos da Orelha/anatomia & histologia , Humanos/anatomia & histologia , Sus scrofa/anatomia & histologia , Bigorna/anatomia & histologia , Martelo/anatomia & histologia , Estribo/anatomia & histologia
19.
PLoS One ; 10(7): e0131174, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26176619

RESUMO

The stapes is known in several non-mammaliaform cynodonts, although it has only been cursorily studied. Here we thoroughly analyze the stapedial anatomy of several basal cynodonts in a phylogenetic framework. Our study shows that the stapedial anatomy is more variable than previously thought. The morphological variation of the stapes led to the recognition of 11 phylogenetic characters that were included in a total evidence data matrix centered in the analysis of gomphodont cynodonts. Stapes morphology does not provide evidence to suggest a direct connection between the stapes and a postquadrate tympanic membrane (if present) and the hypothesis of a dorsal process as the site of attachment of a small ligament or the stapedial muscle is supported. The re-evaluation of the theories concerning the position of the tympanic membrane in non-mammaliaform cynodonts allowed us to conclude that the hypothetical postquadrate tympanic membrane associated with the squamosal sulcus is at best relictual and most likely non-functional (not connected with the stapes). The sound waves were most likely transmitted to the stapes from a postdentary tympanic membrane through the quadrate. Our analysis results in a better understanding of the auditory system in basal cynodonts and its evolution, highlighting the variability of the stapedial anatomy.


Assuntos
Estribo/anatomia & histologia , Animais , Evolução Biológica , Orelha Média/anatomia & histologia , Fósseis , Bigorna/anatomia & histologia , Filogenia , Crânio/anatomia & histologia , Membrana Timpânica/anatomia & histologia , Vertebrados
20.
Pesqui. vet. bras ; 35(6): 583-589, June 2015. graf
Artigo em Inglês | LILACS | ID: lil-766194

RESUMO

Paca (Cuniculus paca), one of the largest rodents of the Brazilian fauna, has inherent characteristics of its species which can conribute as a new option for animal experimantation. As there is a growing demand for suitable experimental models in audiologic and otologic surgical research, the gross anatomy and ultrastructural ear of this rodent have been analyzed and described in detail. Fifteen adult pacas from the Wild Animals Sector herd of Faculdade de Ciências Agrárias e Veterinárias, Unesp-Jaboticabal, were used in this study. After anesthesia and euthanasia, we evaluated the entire composition of the external ear, registering and ddescribing the details; the temporal region was often dissected for a better view and detailing of the tympanic bulla which was removed and opened to expose the ear structures analyzed mascroscopically and ultrastructurally. The ear pinna has a triangular and concave shape with irregular ridges and sharp apex. The external auditory canal is winding in its path to the tympanic mebrane. The tympanic bulla is is on the back-bottom of the skull. The middle ear is formed by a cavity region filled with bone and membranous structures bounded by the tympanic membrane and the oval and round windows. The tympanic membrane is flat and seals the ear canal. The anatomy of the paca ear is similar to the guinea pig and from the viewpoint of experimental model has major advantages compared with the mouse ear.


A paca (Cuniculus paca), um dos maiores roedores da fauna brasileira, possui características inerentes à sua espécie que podem contribuir como uma nova opção de animal experimental; assim, considerando-se que há crescente busca por modelos experimentais apropriados para pesquisas audiológicas e otológica cirúrgicas foram analisados e descritos em detalhes a anatomia macroscópica e ultraestrutural da orelha desse roedor. Para o estudo, utilizaram-se 15 animais adultos provenientes do plantel do Setor de Animais Silvestres da Faculdade de Ciências Agrárias e Veterinárias, Unesp-Jaboticabal, Jaboticabal/SP. Após anestesia e eutanásia, avaliou-se toda a composição da orelha externa, registrando-se e descrevendo-se os detalhes, também se dissecou a região temporal para melhor visibilização e detalhamento da bula timpânica e estas foram removidas e abertas a fim de expor as estruturas da orelha, as quais foram analisadas, macroscopicamente e ultraestruturalmente. O pavilhão auricular apresenta forma triangular e côncava com cristas irregulares e ápice pontiagudo; o conduto auditivo externo é sinuoso em seu trajeto até a membrana timpânica; a bula timpânica encontra-se na parte posterior-inferior do crânio; a orelha média é formada por uma região cavitária preenchida por estruturas ósseas e membranosas. É delimitada pela membrana timpânica e as janelas redonda e oval, sendo a membrana timpânica de forma plana e que veda todo o conduto auditivo. A anatomia da orelha da paca é semelhante à da cobaia e do ponto de vista de modelo experimental apresenta grandes vantagens em comparação com a orelha do rato.


Assuntos
Animais , Adulto , Cuniculidae/anatomia & histologia , Ossículos da Orelha/anatomia & histologia , Ossículos da Orelha/ultraestrutura , Osso Temporal/ultraestrutura , Dissecação/veterinária , Estribo/anatomia & histologia , Estribo/ultraestrutura , Nervo Vestibular/anatomia & histologia , Nervo Vestibular/ultraestrutura , Orelha Interna/ultraestrutura , Orelha Média/anatomia & histologia , Orelha Média/ultraestrutura , Pavilhão Auricular/ultraestrutura
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