Design of an In Vitro Semicircular Canal Model and Its Use for the Study of Canalithiasis.

Canalithiasis is a common vestibular system disorder, which may lead to a specific form of vertigo known as BPPV or top-shelf vertigo. In this paper, based on the actual geometric parameters of the human semicircular canal, we designed a four-fold in vitro one-dimensional semicircular canal model using technologies such as three-dimensional printing, image processing, and target tracking. We investigated the essential characteristics of the semicircular canal, such as the time constant of the cupula and the relationship between the number, density, and size of the canalith and the cupular deformation during canalith settlement. The results showed a linear relationship between the number and size of the canalith and the amount of cupular deformation. We also found that when the number of canaliths reached a particular scale, the interaction between the canaliths exerted an additional disturbance on the cupular deformation ("Z" twist). In addition, we explored the latency time of the cupula during canalith settlement. Finally, we verified that the canaliths had little effect on the frequency characteristics of the semicircular canal by a sinusoidal swing experiment. All the results validate the reliability of our 4-fold in vitro one-dimensional semicircular canal model.