The middle ear, composed of ossicles and soft tissues including the tympanic membrane, ligaments, and joints plays a vital role in the transmission of sound and the sense of hearing. The mechanical properties of soft tissues change in middle ear diseases such as otitis media. As a consequence, the mobility of ossicular chain is reduced and significant conductive hearing loss occurs in otitis media ears. However, the mechanical property changes in soft tissue associated with disease are largely unstudied. It is almost impossible to identify mechanical changes of middle ear tissues in relation to hearing loss based on current clinical tools. The goal of this project is to characterize the biomechanical behaviors of soft tissues in normal and diseased ears, identify soft tissue changes which are associated with changes in normal hearing, and provide an improved 3-dimensional (3D) ear model to visualize and quantify structure-function relations in various diseases. Otitis media (OM) will be the primary focus for the project.
Three specific aims are proposed:
Aim 1 : To Identify changes of mechanical properties of middle ear soft tissue in OM. We hypothesize that the change of mechanical properties of ear tissues in OM is related to morphological changes of the tissue in response to fluid, pressure, and duration of the OM. This hypothesis will be tested by comparison of measurement results of the ear tissues between normal and diseased ears in chinchillas using dynamic mechanical analyzer, split Hopkinson tension bar, acoustic driving with laser Doppler vibrometry (LDV), fringe Moiri system, and FE modeling of soft tissue.
Aim 2 : To quantify the effect of biomechanical changes of the middle ear on sound transmission in OM. It is hypothesized that the hearing loss in OM is caused by a combination of changes of ear tissues, fluid, and pressure in the middle ear. This hypothesis will be tested by measuring the ABR thresholds and the changes of middle ear transfer function and sound energy transmission in chinchilla OM ears with a novel theoretical analysis of fluid, pressure, and tissue properties with the aid of FE model of chinchilla ear to describe the mechanism of OM.
Aim 3 : To continue the development of our 3D FE model of the human ear with clinically-relevant applications. We will incorporate into the model with tissue properties determined in Aims 1 and 2, the microstructures of the TM and ISJ, and the stapedius muscle function. A FE model of pediatric ear will be created for studying OM in young children. The acoustic-mechanical vibration and energy transmission through the middle ear in diseased ears will be visualized and quantified in the 3D FE model by 4 novel model-derived "auditory test curves", named as: the middle ear transfer function (METF), energy absorbance (EA), admittance tympanogram (AT), and TM holography, which will assist physicians and audiologists to interpret the diagnostic test results and identify the specific type of middle ear disorders.

Public Health Relevance

Middle ear diseases often result in conductive hearing loss due to the changes of middle ear structure and soft tissue properties caused by the diseases. Understanding the relationship between the middle ear structural change and function of the middle ear will help diagnosis of different middle ear diseases. The proposed research project is to determine mechanical property changes in ear tissues associated with middle ear diseases and provide a computational model of the human ear to visualize and quantify structure-function relations in various diseases.

National Institute of Health (NIH)
Research Project (R01)
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Auditory System Study Section (AUD)
Program Officer
Watson, Bracie
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University of Oklahoma Norman
Engineering (All Types)
Biomed Engr/Col Engr/Engr Sta
United States
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Guan, Xiying; Chen, Yongzheng; Gan, Rong Z (2014) Factors affecting loss of tympanic membrane mobility in acute otitis media model of chinchilla. Hear Res 309:136-46
Chen, Yongzheng; Guan, Xiying; Zhang, Tianyu et al. (2014) Measurement of basilar membrane motion during round window stimulation in guinea pigs. J Assoc Res Otolaryngol 15:933-43
Zhang, Xiangming; Gan, Rong Z (2014) Dynamic properties of human stapedial annular ligament measured with frequency-temperature superposition. J Biomech Eng 136:
Zhang, Xiangming; Guan, Xiying; Nakmali, Don et al. (2014) Experimental and modeling study of human tympanic membrane motion in the presence of middle ear liquid. J Assoc Res Otolaryngol 15:867-81
Guan, Xiying; Li, Wei; Gan, Rong Z (2013) Comparison of eardrum mobility in acute otitis media and otitis media with effusion models. Otol Neurotol 34:1316-20
Zhang, Xiangming; Gan, Rong Z (2013) Finite element modeling of energy absorbance in normal and disordered human ears. Hear Res 301:146-55
Guan, Xiying; Gan, Rong Z (2013) Mechanisms of tympanic membrane and incus mobility loss in acute otitis media model of guinea pig. J Assoc Res Otolaryngol 14:295-307
Zhang, Xiangming; Gan, Rong Z (2013) Dynamic properties of human tympanic membrane based on frequency-temperature superposition. Ann Biomed Eng 41:205-14
Zhang, Xiangming; Gan, Rong Z (2013) Dynamic properties of human round window membrane in auditory frequencies running head: dynamic properties of round window membrane. Med Eng Phys 35:310-8
Gan, Rong Z; Nakmali, Don; Zhang, Xiangming (2013) Dynamic properties of round window membrane in guinea pig otitis media model measured with electromagnetic stimulation. Hear Res 301:125-36

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