www.elsevier.com/locate/heares
Abstract
The middle-ear pressure gain, defined as the ear canal sound pressure to cochlear vestibule pressure gain, GME, and the ear canal
sound pressure to stapes footplate velocity transfer function, SVTF, simultaneously measured in 12 fresh human temporal bones for
the 0.05 to 10 kHz frequency range are reported. The mean GME magnitude reached 23.5 dB at 1.2 kHz with a slope of
approximately 6 dB/octave from 0.1 to 1.2 kHz and 36 dB/octave above 1.2 kHz. From 0.1 to 0.5 kHz, the mean GME phase angle
was 51, rolling off at 378/octave above this frequency. The mean SVTF magnitude reached a maximum of 0.33 mm s31 /Pa at
1.0 kHz with nearly the same shape in magnitude and phase angle as the mean GME. The ratio of GME and SVTF provide the first
direct measurements of Zc in human ears. The mean Zc was virtually flat with a value of 21.1 acoustic G6 MKS between 0.1 and
5.0 kHz. Above 5 kHz, the mean Zc increased to a maximum value of 49.9 G6 at 6.7 kHz. The mean Zc angle was near 0 from 0.5
to 5.0 kHz, decreasing below 0.5 kHz and above 5 kHz with peaks and valleys. 2001 Elsevier Science B.V. All rights reserved.
Key words: Middle-ear sound transmission; Middle-ear sound pressure gain; Cochlear input impedance ;
Scala vestibuli sound pressure; Stapes footplate velocity
0378-5955 / 01 / $ ^ see front matter 2001 Elsevier Science B.V. All rights reserved.
PII: S 0 3 7 8 - 5 9 5 5 ( 0 0 ) 0 0 2 4 0 - 9
The stapes footplate motion is in general a vector chlea, Zc , is an important variable in our understanding
quantity with translational as well as rotational compo- of sound energy transfer through the middle-ear into
nents. The piston-like translational component of the the cochlea. Zwislocki (1975) dened the acoustic input
footplate Vs is generally assumed to be the primary impedance of the cochlea as ``the ratio of sound pres-
determinant of stapes volume velocity and the input sure produced in the scala vestibuli at the stapes foot-
to the cochlea (Dallos, 1973). Thus, the SVTF measure- plate and the volume of perilymph the footplate displa-
ment method assumes that stapes footplate volume ve- ces per unit time''. In other words, Zc is the ratio of Pv
locity (Vs times the area of the footplate, Afp ) to be the to stapes footplate volume velocity, Us , which is calcu-
appropriate input to the cochlea, so Vs is selected as the lated by Vs times Afp (see Table 1 for denitions).
output parameter since Afp is considered to be relatively Direct measurements of the input impedance of the
constant. A laser Doppler vibrometer (LDV) is usually cochlea have been reported in the cat (Lynch et al.,
used to make the measurement and the center of the 1994), guinea pig (Dancer and Franke, 1980) and chin-
footplate is chosen as the measurement site based on chilla (Ruggero et al., 1990). However, only estimations
the assumption that stapes movement is piston-like at of Zc for humans have been reported by Merchant et
physiological sound inputs and frequencies. Recent data al. (1996) and Puria et al. (1997), as well as theoretical
from our laboratory suggests that stapes footplate predictions by Zwislocki (1965, 1975) and Bekesy
movement is not entirely piston-like but has an anteri- (1960). Direct measurement of Zc in human ears is re-
or^posterior rocking motion with rising frequency (Hei- ported here for the rst time.
land et al., 1999); this may make measurement of stapes
velocity at one site sub-optimal as the middle-ear out-
put measure at higher frequencies ( s 2.0 kHz). 2. Materials and methods
Sound pressure measured in the scala vestibuli has
been reported as a better output parameter, because it 2.1. Measurement system
does not make assumptions about the piston-like mo-
tion of the stapes (Puria et al., 1997). However, the Measurements were performed using a SYSid 6.5
measurement is more dicult to perform. Measurement audio band measurement and analysis system (www.
of round window volume velocity, assumed to be the sysid-labs.com, Berkeley, CA, USA), a software pro-
same as stapes volume velocity, has also been used but gram that interfaces with a DSP-16+ processing board
is not a direct measure (Kringlebotn and Gundersen, (Ariel, Cranbury, NJ, USA) running on an IBM com-
1985). patible PC. Simultaneous stimulus generation and re-
Until now, no comparative measurements with these sponse averaging are performed with the SYSid system,
two methods have been made in the same human tem- which extracts the amplitude and phase of the response
poral bones. In addition, simultaneous measurement of at each frequency through fast Fourier transformation,
stapes volume velocity and intra-cochlear sound pres- or FFT (Puria and Allen, 1992; Puria et al., 1993).
sure allows the direct measurement of human cochlear A schematic of the measurement system is shown in
input impedance, an important measure that has only Fig. 1. Sound was presented at the lateral end of an
been previously measured indirectly. It is the purpose of articial ear canal using an 83-13A/024 earphone (Tib-
this paper to describe experiments and compare results bets Industries, Camden, ME, USA). Sound pressure in
from the two methods in the same human ears as well the ear canal (Pec ) was measured within 2 mm of the
as provide the direct measurement of human cochlear TM with an ER-7C probe-tube microphone (Etymotic
input impedance. Research, Elk Grove Village, IL, USA). Sound pressure
The complex acoustic input impedance of the co- in the scala vestibuli (Pv ) was measured using an EPIL-
127*-.13 D/R strain gauge (Entran, Faireld, NJ, USA)
Table 1 modied for use as a hydrophone by placing a silicone
Denitions seal on the tip of the sensor (Puria et al., 1997). An
Afp area of the stapes footplate OFV-302 and OFV-3000 LDV System (Polytec, PI,
GME middle-ear sound pressure gain, ratio of Pv to Pec Costa Mesa, CA, USA) was used to measure stapes
UGME phase angle of middle-ear sound pressure gain footplate velocity (Vs ). The LDV contained a 50 mm
Pec ear canal sound pressure at the surface of the TM lens (Nikon, NY, USA) to focus the helium^neon laser
Pv scala vestibuli sound pressure near the stapes footplate
SVTF stapes velocity transfer function, ratio of Vs to Pec
on a reective target on the center of the stapes foot-
USVTF phase angle of stapes velocity transfer function plate. An articulating arm was connected to a joystick-
Us stapes footplate volume velocity, Vs times Afp operated beam-splitter, which was mounted over the
Vs stapes footplate velocity lens of an operating microscope and reected 95% of
Zc acoustic input impedance of the cochlea the laser beam onto the target (see Heiland et al. (1999)
UZc phase angle of acoustic input impedance of the cochlea
for more details on the velocity measurement methods).
The probe-tube microphone and the hydrophone Twelve fresh human temporal bones, consisting of
were calibrated as follows. A sound level calibrator 9 males and 3 females ranging from 36 to 81 years
type 4230 (Bruel and Kjaer, Norcross, GA, USA) was with a mean age of 67.9 years, were extracted from
used to calibrate a 1/8 inch reference microphone type human cadavers within 48 h of death using a Schu-
4138 (Bruel and Kjaer, Norcross, GA, USA) which had knecht bone saw at the time of autopsy. The cored
a at response ( 0.5 dB) and zero phase shift ( 1) in specimens were wrapped in gauze, placed in a 100 ppm
the 0.05^10 kHz frequency range. This reference micro- merthiolate in normal saline solution and stored at 5C.
phone was then used to calibrate each microphone by Measurements on individual bones were performed in
comparing their response to that of the reference micro- 1 day within 6 days postmortem. With the exception of
phone at 0.05^10 kHz in a small 25 mm long cavity ; the one temporal bone, all were considered normal upon
microphones were within 1 mm of the reference micro- visual inspection using an operating microscope. One
phone. Due to its high impedance, the hydrophone's exception was made for a temporal bone where palpa-
sensitivity is assumed to be the same in air and water. tion of the umbo showed a stier malleus than normal.
To check the calibration of the two microphones, the Since the footplate did not appear otosclerotic, only the
probe-tube microphone and hydrophone were placed cochlear input impedance measurement was used.
together in a dierent 25 mm long cavity, 1 mm apart,
and their responses were compared. The maximum de- 2.4. Temporal bone preparation and baseline
viation in magnitude was 1.0 dB at 1 kHz with a max- measurements
imum deviation in phase of 15 at 10 kHz. The ob-
served dierences place a boundary on possible Upon removal of attached connective tissue, the
calibration errors in the measurement system. bony wall of the external ear canal was drilled down
The LDV system was calibrated by aiming the LDV to 2 mm from the TM annulus, keeping the posterior
at a target on top of an accelerometer type 4371 (Bruel wall intact. A simple mastoidectomy and posterior hy-
and Kjaer, Norcross, GA, USA) that was attached to a potympanotomy were performed. The horizontal seg-
mini shaker type 4810 (Bruel and Kjaer, Norcross, GA, ment of the facial nerve and surrounding bone were
USA). The response of the LDV was then compared to removed to provide a good view of the stapes footplate,
the accelerometer's, which had a known sensitivity and leaving the chorda tympani and stapedius muscle intact.
phase response between 0.05 and 10 kHz. After enlarging the internal auditory canal (IAC) to
approximately 15U10 mm, the bone was drilled until a nantly piston-like and parallel to the motion of the
blue line over the vestibule was seen at a site lateral to umbo. Therefore, because the laser beam passed
the transverse crest and just superior to the singular through the mastoid opening and was not perpendicu-
foramen. The bone was then placed in a latex nger lar to the plane of the stapes footplate vibration, only a
cot which kept the wet bone moist and thus prevented component of the actual movement of the stapes foot-
it from drying. plate was considered measured. The angle between the
A plastic tube (8.5 mm internal diameter, 25 mm laser beam aimed through the ear canal perpendicular
length) was attached around the bony ear canal opening to the umbo target and the laser beam aimed at the
using modeling clay so that the axis of the tube was stapes footplate target through the mastoid was mea-
perpendicular to the TM. The Tibbets earphone was sured using a protractor. The output of the LDV was
located at the lateral end of the tube for sound delivery. divided by the cosine of that measured angle to deter-
The probe-tube microphone was inserted into the tube mine the actual stapes footplate velocity, Vs . SVTF was
for the sound pressure measurements. The tip of the then determined from the ratio Vs /Pec , while the phase
probe-tube microphone was typically 1^2 mm from angle, USVTF, was determined from the dierence in
the TM. phase between the outputs of the LDV and probe-tube
Except for the articial ear canal and an opening in microphone.
the mastoid for the laser beam, the remainder of the
temporal bone was embedded in Hydrock dental ce- 2.5. Hydrophone insertion and measurement
ment (Kerr Co., Romulus, MI, USA), creating a solid
specimen block. The cement edge of the mastoid open- After baseline measurements of SVTF, the temporal
ing was covered with Jeltrate (Dentsply Caulk Co., Mil- bone was orientated so the IAC was superior. After
ford, DE, USA) ; the opening provided a window that removing cement and latex to expose the IAC, the canal
allowed the stapes footplate to be seen. The cemented was lled with saline solution. The saline prevented the
bone was then secured in a temporal bone holder. Two introduction of air bubbles while a 1.4 mm diameter
0.5 mm square pieces of reective tape (3M, St. Paul, opening was made just anterior and superior to the
MN, USA), weighing 0.04 mg, were placed; one on the singular canal into the scala vestibuli. The saccule was
lateral surface of the TM over the umbo and the other moved aside using a ne pick so that the stapes foot-
on the center of the stapes footplate. Adhesive on the plate could be directly seen through this vestibular
back of the targets kept them adhered to the umbo and opening. The bone was placed in a temporal bone hold-
footplate. Glass cover slips were placed over the mas- er xed to a vibration-reducing table. The hydrophone
toid opening and the lateral end of the ear canal sound had a diameter of 1.4 mm and was encased in a brass
assembly and held in place by silicone grease to prevent tube with an outer diameter of 1.8 mm. Using a micro-
drying and create a good sound seal. manipulator type M3301 (World Precision Instru-
The earphone presented a stimulus consisting of ments, Sarasota, FL, USA) attached to the vibration-
200 pure tones logarithmically spaced from 0.024 to reducing table, the hydrophone was centered and
25 kHz and ranging from 60 to 120 dB SPL at the placed perpendicular and ush to the vestibular open-
TM, however, only the 0.05 to 10 kHz frequency range ing. This allowed the hydrophone to lie against the
is reported here. The lower frequency limit is due to a bony edge of the opening without entering the vestibule
decreased signal-to-noise ratio and the upper frequency (Puria et al., 1997). Jeltrate was used to ll the IAC
limit is due to microphone calibration limitations. to provide a static pressure seal of the hydrophone
The stimulus was amplied using a D-75 power am- in the vestibular opening. Previous measurements indi-
plier (Crown, Elkhart, IN, USA), fed through a 200 6 cate that this seal has an eect only at frequencies be-
resistor (to increase the high frequency response), and low approximately 200 Hz. The hydrophone response
then through the earphone. The LDV output was am- was amplied by 60 dB using a SR-560 low noise am-
plied by 20 dB using the D-75 power amplier. Sound- plier (Stanford Research Systems, Sunnyvale, CA,
source attenuation and amplier gains were chosen to USA).
minimize harmonic distortion. Although the noise oor The responses of the LDV and hydrophone were si-
varied with frequency, all data reported here had a multaneously collected three times; techniques men-
signal-to-noise ratio greater than 10 dB near the lowest tioned in Section 2.4 were used to derive Vs from the
and highest frequency points and greater than 20 dB in LDV response. Zc was determined for each measure-
the middle frequency region. Responses from the ER- ment from the ratio Pv /(Vs Afp ); the phase angle, UZc
7C and LDV were then collected concurrently and the was determined from the dierence in phase between
Pec and related Vs data saved. the outputs of the hydrophone and LDV. Afp was de-
For the purpose of the experiment, the actual stapes termined from a calibrated digitized image of the foot-
footplate movement was considered to be predomi- plate taken through the opening made in the vestibule.
3. Results
48. Above 0.8 kHz, the mean GME phase angle de-
creases with a slope of 387/octave.
ear measurements are not considered reliable because of Fletcher, H., 1995. In: Jont B. Allen (Ed.), Speech and Hearing in
Communication, The Acoust. Soc. Am. edn. AIP Press, New
the lack of a cochlear load.
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time, reveals a at, resistive cochlear input impedance on `acoustic transfer characteristics in human middle ears studied
of about 21.1 G6 from 0.1 to 5.0 kHz. The impedance by a SQUID magnetometer method'. J. Acoust. Soc. Am. 82,
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Goode, R.L., Killion, M., Nakamura, K., Nishihara, S., 1994. New
49.9 G6 at 6.7 kHz. At higher frequencies above 5.0
knowledge about the function of the human middle ear: develop-
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