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Sample records for canal tympanic membrane

  1. The Effect of Ear Canal Orientation on Tympanic Membrane Motion and the Sound Field Near the Tympanic Membrane.

    PubMed

    Cheng, Jeffrey Tao; Ravicz, Michael; Guignard, Jérémie; Furlong, Cosme; Rosowski, John J

    2015-08-01

    The contribution of human ear canal orientation to tympanic membrane (TM) surface motion and sound pressure distribution near the TM surface is investigated by using an artificial ear canal (aEC) similar in dimensions to the natural human ear canal. The aEC replaced the bony ear canal of cadaveric human temporal bones. The radial orientation of the aEC relative to the manubrium of the TM was varied. Tones of 0.2 to 18.4 kHz delivered through the aEC induced surface motions of the TM that were quantified using stroboscopic holography; the distribution of sound in the plane of the tympanic ring P TR was measured with a probe tube microphone. The results suggest that the ear canal orientation has no substantial effect on TM surface motions, but P TR at frequencies above 10 kHz is influenced by the ear canal orientation. The complex TM surface motion patterns observed at frequencies above a few kilohertz are not correlated with simpler variations in P TR distribution at the same frequencies, suggesting that the complex sound-induced TM motions are more related to the TM mechanical properties, shape, and boundary conditions rather than to spatial variations in the acoustic stimulus. PMID:25910607

  2. Cavernous Hemangioma of the External Canal, Tympanic Membrane, and Middle Ear Cleft: A Case Report.

    PubMed

    Odat, Haitham; Al-Qudah, Mohannad; Al-Qudah, Mohammad A

    2016-06-01

    Cavernous hemangioma involving the external canal, tympanic membrane, and middle ear cavity is extremely rare. We present a case of a 45-year-old woman who had progressive right sided decreased hearing, pulsatile tinnitus, and aural fullness of 7 months duration. Microscopic examination, imaging studies, surgical treatment, and histological evaluation are reported. To the best of our knowledge, this is the first case of cavernous hemangioma with simultaneous involvement of the external ear, tympanic membrane, middle ear, and attic reported in English literature. PMID:26304856

  3. Infrared tympanic temperature and ear canal morphology.

    PubMed

    Daanen, H A M

    2006-01-01

    Several publications indicate that the infrared tympanic temperature (IRTT) underestimates the core temperature of the body when the ear canal is long, curvy and narrow. In order to quantify these observations, a study was performed in 10 subjects. The IRTT was determined and compared to the oesophageal temperature (Tes), taken as the reference for core temperature. Also, the oral and rectal temperatures were monitored. A three-dimensional print of the ear canal was made to determine the ear canal morphology. The core temperature of the subjects was increased by at least 1 degrees C during the experiment in order to investigate the dynamics of the core temperature assessment. Two devices were used to determine the IRTT: the Braun Thermoscan PRO 1 and the predecessor of the Braun IRT3020 (code name IRT3000P). Both IRTT-devices underestimated the core temperature, as measured by Tes, by 0.38 degrees C on average. The difference DeltaT between IRTT and Tes was related to ear canal morphology. The circumference of the ear canal at the distal bend in the ear canal and the visibility of the tympanum were the most important parameters. About 22% of the variance in DeltaT was explained by ear canal morphology for the steady state resting period. Wide ear canals and good visibility of the tympanic membrane were related to a smaller DeltaT. A good visibility of the tympanic membrane was generally found in the absence of cerumen. The IRT3000P showed better results than the PRO 1 (DeltaT: -0.31 +/- 0.27 degrees C and -0.44 +/- 0.30 degrees C respectively). Also, the IRT3000P was less dependent on ear canal morphology. The dynamic response of the measured core temperatures was determined by the decrease or rise in core temperature after the heating period was ended. The oesophageal temperature dropped by 0.22 degrees C. The IRTT and oral temperature showed an identical increase of 0.19 degrees C. The slow reacting rectal temperature had an after rise of 0.49 degrees C. PMID

  4. Laser vibrometry for investigation of tympanic membrane implant materials

    NASA Astrophysics Data System (ADS)

    Zahnert, Thomas; Kuster, Manfred; Vogel, Uwe; Hofmann, Gert; Huettenbrink, Karl-Bernd

    1996-12-01

    The human tympanic membrane has reasonably good sound sensing properties. A destroyed tympanic membrane due to middle ear diseases or traumata may be repaired by different types of grafts. Middle ear surgery mostly uses autologous temporal fascia, cartilage, or cartilage perichondrium transplants. We have investigated the acoustical and mechanical properties of these materials and compared them with human tympanic membrane by constructing an ear canal model completed by an artificial tympanic membrane. Circular stretched human fascia, perichondrium, and cartilage preparations were exposed to static pressures up to 4 kPa and white noise sound pressure levels of 70 dB. The vibrational amplitudes and displacements due to static pressure of the graft material were measured by laser Doppler vibrometry and compared. The thin materials temporal fascia and perichondrium show similar amplitude frequency responses compared to the tympanic membrane for dynamic excitation. The displacement of these materials at static pressures above 4 kPA yields a higher compliance than tympanic membrane. The acoustical and mechanical properties of cartilage transplants change with the thickness of the slices. However, the thinner the cartilage slice combined with lower stability, the more similar is the frequency response with the intact tympanic membrane. The vibration amplitudes decrease more and more for layer thicknesses above 500 micrometers. Cartilage acts as an excellent transplant material which provides a better prognosis than different materials in cases of ventilation disorders with long-term middle ear pressure changes. Large cartilage slice transplants should not exceed layer thicknesses of 500 micrometer in order to prevent drawbacks to the transfer characteristics of the tympanic membrane.

  5. Viscoelastic properties of human tympanic membrane.

    PubMed

    Cheng, Tao; Dai, Chenkai; Gan, Rong Z

    2007-02-01

    The tympanic membrane or eardrum of human ear transfers sound waves into mechanical vibration from the external ear canal into the middle ear and cochlea. Mechanical properties of the tympanic membrane (TM) play an important role in sound transmission through the ear. Although limited resources about linear elastic properties of the TM are available in literature, there is a lack of measurement or modeling of viscoelastic properties of the TM at low stress levels. In this study, the uniaxial tensile, stress relaxation, and failure tests were conducted on fresh human cadaver TM specimens to explore mechanical properties of the TM. The experimental results were analyzed using the hyperelastic Ogden model and digital image correlation method. The constitutive equation and non-linear elastic properties of the TM were presented by functions of the stress and strain at the stress range from 0 to 1 MPa. Viscoelastic properties of the TM were described by the stress relaxation function and hysteresis. The results show that the uniaxial tensile test with the aid of digital image correlation analysis is a reliable and useful approach for measuring mechanical properties of ear tissues. The data presented in this paper contribute to ear biomechanics in both experimental measurement and theoretical analysis of ear tissues. PMID:17160465

  6. Extensive Tympanic Membrane Cholesteatoma with Marginal Perforation: An Unusual Case

    PubMed Central

    Sakalli, Erdal; Kaya, Deniz; Celikyurt, Cengiz; Erdurak, Selcuk Cem

    2013-01-01

    The migration of squamous epithelium of external ear through a tympanic membrane perforation into the middle ear forms a cholesteatoma. But it is extremely a rare condition to observe extensive cholesteatoma on the medial surface of tympanic membrane with perforation. This condition is termed tympanic membrane cholesteatoma (TMC). We herein present an exceptional case of extensive TMC with marginal perforation. PMID:23956906

  7. Development of a tympanic membrane model for laser myringotomy

    NASA Astrophysics Data System (ADS)

    Sedlmaier, Benedikt W.; Bloedow, Alexander; Jovanovic, Sergije

    1997-05-01

    This study investigates guinea-pig and horse tympanic membranes, sheep dura and chicken eggshell membranes in terms of thickness, histology and tissue interaction with the carbon-dioxide and the erbium:YAG laser. Comparison with formalin-fixed human tympanic membranes as reference structure has provided a suitable model for further research in laser myringotomy. The horse tympanic membrane seems to meet our demands regarding the three parameters mentioned above.

  8. Noncholesteatomatous Cyst of the Tympanic Membrane: A Nonpublished Entity?

    PubMed Central

    Ramírez-Camacho, Rafael; Salas, Isabel; Trinidad, Almudena; Villarreal, Ithzel Maria

    2015-01-01

    Introduction. The presence of a serous cyst in the tympanic membrane implies the description of a new or unpublished entity based on our knowledge whose origin may be very unlikely explained on actual embryologic and anatomic background. Clinical Case. We present a case of a 45-year-old woman with progressing right hearing loss. Physical examination revealed a whitish, round-shaped malformation in the posterior-inferior quadrant of the right tympanic membrane. The cyst was removed with a transcanal tympanoplasty. Discussion. A thorough PubMed search that involved the terms tympanic membrane gland, epithelial inclusion cysts, mucous-secreting cyst, and tympanic cyst has shown no positive results. The first description of an unknown entity, such as a tympanic membrane serous cyst, may be the key for clinicians to start paying attention to patients who suffer from similar pathologies and may pass unnoticed because of their rarity or peculiarity. PMID:26442163

  9. Otoscope fogging: examination finding for perforated tympanic membrane

    PubMed Central

    Naylor, Jason F

    2014-01-01

    The author reports a recently recognised physical examination finding, otoscope fogging, for perforated tympanic membrane. Otoscope fogging is defined as condensation forming in the view field of the otoscope while inspecting the ear. In the setting of occult perforation secondary to the inability to visualise the entire tympanic membrane, otoscope fogging may provide the clinician with valuable information since medical management may differ if perforation is present. PMID:24879720

  10. Clinical Presentation and Conservative Management of Tympanic Membrane Perforation during Intrapartum Valsalva Maneuver

    PubMed Central

    Baum, Jonathan D.; Rattigan, Meghan I.; Sills, Eric Scott; Walsh, Anthony P. H.

    2010-01-01

    Background. Tympanic membrane perforation may occur when ear pressures are excessive, including valsalva maneuver associated with active labor and vaginal delivery. A pressure differential across the eardrum of about 5 psi can cause rupture; the increased intraabdominal pressure spikes repeatedly manifested by “pushing” during second-stage labor easily approach (and may exceed) this level. Material and Method. We describe a healthy 21-year old nulliparous patient admitted in active labor at 39-weeks' gestational age. Results. Blood appeared asymptomatically in the left ear canal at delivery during active, closed-glottis pushing. Otoscopic examination confirmed perforation of the left tympanic membrane. Complete resolution of the eardrum rupture was noted at postpartum check-up six weeks later. Conclusion. While the precise incidence of intrapartum tympanic membrane rupture is not known, it may be unrecognized without gross blood in the ear canal or subjective hearing loss following delivery. Only one prior published report on tympanic membrane perforation during delivery currently appears in the medical literature; this is the first English language description of the event. Since a vigorous and repetitive valsalva effort is common in normal vaginal delivery, clinicians should be aware of the potential for otic complications associated with the increased intraabdominal pressure characteristic of this technique. PMID:20204134

  11. Measurements of the tympanic membrane with digital holographic interferometry

    NASA Astrophysics Data System (ADS)

    Muñoz Solís, S.; Mendoza Santoyo, F.; Del Socorro Hernández-Montes, M.

    2011-08-01

    In this paper a digital holographic interferometry (DHI) system with three object-illumination beams is used for the first time to detect and measure micrometer deformations on the surface of a tympanic membrane. Using this optical setup allows all three object displacement components x, y, and z, to be independently calculated. The corresponding deformations are registered using a cw laser in stroboscopic mode and a CCD camera synchronized to the excitation acoustic wave that produces a resonant vibration mode on the tympanic membrane surface. A series of digital holographic interferograms record the displacements undergone by the tympanic membrane and from them full field deformation phase maps are obtained. From the latter it is possible to observe the displacement of the tympanic membrane in response to the sound pressure. The study was performed on the tympanic membrane taken from a post-mortem cat. The results show the feasibility to apply a similar optomechanical arrangement for the study in humans, representing an alternative technique for the study of pathologies in the tympanic membrane.

  12. Slow dynamics of the amphibian tympanic membrane

    NASA Astrophysics Data System (ADS)

    Bergevin, Christopher; Meenderink, Sebastiaan W. F.; van der Heijden, Marcel; Narins, Peter M.

    2015-12-01

    Several studies have demonstrated that delays associated with evoked otoacoustic emissions (OAEs) largely originate from filter delays of resonant elements in the inner ear. However, one vertebrate group is an exception: Anuran (frogs and toads) amphibian OAEs exhibit relatively long delays (several milliseconds), yet relatively broad tuning. These delays, also apparent in auditory nerve fiber (ANF) responses, have been partially attributed to the middle ear (ME), with a total forward delay of ˜0.7 ms (˜30 times longer than in gerbil). However, ME forward delays only partially account for the longer delays of OAEs and ANF responses. We used scanning laser Doppler vibrometery to map surface velocity over the tympanic membrane (TyM) of anesthetized bullfrogs (Rana catesbeiana). Our main finding is a circularly-symmetric wave on the TyM surface, starting at the outer edges of the TyM and propagating inward towards the center (the site of the ossicular attachment). This wave exists for frequencies ˜0.75-3 kHz, overlapping the range of bullfrog hearing (˜0.05-1.7 kHz). Group delays associated with this wave varied from 0.4 to 1.2 ms and correlated with with TyM diameter, which ranged from ˜6-16 mm. These delays correspond well to those from previous ME measurements. Presumably the TyM waves stem from biomechanical constraints of semi-aquatic species with a relatively large tympanum. We investigated some of these constraints by measuring the pressure ratio across the TyM (˜10-30 dB drop, delay of ˜0.35 ms), the effects of ossicular interruption, the changes due to physiological state of TyM (`dry-out'), and by calculating the middle-ear input impedance. In summary, we found a slow, inward-traveling wave on the TyM surface that accounts for a substantial fraction of the relatively long otoacoustic and neurophysiological delays previously observed in the anuran inner ear.

  13. [Tympanic membrane massage, origin and decline of a promising therapeutic concept].

    PubMed

    Feldmann, H

    1996-08-01

    BACKGROUND, APPLICATION OF STATIC PRESSURE AT THE TYMPANIC MEMBRANE: Cleland in London (1741) presumed that the pressure of a strong sound wave would push the tympanic membrane inward, thereby causing deafness. He recommended correcting this situation by applying suction to the auditory canal, and he demonstrated a small tube suitable for this purpose. Toynbee in London (about 1860) realized that, following a malfunction of the Eustachian tube, a negative pressure would develop in the middle ear and draw the tympanic membrane inward, thus causing hearing loss. This concept resulted in efforts to actively support the aeration of the middle ear via the Eustachian tube. In addition to these measures, Politzer in Vienna (1867) suggested blocking the external auditory canal tightly so that resorption of the air would produce negative pressure, counteracting the low pressure in the middle ear. Lucae in Berlin (1874) proposed the theory that the two small muscles in the drum would act as antagonists on the tympanic membrane and accommodate the ear for high and low-pitched sounds respectively. He tried to correct malpositions of the tympanic membrane due to a misbalance of the two muscles by applying static positive or negative pressure in the auditory canal. APPLICATION OF ALTERNATING PRESSURE AT THE TYMPANIC MEMBRANE: Siegle in Stuttgart (1864) put forward the idea that repeated strong movements driven by the pneumatic ear speculum that he had invented would be able to loosen adhesions in the middle ear. Lucae (1884) later devised an elastic probe to be placed on the short process of the malleus for massage of the ossicular chain. Delstanche in Brussels (1885) presented two instruments called "rarefacteur" and "masseur du tympan et des osselets" which in the auditory canal would produce negative pressure or alternating pressure respectively. The next step were suggestions and devices enabling the patient to treat himself for reduced mobility of the tympanic membrane or

  14. Outlook for Tissue Engineering of the Tympanic Membrane.

    PubMed

    Villar-Fernandez, Maria A; Lopez-Escamez, Jose A

    2015-01-21

    Tympanic membrane perforation is a common problem leading to hearing loss. Despite the autoregenerative activity of the eardrum, chronic perforations require surgery using different materials, from autologous tissue - fascia, cartilage, fat or perichondrium - to paper patch. However, both, surgical procedures (myringoplasty or tympanoplasty) and the materials employed, have a number of limitations. Therefore, the advances in this field are incorporating the principles of tissue engineering, which includes the use of scaffolds, biomolecules and cells. This discipline allows the development of new biocompatible materials that reproduce the structure and mechanical properties of the native tympanic membrane, while it seeks to implement new therapeutic approaches that can be performed in an outpatient setting. Moreover, the creation of an artificial tympanic membrane commercially available would reduce the duration of the surgery and costs. The present review analyzes the current treatment of tympanic perforations and examines the techniques of tissue engineering, either to develop bioartificial constructs, or for tympanic regeneration by using different scaffold materials, bioactive molecules and cells. Finally, it considers the aspects regarding the design of scaffolds, release of biomolecules and use of cells that must be taken into account in the tissue engineering of the eardrum. The possibility of developing new biomaterials, as well as constructs commercially available, makes tissue engineering a discipline with great potential, capable of overcoming the drawbacks of current surgical procedures. PMID:26557361

  15. Outlook for Tissue Engineering of the Tympanic Membrane

    PubMed Central

    Villar-Fernandez, Maria A.; Lopez-Escamez, Jose A.

    2015-01-01

    Tympanic membrane perforation is a common problem leading to hearing loss. Despite the autoregenerative activity of the eardrum, chronic perforations require surgery using different materials, from autologous tissue - fascia, cartilage, fat or perichondrium - to paper patch. However, both, surgical procedures (myringoplasty or tympanoplasty) and the materials employed, have a number of limitations. Therefore, the advances in this field are incorporating the principles of tissue engineering, which includes the use of scaffolds, biomolecules and cells. This discipline allows the development of new biocompatible materials that reproduce the structure and mechanical properties of the native tympanic membrane, while it seeks to implement new therapeutic approaches that can be performed in an outpatient setting. Moreover, the creation of an artificial tympanic membrane commercially available would reduce the duration of the surgery and costs. The present review analyzes the current treatment of tympanic perforations and examines the techniques of tissue engineering, either to develop bioartificial constructs, or for tympanic regeneration by using different scaffold materials, bioactive molecules and cells. Finally, it considers the aspects regarding the design of scaffolds, release of biomolecules and use of cells that must be taken into account in the tissue engineering of the eardrum. The possibility of developing new biomaterials, as well as constructs commercially available, makes tissue engineering a discipline with great potential, capable of overcoming the drawbacks of current surgical procedures. PMID:26557361

  16. Verruca vulgaris of tympanic membrane treated with topical immunotherapy.

    PubMed

    Shangkuan, Wei-Chuan; Lin, Ming-Yee

    2014-01-01

    Verruca vulgaris is a common skin disease caused by human papillomavirus (HPV) infection, but it rarely involves the tympanic membrane. The current treatments for verruca are usually destructive and irreversible, should not be performed universally; the most relevant therapy will be variable subject to disease location, severity, and the patient's immune status. In this report, we demonstrated a case with verruca vulgaris of tympanic membrane, who had topical immunomodulatory agent treatment successfully with well-preserved hearing, and who has no any recurrence up to now for 3 years. In clinical, to cure verruca on the vulnerable tympanic membrane without hearing sequela is a dilemma, and there is no any treatment guideline due to its rarity. Topical immunomodulatory agent with high selectivity, showed great competence on this occasion and verified its practicability in treating verruca on unapproachable area, or where bearing vital functions; the convenient out-patient-based application also ensures good compliance. However, it does need longer duration and higher costs than the other routine treatment modalities. PMID:24321751

  17. [Homograft tympanic membrane and ossicular chain (author's transl)].

    PubMed

    Marquet, J F

    1977-05-01

    Ten years study of the use of homografts in reconstructive surgery of the ear have enabled the author to achieve excellent results, from both a functional as well as anatomical standpoint. At present, restoration of auditory function is almost always possible. The viability of homografts of the tympanic membrane, the annulus, tendons, ligaments and periosteum seems to pose no problem but revitalisation of the ossicles is less certain. A description is given of the different methods used for the removal of transplant material, its fixation, selection and conservation. PMID:881366

  18. Microanatomy of the tympanic membrane in chronic myringitis obtained with optical coherence tomography.

    PubMed

    Guder, Ellen; Lankenau, Eva; Fleischhauer, F; Schulz-Hildebrandt, H; Hüttmann, G; Pau, H W; Just, Tino

    2015-11-01

    A microscope-based optical coherence tomography (OCT) device was used to assess the microanatomy of the tympanic membrane in patients with chronic myringitis. A prospective study was designed for this purpose. OCT measurements of the tympanic membrane were done on 11 patients with myringitis with a microscope-based spectral domain OCT system. The in vivo findings were compared with those findings of a control group consisting of 36 patients with retraction pockets or atrophic tympanic membranes (n = 13), myringosclerosis (n = 12) and perforations (n = 11). In active chronic myringitis, the thickness of the tympanic membrane is increased compared to healthy membranes and to other pathological conditions of the tympanic membrane. Consistent changes of the microanatomy of the tympanic membrane were found in chronic myringitis with OCT. Serial OCT measurements revealed no biofilm suspicious findings in all patients with active chronic myringitis. Intraoperative and in vivo OCT measurements may help to detect microanatomical changes of the tympanic membrane in chronic myringitis and in other conditions of the tympanic membrane. PMID:25384576

  19. Tympanic membrane perforation descriptors and hearing levels in otitis media.

    PubMed

    Prasansuk, S; Hinchcliffe, R

    1982-01-01

    The air conduction threshold of hearing was determined at 0.5,1 and 2 kHz by manual audiometry on a consecutive series of young Thai adults with bilateral chronic suppurative otitis media. At the same time, after visual inspection of each tympanic membrane, the perforation was drawn, as faithfully as possible in respect of both shape and relative size, on a 40-mm diagram of a tympanic membrane. A study of the shapes of perforations showed that they could be described as elliptical, reniform or cardioid. For the purposes of calculating the area of a perforation, a reniform perforation was considered to be the result of substracting a smaller ellipse from a larger ellipse, which ellipses were in contact at the point of least curvature. The hearing threshold level was found to be a function of the size of the perforation. A power function best described this relationship. The relationship was such that a total perforation would be associated with a hearing loss of about 60 dB HL over the frequency range 0.5-2 kHz. PMID:7055479

  20. Clinical Outcomes of Silk Patch in Acute Tympanic Membrane Perforation

    PubMed Central

    Lee, Jun Ho; Lee, Joong Seob; Kim, Dong-Kyu

    2015-01-01

    Objectives The silk patch is a thin transparent patch that is produced from silk fibroin. In this study, we investigated the treatment effects of the silk patch in patients with traumatic tympanic membrane perforation (TTMP). Methods The closure rate, otorrhea rate, and closure time in all patients and the closure time in successful patients were compared between the paper patch and silk patch groups. Results Demographic data (gender, site, age, traumatic duration, preoperative air-bone gap, and perforation size and location) were not significantly different between the two groups. The closure rate and otorrhea rate were not significantly different between the two groups. However, the closure time was different between the two groups (closure time of all patients, P=0.031; closure time of successful patients, P=0.037). Conclusion The silk patch which has transparent, elastic, adhesive, and hyper-keratinizing properties results in a more efficient closure time than the paper patch in the treatment of TTMP patients. We therefore believe that the silk patch should be recommended for the treatment of acute tympanic membrane perforation. PMID:26045909

  1. Localization and proliferation of lymphatic vessels in the tympanic membrane in normal state and regeneration

    SciTech Connect

    Miyashita, Takenori; Burford, James L.; Hong, Young-Kwon; Gevorgyan, Haykanush; Lam, Lisa; Mori, Nozomu; Peti-Peterdi, Janos

    2013-10-25

    Highlights: •We newly developed the whole-mount imaging method of the tympanic membrane. •Lymphatic vessel loops were localized around the malleus handle and annulus tympanicus. •In regeneration, abundant lymphatic vessels were observed in the pars tensa. •Site-specific lymphatic vessels may play an important role in the tympanic membrane. -- Abstract: We clarified the localization of lymphatic vessels in the tympanic membrane and proliferation of lymphatic vessels during regeneration after perforation of the tympanic membrane by using whole-mount imaging of the tympanic membrane of Prox1 GFP mice. In the pars tensa, lymphatic vessel loops surrounded the malleus handle and annulus tympanicus. Apart from these locations, lymphatic vessel loops were not observed in the pars tensa in the normal tympanic membrane. Lymphatic vessel loops surrounding the malleus handle were connected to the lymphatic vessel loops in the pars flaccida and around the tensor tympani muscle. Many lymphatic vessel loops were detected in the pars flaccida. After perforation of the tympanic membrane, abundant lymphatic regeneration was observed in the pars tensa, and these regenerated lymphatic vessels extended from the lymphatic vessels surrounding the malleus at day 7. These results suggest that site-specific lymphatic vessels play an important role in the tympanic membrane.

  2. Latent progenitor cells as potential regulators for tympanic membrane regeneration

    NASA Astrophysics Data System (ADS)

    Kim, Seung Won; Kim, Jangho; Seonwoo, Hoon; Jang, Kyung-Jin; Kim, Yeon Ju; Lim, Hye Jin; Lim, Ki-Taek; Tian, Chunjie; Chung, Jong Hoon; Choung, Yun-Hoon

    2015-06-01

    Tympanic membrane (TM) perforation, in particular chronic otitis media, is one of the most common clinical problems in the world and can present with sensorineural healing loss. Here, we explored an approach for TM regeneration where the latent progenitor or stem cells within TM epithelial layers may play an important regulatory role. We showed that potential TM stem cells present highly positive staining for epithelial stem cell markers in all areas of normal TM tissue. Additionally, they are present at high levels in perforated TMs, especially in proximity to the holes, regardless of acute or chronic status, suggesting that TM stem cells may be a potential factor for TM regeneration. Our study suggests that latent TM stem cells could be potential regulators of regeneration, which provides a new insight into this clinically important process and a potential target for new therapies for chronic otitis media and other eardrum injuries.

  3. Imaging the tympanic membrane oscillation ex vivo with Doppler optical coherence tomography during simulated Eustachian catarrh

    NASA Astrophysics Data System (ADS)

    Kirsten, Lars; Burkhardt, Anke; Golde, Jonas; Walther, Julia; Stoppe, Thomas; Bornitz, Matthias; Kemper, Max; Zahnert, Thomas; Koch, Edmund

    2015-07-01

    Recently, optical coherence tomography (OCT) was utilized in multiple studies for structural and functional imaging of the middle ear and the tympanic membrane. Since Doppler OCT allows both, the spatially resolved measurement of the tympanic membrane oscillation and high-resolution imaging, it is regarded as a promising tool for future in vivo applications. In this study, Doppler OCT is utilized for the visualization of the tympanic membrane oscillation in temporal bones with simulated Eustachian catarrh, which was realized by generating a depression in the tympanic cavity. The transfer function, meaning the oscillation amplitude normalized to the applied sound pressure, is measured frequency resolved in the range from 0.5 kHz to 6 kHz and with a lateral spatial resolution of 0.4 mm. Typical oscillation patterns could be observed in case of ambient pressure in the tympanic cavity. Under depression the characteristic oscillation patterns were observed with widely congruent appearance but at higher frequencies.

  4. In vitro tympanic membrane position identification with a co-axial fiber-optic otoscope

    NASA Astrophysics Data System (ADS)

    Sundberg, Mikael; Peebo, Markus; Strömberg, Tomas

    2011-09-01

    Otitis media diagnosis can be assisted by measuring the shape of the tympanic membrane. We have developed an ear speculum for an otoscope, including spatially distributed source and detector optical fibers, to generate source-detector intensity matrices (SDIMs), representing the curvature of surfaces. The surfaces measured were a model ear with a latex membrane and harvested temporal bones including intact tympanic membranes. The position of the tympanic membrane was shifted from retracted to bulging by air pressure and that of the latex membrane by water displacement. The SDIM was normalized utilizing both external (a sheared flat plastic cylinder) and internal references (neutral position of the membrane). Data was fitted to a two-dimensional Gaussian surface representing the shape by its amplitude and offset. Retracted and bulging surfaces were discriminated for the model ear by the sign of the Gaussian amplitude for both internal and external reference normalization. Tympanic membranes were separated after a two-step normalization: first to an external reference, adjusted for the distance between speculum and the surfaces, and second by comparison with an average normally positioned SDIM from tympanic membranes. In conclusion, we have shown that the modified otoscope can discriminate between bulging and retracted tympanic membranes in a single measurement, given a two-step normalization.

  5. Developmental genetic bases behind the independent origin of the tympanic membrane in mammals and diapsids.

    PubMed

    Kitazawa, Taro; Takechi, Masaki; Hirasawa, Tatsuya; Adachi, Noritaka; Narboux-Nême, Nicolas; Kume, Hideaki; Maeda, Kazuhiro; Hirai, Tamami; Miyagawa-Tomita, Sachiko; Kurihara, Yukiko; Hitomi, Jiro; Levi, Giovanni; Kuratani, Shigeru; Kurihara, Hiroki

    2015-01-01

    The amniote middle ear is a classical example of the evolutionary novelty. Although paleontological evidence supports the view that mammals and diapsids (modern reptiles and birds) independently acquired the middle ear after divergence from their common ancestor, the developmental bases of these transformations remain unknown. Here we show that lower-to-upper jaw transformation induced by inactivation of the Endothelin1-Dlx5/6 cascade involving Goosecoid results in loss of the tympanic membrane in mouse, but causes duplication of the tympanic membrane in chicken. Detailed anatomical analysis indicates that the relative positions of the primary jaw joint and first pharyngeal pouch led to the coupling of tympanic membrane formation with the lower jaw in mammals, but with the upper jaw in diapsids. We propose that differences in connection and release by various pharyngeal skeletal elements resulted in structural diversity, leading to the acquisition of the tympanic membrane in two distinct manners during amniote evolution. PMID:25902370

  6. A new approach to the study of impedance characteristics of tympanic membrane.

    PubMed

    Bogomolov, A V; Dragan, S P

    2015-01-01

    A new approach to studying the tympanic membrane impedance characteristics, based on the analysis of polyharmonic acoustic signals reflected by the tympanic membrane, is described. For this purpose, the acoustic pressure and the phase difference between the acoustic vibrations in two sections of a waveguide sealingly connecting the external auditory meatus and a generator of polyharmonic audio signals is measured. By processing the results of measurements, the estimates of the frequency-dependent reflection coefficients, absorption coefficients, and components of the acoustic impedance of the tympanic membrane are calculated. The features that principally distinguish the developed approach from other approaches are the absence of the necessity to create a positive pressure in the external auditory meatus, the absence of ultrasonic radiation into the external auditory meatus and a high-intensity sound, and the possibility of direct measurement of the tympanic membrane impedance in the audio frequency range with any step. PMID:26518544

  7. Developmental genetic bases behind the independent origin of the tympanic membrane in mammals and diapsids

    PubMed Central

    Kitazawa, Taro; Takechi, Masaki; Hirasawa, Tatsuya; Adachi, Noritaka; Narboux-Nême, Nicolas; Kume, Hideaki; Maeda, Kazuhiro; Hirai, Tamami; Miyagawa-Tomita, Sachiko; Kurihara, Yukiko; Hitomi, Jiro; Levi, Giovanni; Kuratani, Shigeru; Kurihara, Hiroki

    2015-01-01

    The amniote middle ear is a classical example of the evolutionary novelty. Although paleontological evidence supports the view that mammals and diapsids (modern reptiles and birds) independently acquired the middle ear after divergence from their common ancestor, the developmental bases of these transformations remain unknown. Here we show that lower-to-upper jaw transformation induced by inactivation of the Endothelin1-Dlx5/6 cascade involving Goosecoid results in loss of the tympanic membrane in mouse, but causes duplication of the tympanic membrane in chicken. Detailed anatomical analysis indicates that the relative positions of the primary jaw joint and first pharyngeal pouch led to the coupling of tympanic membrane formation with the lower jaw in mammals, but with the upper jaw in diapsids. We propose that differences in connection and release by various pharyngeal skeletal elements resulted in structural diversity, leading to the acquisition of the tympanic membrane in two distinct manners during amniote evolution. PMID:25902370

  8. Measurement of hearing loss due to perforated tympanic membrane using image processing techniques

    NASA Astrophysics Data System (ADS)

    Sardesai, Neha; Sardesai, Ravindra; Chang, Chein-I.

    2014-05-01

    The tympanic membrane (ear drum) is a thin tissue film that is stretched between the outer and middle ear. Sound waves travel from outside the ear, and strike the tympanic membrane resulting in its vibration. These vibrations amplify the sound waves and transmit them to the ossicles (auditory bones). The magnitude of amplification is directly proportional to vibrating area of tympanic membrane. Hence a perforation in this membrane would result in hearing loss. Pure-tone audiometry is the traditional procedure used to detect the amount of hearing loss in a patient. However, it is lengthy and less efficient, as it largely depends on the response of the patient to sound intensity and frequency of pure-tones. We present a relatively more efficient approach to determine hearing loss due to perforated tympanic membrane using image processing techniques. We describe an algorithm that uses unsharp masking to sharpen images of the perforations as well as the tympanic membrane. Then, it converts the image into a binary image using thresholding. A median filter is applied to get rid of the noise component in the image. The ratio of the area of perforation and total area of tympanic membrane will define the percentage of hearing loss. Our approach will eliminate the error introduced due to patient dependency as in the traditional method.

  9. Multiscale fabrication of biomimetic scaffolds for tympanic membrane tissue engineering.

    PubMed

    Mota, Carlos; Danti, Serena; D'Alessandro, Delfo; Trombi, Luisa; Ricci, Claudio; Puppi, Dario; Dinucci, Dinuccio; Milazzo, Mario; Stefanini, Cesare; Chiellini, Federica; Moroni, Lorenzo; Berrettini, Stefano

    2015-06-01

    The tympanic membrane (TM) is a thin tissue able to efficiently collect and transmit sound vibrations across the middle ear thanks to the particular orientation of its collagen fibers, radiate on one side and circular on the opposite side. Through the combination of advanced scaffolds and autologous cells, tissue engineering (TE) could offer valuable alternatives to autografting in major TM lesions. In this study, a multiscale approach based on electrospinning (ES) and additive manufacturing (AM) was investigated to fabricate scaffolds, based on FDA approved copolymers, resembling the anatomic features and collagen fiber arrangement of the human TM. A single scale TM scaffold was manufactured using a custom-made collector designed to confer a radial macro-arrangement to poly(lactic-co-glycolic acid) electrospun fibers during their deposition. Dual and triple scale scaffolds were fabricated combining conventional ES with AM to produce poly(ethylene oxide terephthalate)/poly(butylene terephthalate) block copolymer scaffolds with anatomic-like architecture. The processing parameters were optimized for each manufacturing method and copolymer. TM scaffolds were cultured in vitro with human mesenchymal stromal cells, which were viable, metabolically active and organized following the anisotropic character of the scaffolds. The highest viability, cell density and protein content were detected in dual and triple scale scaffolds. Our findings showed that these biomimetic micro-patterned substrates enabled cell disposal along architectural directions, thus appearing as promising substrates for developing functional TM replacements via TE. PMID:25947357

  10. Measurement of the thickness of the tympanic membrane in cat using a heterodyne interferometer

    NASA Astrophysics Data System (ADS)

    Decraemer, Willem F. S.; Khanna, Shyam M.; Dirckx, Joris J. J.

    2004-06-01

    The thickness of the tympanic membrane has to be known for the formulation of mathematical ear models. Using a commercial confocal laser scanning microscope we have found that the tympanic membrane has parts thinner than 10 micron. In this study we were forced to excise the tympanic membranes and due the restricted working distance of the microscope objective, we had to flatten the tympanic membrane onto a glass plate. Although we were able to measure thickness in fresh samples, thickness could still have been altered by the preparation procedure. S. Khanna developed over the years a powerful heterodyne interferometer with confocal pinholes in the illumination and observation arms. Thanks to its sectioning capabilities it can measure vibrations of structures embedded within other tissue without the need to expose the structure. While using this equipment in measuring vibrations in the middle ear, the idea grew that the interferometer could also be used to measure thickness, by tracking the carrier level of the interferometer while the laser focus is driven through the membrane. The method looks full of promises as measurements on animals with the tympanic membrane still in its original niche are possible without a prior preparation of the membrane.

  11. Optical-fiber-coupled inferometric measurement of tympanic membrane temperature: a new diagnostic tool for acute otitis media

    NASA Astrophysics Data System (ADS)

    DeRowe, Ari; Ophir, Eyal; Sade, Sharon; Fishman, Gadi; Ophir, Dov; Grankin, Mila; Katzir, Abraham

    1998-07-01

    A novel infrared (IR) transparent optical fiber coupled to a hand held otoscope and a radiometer was constructed and used to measure the temperatures of the tympanic membrane (TM) and to distinguish between diseased and healthy middle ears. A greater temperature difference between TM readings was found when Acute Otitis Media (AOM) existed in one of the ears examined. This supports the hypothesis that acute inflammation of the middle ear will result in elevated local temperature when measured in such a way that the reading is taken only from the TM without interference of the external canal. The use of an optical fiber enabled temperature measurements of the TM with high spatial resolution eliminating the external ear canal interference. A small patient population was examined and the initial results were statistically significant. In the hands of the primary care physician, this tool would prevent misdiagnosis of AOM preventing indiscriminate use of antibiotics and avoiding complications by early diagnosis.

  12. Virtual biopsy of rat tympanic membrane using higher harmonic generation microscopy

    NASA Astrophysics Data System (ADS)

    Lee, Wen-Jeng; Lee, Chia-Fone; Chen, Szu-Yu; Chen, Yuh-Shyang; Sun, Chi-Kuang

    2010-07-01

    Multiharmonic optical microscopy has been widely applied in biomedical research due to its unique capability to perform noninvasive studies of biomaterials. In this study, virtual biopsy based on back-propagating multiple optical harmonics, combining second and third harmonics, is applied in unfixed rat tympanic membrane. We show that third harmonic generation can provide morphologic information on the epithelial layers of rat tympanic membrane as well as radial collagen fibers in middle fibrous layers, and that second harmonic generation can provide information on both radial and circular collagen fibers in middle fibrous layers. Through third harmonic generation, the capillary and red blood cells in the middle fibrous layer are also noted. Additionally, the 3-D relationship to adjacent bony structures and spatial variations in thickness and curvature are obtained. Our study demonstrates the feasibility of using a noninvasive optical imaging system for comprehensive evaluation of the tympanic membrane.

  13. Transfer function for vital infrasound pressures between the carotid artery and the tympanic membrane.

    PubMed

    Furihata, Kenji; Yamashita, Masato

    2013-02-01

    While occupational injury is associated with numerous individual and work-related risk factors, including long working hours and short sleep duration, the complex mechanisms causing such injuries are not yet fully understood. The relationship between the infrasound pressures of the tympanic membrane [ear canal pressure (ECP)], detected using an earplug embedded with a low-frequency microphone, and the carotid artery [carotid artery pressure (CAP)], detected using a stethoscope fitted with the same microphone, can be quantitatively characterized using systems analysis. The transfer functions of 40 normal workers (19 to 57 years old) were characterized, involving the analysis of 446 data points. The ECP waveform exhibits a pulsatile character with a slow respiratory component, which is superimposed on a biphasic recording that is synchronous with the cardiac cycle. The respiratory ECP waveform correlates with the instantaneous heart rate. The results also revealed that various fatigue-related risk factors may affect the mean magnitudes of the measured pressures and the delay transfer functions between CAP and ECP in the study population; these factors include systolic blood pressure, salivary amylase activity, age, sleep duration, postural changes, chronic fatigue, and pulse rate. PMID:23363133

  14. External and middle ear sound pressure distribution and acoustic coupling to the tympanic membrane

    PubMed Central

    Bergevin, Christopher; Olson, Elizabeth S.

    2014-01-01

    Sound energy is conveyed to the inner ear by the diaphanous, cone-shaped tympanic membrane (TM). The TM moves in a complex manner and transmits sound signals to the inner ear with high fidelity, pressure gain, and a short delay. Miniaturized sensors allowing high spatial resolution in small spaces and sensitivity to high frequencies were used to explore how pressure drives the TM. Salient findings are: (1) A substantial pressure drop exists across the TM, and varies in frequency from ∼10 to 30 dB. It thus appears reasonable to approximate the drive to the TM as being defined solely by the pressure in the ear canal (EC) close to the TM. (2) Within the middle ear cavity (MEC), spatial variations in sound pressure could vary by more than 20 dB, and the MEC pressure at certain locations/frequencies was as large as in the EC. (3) Spatial variations in pressure along the TM surface on the EC-side were typically less than 5 dB up to 50 kHz. Larger surface variations were observed on the MEC-side. PMID:24606269

  15. Surgical Management of Myringosclerosis over an Entire Perforated Tympanic Membrane by Simple Underlay Myringoplasty

    PubMed Central

    Furukawa, Masayuki; Hayashi, Chieri; Narabayashi, Osamu; Kasai, Misato; Okada, Hiroko; Haruyama, Takuo; Minekawa, Akira; Iizuka, Takashi

    2016-01-01

    The aim of our study is to demonstrate the surgical management of myringosclerosis over a perforated whole tympanic membrane using simple underlay myringoplasty. Simple underlay myringoplasty with fibrin glue was performed in 11 ears with myringosclerosis over the entire tympanic membrane. The patients were one male and ten females and their mean age was 61.8 years (range, 40–73 yr). Surgical success was defined as an intact tympanic membrane 12 months after surgery. Closure of the perforation was successful in 10 (91%) of the 11 patients. Failure of the graft occurred in one patient who then underwent a revision procedure using her stored fascia in the outpatient clinic with a successful outcome. The overall success rate was 100%. Although this study included a small number of cases, removal of myringosclerosis at the edge of a perforation is a beneficial technique for simple underlay myringoplasty in terms of the success rate and postoperative hearing threshold, especially when myringosclerosis extends over the entire tympanic membrane. PMID:27446214

  16. Tympanic Membrane Temperature and Emotional Dispositions in Preschool-Aged Children: A Methodological Study

    ERIC Educational Resources Information Center

    Gunnar, Megan R.; Donzella, Bonny

    2004-01-01

    Tympanic membrane (TM) temperature asymmetry has been proposed as a phenotypic marker of vulnerability to negative emotionality in children. Little is known about the stability of TM temperatures or how readily one can obtain a reliable index of the phenotype. TM temperatures were collected from 3- to 5-year-old children (N=73) over 5 months…

  17. Cognition Is Cool: Can Hemispheric Activation Be Assessed by Tympanic Membrane Thermometry?

    ERIC Educational Resources Information Center

    Cherbuin, Nicolas; Brinkman, Cobie

    2004-01-01

    Hemispheric activation during cognitive tasks using functional magnetic resonance imaging (fMRI) can be difficult to interpret, uncomfortable, and is not widely available. This study investigated whether tympanic membrane thermometry could be used as a broad measure of hemispheric activation. Infrared probes measured ear temperature continuously…

  18. Experimental study of vibrations of gerbil tympanic membrane with closed middle ear cavity.

    PubMed

    Maftoon, Nima; Funnell, W Robert J; Daniel, Sam J; Decraemer, Willem F

    2013-08-01

    The purpose of the present work is to investigate the spatial vibration pattern of the gerbil tympanic membrane (TM) as a function of frequency. In vivo vibration measurements were done at several locations on the pars flaccida and pars tensa, and along the manubrium, on surgically exposed gerbil TMs with closed middle ear cavities. A laser Doppler vibrometer was used to measure motions in response to audio frequency sine sweeps in the ear canal. Data are presented for two different pars flaccida conditions: naturally flat and retracted into the middle ear cavity. Resonance of the flat pars flaccida causes a minimum and a shallow maximum in the displacement magnitude of the manubrium and pars tensa at low frequencies. Compared with a flat pars flaccida, a retracted pars flaccida has much lower displacement magnitudes at low frequencies and does not affect the responses of the other points. All manubrial and pars tensa points show a broad resonance in the range of 1.6 to 2 kHz. Above this resonance, the displacement magnitudes of manubrial points, including the umbo, roll off with substantial irregularities. The manubrial points show an increasing displacement magnitude from the lateral process toward the umbo. Above 5 kHz, phase differences between points along the manubrium start to become more evident, which may indicate flexing of the tip of the manubrium or a change in the vibration mode of the malleus. At low frequencies, points on the posterior side of the pars tensa tend to show larger displacements than those on the anterior side. The simple low-frequency vibration pattern of the pars tensa becomes more complex at higher frequencies, with the breakup occurring at between 1.8 and 2.8 kHz. These observations will be important for the development and validation of middle ear finite-element models for the gerbil. PMID:23624883

  19. Dynamic properties of human tympanic membrane based on frequency-temperature superposition.

    PubMed

    Zhang, Xiangming; Gan, Rong Z

    2013-01-01

    The human tympanic membrane (TM) transfers sound in the ear canal into the mechanical vibration of the ossicles in the middle ear. The dynamic properties of TM directly affect the middle ear transfer function. The static or quasi-static mechanical properties of TM were reported in the literature, but the dynamic properties of TM over the auditory frequency range are very limited. In this paper, a new method was developed to measure the dynamic properties of human TM using the Dynamic-Mechanical Analyzer (DMA). The test was conducted at the frequency range of 1-40 Hz at three different temperatures: 5, 25, and 37 °C. The frequency-temperature superposition was applied to extend the testing frequency range to a much higher level (at least 3800 Hz). The generalized linear solid model was employed to describe the constitutive relation of the TM. The storage modulus E' and the loss modulus E″ were obtained from 11 specimens. The mean storage modulus was 15.1 MPa at 1 Hz and 27.6 MPa at 3800 Hz. The mean loss modulus was 0.28 MPa at 1 Hz and 4.1 MPa at 3800 Hz. The results show that the frequency-temperature superposition is a feasible approach to study the dynamic properties of the ear soft tissues. The dynamic properties of human TM obtained in this study provide a better description of the damping behavior of ear tissues. The properties can be transferred into the finite element model of the human ear to replace the Rayleigh type damping. The data reported here contribute to the biomechanics of the middle ear and improve the accuracy of the FE model for the human ear. PMID:22820983

  20. Prospective study of tympanic membrane retraction, hearing loss, and multifrequency tympanometry.

    PubMed

    Li, Y; Hunter, L L; Margolis, R H; Levine, S C; Lindgren, B; Daly, K; Giebink, G S

    1999-11-01

    Tympanic membrane retraction is a significant sequela of OME and has been linked clinically to atelectasis, ossicular erosion, and cholesteatoma. We investigated important factors for prediction of tympanic membrane retraction in a prospective study of 112 children. After 4 to 6 years of follow-up, 12% of ears had pars tensa retraction without atrophy, and 28% had various degrees of retraction with atrophy. Mild pars flaccida retraction was present in 23%, and severe pars flaccida retraction was present in 12%. Retraction severity was related to hearing level and multifrequency tympanometry. Three factors were significantly related to retraction severity: type of tube, male sex, and percent of visits in the second year with abnormal tympanograms. This study shows that type of tube was the most important factor in long-term outcome after tympanostomy tube treatment of OME. PMID:10547462

  1. Medical Devices; Ear, Nose, and Throat Devices; Classification of the Tympanic Membrane Contact Hearing Aid. Final order.

    PubMed

    2016-01-21

    The Food and Drug Administration (FDA) is classifying the tympanic membrane contact hearing aid into class II (special controls). The special controls that will apply to the device are identified in this order and will be part of the codified language for the tympanic membrane contact hearing aid's classification. The Agency is classifying the device into class II (special controls) in order to provide a reasonable assurance of safety and effectiveness of the device. PMID:26803881

  2. The effects of different environmental pH on healing of tympanic membrane: an experimental study.

    PubMed

    Akkoc, Ahmet; Celik, Hatice; Arslan, Necmi; Demirci, Sule; Hucumenoglu, Sema; Caydere, Muzaffer; Oztuna, Derya

    2016-09-01

    In this study, we investigated the effect of environmental pH on healing of acute rat tympanic membrane perforations. Twenty Wistar albino rats were divided into four groups and used in the study. A large myringotomy was performed in the posteroinferior quadrants of both tympanic membranes. In left ears, topical pH 4 standard calibration solution was used in groups 1 and 3, and pH 7 standard calibration solution was used in groups 2 and 4. Right ears served as controls, and allowed for spontaneous healing. The solutions were applied for 2 days in groups 1 and 2, and for 7 days in groups 3 and 4. Healing was assessed by macroscopic closure of the tympanic membrane perforation, and histopathological analysis of lamina propria edema, neovascularization, inflammatory cells, and fibroblastic reaction in the temporal bones. pH 7 and pH 4 groups were similar for macroscopic closure of perforation on day 2; however difference was significant on day 7. The fibroblastic activity was significantly less on days 2 and 7 in pH 4 group. On day 7, there were significant differences between pH 4 and pH 7, and pH 7 and control groups for inflammatory cell infiltration. In conclusion, clinical and histopathological results of this study indicated that acidic environmental pH speeded up and shortened wound-healing process. By building up optimum environmental pH, a healthy healing may be achieved in acute tympanic membrane perforations. PMID:26683468

  3. The relation between tympanic membrane higher order modes and standing waves

    NASA Astrophysics Data System (ADS)

    Allen, Jont B.

    2015-12-01

    Here we address the question of the specific relation between Tympanic Membrane (TM) higher order modes, and the existence of standing waves. These questions relate to the nature of the middle ear (ME) as a cascade of transmission lines, and what happens when the matching goes from nearly perfect, when the normal cochlear is the TM load, to totally out of balance, due to either ME or cochlear pathology. This is important for the diagnoses of a pathology given the ME reflectance.

  4. Hearing Loss due to Infiltration of the Tympanic Membrane by Chronic Lymphocytic Leukemia

    PubMed Central

    Cohen, Jonathon B.; Cavaliere, Robert; Byrd, John C.; Andritsos, Leslie A.

    2012-01-01

    Central nervous system (CNS) involvement by chronic lymphocytic leukemia (CLL) can present with dramatic neurologic findings or can be quite subtle, discovered only at the time of autopsy. We describe a case of CLL in a patient who presented initially with hearing loss and was ultimately found to have involvement of the tympanic membrane. She noted improvement of her hearing after induction therapy but was not aware at the time of the involvement of her CNS with CLL. Upon worsening of hearing at the time of relapse, she was evaluated by imaging and CSF analysis as well as biopsy of the tympanic membrane, and involvement of the CNS was confirmed. She has received CNS-directed therapy with intrathecal liposomal cytarabine and intravenous CNS-directed therapy and has noted improved hearing and resolution of her imaging and CSF findings. This is the first reported case of tympanic membrane involvement with CLL and describes potentially effective methods for managing this challenging complication. PMID:23198191

  5. Cortical representation of tympanic membrane movements due to pressure variation: an fMRI study.

    PubMed

    Job, Agnès; Paucod, Jean-Charles; O'Beirne, Greg A; Delon-Martin, Chantal

    2011-05-01

    Middle ear sensory information has never been localized in the homunculus of the somatosensory cortex (S1). We investigated the somatosensory representation of the middle ear in 15 normal hearing subjects. We applied small air pressure variations to the tympanic membrane while performing a 3T-fMRI study. Unilateral stimulations of the right ear triggered bilateral activations in the caudal part of the postcentral gyrus in Brodmann area 43 (BA 43) and in the auditory associative areas 42 (BA 42) and 22 (BA 22). BA 43 has been found to be involved in activities accompanying oral intake and could be more largely involved in pressure activities in the oropharynx area. The tympanic membrane is indirectly related to the pharynx area through the action of tensor tympani, which is a Eustachian tube muscle. The Eustachian tube muscles have a role in pressure equalization in the middle ear and also have a role in the pharyngeal phase of swallowing. Activation of BA 42 and BA 22 could reflect activations associated with the bilateral acoustic reflex triggered prior to self-vocalization to adjust air pressure in the oropharynx during speech. We propose that BA 43, 42, and 22 are the cortical areas associated with middle ear function. We did not find representation of tympanic membrane movements due to pressure in S1, but its representation in the postcentral gyrus in BA 43 seems to suggest that at least part of this area conveys pure somatosensory information. PMID:21484948

  6. Measurements of three-dimensional shape and sound-induced motion of the chinchilla tympanic membrane

    PubMed Central

    Rosowski, John J; Dobrev, Ivo; Khaleghi, Morteza; Lu, Weina; Cheng, Jeffrey Tao; Harrington, Ellery; Furlong, Cosme

    2013-01-01

    Opto-electronic computer holographic measurements were made of the tympanic membrane (TM) in cadaveric chinchillas. Measurements with two laser wavelengths were used to compute the 3D-shape of the TM. Single laser wavelength measurements locked to eight distinct phases of a tonal stimulus were used to determine the magnitude and the relative phase of the surface displacements. These measurements were made at over 250,000 points on the TM surface. The measured motions contained spatial phase variations consistent with relatively low-order (large spatial frequency) modal motions and smaller magnitude higher-order (smaller spatial frequency) motions that appear to travel, but may also be explained by losses within the membrane. The measurement of shape and thin shell theory allowed us to separate the measured motions into those components orthogonal to the plane of the tympanic ring, and those components within the plane of the tympanic ring based on the 3D-shape. The predicted in-plane motion components are generally smaller than the out-of-plane perpendicular component of motion. Since the derivation of in-plane and out-of plane depended primarily on the membrane shape, the relative sizes of the predicted motion components did not vary with frequency. PMID:23247058

  7. Viscoelastic properties of the human tympanic membrane studied with stroboscopic holography and finite element modeling.

    PubMed

    De Greef, Daniel; Aernouts, Jef; Aerts, Johan; Cheng, Jeffrey Tao; Horwitz, Rachelle; Rosowski, John J; Dirckx, Joris J J

    2014-06-01

    A new anatomically-accurate Finite Element (FE) model of the tympanic membrane (TM) and malleus was combined with measurements of the sound-induced motion of the TM surface and the bony manubrium, in an isolated TM-malleus preparation. Using the results, we were able to address two issues related to how sound is coupled to the ossicular chain: (i) Estimate the viscous damping within the tympanic membrane itself, the presence of which may help smooth the broadband response of a potentially highly resonant TM, and (ii) Investigate the function of a peculiar feature of human middle-ear anatomy, the thin mucosal epithelial fold that couples the mid part of the human manubrium to the TM. Sound induced motions of the surface of ex vivo human eardrums and mallei were measured with stroboscopic holography, which yields maps of the amplitude and phase of the displacement of the entire membrane surface at selected frequencies. The results of these measurements were similar, but not identical to measurements made in intact ears. The holography measurements were complemented by laser-Doppler vibrometer measurements of sound-induced umbo velocity, which were made with fine-frequency resolution. Comparisons of these measurements to predictions from a new anatomically accurate FE model with varied membrane characteristics suggest the TM contains viscous elements, which provide relatively low damping, and that the epithelial fold that connects the central section of the human manubrium to the TM only loosely couples the TM to the manubrium. The laser-Doppler measurements in two preparations also suggested the presence of significant variation in the complex modulus of the TM between specimens. Some animations illustrating the model results are available at our website (www.uantwerp.be/en/rg/bimef/downloads/tympanic-membrane-motion). PMID:24657621

  8. Heparin Binding–Epidermal Growth Factor-Like Growth Factor for the Regeneration of Chronic Tympanic Membrane Perforations in Mice

    PubMed Central

    Kim, Sungwoo; Varsak, Yasin Kursad; Yang, Yunzhi Peter

    2015-01-01

    We aim to explore the role of epidermal growth factor (EGF) ligand shedding in tympanic membrane wound healing and to investigate the translation of its modulation in tissue engineering of chronic tympanic membrane perforations. Chronic suppurative otitis media (CSOM) is an infected chronic tympanic membrane perforation. Up to 200 million suffer from its associated hearing loss and it is the most common cause of pediatric hearing loss in developing countries. There is a need for nonsurgical treatment due to a worldwide lack of resources. In this study, we show that EGF ligand shedding is essential for tympanic membrane healing as it's inhibition, with KB-R7785, leads to chronic perforation in 87.9% (n=58) compared with 0% (n=20) of controls. We then show that heparin binding–EGF-like growth factor (5 μg/mL), which acts to shed EGF ligands, can regenerate chronic perforations in mouse models with 92% (22 of 24) compared with 38% (10 of 26), also with eustachian tube occlusion with 94% (18 of 19) compared with 9% (2 of 23) and with CSOM 100% (16 of 16) compared with 41% (7 of 17). We also show the nonototoxicity of this treatment and its hydrogel delivery vehicle. This provides preliminary data for a clinical trial where it could be delivered by nonspecialist trained healthcare workers and fulfill the clinical need for a nonsurgical treatment for chronic tympanic membrane perforation and CSOM. PMID:25567607

  9. Interpretation of tympanic membrane findings varies according to level of experience.

    PubMed

    Shaikh, Nader; Stone, M Katherine; Kurs-Lasky, Marcia; Hoberman, Alejandro

    2016-05-01

    The authors administered a written survey consisting of colour images of 28 tympanic membranes (TM) to four groups of examiners: 86 medical students, 68 paediatric residents, 62 paediatricians and seven expert otoscopists. For each image, examiners were asked to indicate whether redness or bulging of the TM was present and to assign a diagnosis. The odds of diagnosing acute otitis media (AOM) was examined according to perceived redness or bulging of the TM. Medical students and paediatricians attributed approximately equal importance to isolated redness and isolated bulging of the TM. In contrast, experts placed significantly greater importance on isolated bulging of the TM compared with isolated redness of the TM. The authors suggest that training curricula emphasize the strong association between a bulging TM and a diagnosis of AOM, while de-emphasizing the association between TM redness and AOM. PMID:27429572

  10. Dynamics of the tympanic membrane: Multiple-specimen study of digital holograms

    NASA Astrophysics Data System (ADS)

    Guignard, Jérémie; Cheng, Jeffrey T.; Ravicz, Michael E.; Rosowski, John J.

    2015-12-01

    Stroboscopic digital holography has been used to measure sound-induced tympanic membrane (TM) surface motion with a high spatial resolution. In the current state of the art, holograms from different specimens can be compared qualitatively by inspection and quantitatively by manual identification of regions of interest. However, anatomical variations in the shape of the TM and geometrical variations due to changes in relative position and orientation of the specimen with respect to the camera preclude point-by-point metrics across specimens. The aim of this study is to create a set of shape-normalized TM motion maps in order to quantify the average motion and variability in a set of specimens. We present a method in which the motion maps of 5 cadaveric human TMs were rotated, translated, scaled and sheared to normalize TM orientation, size, and position, and we show preliminary results of cross-specimen analysis of motion.

  11. Endoscopic "Push-Trough" Technique Cartilage Myringoplasty in Anterior Tympanic Membrane Perforations

    PubMed Central

    Samim, Erdal; Oztuna, Derya

    2015-01-01

    Objectives To evaluate endoscopic push-through technique cartilage myringoplasty results. Methods This prospective study was performed on patients with anterior tympanic membrane perforations and endoscopic push-through technique cartilage myringoplasty was performed between 2011 and 2013. The patients who did not have any cholesteatoma or otorrhea in the previous 3 months, and had an air bone gap ≤25 dB in their preoperative audiograms were included in the study. They were followed up with endoscopic examination and audiograms at 2nd, 6th, 12th, and 24th postoperative months. Pure tone averages were calculated at 0.5, 1, 2, and 4 kHz frequencies. Results Of 32 patients, 19 were females and 13 were males. The mean age was 40.3 years (range, 16 to 62 years), and the mean follow-up period was 12.4 months (range, 6 to 24 months). Graft success rate was 87.5% in this study. Preoperative mean air conduction hearing threshold was 25.9 dB, and the mean air-bone gap was 11.9 dB while these values improved to 19.5 dB and 5.3 dB respectively in the postoperative period. The mean hearing gain was 6.4 dB. The analysis of preoperative and postoperative mean air conduction thresholds and air bone gap values of the patients revealed statistically significant differences. Conclusion Underlay cartilage myringoplasty with endoscopic push-through technique in anterior quadrant tympanic membrane perforations is an effective, minimally invasive and feasible method. PMID:26330916

  12. Non-ossicular signal transmission in human middle ears: Experimental assessment of the “acoustic route” with perforated tympanic membranes

    PubMed Central

    Voss, Susan E.; Rosowski, John J.; Merchant, Saumil N.; Peake, William T.

    2008-01-01

    Direct acoustic stimulation of the cochlea by the sound-pressure difference between the oval and round windows (called the “acoustic route”) has been thought to contribute to hearing in some pathological conditions, along with the normally dominant “ossicular route.” To determine the efficacy of this acoustic route and its constituent mechanisms in human ears, sound pressures were measured at three locations in cadaveric temporal bones [with intact and perforated tympanic membranes (TMs)]: (1) in the external ear canal lateral to the TM, PTM; (2) in the tympanic cavity lateral to the oval window, POW; and (3) near the round window, PRW. Sound transmission via the acoustic route is described by two concatenated processes: (1) coupling of sound pressure from ear canal to middle-ear cavity, HPCAV≡PCAV/PTM, where PCAV represents the middle-ear cavity pressure, and (2) sound-pressure difference between the windows, HWPD≡(POW−PRW)/PCAV. Results show that: HPCAV depends on perforation size but not perforation location; HWPD depends on neither perforation size nor location. The results (1) provide a description of the window pressures based on measurements, (2) refute the common otological view that TM perforation location affects the “relative phase of the pressures at the oval and round windows,” and (3) show with an intact ossicular chain that acoustic-route transmission is substantially below ossicular-route transmission except for low frequencies with large perforations. Thus, hearing loss from TM perforations results primarily from reduction in sound coupling via the ossicular route. Some features of the frequency dependence of HPCAV and HWPD can be interpreted in terms of a structure-based lumped-element acoustic model of the perforation and middle-ear cavities. PMID:17902851

  13. Wave motion on the surface of the human tympanic membrane: Holographic measurement and modeling analysis

    PubMed Central

    Cheng, Jeffrey Tao; Hamade, Mohamad; Merchant, Saumil N.; Rosowski, John J.; Harrington, Ellery; Furlong, Cosme

    2013-01-01

    Sound-induced motions of the surface of the tympanic membrane (TM) were measured using stroboscopic holography in cadaveric human temporal bones at frequencies between 0.2 and 18 kHz. The results are consistent with the combination of standing-wave-like modal motions and traveling-wave-like motions on the TM surface. The holographic techniques also quantified sound-induced displacements of the umbo of the malleus, as well as volume velocity of the TM. These measurements were combined with sound-pressure measurements near the TM to compute middle-ear input impedance and power reflectance at the TM. The results are generally consistent with other published data. A phenomenological model that behaved qualitatively like the data was used to quantify the relative magnitude and spatial frequencies of the modal and traveling-wave-like displacement components on the TM surface. This model suggests the modal magnitudes are generally larger than those of the putative traveling waves, and the computed wave speeds are much slower than wave speeds predicted by estimates of middle-ear delay. While the data are inconsistent with simple modal displacements of the TM, an alternate model based on the combination of modal motions in a lossy membrane can also explain these measurements without invoking traveling waves. PMID:23363110

  14. Wave motion on the surface of the human tympanic membrane: holographic measurement and modeling analysis.

    PubMed

    Cheng, Jeffrey Tao; Hamade, Mohamad; Merchant, Saumil N; Rosowski, John J; Harrington, Ellery; Furlong, Cosme

    2013-02-01

    Sound-induced motions of the surface of the tympanic membrane (TM) were measured using stroboscopic holography in cadaveric human temporal bones at frequencies between 0.2 and 18 kHz. The results are consistent with the combination of standing-wave-like modal motions and traveling-wave-like motions on the TM surface. The holographic techniques also quantified sound-induced displacements of the umbo of the malleus, as well as volume velocity of the TM. These measurements were combined with sound-pressure measurements near the TM to compute middle-ear input impedance and power reflectance at the TM. The results are generally consistent with other published data. A phenomenological model that behaved qualitatively like the data was used to quantify the relative magnitude and spatial frequencies of the modal and traveling-wave-like displacement components on the TM surface. This model suggests the modal magnitudes are generally larger than those of the putative traveling waves, and the computed wave speeds are much slower than wave speeds predicted by estimates of middle-ear delay. While the data are inconsistent with simple modal displacements of the TM, an alternate model based on the combination of modal motions in a lossy membrane can also explain these measurements without invoking traveling waves. PMID:23363110

  15. TGF-α/HA complex promotes tympanic membrane keratinocyte migration and proliferation via ErbB1 receptor

    SciTech Connect

    Mei Teh, Bing; Redmond, Sharon L.; Shen, Yi; Atlas, Marcus D.; Marano, Robert J.; Dilley, Rodney J.

    2013-04-01

    Tympanic membrane perforations are common and represent a management challenge to clinicians. Current treatments for chronic perforations involve a graft surgery and require general anaesthesia, including associated costs and morbidities. Bioactive molecules (e.g. growth factors, cytokines) play an important role in promoting TM wound healing following perforation and the use of growth factors as a topical treatment for tympanic membrane perforations has been suggested as an alternative to surgery. However, the choice of bioactive molecules best suited to promote wound healing has yet to be identified. We investigated the effects of hyaluronic acid, vitronectin, TGF-α, IL-24 and their combinations on migration, proliferation and adhesion of cultured human tympanic membrane-derived keratinocytes (hTM), in addition to their possible mechanisms of action. We found that TGF-α, TGF-α/HA and TGF-α/IL-24 promoted wound healing by significantly increasing both migration and proliferation. TGF-α and/or HA treated cells showed comparable cell–cell adhesion whilst maintaining an epithelial cell phenotype. With the use of receptor binding inhibitors for ErbB1 (AG1478) and CD44 (BRIC235), we revealed that the activation of ErbB1 is required for TGF-α/HA-mediated migration and proliferation. These results suggest factors that may be incorporated into a tissue-engineered membrane or directly as topical treatment for tympanic membrane perforations and hence reduce the need for a surgery. - Highlights: ► TGF-α, TGF-α/HA and TGF-α/IL-24 improved hTM keratinocyte migration and proliferation. ► TGF-α and/or HA maintained epithelial cell phenotype. ► TGF-α/HA-mediated migration and proliferation requires activation of ErbB1 receptor.

  16. Opto-electronic moire projector for real-time shape and deformation studies of the tympanic membrane

    NASA Astrophysics Data System (ADS)

    Dirckx, Joris J.; Decraemer, Willem F.

    1997-04-01

    Moire topography is a valuable technique for studying the shape and deformation of delicate biological structures such as the tympanic membrane. A projection moire method is described that can produce both shape and deformation fringes in real time, at a rate of 25 interferograms per second. The apparatus is based on electronic subtraction of the projected grating line image of the object and a reference grating line image stored in digital memory. The image field and fringe plane distance can be adjusted to the object dimensions. Using a fringe plane distance of 82 micrometers , a precision of 5 micrometers over a measuring depth of 0.4 mm is demonstrated by measurements on a spherical calibration object. The application to in vitro shape and deformation measurements of the gerbil tympanic membrane is demonstrated.

  17. Discovery of a Biological Mechanism of Active Transport through the Tympanic Membrane to the Middle Ear

    PubMed Central

    Kurabi, Arwa; Pak, Kwang K.; Bernhardt, Marlen; Baird, Andrew; Ryan, Allen F.

    2016-01-01

    Otitis media (OM) is a common pediatric disease for which systemic antibiotics are often prescribed. While local treatment would avoid the systemic treatment side-effects, the tympanic membrane (TM) represents an impenetrable barrier unless surgically breached. We hypothesized that the TM might harbor innate biological mechanisms that could mediate trans-TM transport. We used two M13-bacteriophage display biopanning strategies to search for mediators of trans-TM transport. First, aliquots of linear phage library displaying 1010th 12mer peptides were applied on the TM of rats with active bacterial OM. The middle ear (ME) contents were then harvested, amplified and the preparation re-applied for additional rounds. Second, the same naïve library was sequentially screened for phage exhibiting TM binding, internalization and then transit. Results revealed a novel set of peptides that transit across the TM to the ME in a time and temperature dependent manner. The peptides with highest transport capacities shared sequence similarities. Historically, the TM was viewed as an impermeable barrier. However, our studies reveal that it is possible to translocate peptide-linked small particles across the TM. This is the first comprehensive biopanning for the isolation of TM transiting peptidic ligands. The identified mechanism offers a new drug delivery platform into the ME. PMID:26946957

  18. Repair of chronic tympanic membrane perforations using applications of hyaluronan or rice paper prostheses.

    PubMed

    Laurent, C; Söderberg, O; Anniko, M; Hartwig, S

    1991-01-01

    A controlled randomized study was performed in 60 patients with 64 chronic, dry tympanic membrane (TM) perforations. The perforations were randomly allocated to either resection of the perforation rim and instillation of 1% hyaluronan (Healon; HYA) in the perforation gap once daily for 7 days (33 ears) or resection of the perforation margin and application of a sterile rice paper prosthesis (31 ears). The treatment effect was documented by TM photography and morphometric measurements of the perforation area. The hearing was assessed with puretone and high-frequency audiometry. After 2 months, 5 of the HYA-treated perforations (15%) and 4 of the rice-paper-treated TMs (13%) were healed. After 1 year, 18 perforations (9 in each treatment group) were healed. In neither group were there any persistent adverse effects on hearing. It is noteworthy that 28% (18/64) of the chronic, long-standing TM perforations could be repaired by these technically simple and time-saving methods. Both procedures should be considered as easy first-choice alternatives to myringoplasty in selected cases. PMID:2008293

  19. In-plane and out-of-plane motions of the human tympanic membrane.

    PubMed

    Khaleghi, Morteza; Cheng, Jeffrey Tao; Furlong, Cosme; Rosowski, John J

    2016-01-01

    Computer-controlled digital holographic techniques are developed and used to measure shape and four-dimensional nano-scale displacements of the surface of the tympanic membrane (TM) in cadaveric human ears in response to tonal sounds. The combination of these measurements (shape and sound-induced motions) allows the calculation of the out-of-plane (perpendicular to the surface) and in-plane (tangential) motion components at over 1,000,000 points on the TM surface with a high-degree of accuracy and sensitivity. A general conclusion is that the in-plane motion components are 10-20 dB smaller than the out-of-plane motions. These conditions are most often compromised with higher-frequency sound stimuli where the overall displacements are smaller, or the spatial density of holographic fringes is higher, both of which increase the uncertainty of the measurements. The results are consistent with the TM acting as a Kirchhoff-Love's thin shell dominated by out-of-plane motion with little in-plane motion, at least with stimulus frequencies up to 8 kHz. PMID:26827009

  20. Surface strain-field determination of tympanic membrane using 3D-digital holographic interferometry

    NASA Astrophysics Data System (ADS)

    Hernandez-Montes, María del S.; Mendoza Santoyo, Fernando; Muñoz, Silvino; Perez, Carlos; de la Torre, Manuel; Flores, Mauricio; Alvarez, Luis

    2015-08-01

    In order to increase the understanding of soft tissues mechanical properties, 3D Digital Holographic Interferometry (3D-DHI) was used to quantify the strain-field on a cat tympanic membrane (TM) surface. The experiments were carried out applying a constant sound-stimuli pressure of 90 dB SPL (0.632 Pa) on the TM at 1.2 kHz. The technique allows the accurate acquisition of the micro-displacement data along the x, y and z directions, which is a must for a full characterization of the tissue mechanical behavior under load, and for the calculation of the strain-field in situ. The displacements repeatability in z direction shows a standard deviation of 0.062 μm at 95% confidence level. In order to realize the full 3D characterization correctly the contour of the TM surface was measured employing the optically non-contact two-illumination positions contouring method. The x, y and z displacements combined with the TM contour data allow the evaluation its strain-field by spatially differentiating the u(m,n), v(m,n), and w(m,n) deformation components. The accurate and correct determination of the TM strain-field leads to describing its elasticity, which is an important parameter needed to improve ear biomechanics studies, audition processes and TM mobility in both experimental measurements and theoretical analysis of ear functionality and its modeling.

  1. Digital holographic measurements of shape and three-dimensional sound-induced displacements of tympanic membrane

    NASA Astrophysics Data System (ADS)

    Khaleghi, Morteza; Lu, Weina; Dobrev, Ivo; Cheng, Jeffrey Tao; Furlong, Cosme; Rosowski, John J.

    2013-10-01

    Acoustically induced vibrations of the tympanic membrane (TM) play a primary role in the hearing process, in that these motions are the initial mechanical response of the ear to airborne sound. Characterization of the shape and three-dimensional (3-D) displacement patterns of the TM is a crucial step to a better understanding of the complicated mechanics of sound reception by the ear. Sound-induced 3-D displacements of the TM are estimated from shape and one-dimensional displacements measured in cadaveric chinchillas using a lensless dual-wavelength digital holography system (DWDHS). The DWDHS consists of laser delivery, optical head, and computing platform subsystems. Shape measurements are performed in double-exposure mode with the use of two wavelengths of a tunable laser, while nanometer-scale displacements are measured along a single sensitivity direction with a constant wavelength. Taking into consideration the geometrical and dimensional constrains imposed by the anatomy of the TM, we combine principles of thin-shell theory together with displacement measurements along a single sensitivity vector and TM surface shape to extract the three principal components of displacement in the full-field-of-view. We test, validate, and identify limitations of this approach via the application of finite element method to artificial geometries.

  2. Operative findings of conductive hearing loss with intact tympanic membrane and normal temporal bone computed tomography.

    PubMed

    Kim, Se-Hyung; Cho, Yang-Sun; Kim, Hye Jeong; Kim, Hyung-Jin

    2014-06-01

    Despite recent technological advances in diagnostic methods including imaging technology, it is often difficult to establish a preoperative diagnosis of conductive hearing loss (CHL) in patients with an intact tympanic membrane (TM). Especially, in patients with a normal temporal bone computed tomography (TBCT), preoperative diagnosis is more difficult. We investigated middle ear disorders encountered in patients with CHL involving an intact TM and normal TBCT. We also analyzed the surgical results with special reference to the pathology. We reviewed the medical records of 365 patients with intact TM, who underwent exploratory tympanotomy for CHL. Fifty nine patients (67 ears, eight bilateral surgeries) had a normal preoperative TBCT findings reported by neuro-radiologists. Demographic data, otologic history, TM findings, preoperative imaging findings, intraoperative findings, and pre- and postoperative audiologic data were obtained and analyzed. Exploration was performed most frequently in the second and fifth decades. The most common postoperative diagnosis was stapedial fixation with non-progressive hearing loss. The most commonly performed hearing-restoring procedure was stapedotomy with piston wire prosthesis insertion. Various types of hearing-restoring procedures during exploration resulted in effective hearing improvement, especially with better outcome in the ossicular chain fixation group. In patients with CHL who have intact TM and normal TBCT, we should consider an exploratory tympanotomy for exact diagnosis and hearing improvement. Information of the common operative findings from this study may help in preoperative counseling. PMID:23744181

  3. Digital holographic measurements of shape and 3D sound-induced displacements of Tympanic Membrane.

    PubMed

    Khaleghi, Morteza; Lu, Weina; Dobrev, Ivo; Cheng, Jeffrey Tao; Furlong, Cosme; Rosowski, John J

    2013-10-01

    Acoustically-induced vibrations of the Tympanic Membrane (TM) play a primary role in the hearing process, in that these motions are the initial mechanical response of the ear to airborne sound. Characterization of the shape and 3D displacement patterns of the TM is a crucial step to a better understanding of the complicated mechanics of sound reception by the ear. In this paper, shape and sound-induced 3D displacements of the TM in cadaveric chinchillas are measured by a lensless Dual-Wavelength Digital Holography system (DWDHS). The DWDHS consists of Laser Delivery (LD), Optical Head (OH), and Computing Platform (CP) subsystems. Shape measurements are performed in double-exposure mode and with the use of two wavelengths of a tunable laser while nanometer-scale displacements are measured along a single sensitivity direction and with a constant wavelength. In order to extract the three principal components of displacement in full-field-of-view, and taking into consideration the anatomical dimensions of the TM, we combine principles of thin-shell theory together with both, displacement measurements along the single sensitivity vector and TM surface shape. To computationally test this approach, Finite Element Methods (FEM) are applied to the study of artificial geometries. PMID:24790255

  4. Clinical comparison of tympanic membrane displacement with invasive intracranial pressure measurements.

    PubMed

    Shimbles, S; Dodd, C; Banister, K; Mendelow, A D; Chambers, I R

    2005-12-01

    A non-invasive method of assessing intracranial pressure (ICP) would be of benefit to patients with abnormal cerebral pathology that could give rise to changes in ICP. In particular, it would assist the regular monitoring of hydrocephalus patients. This study evaluated a technique using tympanic membrane displacement (TMD) measurements, which has been reported to provide a reliable, non-invasive measure of ICP. A group of 135 hydrocephalus patients was studied, as well as 13 patients with benign intracranial hypertension and a control group of 77 volunteers. TMD measurements were carried out using the Marchbanks measurement system analyser and compared between the groups. In 36 patients, invasive measurements of ICP carried out at the same time were compared with the TMD values. A highly significant relationship was found between TMD and ICP but intersubject variability was high and the predictive value of the technique low. Taking the normal range of ICP to be 10-15 mmHg, the predictive limits of the regression are an order of magnitude wider than this and therefore Vm cannot be used as a surrogate for ICP. In conclusion, TMD measurements do not provide a reliable non-invasive measure of ICP in patients with shunted hydrocephalus. PMID:16311455

  5. Optoelectronic holographic otoscope for measurement of nano-displacements in tympanic membranes

    NASA Astrophysics Data System (ADS)

    Del Socorro Hernández-Montes, Maria; Furlong, Cosme; Rosowski, John J.; Hulli, Nesim; Harrington, Ellery; Cheng, Jeffrey Tao; Ravicz, Michael E.; Santoyo, Fernando Mendoza

    2009-05-01

    Current methodologies for characterizing tympanic membrane (TM) motion are usually limited to either average acoustic estimates (admittance or reflectance) or single-point mobility measurements, neither of which suffices to characterize the detailed mechanical response of the TM to sound. Furthermore, while acoustic and single-point measurements may aid in diagnosing some middle-ear disorders, they are not always useful. Measurements of the motion of the entire TM surface can provide more information than these other techniques and may be superior for diagnosing pathology. We present advances in our development of a new compact optoelectronic holographic otoscope (OEHO) system for full field-of-view characterization of nanometer-scale sound-induced displacements of the TM surface at video rates. The OEHO system consists of a fiber optic subsystem, a compact otoscope head, and a high-speed image processing computer with advanced software for recording and processing holographic images coupled to a computer-controlled sound-stimulation and recording system. A prototype OEHO system is in use in a medical research environment to address basic science questions regarding TM function. The prototype provides real-time observation of sound-induced TM displacement patterns over a broad frequency range. Representative time-averaged and stroboscopic holographic interferometry results in animals and human cadaver samples are shown, and their potential utility is discussed.

  6. Regeneration of Chronic Tympanic Membrane Perforation Using an EGF-Releasing Chitosan Patch

    PubMed Central

    Seonwoo, Hoon; Kim, Seung Won; Kim, Jangho; Chunjie, Tian; Lim, Ki Taek; Kim, Yeon Ju; Pandey, Shambhavi; Choung, Pill-Hoon

    2013-01-01

    Most chronic tympanic membrane (TM) perforations require surgical interventions such as tympanoplasty because, unlike with acute perforations, it is very difficult for the perforations to heal spontaneously. The purpose of this study was to develop novel therapeutic techniques and scaffolds that release growth factors to treat chronic TM perforations. We evaluated the cell proliferation effects of the epidermal growth factor (EGF) and fibroblast growth factor (FGF) on in vitro cultures of TM cells using an MTT assay. They both showed similar efficacy, so we used EGF because of its lower cost. We then constructed an EGF-releasing chitosan patch scaffold (EGF-CPS) based on previous studies. We analyzed its toxicity and strength, and we studied it using scanning electron microscopy. EGF was released from the EGF-CPS for 8 weeks in an in vitro system. In animal studies, the EGF group, which was treated with EGF-CPS, showed healing in 56.5% of the animals (13/23), while the control group, which did not receive any treatment, revealed 20.8% healing (4/24) (p=0.04). Transmission electron microscopic studies of regenerated eardrums in the EGF group showed much greater preservation of histological features, and TMs of the EGF group were thinner than spontaneously healed TMs. In conclusion, this novel EGF-CPS can be used as a nonsurgical intervention technique for treatment of chronic TM perforations. PMID:23627815

  7. Discovery of a Biological Mechanism of Active Transport through the Tympanic Membrane to the Middle Ear.

    PubMed

    Kurabi, Arwa; Pak, Kwang K; Bernhardt, Marlen; Baird, Andrew; Ryan, Allen F

    2016-01-01

    Otitis media (OM) is a common pediatric disease for which systemic antibiotics are often prescribed. While local treatment would avoid the systemic treatment side-effects, the tympanic membrane (TM) represents an impenetrable barrier unless surgically breached. We hypothesized that the TM might harbor innate biological mechanisms that could mediate trans-TM transport. We used two M13-bacteriophage display biopanning strategies to search for mediators of trans-TM transport. First, aliquots of linear phage library displaying 10(10th) 12mer peptides were applied on the TM of rats with active bacterial OM. The middle ear (ME) contents were then harvested, amplified and the preparation re-applied for additional rounds. Second, the same naïve library was sequentially screened for phage exhibiting TM binding, internalization and then transit. Results revealed a novel set of peptides that transit across the TM to the ME in a time and temperature dependent manner. The peptides with highest transport capacities shared sequence similarities. Historically, the TM was viewed as an impermeable barrier. However, our studies reveal that it is possible to translocate peptide-linked small particles across the TM. This is the first comprehensive biopanning for the isolation of TM transiting peptidic ligands. The identified mechanism offers a new drug delivery platform into the ME. PMID:26946957

  8. Lateralized differences in tympanic membrane temperature, but not induced mood, are related to episodic memory.

    PubMed

    Propper, Ruth E; Barr, Taylor D; Brunyé, Tad T

    2015-03-01

    The present research examined the effects of pre-encoding and pre-recall induced mood on episodic memory. It was hypothesized that happy and/or angry mood prior to encoding (increasing left hemisphere activity), in tandem with fearful mood prior to recall (increasing right hemisphere activity) would be associated with superior episodic memory. It was also hypothesized that tympanic membrane measures (TMT), indicative of hemispheric activity, would change as a function of induced mood. Although subjectively-experienced mood induction was successful, pre-encoding and pre-recall mood did not alter memory, and only altered TMT in the pre-encoding fear and pre-recall angry mood induction conditions. Interestingly, baseline absolute difference between left and right TMT, a measure of differential hemispheric activity, regardless of the direction of that activity, was significantly positively related to number of total words written, number of correctly recalled words, and corrected recall score. This same TMT measure pre-encoding, regardless of specific mood, was significantly negatively related to false recall. Results are discussed in terms the HERA model of episodic memory, and in the nature of interhemispheric interaction involved in episodic recall. PMID:25647603

  9. A compact structured light based otoscope for three dimensional imaging of the tympanic membrane

    NASA Astrophysics Data System (ADS)

    Das, Anshuman J.; Estrada, Julio C.; Ge, Zhifei; Dolcetti, Sara; Chen, Deborah; Raskar, Ramesh

    2015-02-01

    Three dimensional (3D) imaging of the tympanic membrane (TM) has been carried out using a traditional otoscope equipped with a high-definition webcam, a portable projector and a telecentric optical system. The device allows us to project fringe patterns on the TM and the magnified image is processed using phase shifting algorithms to arrive at a 3D description of the TM. Obtaining a 3D image of the TM can aid in the diagnosis of ear infections such as otitis media with effusion, which is essentially fluid build-up in the middle ear. The high resolution of this device makes it possible examine a computer generated 3D profile for abnormalities in the shape of the eardrum. This adds an additional dimension to the image that can be obtained from a traditional otoscope by allowing visualization of the TM from different perspectives. In this paper, we present the design and construction of this device and details of the imaging processing for recovering the 3D profile of the subject under test. The design of the otoscope is similar to that of the traditional device making it ergonomically compatible and easy to adopt in clinical practice.

  10. Tympanic membrane contour measurement with two source positions in digital holographic interferometry.

    PubMed

    Solís, Silvino M; Hernández-Montes, María Del S; Santoyo, Fernando M

    2012-12-01

    The data acquisition from the shape of an object is a must to complete its quantitative displacement measurement analysis. Over the past years whole field of view optical non-invasive testing has been widely used in many areas, from industrial ones to, for instance, biomedical research topics. To measure the surface contour from the tympanic membrane (TM) of ex-vivo cats digital holographic interferometry (DHI) is used in combination with a two-illumination positions method: the shape is directly measured from the phase change between two source positions by means of a digital Fourier transform method. The TM shape data in conjunction with its displacement data renders a complete and accurate description of the TM deformation, a feature that no doubt will serve to better comprehend the hearing process. Acquiring knowledge from the tissue shape indicates a mechanical behavior and, indirectly, an alteration in the physiological structure due to middle ear diseases or damages in the tissue that can deteriorate sound transmission. The TM shape contour was successfully measured by using two source positions within DHI showing that the TM has a conical shape. Its maximum depth was found to be 2 mm, considering the umbo as the reference point with respect to the TM annulus plane, where the setup is arranged in such a manner that it is capable of measuring a height of up to 7 mm. PMID:23243570

  11. The Surgical Management of Tympanic Membrane Retraction Pockets Using Cartilage Tympanoplasty.

    PubMed

    Kasbekar, Anand V; Patel, Virjen; Rubasinghe, Mihiri; Srinivasan, Venkat

    2014-12-01

    Evaluate the surgical treatment of tympanic membrane (TM) retractions with modified cartilage augmentation tympanoplasty. Retrospective review of subjects with Charachon stage II and III TM retractions who underwent modified cartilage augmentation tympanoplasty following excision of the retracted TM segment. Pre and postoperative symptoms and air-bone gaps were recorded. Forty two ears were included in the study. Twenty six ears were of stage II and 16 were stage III retractions. 35 (83 %) ears had ossicular erosion and cholesteatoma was found in 13 (31 %) ears, all in stage III retractions. Follow-up ranged 12-102 months. The air-bone gap (ABG) improved in 29 (76 %) and worsened in seven (19 %). Ears without cholesteatoma had a greater improvement in ABG. The results of our modified cartilage tympanoplasty technique are comparable to the published literature and should provide a safe and acceptable result. The high rate of cholesteatoma found preoperatively in stage III retractions advocates early surgical intervention. PMID:26396960

  12. Otitis Media Diagnosis for Developing Countries Using Tympanic Membrane Image-Analysis

    PubMed Central

    Myburgh, Hermanus C.; van Zijl, Willemien H.; Swanepoel, DeWet; Hellström, Sten; Laurent, Claude

    2016-01-01

    Background Otitis media is one of the most common childhood diseases worldwide, but because of lack of doctors and health personnel in developing countries it is often misdiagnosed or not diagnosed at all. This may lead to serious, and life-threatening complications. There is, thus a need for an automated computer based image-analyzing system that could assist in making accurate otitis media diagnoses anywhere. Methods A method for automated diagnosis of otitis media is proposed. The method uses image-processing techniques to classify otitis media. The system is trained using high quality pre-assessed images of tympanic membranes, captured by digital video-otoscopes, and classifies undiagnosed images into five otitis media categories based on predefined signs. Several verification tests analyzed the classification capability of the method. Findings An accuracy of 80.6% was achieved for images taken with commercial video-otoscopes, while an accuracy of 78.7% was achieved for images captured on-site with a low cost custom-made video-otoscope. Interpretation The high accuracy of the proposed otitis media classification system compares well with the classification accuracy of general practitioners and pediatricians (~ 64% to 80%) using traditional otoscopes, and therefore holds promise for the future in making automated diagnosis of otitis media in medically underserved populations. PMID:27077122

  13. Digital holographic measurements of shape and 3D sound-induced displacements of Tympanic Membrane

    PubMed Central

    Lu, Weina; Dobrev, Ivo; Cheng, Jeffrey Tao; Furlong, Cosme; Rosowski, John J

    2014-01-01

    Acoustically-induced vibrations of the Tympanic Membrane (TM) play a primary role in the hearing process, in that these motions are the initial mechanical response of the ear to airborne sound. Characterization of the shape and 3D displacement patterns of the TM is a crucial step to a better understanding of the complicated mechanics of sound reception by the ear. In this paper, shape and sound-induced 3D displacements of the TM in cadaveric chinchillas are measured by a lensless Dual-Wavelength Digital Holography system (DWDHS). The DWDHS consists of Laser Delivery (LD), Optical Head (OH), and Computing Platform (CP) subsystems. Shape measurements are performed in double-exposure mode and with the use of two wavelengths of a tunable laser while nanometer-scale displacements are measured along a single sensitivity direction and with a constant wavelength. In order to extract the three principal components of displacement in full-field-of-view, and taking into consideration the anatomical dimensions of the TM, we combine principles of thin-shell theory together with both, displacement measurements along the single sensitivity vector and TM surface shape. To computationally test this approach, Finite Element Methods (FEM) are applied to the study of artificial geometries. PMID:24790255

  14. Tympanic membrane contour measurement with two source positions in digital holographic interferometry

    PubMed Central

    Solís, Silvino M.; Hernández-Montes, María del S.; Santoyo, Fernando M.

    2012-01-01

    The data acquisition from the shape of an object is a must to complete its quantitative displacement measurement analysis. Over the past years whole field of view optical non-invasive testing has been widely used in many areas, from industrial ones to, for instance, biomedical research topics. To measure the surface contour from the tympanic membrane (TM) of ex-vivo cats digital holographic interferometry (DHI) is used in combination with a two-illumination positions method: the shape is directly measured from the phase change between two source positions by means of a digital Fourier transform method. The TM shape data in conjunction with its displacement data renders a complete and accurate description of the TM deformation, a feature that no doubt will serve to better comprehend the hearing process. Acquiring knowledge from the tissue shape indicates a mechanical behavior and, indirectly, an alteration in the physiological structure due to middle ear diseases or damages in the tissue that can deteriorate sound transmission. The TM shape contour was successfully measured by using two source positions within DHI showing that the TM has a conical shape. Its maximum depth was found to be 2 mm, considering the umbo as the reference point with respect to the TM annulus plane, where the setup is arranged in such a manner that it is capable of measuring a height of up to 7 mm. PMID:23243570

  15. Comparison of tympanic membrane grafting medial or lateral to malleus handle

    PubMed Central

    Rogha, Mehrdad; Berjis, Nezamoddin; Taherinia, Ali; Eshaghian, Afrooz

    2014-01-01

    Background: To compare two methods of tympanic membrane (TM) grafting when graft materials medial or lateral to malleus, this study have been done. Materials and Methods: In this clinical trial which was conducted in Alzahra and Kashani hospitals, between June 2010 and February 2012, 56 patients with chronic otitis media and perforated TM entered the study in two groups. The inclusion criteria consisted of patients who were at least 15-years-old without history of smoking, diabetes mellitus or autoimmune disease. Exclusion criteria of the study: No compliance for follow up, post-surgical ear trauma or any infective pathology that directly affects the ear. In Group A patients, the graft material is pierced in near central part of the graft and they lodged so that the malleus handle projects through the graft perforation. Group B had grafting in the lateral side of the malleus. Three month after surgery both groups examined and tested by audiometry. Success of surgery is defined as complete repair of TM, without lateralization, atelectasis, blunting or retraction pocket. Results: This study contained 28 patients in Group A and 28 in Group B. Overall success rate was 94.64% that was 96.42% in Group A, and 92.85% in Group B. Differences of air-bone gap in each group before and after surgery was 16.10 (±4.89) in Group A, and 15.78 (±3.40) in Group B. Improvement of hearing level was not significant between two surgical methods (P = 0.442). Conclusions: Both techniques (medial and lateral to malleus handle) of TM grafting are effective with success rates 96.42% and 92.85% respectively. PMID:24627864

  16. Dynamic Properties of Tympanic Membrane in a Chinchilla Otitis Media Model Measured With Acoustic Loading.

    PubMed

    Yokell, Zachary; Wang, Xuelin; Gan, Rong Z

    2015-08-01

    Otitis media is the most common infectious disease in young children, which results in changes in the thickness and mechanical properties of the tympanic membrane (TM) and induces hearing loss. However, there are no published data for the dynamic properties of the TM in otitis media ears, and it is unclear how the mechanical property changes are related to TM thickness variation. This paper reports a study of the measurement of the dynamic properties of the TM in a chinchilla acute otitis media (AOM) model using acoustic loading and laser Doppler vibrometry (LDV). AOM was created through transbullar injection of Haemophilus influenzae into the middle ear, and AOM samples were prepared 4 days after inoculation. Vibration of the TM specimen induced by acoustic loading was measured via LDV over a frequency range of 0.1-8 kHz. The experiment was then simulated in a finite element (FE) model, and the inverse-problem solving method was used to determine the complex modulus in the frequency domain. Results from 12 ears (six control and six AOM) show that the storage modulus of the TM from AOM ears was on average 53% higher than that of control ears, while the loss factor was 17.3% higher in control ears than in AOM ears at low-frequency (f < 1 kHz). At high-frequency (e.g., 8000 Hz), there was a mean 40% increase in storage modulus of the TM from AOM compared to control samples. At peak frequency (e.g., 3 kHz), there was a 19.5% increase in loss factor in control samples compared to AOM samples. These findings quantify the changes induced by AOM in the chinchilla TM, namely, a significant increase in both the storage and loss moduli. PMID:25902287

  17. Enhanced quantitative confocal microscopy and its application for the measurement of tympanic membrane thickness

    NASA Astrophysics Data System (ADS)

    Kuypers, Liesbeth

    2005-11-01

    This work shows that confocal microscopy allows a quantitative study of delicate 3D-biotissue in fresh condition, thus avoiding histological preparation processes. The developed procedure results in exact and accurate thickness data for mum-sized objects with a measuring error of less than 1mum. It is, however, necessary to take into account the effect of focal shift in the case of refractive index mismatch to obtain such precise data. The use of the proposed method is advised instead of the use of a paraxial approximation for the axial scale correction because the method improves measurement precision by a factor of four. The axial scaling correction factors obtained in this work show that for most practical situations the correction cannot be ignored when one wants to obtain precise quantitative data. The thickness correction method can also be used to determine with high accuracy the index of refraction of biological tissue. The thickness measurement method was applied to fresh, untreated tympanic membranes of the gerbil, the cat and the human. Thickness had to be measured at many points as it differs strongly across the membrane. Similar thickness distributions were found in all pars tensas measured even across the species studied: (1) a very thin, central region with a rather constant thickness, curving as a horse shoe upwards around the manubrium (thickness: gerbil: about 7mum, cat: about 10mum, human: large inter-specimen variation: 40mum-120mum), (2) a thinnest zone at the inferior side, (3) a thicker zone at the supero-anterior side, (4) superior to the umbo, an anterior region thicker than the posterior region, (5) maximal thicknesses in a very small region near the entire manubrium and the entire annular periphery. The pars flaccida is found to be thicker than the pars tensa. It shows no central homogeneous zone: the thickness varies irregularly and very rapidly over short distances. Arbitrarily spaced bumps and notches are present over the entire pars

  18. The effect of flying and low humidity on the admittance of the tympanic membrane and middle ear system.

    PubMed

    Morse, Robert Peter

    2013-10-01

    Many passengers experience discomfort during flight because of the effect of low humidity on the skin, eyes, throat, and nose. In this physiological study, we have investigated whether flight and low humidity also affect the tympanic membrane. From previous studies, a decrease in admittance of the tympanic membrane through drying might be expected to affect the buffering capacity of the middle ear and to disrupt automatic pressure regulation. This investigation involved an observational study onboard an aircraft combined with experiments in an environmental chamber, where the humidity could be controlled but could not be made to be as low as during flight. For the flight study, there was a linear relationship between the peak compensated static admittance of the tympanic membrane and relative humidity with a constant of proportionality of 0.00315 mmho/% relative humidity. The low humidity at cruise altitude (minimum 22.7 %) was associated with a mean decrease in admittance of about 20 % compared with measures in the airport. From the chamber study, we further found that a mean decrease in relative humidity of 23.4 % led to a significant decrease in mean admittance by 0.11 mmho [F(1,8) = 18.95, P = 0.002], a decrease of 9.4 %. The order of magnitude for the effect of humidity was similar for the flight and environmental chamber studies. We conclude that admittance changes during flight were likely to have been caused by the low humidity in the aircraft cabin and that these changes may affect the automatic pressure regulation of the middle ear during descent. PMID:23887775

  19. Safety assessment of trans-tympanic photobiomodulation.

    PubMed

    Moon, Tae-Hyun; Lee, Min Young; Jung, Jae Yun; Ahn, Jin-Chul; Chang, So-Young; Chung, Phil-Sang; Rhee, Chung-Ku; Kim, Yoon-Hwan; Suh, Myung-Whan

    2016-02-01

    We evaluated functional and morphological changes after trans-tympanic laser application using several different powers of photobiomodulation (PBM). The left (L) ears of 17 rats were irradiated for 30 min daily over 14 days using a power density of 909.1 (group A, 5040 J), 1136.4 (group B, 6300 J), and 1363.6 (group C, 7560 J) mW/cm(2). The right (N) ears served as controls. The safety of PBM was determined by endoscopic findings, auditory brainstem response (ABR) thresholds, and histological images of hair cells using confocal microscopy, and light microscopic images of the external auditory canal (EAC) and tympanic membrane (TM). Endoscopic findings revealed severe inflammation in the TM of C group; no other group showed damage in the TM. No significant difference in ABR threshold was found in the PBM-treated groups (excluding the group with TM damage). Confocal microscopy showed no histological difference between the AL and AN, or BL and BN groups. However, light microscopy showed more prominent edema, inflammation, and vascular congestion in the TM of BL ears. This study found a dose-response relationship between laser power parameters and TM changes. These results will be useful for defining future allowance criteria for trans-tympanic laser therapies. PMID:26738500

  20. Effect of wearing an N95 respirator on infrared tympanic membrane temperature measurements.

    PubMed

    Kim, Jung-Hyun; Roberge, Raymond J; Powell, Jeffrey B

    2015-12-01

    To determine the impact of wearing an N95 filtering facepiece respirator (N95 FFR) on tympanic temperature measurements. TMT measurements, with and without wearing an N95 filtering facepiece respirator (N95 FFR) were obtained at the onset and termination of 1 h of treadmill exercise in 21 subjects, and at staggered time intervals (0, 20, 40, 60 min) during combined sedentary activity and exercise of another 46 subjects, to determine any effect on TMT. A total of 877 TMT measurements were obtained that demonstrated a mean TMT increase of 0.05 °C in the first study group (p = 0.04) and a 0.19 °C decrease in the second study group (p < 0.001) with the wearing of an N95 FFR, both of which were lower than controls. Wearing an N95 FFR for 1 h, at different levels of activity, results in significantly lower TMT values than not wearing an N95 FFR, but the magnitude of the changes would likely have minimal clinical significance. PMID:25527258

  1. A trans-well-based cellular model for the rapid pre-evaluation of tympanic membrane repair materials.

    PubMed

    Hung, Shih-Han; Su, Chin-Hui; Tseng, How

    2016-08-01

    It is important to have a standardized tympanic membrane (TM) perforation platform to evaluate the various myringoplasty materials that have been studied and developed extensively during recent years. However, currently there are no cellular models specifically designed for this purpose, and animal models remain unsatisfactory. The purpose of this study is to propose an inexpensive, readily available, well-controlled, and easy-to-create cellular model as a substitute for use in the evaluation of TM repairing materials. A trans-well model was created using a cell culture insert with a round hole created at the center of the polycarbonate membrane. HaCaT cells were cultured on the fenestrated culture insert, and the desired myringoplasty graft was placed at the center of the window for one week and observed by fluorescent microscopy under vital staining. Under this cellular model, there was notable migration of HaCaT cells onto the positive control graft (rabbit fascia), while only a few cell clusters were observed on the negative control graft (paper). Model validation showed that the cell migration ratio for the PLLA + 1% hyaluronic acid (HA) graft is significantly higher than using myringoplasty paper, poly L-lactide (PLLA), or PLLA + 0.5% HA (p < 0.05). This trans-well-based cellular model might be a useful pre-evaluation platform for the evaluation of TM repairing materials. The model is inexpensive, readily available, easy to create, and standardized for use. PMID:26335291

  2. Full-field transient vibrometry of the human tympanic membrane by local phase correlation and high-speed holography

    PubMed Central

    Dobrev, Ivo; Furlong, Cosme; Cheng, Jeffrey T.; Rosowski, John J.

    2014-01-01

    Abstract. Understanding the human hearing process would be helped by quantification of the transient mechanical response of the human ear, including the human tympanic membrane (TM or eardrum). We propose a new hybrid high-speed holographic system (HHS) for acquisition and quantification of the full-field nanometer transient (i.e., >10  kHz) displacement of the human TM. We have optimized and implemented a 2+1 frame local correlation (LC) based phase sampling method in combination with a high-speed (i.e., >40  K fps) camera acquisition system. To our knowledge, there is currently no existing system that provides such capabilities for the study of the human TM. The LC sampling method has a displacement difference of <11  nm relative to measurements obtained by a four-phase step algorithm. Comparisons between our high-speed acquisition system and a laser Doppler vibrometer indicate differences of <10  μs. The high temporal (i.e., >40  kHz) and spatial (i.e., >100  k data points) resolution of our HHS enables parallel measurements of all points on the surface of the TM, which allows quantification of spatially dependent motion parameters, such as modal frequencies and acoustic delays. Such capabilities could allow inferring local material properties across the surface of the TM. PMID:25191832

  3. Simultaneous 3D imaging of sound-induced motions of the tympanic membrane and middle ear ossicles.

    PubMed

    Chang, Ernest W; Cheng, Jeffrey T; Röösli, Christof; Kobler, James B; Rosowski, John J; Yun, Seok Hyun

    2013-10-01

    Efficient transfer of sound by the middle ear ossicles is essential for hearing. Various pathologies can impede the transmission of sound and thereby cause conductive hearing loss. Differential diagnosis of ossicular disorders can be challenging since the ossicles are normally hidden behind the tympanic membrane (TM). Here we describe the use of a technique termed optical coherence tomography (OCT) vibrography to view the sound-induced motion of the TM and ossicles simultaneously. With this method, we were able to capture three-dimensional motion of the intact TM and ossicles of the chinchilla ear with nanometer-scale sensitivity at sound frequencies from 0.5 to 5 kHz. The vibration patterns of the TM were complex and highly frequency dependent with mean amplitudes of 70-120 nm at 100 dB sound pressure level. The TM motion was only marginally sensitive to stapes fixation and incus-stapes joint interruption; however, when additional information derived from the simultaneous measurement of ossicular motion was added, it was possible to clearly distinguish these different simulated pathologies. The technique may be applicable to clinical diagnosis in Otology and to basic research in audition and acoustics. PMID:23811181

  4. Real-time automated thickness measurement of the in vivo human tympanic membrane using optical coherence tomography

    PubMed Central

    Hubler, Zita; Shemonski, Nathan D.; Shelton, Ryan L.; Monroy, Guillermo L.; Nolan, Ryan M.

    2015-01-01

    Background Otitis media (OM), an infection in the middle ear, is extremely common in the pediatric population. Current gold-standard methods for diagnosis include otoscopy for visualizing the surface features of the tympanic membrane (TM) and making qualitative assessments to determine middle ear content. OM typically presents as an acute infection, but can progress to chronic OM, and after numerous infections and antibiotic treatments over the course of many months, this disease is often treated by surgically inserting small tubes in the TM to relieve pressure, enable drainage, and provide aeration to the middle ear. Diagnosis and monitoring of OM is critical for successful management, but remains largely qualitative. Methods We have developed an optical coherence tomography (OCT) system for high-resolution, depth-resolved, cross-sectional imaging of the TM and middle ear content, and for the quantitative assessment of in vivo TM thickness including the presence or absence of a middle ear biofilm. A novel algorithm was developed and demonstrated for automatic, real-time, and accurate measurement of TM thickness to aid in the diagnosis and monitoring of OM and other middle ear conditions. The segmentation algorithm applies a Hough transform to the OCT image data to determine the boundaries of the TM to calculate thickness. Results The use of OCT and this segmentation algorithm is demonstrated first on layered phantoms and then during real-time acquisition of in vivo OCT from humans. For the layered phantoms, measured thicknesses varied by approximately 5 µm over time in the presence of large axial and rotational motion. In vivo data also demonstrated differences in thicknesses both spatially on a single TM, and across normal, acute, and chronic OM cases. Conclusions Real-time segmentation and thickness measurements of image data from both healthy subjects and those with acute and chronic OM demonstrate the use of OCT and this algorithm as a robust, quantitative

  5. Genetic Polymorphisms of Functional Candidate Genes and Recurrent Acute Otitis Media With or Without Tympanic Membrane Perforation.

    PubMed

    Esposito, Susanna; Marchisio, Paola; Orenti, Annalisa; Spena, Silvia; Bianchini, Sonia; Nazzari, Erica; Rosazza, Chiara; Zampiero, Alberto; Biganzoli, Elia; Principi, Nicola

    2015-10-01

    Evaluation of the genetic contribution to the development of recurrent acute otitis media (rAOM) remains challenging. This study aimed to evaluate the potential association between single nucleotide polymorphisms (SNPs) in selected genes and rAOM and to analyze whether genetic variations might predispose to the development of complicated recurrent cases, such as those with tympanic membrane perforation (TMP).A total of 33 candidate genes and 47 SNPs were genotyped in 200 children with rAOM (116 with a history of TMP) and in 200 healthy controls.INFγ rs 12369470CT was significantly less common in the children with rAOM than in healthy controls (odds ratio [OR] 0.5, 95% confidence interval [CI] 0.25-1, P = 0.04). Although not significant, interleukin (IL)-1β rs 1143627G and toll-like receptor (TLR)-4 rs2737191AG were less frequently detected in the children with rAOM than in controls. The opposite was true for IL-8 rs2227306CT, which was found more frequently in the children with rAOM than in healthy controls. The IL-10 rs1800896TC SNP and the IL-1α rs6746923A and AG SNPs were significantly more and less common, respectively, among children without a history of TMP than among those who suffered from this complication (OR 2.17, 95% CI 1.09-4.41, P = 0.02, and OR 0.42, 95% CI 0.21-0.84, P = 0.01).This study is the first report suggesting an association between variants in genes encoding for factors of innate or adaptive immunity and the occurrence of rAOM with or without TMP, which confirms the role of genetics in conditioning susceptibility to AOM. PMID:26496338

  6. Genetic Polymorphisms of Functional Candidate Genes and Recurrent Acute Otitis Media With or Without Tympanic Membrane Perforation

    PubMed Central

    Esposito, Susanna; Marchisio, Paola; Orenti, Annalisa; Spena, Silvia; Bianchini, Sonia; Nazzari, Erica; Rosazza, Chiara; Zampiero, Alberto; Biganzoli, Elia; Principi, Nicola

    2015-01-01

    Abstract Evaluation of the genetic contribution to the development of recurrent acute otitis media (rAOM) remains challenging. This study aimed to evaluate the potential association between single nucleotide polymorphisms (SNPs) in selected genes and rAOM and to analyze whether genetic variations might predispose to the development of complicated recurrent cases, such as those with tympanic membrane perforation (TMP). A total of 33 candidate genes and 47 SNPs were genotyped in 200 children with rAOM (116 with a history of TMP) and in 200 healthy controls. INFγ rs 12369470CT was significantly less common in the children with rAOM than in healthy controls (odds ratio [OR] 0.5, 95% confidence interval [CI] 0.25–1, P = 0.04). Although not significant, interleukin (IL)-1β rs 1143627G and toll-like receptor (TLR)-4 rs2737191AG were less frequently detected in the children with rAOM than in controls. The opposite was true for IL-8 rs2227306CT, which was found more frequently in the children with rAOM than in healthy controls. The IL-10 rs1800896TC SNP and the IL-1α rs6746923A and AG SNPs were significantly more and less common, respectively, among children without a history of TMP than among those who suffered from this complication (OR 2.17, 95% CI 1.09–4.41, P = 0.02, and OR 0.42, 95% CI 0.21–0.84, P = 0.01). This study is the first report suggesting an association between variants in genes encoding for factors of innate or adaptive immunity and the occurrence of rAOM with or without TMP, which confirms the role of genetics in conditioning susceptibility to AOM. PMID:26496338

  7. Modified temporal-phase-unwrapping method for measuring in real time the out-of-plane displacements of the tympanic membrane of Mongolian Gerbil

    NASA Astrophysics Data System (ADS)

    Martínez-Celorio, R. A.; Dirckx, Joris J. J.; Buytaert, Jan A. N.; Martí-López, Luis; Decraemer, Wim

    2008-12-01

    A technique for measuring in real-time continuous out-of-plane displacements of delicate objects is proposed, and demonstrated on the tympanic membrane of Mongolian Gerbil. The technique is based on the combination of two methods: the spatial phase shifting (SPS) and the modified temporal phase unwrapping (TPU). The combination allows to obtain, in several steps, the phase values of the points that undergo out-of-plane displacement as the object is deformed. The technique reduces the frame acquisition time of the standard TPU used in moiré interferometry by a factor of 4, which is important to diminish post-mortem artifacts during in-vitro experiments and to reduce motion artifacts in in-vivo tests. The proposed technique is robust against problems associated with the temporal phase-shifting method, such as nonlinear phase shift and noise. The advantages and disadvantages are discussed.

  8. Anterior tympanic plate fracture following extraction of the lower molar

    PubMed Central

    2016-01-01

    The present case report describes an external auditory canal injury following extraction of the lower molar. The external auditory canal was torn in the same fashion that occurs in an anterior tympanic plate fracture. This case demonstrates one of the rare complications associated with dental extractions. PMID:26904496

  9. Canals

    ERIC Educational Resources Information Center

    Winkleman, Michael

    1974-01-01

    In the mid-1800's, the canal system in the U.S. was thriving. But, by the end of that century, roads and railways had replaced these commercial thoroughfares. Renewed interest in the abandoned canals is now resulting in renovation and ecological site development in Pennsylvania and New Jersey. (MA)

  10. [The emergency plastic reconstruction of the tympanic membrane defects of post-traumatic and iatrogenic etiology with the application of the nanostructured bioplastic material].

    PubMed

    Zabirov, R A; Kar'kaeva, S M; Shchetinin, V N; Akimov, A V

    2014-01-01

    The objective of the present study was to estimate the effectiveness of the application of the nanostructured bioplastic material for the plastic reconstruction of tympanic defects of post-traumatic and iatrogenic etiology. The authors report the results of the emergency plastic reconstruction of tympanic defects of post-traumatic and iatrogenic nature with the application of the nanostructured bioplastic material (giamatrix). The analysis of the results of the study prfovidd definitive evidence of the effectiveness of plastic reconstruction of tympanic defects with the application of the nanostructured bioplastic material. PMID:25588474

  11. Ear canal hyperostosis--surfer's ear. An improved surgical technique.

    PubMed

    Seftel, D M

    1977-01-01

    The increased populatiry of surfing has produced a marked augmentation in the incidence of ear canal exostosis. However, when it becomes moderately severe, I prefer to call it "hyperostosis." Exposure to cold ocean water for many years can be an important etiologic factor in hyperostosis. There is a serious risk, and a high incidence of tympanic membrane perforations during the removal of large external canal hyperostosis. This injury can be prevented by placing a sheet of Silastic against the tympanic membrane beforehand. I describe the method. Serious degrees of hyperostosis, causing transient hearing loss and otitis externa, are increasingly common in coastal towns, where cold-water surfing is a popular year-around sport. PMID:831701

  12. The development of the tympanic sinus.

    PubMed

    Bollobás, B; Hajdu, I

    1975-01-01

    On the examination of 200 embryonal petrous bones the factors affecting the morphology of the tympanic sinus under physiological conditions are discussed. The development of the tympanic sinus begins during the fourth month of embryonic life. In an embryo of 5 months the floor of the tympanic sinus developing between the cochlea and the vestibulum consists of lamellae resembling a wicker basket. Caudally, its floor reaches at first the lower part of the tympanum, for at this stage the styloid prominence and the pavimentum pyramidis are not yet fully developed. In the eighth and ninth month of foetal life the tympanic sinus is narrowed by the styloid prominence, from the floor and from the cranial side it is bordered by the fully developed ponticulus medialis. In postnatal life the development of the membranous bony substance of the promontory, subiculum promontorii and styloid prominence, each narrows the tympanic sinus in some degree. Under the influence of vascular factors highly developed trabeculae and lamellae are formed in them. The cavity is deeper in the dolichocephalics and is more shallow in brachycephalics. PMID:1168885

  13. Therapeutic outcomes of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media

    PubMed Central

    Zhang, Liansheng

    2016-01-01

    Objective: To evaluate the therapeutic effects in terms of disease clearance and hearing improvement of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media. Methods: A total of 78 patients (81 ears) with otitis media were treated by canal wall up mastoidectomy in combination with Type I tympanoplasty. The postoperative tympanic membrane morphology, average of pure-tone hearing thresholds and average air-bone gap were used as the indices for evaluating therapeutic effects. Results: The patients were followed up for two years in average. All the tympanic membranes recovered, with the ear canals being dry. There were five cases (5 ears) of tympanic membrane retraction and one case of otitis media recurrence. Hearing was effectively recovered by 76.54% (62/81) after surgery. Conclusion: Combining canal wall up mastoidectomy with Type I tympanoplasty can treat otitis media safely and effectively due to high postoperative dry ear canal rate, satisfactory reconstruction of hearing and maintenance of ear morphology. PMID:27375690

  14. A New Trans-Tympanic Microphone Approach for Fully Implantable Hearing Devices

    PubMed Central

    Woo, Seong Tak; Shin, Dong Ho; Lim, Hyung-Gyu; Seong, Ki-Woong; Gottlieb, Peter; Puria, Sunil; Lee, Kyu-Yup; Cho, Jin-Ho

    2015-01-01

    Fully implantable hearing devices (FIHDs) have been developed as a new technology to overcome the disadvantages of conventional acoustic hearing aids. The implantable microphones currently used in FIHDs, however, have difficulty achieving high sensitivity to environmental sounds, low sensitivity to body noise, and ease of implantation. In general, implantable microphones may be placed under the skin in the temporal bone region of the skull. In this situation, body noise picked up during mastication and touching can be significant, and the layer of skin and hair can both attenuate and distort sounds. The new approach presently proposed is a microphone implanted at the tympanic membrane. This method increases the microphone’s sensitivity by utilizing the pinna’s directionally dependent sound collection capabilities and the natural resonances of the ear canal. The sensitivity and insertion loss of this microphone were measured in human cadaveric specimens in the 0.1 to 16 kHz frequency range. In addition, the maximum stable gain due to feedback between the trans-tympanic microphone and a round-window-drive transducer, was measured. The results confirmed in situ high-performance capabilities of the proposed trans-tympanic microphone. PMID:26371007

  15. Heparin Binding Epidermal Growth Factor Like Growth Factor Heals Chronic Tympanic Membrane Perforations With Advantage Over Fibroblast Growth Factor 2 and Epidermal Growth Factor in an Animal Model

    PubMed Central

    Santa Maria, Peter Luke; Weierich, Kendall; Kim, Sungwoo; Yang, Yunzhi Peter

    2016-01-01

    Hypothesis That heparin binding epidermal growth factor like growth factor (HB-EGF) heals chronic tympanic membrane (TM) perforations at higher rates than fibroblast growth factor 2 (FGF2) and epidermal growth factor (EGF) in an animal model. Background A non-surgical treatment for chronic TM perforation would benefit those unable to access surgery or those unable to have surgery, as well as reducing the cost of tympanoplasty. Growth factor (GF) treatments have been reported in the literature with variable success with the lack of a suitable animal providing a major obstacle. Methods The GFs were tested in a validated mouse model of chronic TM perforation. A bio absorbable hydrogel polymer was used to deliver the GF at a steady concentration as it dissolved over four weeks. A control (polymer only, n=18) was compared to polymer loaded with HB-EGF (5ug/ml, n=18), FGF2 (100ug/ml, n=19) and EGF (250ug/ml, n=19). Perforations were inspected at four weeks. Results The healing rates, as defined as one hundred percent perforation closure, were control (5/18, 27.8%), HB-EGF (15/18, 83.3%), FGF2 (6/19, 31.6%) and EGF (3/19, 15.8%). There were no differences between FGF2 (p=0.80) and EGF (p=0.31) with control healing rates. HB-EGF (p= 0.000001) showed a significant difference for healing. The HB-EGF healed TMs showed layers similar to a normal TM, whilst the other groups showed a lack of epithelial migration. Conclusion This study confirms the advantage of HB-EGF over two other commonly used growth factors and is a promising non-surgical treatment of chronic TM perforations. PMID:26075672

  16. A novel mosaicking algorithm for in vivo full-field thickness mapping of the human tympanic membrane using low coherence interferometry (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Pande, Paritosh; Shelton, Ryan L.; Monroy, Guillermo L.; Nolan, Ryan M.; Boppart, Stephen A.

    2016-02-01

    Tympanic membrane (TM) thickness can provide crucial information for diagnosing several middle ear pathologies. An imaging system integrating low coherence interferometry (LCI) with the standard video otoscope has been shown as a promising tool for quantitative assessment of in-vivo TM thickness. The small field-of-view (FOV) of TM surface images acquired by the combined LCI-otoscope system, however, makes the spatial registration of the LCI imaging sites and their location on the TM difficult to achieve. It is therefore desirable to have a tool that can map the imaged points on to an anatomically accurate full-field surface image of the TM. To this end, we propose a novel automated mosaicking algorithm for generating a full-field surface image of the TM with co-registered LCI imaging sites from a sequence of multiple small FOV images and corresponding LCI data. Traditional image mosaicking techniques reported in the biomedical literature, mostly for retinal imaging, are not directly applicable to TM image mosaicking because unlike retinal images, which have several distinctive features, TM images contain large homogeneous areas lacking in sharp features. The proposed algorithm overcomes these challenges of TM image mosaicking by following a two-step approach. In the first step, a coarse registration based on the correlation of gross image features is performed. Subsequently, in the second step, the coarsely registered images are used to perform a finer intensity-based co-registration. The proposed algorithm is used to generate, for the first time, full-field thickness distribution maps of in-vivo human TMs.

  17. Computer-assisted time-averaged holograms of the motion of the surface of the mammalian tympanic membrane with sound stimuli of 0.4 to 25 kHz

    PubMed Central

    Rosowski, John J.; Cheng, Jeffrey Tao; Ravicz, Michael E.; Hulli, Nesim; Hernandez-Montes, Maria; Harrington, Ellery; Furlong, Cosme

    2009-01-01

    Time-averaged holograms describing the sound-induced motion of the tympanic membrane (TM) in cadaveric preparations from three mammalian species and one live ear were measured using opto-electronic holography. This technique allows rapid measurements of the magnitude of motion of the tympanic membrane surface at frequencies as high as 25 kHz. The holograms measured in response to low and middle-frequency sound stimuli are similar to previously reported time-averaged holograms. However, at higher frequencies (f > 4 kHz), our holograms reveal unique TM surface displacement patterns that consist of highly-ordered arrangements of multiple local displacement magnitude maxima, each of which is surrounded by nodal areas of low displacement magnitude. These patterns are similar to modal patterns (two-dimensional standing waves) produced by either the interaction of surface waves traveling in multiple directions or the uniform stimulation of modes of motion that are determined by the structural properties and boundary conditions of the TM. From the ratio of the displacement magnitude peaks to nodal valleys in these apparent surface waves, we estimate a Standing Wave Ratio of at least 4 that is consistent with energy reflection coefficients at the TM boundaries of at least 0.35. It is also consistent with small losses within the uniformly stimulated modal surface waves. We also estimate possible TM surface wave speeds that vary with frequency and species from 20 to 65 m/s, consistent with other estimates in the literature. The presence of standing wave or modal phenomena has previously been intuited from measurements of TM function, but is ignored in some models of tympanic membrane function. Whether these standing waves result either from the interactions of multiple surface waves that travel along the membrane, or by uniformly excited modal displacement patterns of the entire TM surface is still to be determined. PMID:19328841

  18. Anatomical Basis of Dynamic Modulation of Tympanic Tension in the Water Monitor Lizard, Varanus salvator.

    PubMed

    Han, Dawei; Young, Bruce A

    2016-09-01

    Amphibious vertebrates, such as the water monitor (Varanus salvator), require anatomical and/or neural specializations to cope with pressure changes on the tympanic membrane when transiting between air and water. V. salvator has internally coupled ears which are distinguished by (patent) anatomical conduits through the skull linking the middle ear cavities on both sides of the head. We describe a small skeletal muscle in V. salvator which inserts onto the middle ear ossicle and the tympanic membrane. Laser doppler vibrometry demonstrates that contraction of this muscle both increases the vibrational velocity of the tympanic membrane and changes the waveform pattern of the tympanic displacement. The combined anatomical and functional results suggest that V. salvator is capable of actively modulating the tension of the tympanic membrane. Anat Rec, 299:1270-1280, 2016. © 2016 Wiley Periodicals, Inc. PMID:27312415

  19. Tympanomastoidectomy: Comparison between canal wall-down and canal wall-up techniques in surgery for chronic otitis media

    PubMed Central

    Azevedo, Alexandre Fernandes de; Soares, Anna Bárbara de Castro; Garchet, Henrique Queiroz Correa; Sousa, Nicodemos José Alves de

    2013-01-01

    Summary Introduction: Chronic otitis media (COM) is an inflammatory condition associated with otorrhea as well as large and persistent perforations of the tympanic membrane in some cases. COM can also lead to cholesteatoma. Surgical treatment with canal wall-down and canal wall-up tympanomastoidectomy is considered for both types of illness. The choice of technique is controversial and is dependent on several factors, including the extent of disease. Objective: We aimed to evaluate surgical outcomes in COM patients with and without cholesteatoma treated with canal wall-down and canal wall-up tympanomastoidectomy. Disease eradication and post-operative auditory thresholds were assessed. Method: Patient records from the otorhinolaryngology department of a tertiary hospital were assessed retrospectively. Results: Patients who underwent canal wall-up tympanomastoidectomy had a higher rate of revision surgery, especially those with cholesteatoma. However, there were no statistically significant differences in post-operative hearing thresholds between the two techniques. Conclusion: The canal wall-down technique is superior to the canal wall-up technique, especially for patients with cholesteatoma. PMID:25992020

  20. Sound pressure distribution within natural and artificial human ear canals: Forward stimulation

    PubMed Central

    Ravicz, Michael E.; Tao Cheng, Jeffrey; Rosowski, John J.

    2014-01-01

    This work is part of a study of the interaction of sound pressure in the ear canal (EC) with tympanic membrane (TM) surface displacement. Sound pressures were measured with 0.5–2 mm spacing at three locations within the shortened natural EC or an artificial EC in human temporal bones: near the TM surface, within the tympanic ring plane, and in a plane transverse to the long axis of the EC. Sound pressure was also measured at 2-mm intervals along the long EC axis. The sound field is described well by the size and direction of planar sound pressure gradients, the location and orientation of standing-wave nodal lines, and the location of longitudinal standing waves along the EC axis. Standing-wave nodal lines perpendicular to the long EC axis are present on the TM surface >11–16 kHz in the natural or artificial EC. The range of sound pressures was larger in the tympanic ring plane than at the TM surface or in the transverse EC plane. Longitudinal standing-wave patterns were stretched. The tympanic-ring sound field is a useful approximation of the TM sound field, and the artificial EC approximates the natural EC. PMID:25480061

  1. Sensory transduction at the frog semicircular canal: how hair cell membrane potential controls junctional transmission

    PubMed Central

    Martini, Marta; Canella, Rita; Rubbini, Gemma; Fesce, Riccardo; Rossi, Maria Lisa

    2015-01-01

    At the frog semicircular canals, the afferent fibers display high spontaneous activity (mEPSPs), due to transmitter release from hair cells. mEPSP and spike frequencies are modulated by stimulation that activates the hair cell receptor conductance. The relation between receptor current and transmitter release cannot be studied at the intact semicircular canal. To circumvent the problem, we combined patch-clamp recordings at the isolated hair cell and electrophysiological recordings at the cytoneural junction in the intact preparation. At isolated hair cells, the K channel blocker tetraethylammonium (TEA) is shown to block a fraction of total voltage-dependent K-conductance (IKD) that depends on TEA concentration but not on membrane potential (Vm). Considering the bioelectric properties of the hair cell, as previously characterized by this lab, a fixed fractional block of IKD is shown to induce a relatively fixed shift in Vm, provided it lies in the range −30 to −10 mV. The same concentrations of TEA were applied to the intact labyrinth while recording from single afferent fibers of the posterior canal, at rest and during mechanical stimulation. At the peak of stimulation, TEA produced increases in mEPSP rate that were linearly related to the shifts produced by the same TEA concentrations (0.1–3 mM) in hair cell Vm (0.7–5 mV), with a slope of 29.8 Hz/mV. The membrane potential of the hair cell is not linearly related to receptor conductance, so that the slope of quantal release vs. receptor conductance depends on the prevailing Vm (19.8 Hz/nS at −20 mV; 11 Hz/nS at −10 mV). Changes in mEPSP peak size were negligible at rest as well as during stimulation. Since ample spatial summation of mEPSPs occurs at the afferent terminal and threshold-governed spike firing is intrinsically nonlinear, the observed increases in mEPSP frequency, though not very large, may suffice to trigger afferent spike discharge. PMID:26157360

  2. Vibration of the human tympanic membrane measured with OCT in a range between 0.4 kHz and 6.4 kHz on an ex vivo sample

    NASA Astrophysics Data System (ADS)

    Burkhardt, Anke; Kirsten, Lars; Bornitz, Matthias; Zahnert, Thomas; Koch, Edmund

    2013-06-01

    Vibrations of the tympanic membrane (TM) play a key role for the transmission of sound to the inner ear. Today, there exist still problems in measuring the movement of the TM and there are unresolved issues in understanding the TM and its behavior. A non-invasive and contact-free in vivo investigation of the structure and the functional behavior of the TM would be a big step forward. In the presented study, the suitability of optical coherence tomography (OCT) for measuring the oscillation patterns of the TM in the frequency range covering the range of the human speech perception should be tested. For functional imaging a sound chirp was generated in the frequency range between 0.4 kHz - 6.4 kHz. To obtain the movement within a sufficient resolution, a grid of 25 x 25 measurement points was generated over the whole TM. The information of the oscillatory movement was encoded in the Doppler signal, provided by M-scans at several points of the TM. The frequency response functions of each frequency showed different oscillation patterns on the TM. The acquisition time of one single M-scan was only 8.5 ms and of the entire TM 5.3 s, emphasizing the potential of the method for future in vivo applications. Furthermore, the morphology was acquired with the same OCT-system, showing the feasibility for structural imaging and differentiation between typical regions of the TM. Thus, OCT was shown as a suitable method for the simultaneous measurement of the functional and structural behavior of the TM.

  3. Numerical Analysis of the Influence of the Auditory External Canal Geometry on the Human Hearing Response

    NASA Astrophysics Data System (ADS)

    Caminos, Luis; Garcia-Gonzalez, Antonio; Gonzalez-Herrera, Antonio

    2011-11-01

    This paper presents the analysis and discussion about different effects of the external auditory canal (EAC) geometry on the response of the human hearing system. Simulation has been made by means of 3D finite element models which included EAC and a model of the ossicular-eardrum system. Different EAC geometries were constructed, coupled to a middle ear model validated in previous works. The EAC geometry is based on anatomical measurements taken from the literature. The relative position and orientation of the tympanic membrane and section reduction of the canal at the isthmus were studied and analyzed with a harmonic analysis. A sound pressure level of 90 dB was applied at the canal entrance and through fluid-structure coupling, the pressures in the umbo and the displacements of umbo and stapes footplate were measured in a frequency range from 100 Hz to 20000 Hz.

  4. Volumetric Changes in the Bony External Auditory Canal in Unilateral Chronic Otitis Media

    PubMed Central

    Park, Jae Hong; Noh, MinHo; Park, Seung Bum; Park, Kye Hoon; Han, Jong Kyu; Kim, Hyun Jeong

    2016-01-01

    Background and Objectives Pneumatization of air cells in the mastoid bone is decreased in chronic otitis media (COM). A decrease in the size of the external auditory canal (EAC) is also found frequently in patients with COM, but this has been little studied. We compared the size of affected bony EACs and the contralateral side in patients with single-side COM using high-resolution computed tomography. Subjects and Methods In total, 99 patients with single-side COM were included. Four indicators related to the size of the bony EAC and IAC were measured using high-resolution computed tomography: the axial and coronal lengths of the tympanic membrane, the length of the isthmus, and the area of the bony ear canal. We also compared both internal auditory canals as negative controls. These assessments were made by radiologists who were blinded to the objective of this study. Results In patients with single-side COM, the axial length of the tympanic membrane was significantly shorter than normal, and the volume of the EAC was also significantly smaller. The length of the isthmus of the EAC was shorter on the affected side, but the difference was not significant. The IAC volume showed no difference between the two sides. Conclusions COM affects general temporal bony development, including the bony EAC and mastoid bone. Therefore, whether to correct this should be considered when preparing for COM surgery. PMID:27144233

  5. Comparison of Ear-Canal Reflectance and Umbo Velocity in Patients with Conductive Hearing Loss

    NASA Astrophysics Data System (ADS)

    Merchant, Gabrielle R.; Nakajima, Hideko H.; Pisano, Dominic V.; Röösli, Christof; Hamade, Mohamad A.; Mafoud, Lorice; Halpin, Christopher F.; Merchant, Saumil N.; Rosowski, John J.

    2011-11-01

    Patients who present at hearing clinics with a conductive hearing loss (CHL) in the presence of an intact, healthy tympanic membrane create a unique challenge for otologists. While patient counseling, treatment options, and outcome vary with differing middle-ear pathologies, a non-invasive diagnostic that can differentiate between these pathologies does not currently exist. We evaluated the clinical utility and diagnostic accuracy of two non-invasive measures of middle-ear mechanics: ear-canal reflectance (ECR) and umbo velocity (VU).

  6. [Ontogenic peculiarities of the human tympanic ossicular chain].

    PubMed

    Whyte Orozco, J; Cisneros Gimeno, A I; Urieta Carpi, J J; Yus Gotor, C; Gañet Solé, J; Torres del Puerto, A; Sarrat Torreguitart, R

    2003-01-01

    We have studied the development of the tympanic ossicles in 40 embryo-foetal human series aged between 32 days (6 mm) and newborn. Once performed the measurements to date chronologically embryos and foetuses, we did a meticulous dissection of temporal bones. After fix in 10% formol, decalcified with 2% nitric acid, embedded in Paraplast, sectioned in a sequence of 7 mm, and stained with Martin's trichrome. The tympanic ossicles are developed in the mesenchyme of the two first pharyngeal archs. The head of the malleus, the body and the short limb of the incus arise from the first arch while the handle of the malleus, the long limb of the incus and the mass of the stapes arise from the second arch. The vestibular side of the stapedial footplate develops in the otic capsule. The tympanic ossicles develop from endochondral ossification, while anterior process of the malleus has the membranous ossification. In their ontogenia 6 stages are observed. First stage, the formation of their sketch by mesenchimal condensation, in the second stage, "pre-cartilaginous", the cells of the primordia are differentiated into condroblasts, in the third stage "cartilaginous" the ossicles show a cartilaginous structure, in the forth stage the primary ossification centers are developed, in the fifth stage the ossicles arise in the periostic annulus and inside the endochondral bone, and in the last stage the osseous tissue grows until it acquires a compact osseous structure. PMID:12733315

  7. Detection of preperimetric glaucoma using Bruch membrane opening, neural canal and posterior pole asymmetry analysis of optical coherence tomography

    PubMed Central

    Hua, Rui; Gangwani, Rita; Guo, Lei; McGhee, Sarah; Ma, Xiaoli; Li, Jun; Yao, Kai

    2016-01-01

    We analysed retinal nerve fibre layer (RNFL) defects in eyes with normal circumpapillary RNFL (cpRNFL) thickness using posterior pole asymmetry analysis (PPAA) and investigated the parameters of Bruch membrane opening (BMO) and neural canals using enhanced depth imaging spectral domain optical coherence tomography (EDI-SDOCT). A total of 112 preperimetric glaucomatous eyes of 92 patients were examined to obtain cpRNFL thickness using SD-OCT. Posterior pole asymmetry analysis (PPAA) and central cross-sectional images of the optic nerve head (ONH) were obtained using EDI-SDOCT. Minimal and horizontal distances between the BMO and ONH surfaces (BMOM, BMOH) and the terminal of retinal pigment epithelium (RPE) and ONH surfaces (RPEM, RPEH) were measured. The distribution of the absolute black cells in PPAA was more concentrated in eyes with “U”-shaped neural canals (p < 0.0001). The area under the receiver operating characteristic curve of the ratio of RPEM to RPEH (RPE-R, 0.771 ± 0.08) was significantly larger than the ratio of BMOM to BMOH (BMO-R, 0.719 ± 0.009) for PPAA results. A U-shaped neural canal, lower ratio of RPEM to RPEH, and lower ratio of BMOM to BMOH were considered early indicators of RNFL defects in preperimetric glaucomatous eyes with normal cpRNFL. PMID:26883374

  8. Detection of preperimetric glaucoma using Bruch membrane opening, neural canal and posterior pole asymmetry analysis of optical coherence tomography.

    PubMed

    Hua, Rui; Gangwani, Rita; Guo, Lei; McGhee, Sarah; Ma, Xiaoli; Li, Jun; Yao, Kai

    2016-01-01

    We analysed retinal nerve fibre layer (RNFL) defects in eyes with normal circumpapillary RNFL (cpRNFL) thickness using posterior pole asymmetry analysis (PPAA) and investigated the parameters of Bruch membrane opening (BMO) and neural canals using enhanced depth imaging spectral domain optical coherence tomography (EDI-SDOCT). A total of 112 preperimetric glaucomatous eyes of 92 patients were examined to obtain cpRNFL thickness using SD-OCT. Posterior pole asymmetry analysis (PPAA) and central cross-sectional images of the optic nerve head (ONH) were obtained using EDI-SDOCT. Minimal and horizontal distances between the BMO and ONH surfaces (BMOM, BMOH) and the terminal of retinal pigment epithelium (RPE) and ONH surfaces (RPEM, RPEH) were measured. The distribution of the absolute black cells in PPAA was more concentrated in eyes with "U"-shaped neural canals (p < 0.0001). The area under the receiver operating characteristic curve of the ratio of RPEM to RPEH (RPE-R, 0.771 ± 0.08) was significantly larger than the ratio of BMOM to BMOH (BMO-R, 0.719 ± 0.009) for PPAA results. A U-shaped neural canal, lower ratio of RPEM to RPEH, and lower ratio of BMOM to BMOH were considered early indicators of RNFL defects in preperimetric glaucomatous eyes with normal cpRNFL. PMID:26883374

  9. Fibrous Dysplasia of the Temporal Bone with External Auditory Canal Stenosis and Secondary Cholesteatoma.

    PubMed

    Liu, Yu Hsi; Chang, Kuo Ping

    2016-04-01

    Fibrous dysplasia is a slowly progressive benign fibro-osseous disease, rarely occurring in temporal bones. In these cases, most bony lesions developed from the bony part of the external auditory canals, causing otalgia, hearing impairment, otorrhea, and ear hygiene blockade and probably leading to secondary cholesteatoma. We presented the medical history of a 24-year-old woman with temporal monostotic fibrous dysplasia with secondary cholesteatoma. The initial presentation was unilateral conductive hearing loss. A hard external canal tumor contributing to canal stenosis and a near-absent tympanic membrane were found. Canaloplasty and type I tympanoplasty were performed, but the symptoms recurred after 5 years. She received canal wall down tympanomastoidectomy with ossciculoplasty at the second time, and secondary cholesteatoma in the middle ear was diagnosed. Fifteen years later, left otorrhea recurred again and transcanal endoscopic surgery was performed for middle ear clearance. Currently, revision surgeries provide a stable auditory condition, but her monostotic temporal fibrous dysplasia is still in place. PMID:27340999

  10. External auditory canal temperature as an estimate of core temperature.

    NASA Technical Reports Server (NTRS)

    Greenleaf, J. E.; Castle, B. L.

    1972-01-01

    Measurement of rectal (T sub re), auditory canal (T sub ac), positioned 8 to 10 mm from the tympanic membrane, and mean skin temperature (mean T sub sk) in five men during various exercise regimens at an ambient temperature (T sub a) of 25 C (phase one) and in two men during rest and exercise at 5, 15, 25, and 35 C T sub a (phase two). The purpose was to determine if T sub ac can be used as an accurate estimate of core temperature. Previous observations that T sub ac was highly correlated with T sub re but T sub ac was consistently lower than T sub re are confirmed; the mean difference varied from 0.4 C at rest to 1.1 C at the end of exercise. It is concluded that auditory canal temperature cannot be utilized as an estimate of core temperature, but T sub ac may be used to estimate mean body temperature where very accurate measurements are not required.

  11. [Reaction of the tympanic tensor muscle--elicited by nasally applied trigeminal stimulants].

    PubMed

    Rauchfuss, A; Hiller, E; Leitner, H; Wöllmer, W

    1987-03-01

    Computerised evaluation of tensor muscle reaction was carried out by using a biosignal analysing unit triggered by nasal inhalation. The trigeminus nerve was stimulated by application of 3-molar acetylacetic acid into the nasal respiratory air, inducing a contraction of the tympanic muscle, followed by a change in impedance. This change in impedance of the tympanic membrane ossicle system was recorded and printed out on a display. In this manner evidence was obtained of a tensor muscle reaction induced by the third branch of the trigeminal nerve as efference, and demonstrated for the first time. This reflex arc had long been considered as being of negligible clinical importance before its stimulation and measurement had become possible. It is a generally accepted theory that the reflex arc of the m. tensor tympani is linked to the formatio reticularis which assesses the sensory afferences. For this reason, the reflex arc habituates rapidly, and continuous stimulation is no longer possible. PMID:3586795

  12. [FRONTAL, AXILLARY AND TYMPANIC TEMPERATURE MEASUREMENTS IN CHILDREN].

    PubMed

    Antabak, Anko; Sisko, Jerko; Romić, Ivan; Papes, Dino; Pasini, Miran; Haluzan, Damir; Bogović, Marko; Medancić, Suzana Srsen; Cavar, Stanko; Luetić, Tomislav; Fuchs, Nino; Andabak, Matej; Prlić, Ivica; Curković, Selena

    2016-01-01

    The purpose of this study was to compare the results of body temperature measurements obtained by standard axillary thermometers with the results of infrared tympanic and frontal skin thermometry in afebrile children. This study comprises a single-center, prospective comparison trial. A total of 345 afebrile children aged 4 to 16 years hospitalized in the pediatric surgery department for elective surgery were included. One thousand axillary, tympanic and frontal measurements were obtained and compared. We used two different infrared thermometers in this study; one type measured the tympanic temperature, the other the temperature on the forehead. The axillary temperature measured with the glass thermometer was set as the standard. Each patient was exposed to a constant environmental temperature for a minimum of 10 min before simultaneous temperature measurements. The mean-frontal temperature 36.9 ± 0.38 °C was equal to the axillary temperature 36.9 ± 0.16 °C. The mean tympanic temperature was 36.3 ± 0.98 °C. The mean difference between the tympanic and axillary temperatures was -0.4 °C. The tympanic temperature had a threefold greater dispersion than frontal and a fivefold greater dispersion than axillary temperature. The results of this study suggest that the axillary temperature measured with glass thermometer has the least dispersion. Somewhat less reliable is the frontal temperature measured with infrared thermometer. The least reliable is tympanic temperature measurement. PMID:27290811

  13. Continuous measurement of tympanic temperature with a new infrared method using an optical fiber.

    PubMed

    Shibasaki, M; Kondo, N; Tominaga, H; Aoki, K; Hasegawa, E; Idota, Y; Moriwaki, T

    1998-09-01

    The purpose of this study was to investigate the utility of an infrared tympanic thermometry by using an optical fiber for measuring tympanic temperature (Tty). In the head cooling and facial fanning tests during normothermia, right Tty measured by this method (infrared-Tty) and esophageal temperature (Tes) were not affected by decreased temple and forehead skin temperatures, suggesting that the infrared sensor in this system measured the infrared radiation from the tympanic membrane selectively. Eight male subjects took part in passive-heat-stress and progressive-exercise tests. No significant differences among infrared-Tty, the left Tty measured by thermistor (contact-Tty), and Tes were observed at rest or at the end of each experiment, and there was no significant difference in the increase in these core temperatures from rest to the end. Furthermore, there were no significant differences in the core temperature threshold at the onset of sweating and slope (the relationship of sweating rate vs. infrared-Tty and vs. contact-Tty). These results suggest that this method makes it possible to measure Tty accurately, continuously, and more safely. PMID:9729565

  14. Rapid Quantification of Bacteria in Infected Root Canals Using Fluorescence Reagents and a Membrane Filter: A Pilot Study on Its Clinical Application to the Evaluation of the Outcomes of Endodontic Treatment

    PubMed Central

    Sato, Takuichi; Yamaki, Keiko; Ishida, Naoko; Shoji, Megumi; Sato, Emika; Abiko, Yuki; Hashimoto, Kazuhiro; Takeuchi, Yasuhisa; Matsuyama, Junko; Shimauchi, Hidetoshi; Takahashi, Nobuhiro

    2012-01-01

    Objective. The bacterial examination has been performed during the course of the root canal treatment. In the present pilot study, the new developed method, using fluorescence reagents and a membrane filter, was applied to the detection and quantification of bacteria in infected root canals, in order to evaluate the outcomes of the treatment. Methods. Six infected root canals with periapical lesions from 5 subjects were included. Informed consent was obtained from all subjects (age ranges, 23–79 years). Samples from infected root canals were collected at the beginning of the treatment (termed #25 First), the end of the first day of treatment (termed #55 First), and the next appointment day (termed #55 Second). Then, the bacterial count (CFU) was measured using fluorescence reagents (4′,6′-diamidino-2-phenylindole and propidium iodide) and the polycarbonate membrane filter by Bioplorer. Results. The mean ± SD of CFU in the sample of “#25 First” was (1.0 ± 1.4) × 105. As the root canal treatment progressed, the CFU decreased as 7.9 × 103 (#55 First) and 4.3 × 102 (#55 Second). Conclusion. In the present pilot study, rapid detection and quantification of bacteria in infected root canals were found to be successfully performed using fluorescence reagents and a membrane filter (Bioplorer analysis). PMID:22693506

  15. Ceruminous Adenoma of the External Auditory Canal: A Case Report with Imaging and Pathologic Findings

    PubMed Central

    Psillas, George; Krommydas, Argyrios; Karayannopoulou, Georgia; Chatzopoulos, Kyriakos; Kanitakis, Jean; Markou, Konstantinos

    2015-01-01

    Ceruminous adenomas are benign tumors that are rare in humans and present with a nonspecific symptomatology. The treatment of choice is surgical excision. We present an 87-year-old woman who presented with a reddish, tender, round, soft mass of the outer third of the inferior wall of the left external auditory canal, discharging a yellowish fluid upon pressure. Coincidentally, due to her poor general condition, this patient also showed symptoms consistent with chronic otitis media, parotitis, and cervical lymphadenopathy, such as otorrhea, through a ruptured tympanic membrane and swelling of the parotid gland and cervical lymph nodes. The external auditory canal lesion was surgically excised under general anesthesia, utilizing a transmeatal approach. The pathological diagnosis was ceruminous gland adenoma. The tumor was made of tubular and cystic structures and embedded in a fibrous, focally hyalinized stroma. Immunohistochemistry confirmed the presence of two distinct cell populations. The luminal cells expressed keratin 7, while peripheral (basal) cells expressed keratins 5/6, S100 protein, and p63. The apocrine gland-related antigen GCDFP-15 was focally expressed by tumor cells. The postoperative course was uneventful and at the 2-year follow-up no recurrence of the ceruminous adenoma was noted. PMID:26681945

  16. Spontaneous external auditory canal cholesteatoma in a young male: Imaging findings and differential diagnoses

    PubMed Central

    Aswani, Yashant; Varma, Ravi; Achuthan, Gayathri

    2016-01-01

    A cholesteatoma is a non-neoplastic lesion of the petrous temporal bone commonly described as “skin in the wrong place.” It typically arises within the middle ear cavity, may drain externally via tympanic membrane (mural type), or may originate in the external auditory canal (EAC). The latter type is rarely encountered and typically affects the elderly. EAC cholesteatoma poses diagnostic challenges because it has numerous differential diagnoses. The present case describes a 19-year-old male who presented with gradually progressive diminution of hearing in a previously naïve right ear since 8 months. A soft tissue attenuation lesion confined to the right EAC with erosion of the canal on computed tomography prompted magnetic resonance imaging (MRI). The lesion showed restricted diffusion on MRI. Thus, a diagnosis of spontaneous EAC cholesteatoma was established. The case elucidates the rarity of spontaneous EAC cholesteatoma in a young male. In addition, it describes the role of imaging to detect, delineate the extent, and characterize lesions of petrous temporal bone. The case also discusses common differential diagnoses of EAC cholesteatoma, as well as the importance of diffusion weighted imaging in EAC cholesteatoma similar to its middle ear counterpart. PMID:27413272

  17. Tympanal mechanics and neural responses in the ears of a noctuid moth

    NASA Astrophysics Data System (ADS)

    Ter Hofstede, Hannah M.; Goerlitz, Holger R.; Montealegre-Z, Fernando; Robert, Daniel; Holderied, Marc W.

    2011-12-01

    Ears evolved in many groups of moths to detect the echolocation calls of predatory bats. Although the neurophysiology of bat detection has been intensively studied in moths for decades, the relationship between sound-induced movement of the noctuid tympanic membrane and action potentials in the auditory sensory cells (A1 and A2) has received little attention. Using laser Doppler vibrometry, we measured the velocity and displacement of the tympanum in response to pure tone pulses for moths that were intact or prepared for neural recording. When recording from the auditory nerve, the displacement of the tympanum at the neural threshold remained constant across frequencies, whereas velocity varied with frequency. This suggests that the key biophysical parameter for triggering action potentials in the sensory cells of noctuid moths is tympanum displacement, not velocity. The validity of studies on the neurophysiology of moth hearing rests on the assumption that the dissection and recording procedures do not affect the biomechanics of the ear. There were no consistent differences in tympanal velocity or displacement when moths were intact or prepared for neural recordings for sound levels close to neural threshold, indicating that this and other neurophysiological studies provide good estimates of what intact moths hear at threshold.

  18. Tympanal mechanics and neural responses in the ears of a noctuid moth.

    PubMed

    ter Hofstede, Hannah M; Goerlitz, Holger R; Montealegre-Z, Fernando; Robert, Daniel; Holderied, Marc W

    2011-12-01

    Ears evolved in many groups of moths to detect the echolocation calls of predatory bats. Although the neurophysiology of bat detection has been intensively studied in moths for decades, the relationship between sound-induced movement of the noctuid tympanic membrane and action potentials in the auditory sensory cells (A1 and A2) has received little attention. Using laser Doppler vibrometry, we measured the velocity and displacement of the tympanum in response to pure tone pulses for moths that were intact or prepared for neural recording. When recording from the auditory nerve, the displacement of the tympanum at the neural threshold remained constant across frequencies, whereas velocity varied with frequency. This suggests that the key biophysical parameter for triggering action potentials in the sensory cells of noctuid moths is tympanum displacement, not velocity. The validity of studies on the neurophysiology of moth hearing rests on the assumption that the dissection and recording procedures do not affect the biomechanics of the ear. There were no consistent differences in tympanal velocity or displacement when moths were intact or prepared for neural recordings for sound levels close to neural threshold, indicating that this and other neurophysiological studies provide good estimates of what intact moths hear at threshold. PMID:21989514

  19. Treatment of Persistent Deep Infection After Total Ear Canal Ablation and Lateral Bulla Osteotomy.

    PubMed

    Smeak, Daniel D

    2016-07-01

    Persistent deep infection originating from remnants of an incompletely excised ear canal, or epithelium and debris left in the osseous ear canal or tympanic cavity after surgery total ear canal ablation and lateral bulla osteotomy can be debilitating. Clinical signs including pain elicited on deep palpation over the affected bulla or when opening the mouth, or draining sinuses may be delayed months to years. Localization of the nidus via CT imaging is important for surgical planning. Although antibiotic therapy usually reduces or eliminates the clinical signs of deep infection, relapses are common. Surgery more consistently results in permanent resolution. PMID:26944764

  20. Mechanical tuning of the moth ear: distortion-product otoacoustic emissions and tympanal vibrations.

    PubMed

    Mora, Emanuel C; Cobo-Cuan, Ariadna; Macías-Escrivá, Frank; Pérez, Martha; Nowotny, Manuela; Kössl, Manfred

    2013-10-15

    The mechanical tuning of the ear in the moth Empyreuma pugione was investigated by distortion-product otoacoustic emissions (DPOAE) and laser Doppler vibrometry (LDV). DPOAE audiograms were assessed using a novel protocol that may be advantageous for non-invasive auditory studies in insects. To evoke DPOAE, two-tone stimuli within frequency and level ranges that generated a large matrix of values (960 frequency-level combinations) were used to examine the acoustic space in which the moth tympanum shows its best mechanical and acoustical responses. The DPOAE tuning curve derived from the response matrix resembles that obtained previously by electrophysiology, and is V-shaped and tuned to frequencies between 25 and 45 kHz with low Q10dB values of 1.21±0.26. In addition, while using a comparable stimulation regime, mechanical distortion in the displacement of the moth's tympanal membrane at the stigma was recorded with a laser Doppler vibrometer. The corresponding mechanical vibration audiograms were compared with DPOAE audiograms. Both types of audiograms have comparable shape, but most of the mechanical response fields are shifted towards lower frequencies. We showed for the first time in moths that DPOAE have a pronounced analogy in the vibration of the tympanic membrane where they may originate. Our work supports previous studies that point to the stigma (and the internally associated transduction machinery) as an important place of sound amplification in the moth ear, but also suggests a complex mechanical role for the rest of the transparent zone. PMID:23868848

  1. Cholesterol granuloma associated with otitis media and destruction of the tympanic bulla in a dog.

    PubMed

    Fliegner, R A; Jubb, K V F; Lording, P M

    2007-07-01

    An 8-year-old, male neutered Irish Setter was presented with a 2-week history of pain upon opening the mouth and chronic otitis externa. Computed tomography examination revealed destruction of the left tympanic bulla with a soft-tissue density within the remains of the tympanic cavity. Cytology of aspirates collected from tissue adjacent to the tympanic bulla revealed suppurative inflammation and bacteria. A ventral bulla osteotomy was performed. Histopathology of granulation tissue within the remains of the tympanic cavity was diagnostic of cholesterol granuloma. PMID:17606522

  2. Completely-in-the-canal magnet-drive hearing device: a temporal bone study.

    PubMed

    Mahboubi, Hossein; Malley, Melinda J D; Paulick, Peyton; Merlo, Mark W; Bachman, Mark; Djalilian, Hamid R

    2013-03-01

    The magnet-drive hearing device (MHD) is a small completely-in-the-canal hearing aid prototype that drives the tympanic membrane (TM) through a magnetic interface. A cadaveric temporal bone was prepared. The MHD was coupled to a nickel-epoxy pellet glued to the umbo. Frequency sweeps between 0.3 and 10 kHz were performed, and the MHD was driven with various levels of current. Displacements of the posterior crus of the stapes were measured using a laser Doppler vibrometer and compared with sound-induced displacements. The MHD had a linear frequency response and low total harmonic distortion. The pellet placement altered the stapes movements; however, the changes were statistically insignificant. Inputs of 100 and 300 mV produced displacements equivalent to those of the natural sound at 70- and 80-dB sound pressure level, respectively. The coupling of this novel device using a magnetic interface to the umbo had a frequency output wider than air conduction devices, and its actuator was effective in driving the TM. PMID:23264118

  3. 3. ELEVATION. FROM SOUTH WITH CANAL PRISM. Canal Road ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. ELEVATION. FROM SOUTH WITH CANAL PRISM. - Canal Road Bridge, Canal Road spanning Delaware Canal Diversion, Locks 22 & 23 in Delaware Canal State Park in Williams Township, Raubsville, Northampton County, PA

  4. Volume rendering of the tympanic cavity from micro-CT data.

    PubMed

    Skrzat, Janusz; Kozerska, Magdalena; Wroński, Sebastian; Tarasiu, Jacek; Walocha, Jerzy

    2015-01-01

    The current study presents volumetric reconstruction of the tympanic cavity obtained from micro-CT scans which pixel size was 18 μm. Thanks to this, osseous components of the tympanic cavity were shown in high optical resolution, causing that their morphological appearance was clearly demonstrated. Particular attention was paid on imaging the medial wall of the tympanic cavity, because its structures are of clinical importance. In this respect we showed spatial relationship between the promontory, the oval window, the round window and other minute structures like the pyramidal eminence, subiculum and ponticulus. Hence, application of the microcomputed tomography allowed to visualize abnormal osseous formation located within the tympanic cavity, which potentially could interrupt normal movement of the auditory ossicles. PMID:26867122

  5. Tympanal and atympanal 'mouth-ears' in hawkmoths (Sphingidae).

    PubMed Central

    Göpfert, Martin C; Surlykke, Annemarie; Wasserthal, Lutz T

    2002-01-01

    The labral pilifers and the labial palps form ultrasound-sensitive hearing organs in species of two distantly related hawkmoth subtribes, the Choerocampina and the Acherontiina. Biomechanical examination now reveals that their ears represent different types of hearing organs. In hearing species of both subtribes, the labral pilifer picks up vibrations from specialized sound-receiving structures of the labial palp that are absent in non-hearing species. In Choerocampina, a thin area of cuticle serves as an auditory tympanum, whereas overlapping scales functionally replace a tympanum in Acherontiina that can hear. The tympanum of Choerocampina and the scale-plate of Acherontiina both vibrate maximally in response to ultrasonic, behaviourally relevant sounds, with the vibrations of the tympanum exceeding those of the scale plate by ca. 15 dB. This amplitude difference, however, is not reflected in the vibrations of the pilifers and the neural auditory sensitivity is similar in hearing species of both subtribes. Accordingly, morphologically different - tympanal and atympanal - but functionally equivalent hearing organs evolved independently and in parallel within a single family of moths. PMID:11788041

  6. Prolonged Sleep Deprivation and Continuous Exercise: Effects on Melatonin, Tympanic Temperature, and Cognitive Function

    PubMed Central

    Davis, Greggory R.; Etheredge, Corey E.; Marcus, Lena; Bellar, David

    2014-01-01

    The purpose of this study was to examine tympanic temperature, melatonin, and cognitive function during a 36-hour endurance event. Nine male and three female participants took part in a 36-hour sustained endurance event without sleep (N = 12, mean age = 31.8 ± 5.0 yrs). Participants were stopped for data collection at checkpoints throughout the 36-hour event. Tympanic temperature was assessed, a psychomotor vigilance test (PVT) was administered, and saliva samples were collected. Salivary melatonin was determined via immunoassay. During the 36 hours of competition, melatonin levels were negatively correlated with the day of the race (rs = −0.277, P = 0.039) and positively associated with nighttime (rs = 0.316, P = 0.021). Significant main effects of tympanic temperature (P < 0.001), day of the competition (P = 0.018), and a tympanic temperature ∗ day of competition interaction (P < 0.001) were used to predict minor lapses in attention. No associations between melatonin levels and cognitive function were observed (P > 0.05). During the event tympanic temperature declined and was associated with an increase in lapses in attention. With sustained endurance events becoming more popular future research is warranted to evaluate the physiological impact of participation. PMID:25110695

  7. Specialization for underwater hearing by the tympanic middle ear of the turtle, Trachemys scripta elegans.

    PubMed

    Christensen-Dalsgaard, Jakob; Brandt, Christian; Willis, Katie L; Christensen, Christian Bech; Ketten, Darlene; Edds-Walton, Peggy; Fay, Richard R; Madsen, Peter T; Carr, Catherine E

    2012-07-22

    Turtles, like other amphibious animals, face a trade-off between terrestrial and aquatic hearing. We used laser vibrometry and auditory brainstem responses to measure their sensitivity to vibration stimuli and to airborne versus underwater sound. Turtles are most sensitive to sound underwater, and their sensitivity depends on the large middle ear, which has a compliant tympanic disc attached to the columella. Behind the disc, the middle ear is a large air-filled cavity with a volume of approximately 0.5 ml and a resonance frequency of approximately 500 Hz underwater. Laser vibrometry measurements underwater showed peak vibrations at 500-600 Hz with a maximum of 300 µm s(-1) Pa(-1), approximately 100 times more than the surrounding water. In air, the auditory brainstem response audiogram showed a best sensitivity to sound of 300-500 Hz. Audiograms before and after removing the skin covering reveal that the cartilaginous tympanic disc shows unchanged sensitivity, indicating that the tympanic disc, and not the overlying skin, is the key sound receiver. If air and water thresholds are compared in terms of sound intensity, thresholds in water are approximately 20-30 dB lower than in air. Therefore, this tympanic ear is specialized for underwater hearing, most probably because sound-induced pulsations of the air in the middle ear cavity drive the tympanic disc. PMID:22438494

  8. Bacterial change in external auditory canal upon antisepsis with povidone-iodine during tympanoplasty.

    PubMed

    Arslan, Ilker Burak; Genc, Selahattin; Kayhan, Bekir Cahit; Gumussoy, Murat; Ozel, Gonul; Cukurova, Ibrahim

    2015-03-01

    The aim of this single-arm prospective study was to determine the flora of the external auditory canal (EAC) in inactive chronic otitis media and evaluate the alteration of microorganisms of the EAC during tympanoplasty upon povidone-iodine antisepsis. Sixty-three patients with central tympanic membrane perforation were enrolled in the study. Preoperative swab cultures were obtained and the EAC was packed with povidone-iodine absorbed gauze. Type I tympanoplasty via a retroauricular route was performed. Cultures from the EAC were taken at the end of each operation. Isolated organisms were identified based upon microbiological, morphological, and biochemical characteristics. The most commonly isolated organisms from preoperative samples were normal commensal flora, including 73 coagulase-negative staphylococci (CNS) and 18 diphtheroid bacilli (DB). Less commonly cultured pathogenic species included four isolates of Staphylococcus aureus and three isolates of Candida albicans. No bacteria were observed in five patients. Following povidone-iodine antisepsis, 32 of the samples were negative. Eradication was statistically significant for CNS, DB and pathogen microorganism (P < 0.05). Isolated bacteria differed from those in preoperative swab cultures in eight cases. After antisepsis, diverse strains of the CNS were isolated in 13 cases and 10 patients showed no change in microbial flora. Postoperative culture demonstrated that all seven pathogenic isolates were eradicated (100 %); this selective efficacy of povidone-iodine antisepsis against pathogenic isolates was significant when compared with commensal flora (P < 0.05). These results suggest that povidone-iodine antisepsis of the EAC before tympanoplasty is an effective method for the elimination microorganisms, especially pathogenic bacteria. PMID:24337938

  9. Tympanic thermometer performance validation by use of a body-temperature fixed point blackbody

    NASA Astrophysics Data System (ADS)

    Machin, Graham; Simpson, Robert

    2003-04-01

    The use of infrared tympanic thermometers within the medical community (and more generically in the public domain) has recently grown rapidly, displacing more traditional forms of thermometry such as mercury-in-glass. Besides the obvious health concerns over mercury the increase in the use of tympanic thermometers is related to a number of factors such as their speed and relatively non-invasive method of operation. The calibration and testing of such devices is covered by a number of international standards (ASTM1, prEN2, JIS3) which specify the design of calibration blackbodies. However these calibration sources are impractical for day-to-day in-situ validation purposes. In addition several studies (e.g. Modell et al4, Craig et al5) have thrown doubt on the accuracy of tympanic thermometers in clinical use. With this in mind the NPL is developing a practical, portable and robust primary reference fixed point source for tympanic thermometer validation. The aim of this simple device is to give the clinician a rapid way of validating the performance of their tympanic thermometer, enabling the detection of mal-functioning thermometers and giving confidence in the measurement to the clinician (and patient!) at point of use. The reference fixed point operates at a temperature of 36.3 °C (97.3 °F) with a repeatability of approximately +/- 20 mK. The fixed-point design has taken into consideration the optical characteristics of tympanic thermometers enabling wide-angled field of view devices to be successfully tested. The overall uncertainty of the device is estimated to be is less than 0.1°C. The paper gives a description of the fixed point, its design and construction as well as the results to date of validation tests.

  10. Intra-rater reliability when using a tympanic thermometer under different self-measurement conditions.

    PubMed

    Yoo, Won-Gyu

    2016-07-01

    [Purpose] This study investigated intra-rater reliability when using a tympanic thermometer under different self-measurement conditions. [Subjects and Methods] Ten males participated. Intra-rater reliability was assessed by comparing the values under three conditions of measurement using a tympanic thermometer. Intraclass correlation coefficients were used to assess intra-rater reliability. [Results] According to the intraclass correlation coefficient analysis, reliability could be ranked according to the conditions of measurement. [Conclusion] The results showed that self-measurement of body temperature is more precise when combined with common sense and basic education about the anatomy of the eardrum. PMID:27512269

  11. Intra-rater reliability when using a tympanic thermometer under different self-measurement conditions

    PubMed Central

    Yoo, Won-gyu

    2016-01-01

    [Purpose] This study investigated intra-rater reliability when using a tympanic thermometer under different self-measurement conditions. [Subjects and Methods] Ten males participated. Intra-rater reliability was assessed by comparing the values under three conditions of measurement using a tympanic thermometer. Intraclass correlation coefficients were used to assess intra-rater reliability. [Results] According to the intraclass correlation coefficient analysis, reliability could be ranked according to the conditions of measurement. [Conclusion] The results showed that self-measurement of body temperature is more precise when combined with common sense and basic education about the anatomy of the eardrum. PMID:27512269

  12. Root canal irrigants

    PubMed Central

    Kandaswamy, Deivanayagam; Venkateshbabu, Nagendrababu

    2010-01-01

    Successful root canal therapy relies on the combination of proper instrumentation, irrigation, and obturation of the root canal. Of these three essential steps of root canal therapy, irrigation of the root canal is the most important determinant in the healing of the periapical tissues. The primary endodontic treatment goal must thus be to optimize root canal disinfection and to prevent reinfection. In this review of the literature, various irrigants and the interactions between irrigants are discussed. We performed a Medline search for English-language papers published untill July 2010. The keywords used were ‘root canal irrigants’ and ‘endodontic irrigants.’ The reference lists of each article were manually checked for additional articles of relevance. PMID:21217955

  13. 56. CROSS SECTIONS OF CANAL AND TUNNELS. POWER CANAL, SALT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    56. CROSS SECTIONS OF CANAL AND TUNNELS. POWER CANAL, SALT RIVER RESERVOIR Courtesy of U.S.G.S., Reclamation Service - Roosevelt Power Canal & Diversion Dam, Parallels Salt River, Roosevelt, Gila County, AZ

  14. Bitter Root Irrigation district canal, looking east, typical section (canal ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Bitter Root Irrigation district canal, looking east, typical section (canal full) - Bitter Root Irrigation Project, Bitter Root Irrigation Canal, Heading at Rock Creek Diversion Dam, West of U.S. Highway 93, Darby, Ravalli County, MT

  15. 9. BLACK RIVER CANAL CANAL (RIGHT), DISCHARGE GATE (BACKGROUND), ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. BLACK RIVER CANAL - CANAL (RIGHT), DISCHARGE GATE (BACKGROUND), FARMER'S TURNOUT (LEFT), AND LATERAL NO. 14 (FOREGROUND). VIEW TO SOUTHEAST - Carlsbad Irrigation District, Black River Canal, 15 miles Southeast of Carlsbad near Malaga, Carlsbad, Eddy County, NM

  16. 8. BLACK RIVER CANAL LOOKING DOWN CANAL WITH LATERAL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    8. BLACK RIVER CANAL - LOOKING DOWN CANAL WITH LATERAL TURNOUT NO. 1 ON THE RIGHT. VIEW TO THE SOUTHEAST - Carlsbad Irrigation District, Black River Canal, 15 miles Southeast of Carlsbad near Malaga, Carlsbad, Eddy County, NM

  17. 14. MAIN CANAL CANAL CHECKGATES, JUST BELOW DARK CANYON ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    14. MAIN CANAL - CANAL CHECKGATES, JUST BELOW DARK CANYON SIPHON, VIEW TO NORTHEAST - Carlsbad Irrigation District, Main Canal, 4 miles North to 12 miles Southeast of Carlsbad, Carlsbad, Eddy County, NM

  18. 6. O'BRIAN CANAL/DENVERHUDSON CANAL BIFURCATION POINT The O'Brian Canal is ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    6. O'BRIAN CANAL/DENVER-HUDSON CANAL BIFURCATION POINT The O'Brian Canal is flowing to the left; the Denver-Hudson Canal is flowing to the right - O'Brian Canal, South Platte River Drainage Area Northest of Denver, Brighton, Adams County, CO

  19. Main trajectories of nerves that traverse and surround the tympanic cavity in the rat

    PubMed Central

    WEIJNEN, J. A. W. M.; SURINK, S.; VERSTRALEN, M. J. M.; MOERKERKEN, A.; DE BREE, G. J.; BLEYS, R. L. A. W.

    2000-01-01

    To guide surgery of nerves that traverse and surround the tympanic cavity in the rat, anatomical illustrations are required that are topographically correct. In this study, maps of this area are presented, extending from the superior cervical ganglion to the otic ganglion. They were derived from observations that were made during dissections using a ventral approach. Major blood vessels, bones, transected muscles of the tongue and neck and supra and infrahyoid muscles serve as landmarks in the illustrations. The course of the mandibular, facial, glossopharyngeal, vagus, accessory and hypoglossal nerves with their branches, and components of the sympathetic system, are shown and discussed with reference to data available in the literature. Discrepancies in this literature can be clarified and new data are presented on the trajectories of several nerves. The course of the tympanic nerve was established. This nerve originates from the glossopharyngeal nerve, enters the tympanic cavity, crosses the promontory, passes the tensor tympani muscle dorsally, and continues its route intracranially to the otic ganglion as the lesser petrosal nerve after intersecting with the greater petrosal nerve. Auricular branches of the glossopharyngeal and of the vagus nerve were noted. We also observed a pterygopalatine branch of the internal carotid nerve, that penetrates the tympanic cavity and courses across the promontory. PMID:11005717

  20. Panama Canal capacity analysis

    SciTech Connect

    Bronzini, M.S.

    1995-04-27

    Predicting the transit capacities of the various Panama Canal alternatives required analyzing data on present Canal operations, adapting and extending an existing computer simulation model, performing simulation runs for each of the alternatives, and using the simulation model outputs to develop capacity estimates. These activities are summarized in this paper. A more complete account may be found in the project final report (TAMS 1993). Some of the material in this paper also appeared in a previously published paper (Rosselli, Bronzini, and Weekly 1994).

  1. Distribution of Intact and Core Membrane Lipids of Archaeal Glycerol Dialkyl Glycerol Tetraethers among Size-Fractionated Particulate Organic Matter in Hood Canal, Puget Sound

    PubMed Central

    Huguet, Carme; Truxal, Laura T.

    2012-01-01

    There is great interest in the membrane lipids of archaea (glycerol dialkyl glycerol tetraethers [GDGTs]) as tracers of archaeal biomass because of their utility as paleoproxies and because of the biogeochemical importance of archaea. While core GDGTs (formed by hydrolysis of polar head groups of intact GDGTs after cell death) are appropriate for paleostudies, they have also been used to trace archaeal populations. Also, despite the small size (0.2 by 0.7 μm) of cultivated marine archaea, 0.7-μm glass-fiber filters (GFFs) are typically used to collect GDGTs from natural waters. We quantified both core and intact GDGTs in free-living (0.2- to 0.7-μm), suspended (0.7- to 60-μm), and aggregate (>60-μm) particle size fractions in Puget Sound (Washington State). On average, the free-living fraction contained 36% of total GDGTs, 90% of which were intact. The intermediate-size fraction contained 62% of GDGTs, and 29% of these were intact. The aggregate fraction contained 2% of the total GDGT pool, and 29% of these were intact. Our results demonstrate that intact GDGTs are largely in the free-living fraction. Because only intact GDGTs are present in living cells, protocols that target this size fraction and analyze the intact GDGT pool are necessary to track living populations in marine waters. Core GDGT enrichment in larger-size fractions indicates that archaeal biomass may quickly become attached or entrained in particles once the archaea are dead or dying. While the concentrations of the two pools were generally not correlated, the similar sizes of the core and intact GDGT pools suggest that core GDGTs are removed from the water column on timescales similar to those of cell replication, on timescales of days to weeks. PMID:22226949

  2. 21 CFR 874.3930 - Tympanostomy tube with semipermeable membrane.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3930... membrane is a device intended to be implanted for ventilation or drainage of the middle ear and for preventing fluids from entering the middle ear cavity. The device is inserted through the tympanic...

  3. 21 CFR 874.3930 - Tympanostomy tube with semipermeable membrane.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3930... membrane is a device intended to be implanted for ventilation or drainage of the middle ear and for preventing fluids from entering the middle ear cavity. The device is inserted through the tympanic...

  4. 21 CFR 874.3930 - Tympanostomy tube with semipermeable membrane.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3930... membrane is a device intended to be implanted for ventilation or drainage of the middle ear and for preventing fluids from entering the middle ear cavity. The device is inserted through the tympanic...

  5. 21 CFR 874.3930 - Tympanostomy tube with semipermeable membrane.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3930... membrane is a device intended to be implanted for ventilation or drainage of the middle ear and for preventing fluids from entering the middle ear cavity. The device is inserted through the tympanic...

  6. 21 CFR 874.3930 - Tympanostomy tube with semipermeable membrane.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3930... membrane is a device intended to be implanted for ventilation or drainage of the middle ear and for preventing fluids from entering the middle ear cavity. The device is inserted through the tympanic...

  7. Sustained Attention to Local and Global Target Features Is Different: Performance and Tympanic Membrane Temperature

    ERIC Educational Resources Information Center

    Helton, William S.; Hayrynen, Lauren; Schaeffer, David

    2009-01-01

    Vision researchers have investigated the differences between global and local feature perception. No one has, however, examined the role of global and local feature discrimination in sustained attention tasks. In this experiment participants performed a sustained attention task requiring either global or local letter target discriminations or…

  8. Lipoid pneumonia secondary to Vaseline use in a patient with tympanic membrane perforation.

    PubMed

    Ocak, I; Raffensperger, J; Turkbey, B; Fuhrman, C

    2009-01-01

    Exogenous lipoid pneumonia is a rare condition caused by aspiration of mineral, vegetable or animal oils. The aspiration of mineral oil is the most common cause of lipoid pneumonia in children. We present a 27-year-old man with a lipoid pneumonia with a history of daily use of Vaseline applied to cotton balls for ear plugging before swimming and shower. PMID:20166495

  9. Digital holographic otoscope for measurements of the human tympanic membrane in vivo

    NASA Astrophysics Data System (ADS)

    Dobrev, I.; Harrington, E. J.; Cheng, T.; Furlong, C.; Rosowski, J. J.

    We are developing an advanced computer-controlled digital optoelectronic holographic system (DOEHS) for diagnosing middle-ear conductive disorders and investigating the causes of failure of middle-ear surgical procedures. Our current DOEHS system can provide near real-time quantitative measurements of the sound-induced nano-meter scale motion of the eardrum. The DOEHS have been deployed and is currently being tested in clinical conditions, where it is being optimized for in-vivo measurements of patients. The stability of the measurement system during examination is crucial as the non-ideal clinical environment presents disturbances larger than the measured quantities from several domains - thermal, optical, electrical and mechanical. Examples include disturbances are due to heartbeat breathing, patients head's motion as well as environment induced mechanical disturbances (0.1-60Hz, 0.01-100 μm). In this paper we focus on our current progress in the analysis and implementation of various acquisition strategies and algorithms for minimization of the measurement error due to mechanical disturbances in a clinic. We have also developed and implemented a versatile and modular otoscope head (OH) design providing a variety of capabilities for acoustic and displacement measurements of both post-mortem samples of varying sizes (1-12mm) as well as in-vivo examination of patients. The OH offers hybrid on-axis and off axis digital Furrier holographic setup for high resolution (λ/35) 4 phase step measurements as well as fast (<0.1ms) single frame measurements for improved performance in the clinical environment. We also focus on the development of a mechatronic positioning system (MOP) for aiding in the localization of the TM in patients.

  10. The Semicircular Canal Microphonic

    NASA Technical Reports Server (NTRS)

    Rabbitt, R. D.; Boyle, R.; Highstein, S. M.; Dalton, Bonnie P. (Technical Monitor)

    2002-01-01

    Present experiments were designed to quantify the alternating current (AC) component of the semicircular canal microphonic for angular motion stimulation as a function of stimulus frequency and amplitude. The oyster toadfish, Opsanus tau, was used as the experimental model. Calibrated mechanical indentation of the horizontal canal duct was used as a stimulus to generate hair-cell and afferent responses reproducing those present during head rotation. Sensitivity to polarization of the endolymph DC voltage re: perilymph was also investigated. Modulation of endolymph voltage was recorded using conventional glass electrodes and lock-in amplification over the frequency range 0.2-80 Hz. Access to the endolymph for inserting voltage recording and current passing electrodes was obtained by sectioning the anterior canal at its apex and isolating the cut ends in air. For sinusoidal stimulation below approx.10 Hz, the horizontal semicircular canal AC microphonic was nearly independent of stimulus frequency and equal to approximately 4 microV per micron indent (equivalent to approx. 1 microV per deg/s). A saturating nonlinearity decreasing the microphonic gain was present for stimuli exceeding approx.3 micron indent (approx. 12 deg/s angular velocity). The phase was not sensitive to the saturating nonlinearity. The microphonic exhibited a resonance near 30Hz consistent with basolateral current hair cell resonance observed previously in voltage-clamp records from semicircular canal hair cells. The magnitude and phase of the microphonic exhibited sensitivity to endolymphatic polarization consistent with electro-chemical reversal of hair cell transduction currents.

  11. 54. View of junction of unlined canal and lined canal, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    54. View of junction of unlined canal and lined canal, looking southwest. Photo by Brian C. Morris, Puget Power, 1989. - Puget Sound Power & Light Company, White River Hydroelectric Project, 600 North River Avenue, Dieringer, Pierce County, WA

  12. 55. View of junction of unlined canal and lined canal, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    55. View of junction of unlined canal and lined canal, looking southwest. Photo by Brian C. Morris, Puget Power, 1989. - Puget Sound Power & Light Company, White River Hydroelectric Project, 600 North River Avenue, Dieringer, Pierce County, WA

  13. Ear canal cholesteatoma.

    PubMed

    Holt, J J

    1992-06-01

    Although cholesteatomas are more commonly found in the middle ear and the mastoid, the disease can occur in the external ear canal. All cases of ear canal cholesteatoma treated by the author were reviewed. There were nine ears in seven patients, who had an average age of 62 years. The lesions ranged in size from a few millimeters to extensive mastoid destruction. Smaller lesions can be managed by frequent cleaning as an office procedure. Larger lesions require surgery, either canaloplasty or mastoidectomy. The otolaryngologist should suspect this disease in the elderly. Microscopic examination of the ear with meticulous cleaning of all wax, especially in elderly patients, is most useful in detecting early disease. Frequent applications of mineral oil to the canal should be used in the management of the disease and to prevent recurrence. PMID:1376388

  14. 23. VIEW OF GRAND CANAL, SHOWING NEW ALIGNMENT CANAL ON ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. VIEW OF GRAND CANAL, SHOWING NEW ALIGNMENT CANAL ON RIGHT. THIS PHOTO WAS TAKEN FROM APPROXIMATELY THE SAME SPOT AS THE PREVIOUS PHOTOGRAPH (AZ-17-22). Photographer: Kevin Kreisel-Coons, May 1990 - Grand Canal, North side of Salt River, Tempe, Maricopa County, AZ

  15. 56. View of lined canal looking east toward unlined canal, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    56. View of lined canal looking east toward unlined canal, from road bridge crossing lined canal. Photo by Brian C. Morris, Puget Power, 1989. - Puget Sound Power & Light Company, White River Hydroelectric Project, 600 North River Avenue, Dieringer, Pierce County, WA

  16. Love canal questions

    NASA Astrophysics Data System (ADS)

    Bell, Peter M.

    The Environmental Protection Agency (EPA) conducted a 3-month monitoring study of the Love Canal area near Niagara Falls, N.Y., after the federal government pronounced that a potential health risk existed due to chemical waste dumps. In 1982 the Department of Health and Human Services (HHS) decided that the area was habitable, subject to implementation of effective safeguards against leakage from the canal and to cleaning up of the contaminants. Now, the Congressional Office of Technology Assessment (OTA) has announced that, with the information available, it is not possible to demonstrate with certainty that unsafe levels do not exist within the so-called “emergency declaration area” (EDA).

  17. The evolutionary genetics of canalization.

    PubMed

    Flatt, Thomas

    2005-09-01

    Evolutionary genetics has recently made enormous progress in understanding how genetic variation maps into phenotypic variation. However why some traits are phenotypically invariant despite apparent genetic and environmental changes has remained a major puzzle. In the 1940s, Conrad Hal Waddington coined the concept and term "canalization" to describe the robustness of phenotypes to perturbation; a similar concept was proposed by Waddington's contemporary Ivan Ivanovich Schmalhausen. This paper reviews what has been learned about canalization since Waddington. Canalization implies that a genotype's phenotype remains relatively invariant when individuals of a particular genotype are exposed to different environments (environmental canalization) or when individuals of the same single- or multilocus genotype differ in their genetic background (genetic canalization). Consequently, genetic canalization can be viewed as a particular kind of epistasis, and environmental canalization and phenotypic plasticity are two aspects of the same phenomenon. Canalization results in the accumulation of phenotypically cryptic genetic variation, which can be released after a "decanalizing" event. Thus, canalized genotypes maintain a cryptic potential for expressing particular phenotypes, which are only uncovered under particular decanalizing environmental or genetic conditions. Selection may then act on this newly released genetic variation. The accumulation of cryptic genetic variation by canalization may therefore increase evolvability at the population level by leading to phenotypic diversification under decanalizing conditions. On the other hand, under canalizing conditions, a major part of the segregating genetic variation may remain phenotypically cryptic; canalization may therefore, at least temporarily, constrain phenotypic evolution. Mechanistically, canalization can be understood in terms of transmission patterns, such as epistasis, pleiotropy, and genotype by environment

  18. [Contribution to the morphological knowledge of the articulations of the human tympanic ossicular chain].

    PubMed

    Castellote, A; Torres, A; Whyte, J; Sarrat, R

    1997-05-01

    The structure of human tympanic bones and their articulations was studied. Martin's trichrome stain of serial sections revealed the transmission paths of force lines based on bone lamellae density and acid fuchsin staining, which disclosed functional "critical points" (mechanical solicitation). This study contributed basic knowledge and a morphological and functional classification of the incudomalieotar and incudostapedial joints. The incudomalieolar joint was confirmed as a "riding saddle" but the incudostapedial joint as a "spheroid joint" was questioned. Information on capsule structure the meniscus and articular cartilage of the incudomalleolar joint is given. PMID:9376136

  19. Tympanic temperature in confined beef cattle exposed to excessive heat load

    NASA Astrophysics Data System (ADS)

    Mader, T. L.; Gaughan, J. B.; Johnson, L. J.; Hahn, G. L.

    2010-11-01

    Angus crossbred yearling steers ( n = 168) were used to evaluate effects on performance and tympanic temperature (TT) of feeding additional potassium and sodium to steers exposed to excessive heat load (maximum daily ambient temperature exceeded 32°C for three consecutive days) during seasonal summer conditions. Steers were assigned one of four treatments: (1) control; (2) potassium supplemented (diet containing 2.10% KHCO3); (3) sodium supplemented (diet containing 1.10% NaCl); or (4) potassium and sodium supplemented (diet containing 2.10% KHCO3 and 1.10% NaCl). Overall, additional KHCO3 at the 2% level or NaCl at the 1% level did not improve performance or heat stress tolerance with these diet formulations. However, the addition of KHCO3 did enhance water intake. Independent of treatment effects, TT of cattle displaying high, moderate, or low levels of stress suggest that cattle that do not adequately cool down at night are prone to achieving greater body temperatures during a subsequent hot day. Cattle that are prone to get hot but can cool at night can keep average tympanic temperatures at or near those of cattle that tend to consistently maintain lower peak and mean body temperatures. In addition, during cooler and moderately hot periods, cattle change TT in a stair-step or incremental pattern, while under hot conditions, average TT of group-fed cattle moves in conjunction with ambient conditions, indicating that thermoregulatory mechanisms are at or near maximum physiological capacity.

  20. Leiomyoma of External Auditory Canal.

    PubMed

    George, M V; Puthiyapurayil, Jamsheeda

    2016-09-01

    This article reports a case of piloleiomyoma of external auditory canal, which is the 7th case of leiomyoma of the external auditory canal being reported and the 2nd case of leiomyoma arising from arrectores pilorum muscles, all the other five cases were angioleiomyomas, arising from blood vessels. A 52 years old male presented with a mass in the right external auditory canal and decreased hearing of 6 months duration. Tumor excision done by end aural approach. Histopathological examination report was leiomyoma. It is extremely rare for leiomyoma to occur in the external auditory canal because of the non-availability of smooth muscles in the external canal. So it should be considered as a very rare differential diagnosis for any tumor or polyp in the ear canal. PMID:27508144

  1. Distributed control at Love canal

    SciTech Connect

    McPherson, G.; Rider, G.J.; Sadowski, B.; Moore, M.

    1994-09-01

    Love Canal is known worldwide as the site of one of the worst non-nuclear environmental disasters in modern history. For 12 years, a Niagara Falls, New York chemical company used the canal bed as a chemical dump. This article discusses the computerized control of equipment used to remove the toxic materials from the ground under Love Canal, and how the minimization of maintenance is reducing maintenance costs and increasing operator safety.

  2. Nasopalatine canal cyst: often missed

    PubMed Central

    Srivastava, Saurabh; Misra, Neeta; Agarwal, Rashmi; Pandey, Praveen

    2013-01-01

    Nasopalatine canal cyst may occur within the nasopalatine canal or in the soft tissues of the palate, at the opening of the canal, where it is called the ‘cyst of the palatine papilla’. These are normally asymptomatic, constituting casual radiological findings. We present a case report of a male patient with infected nasopalatine canal cyst seen clinically as swelling over palate. Radiographic interpretation should be thoroughly performed for maxillary anterior region and any occlusal radiograph in routine radiography to screen this entity and must be distinguished from other maxillary anterior radiolucencies by the clinician. PMID:23536642

  3. Effects of metabolizable energy intake on tympanic temperature and average daily gain of steers finished in southern Chile during wintertime

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A total of 24 Angus x Hereford steers (BW = 479.8 ± 4.48) were used to assess the effect of Metabolizable Energy Intake (MEI) on Average Daily Gain (ADG) and Tympanic Temperature (TT) during the wintertime in southern Chile. The study was conducted at the experimental field of the Catholic Universit...

  4. Metabolizable energy intake effects on tympanic temperature and ADG of steers finished in southern Chile during summer

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A total of 24 red Angus steers (BW = 431.16 ± 10.44) were used to assess the effect of metabolizable energy intake (MEI) on ADG and tympanic temperature (TT) during the summer time in southern Chile. Steers were sorted by BW (lighter or heavier) and allocated in 4 pens (6 head/pen) equipped with a C...

  5. ASTER Suez Canal

    NASA Technical Reports Server (NTRS)

    2000-01-01

    One of the most important waterways in the world, the Suez Canal runs north to south across the Isthmus of Suez in northeastern Egypt. This image of the canal covers an area 36 kilometers (22 miles) wide and 60 kilometers (47 miles) long in three bands of the reflected visible and infrared wavelength region. It shows the northern part of the canal, with the Mediterranean Sea just visible in the upper right corner. The Suez Canal connects the Mediterranean Sea with the Gulf of Suez, an arm of the Red Sea. The artificial canal provides an important shortcut for ships operating between both European and American ports and ports located in southern Asia, eastern Africa, and Oceania. With a length of about 195 kilometers (121 miles) and a minimum channel width of 60 meters (197 feet), the Suez Canal is able to accommodate ships as large as 150,000 tons fully loaded. Because no locks interrupt traffic on this sea level waterway, the transit time only averages about 15 hours. ASTER acquired this scene on May 19, 2000.

    Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of International Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products. Dr. Anne Kahle at NASA's Jet Propulsion Laboratory, Pasadena, California, is the U.S. science team leader; Moshe Pniel of JPL is the project manager. ASTER is the only high-resolution imaging sensor on Terra. The primary goal of the ASTER mission is to obtain high-resolution image data in 14 channels over the entire land surface, as well as black and white stereo images. With revisit time of between 4 and 16 days, ASTER will provide the capability for repeat coverage of changing areas on Earth's surface. Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) is one of five

  6. 15. ROUTE OF CANAL NORTHWEST OF THE DILLON CEMETERY. CANAL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    15. ROUTE OF CANAL NORTHWEST OF THE DILLON CEMETERY. CANAL PASSES BELOW HILLSIDE IN FOREGROUND, THROUGH THE LOWER EDGE OF THE TREES ON LEFT, ON FAR SIDE OF SMALL VALLEY JUST RIGHT OF CENTER, AND AROUND THE PROMINENT POINT ON THE RIGHT. VIEW IS TO THE EAST-SOUTHEAST. - Snake River Ditch, Headgate on north bank of Snake River, Dillon, Summit County, CO

  7. REACTOR CANAL AFTER IT HAS BEEN TILED. WATER FILLS CANAL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    REACTOR CANAL AFTER IT HAS BEEN TILED. WATER FILLS CANAL PART WAY TO TOP. CAMERA FACES WEST. INL NEGATIVE NO. 3993-A. Unknown Photographer, 12/28/1951 - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

  8. Controversy at Love Canal.

    PubMed

    Paigen, B

    1982-06-01

    A cancer researcher reviews the events surrounding the toxic waste contamination at Love Canal with emphasis on the political nature of the controversy about its health impact. Antagonism between the community and the New York State Department of Health was fueled by several factors: the state's awareness that it gained from delay in investigation, disagreement on health problems to be studied, control over the information gathering process, silencing of opposition opinion, and the violation of norms of scientific behavior. The author calls for the establishment of standards of ethical behavior for scientists in such situations, standards for conflict resolution, and means of appeal for those injured. PMID:7107238

  9. Building a better semicircular canal: could we balance any better?

    NASA Astrophysics Data System (ADS)

    Squires, Todd

    2004-03-01

    Every vertebrate organism uses fluid-filled semicircular canals (SCCs) to sense rotation -- and thus to balance, navigate and hunt. Whereas the size of most organs typically scales with the size of the organism itself, the SCC are all about the same size -- whether in lizards, mice, humans, or whales. What is so special about these dimensions? We consider fluid flow in the canals and elastic deformations of a sensory membrane, and isolate physical and physiological constraints required for successful SCC function. We demonstrate that the `parameter space' open to evolution is almost completely constrained; furthermore, the most sensitive possible SCC has dimensions that are remarkably close to those common to all vertebrates.

  10. Ear tube insertion - slideshow

    MedlinePlus

    ... this page: //medlineplus.gov/ency/presentations/100045.htm Ear tube insertion - series—Normal anatomy To use the ... 4 Overview The eardrum (tympanic membrane) separates the ear canal from the middle ear. Update Date 8/ ...

  11. Root Canal Therapy of a Mandibular First Molar with Five Root Canals: A Case Report

    PubMed Central

    Reyhani, Mohammad Frough; Rahimi, Saeed; Shahi, Shahriar

    2007-01-01

    A mandibular first molar requiring root canal therapy was found with five canals, three mesial canals, and two distal canals. Initially, four canals (mesiobuccal, mesiolingual, distobuccal, and distolingual) were identified. The mesiobuccal and mesiolingual canals were found in their normal locations, and a fifth canal was noted between these two. This case demonstrates a rare anatomical configuration and supplements previous reports of the existence of such configurations in mandibular first molars. PMID:24298291

  12. 173. CANAL TENDER OPERATING LOCK MACHINERY ON THE MORRIS CANAL. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    173. CANAL TENDER OPERATING LOCK MACHINERY ON THE MORRIS CANAL. AS THE LOCK TENDER TURNS THE CRANK, A SMALL COGGED WHEEL (PINION) ON THE CRANK TURNS A LARGER COGGED WHEEL, (MAIN GEAR). MAIN GEAR ENGAGES A COGGED BAR CALLED A TRAVELLER WHICH MOVES FORWARD OR BACK DEPENDING ON WHICH WAY THE CRANK IS TURNED. CONNECTED TO THE TRAVELLER ARE TO LONG RODS (GATE ARMS) WHICH IN TURN ARE CONNECTED TO THE GATE'S TOP BEAM (ONE FOR EACH GATE). AS THE TRAVELLER MOVES FORWARD THE GATE ARMS EXTEND PUSHING THE GATES OPEN. - Morris Canal, Phillipsburg, Warren County, NJ

  13. Black Anal Canal: Acute Necrosis

    PubMed Central

    Martins, Catarina; Gonçalves, Cláudia; Alves, Paulo; Gil, Inês; Canhoto, Manuela; Silva, Filipe; Cotrim, Isabel; Amado, Cristina; Eliseu, Liliana; Vasconcelos, Helena

    2016-01-01

    Acute ischemia of the rectum or anal canal resulting in necrosis is extremely uncommon because both the rectum and the anal canal have excellent blood supplies. We present a case with spontaneous necrosis of the anal canal without rectal involvement. Surgical debridement was accomplished, and the recovery was uneventful. The patient was elderly, with probable atherosclerotic arterial disease, and presented with hypotension. Due to the lack of other precipitating factors, the hypoperfusion hypothesis seems to be the most suitable in this case. To the best of our knowledge, no similar cases have been reported in the literature on this subject.

  14. Method for Constructing Standardized Simulated Root Canals.

    ERIC Educational Resources Information Center

    Schulz-Bongert, Udo; Weine, Franklin S.

    1990-01-01

    The construction of visual and manipulative aids, clear resin blocks with root-canal-like spaces, for simulation of root canals is explained. Time, materials, and techniques are discussed. The method allows for comparison of canals, creation of any configuration of canals, and easy presentation during instruction. (MSE)

  15. The Love Canal: Beyond science?

    NASA Astrophysics Data System (ADS)

    Bell, Peter M.

    When in 1978, the New York State Department of Health issued the report, ‘Love Canal—Public Health Time Bomb,’ the serious effects of chemical waste contamination in the Love Canal area became an issue of national concern. A few ‘studies’ since then have produced results in concert with those of initial reports that described ‘conditions of acute health effects’ as being linked to hazardous wastes incorporated in landfill in the Love Canal site near Niagara Falls, New York. Now that a ‘blue ribbon’ panel of experts from the medical sciences has reviewed the problems of Love Canal, however, a different view has emerged. The ‘Report of the Governors' Panel to Review Scientific Studies and the Development of Public Policy on Problems Resulting from Hazardous Wastes,’ transmitted in October of this year, identifies the following factors about the health effects at Love Canal:

  16. Ultrasonic cleaning of root canals

    NASA Astrophysics Data System (ADS)

    Verhaagen, Bram; Boutsioukis, Christos; Jiang, Lei-Meng; Macedo, Ricardo; van der Sluis, Luc; Versluis, Michel

    2011-11-01

    A crucial step during a dental root canal treatment is irrigation, where an antimicrobial fluid is injected into the root canal system to eradicate all bacteria. Agitation of the fluid using an ultrasonically vibrating miniature file has shown significant improvement in cleaning efficacy over conventional syringe irrigation. However, the physical mechanisms underlying the cleaning process, being acoustic streaming, cavitation or chemical activity, and combinations thereof, are not fully understood. High-speed imaging allows us to visualize the flow pattern and cavitation in a root canal model at microscopic scales, at timescales relevant to the cleaning processes (microseconds). MicroPIV measurements of the induced acoustic streaming are coupled to the oscillation characteristics of the file as simulated numerically and measured with a laser vibrometer. The results give new insight into the role of acoustic streaming and the importance of the confinement for the cleaning of root canals.

  17. Characterization of the bacterial microflora of the tympanic cavity of eastern box turtles with and without aural abscesses.

    PubMed

    Joyner, Priscilla H; Brown, Justin D; Holladay, Steven; Sleeman, Jonathan M

    2006-10-01

    Aerobic bacterial cultures of the tympanic cavity of the middle ear were performed in eight eastern box turtles (Terrapene carolina carolina) with aural abscesses and 15 eastern box turtles without aural abscesses (controls) that were admitted to The Wildlife Center of Virginia, Virginia, USA during 2003. Twenty-two bacterial isolates were identified from 17 turtles including 10 gram-negative and 12 gram-positive bacteria. Ten of 15 control animals had bacterial growth, resulting in identification of 13 bacteria, including six gram-negative and seven gram-positive agents. Seven of eight turtles with aural abscesses had bacterial growth, and 10 isolates were identified, including four gram-negative and six gram-positive organisms. The most frequently isolated bacteria from control animals were Micrococcus luteus (n = 3) and Pantoea agglomerans (n = 2). Morganella morganii (n = 2) was the only species isolated from the tympanic cavity of more than one turtle with aural abscesses. Staphylococcus epidermidis (n = 2) was the only species isolated from both groups. A trend toward greater bacterial growth in tympanic cavities of affected turtles compared with turtles without aural abscesses was noted. No single bacterial agent was responsible for aural abscesses in free-ranging eastern box turtles in this study, an observation consistent with the hypothesis that aerobic bacteria are not primary pathogens, but secondary opportunistic invaders of environmental origin. PMID:17255456

  18. Looking back at Love Canal

    SciTech Connect

    Deegan, J. Jr.

    1987-05-01

    In the first part of this series (ES and T, April 1987, pp. 328-31) it was pointed out that the methods and conclusions of EPA's Love Canal Study were the subject of some controversy in the environmental community. Others defended the agency's approaches and methods. Part 2 makes no attempt to resolve the controversy; its purpose is to present the results and conclusions of the Love Canal.

  19. Experimental model of tympanic colic (acute abdomen) in chinchillas (Chinchilla lanigera)

    PubMed Central

    Martinez-Pereira, Malcon Andrei; Franceschi, Raphaela da Cunha; Coelho, Bárbara Paranhos; Fünkler, Gustavo da Rosa

    2014-01-01

    Digestive disorders caused by sudden changes in diet or inappropriate diet are among the most common disorders of the digestive system. Cecal or intestinal tympany, one consequence of inappropriate diet, is characterized by the accumulation of gases, marked distension of the cecum and colon and the induction of inflammatory processes. To know the effects of intestinal tympany on the enteric plexuses, we developed a method of experimental tympanic colic (TC) in the Chinchilla lanigera. This species was used in view of its susceptibility to TC. TC was induced with a diet rich in alfalfa associated with grain overload for two weeks. Physical and clinical examination including the von Frey test confirmed the diagnosis. The chinchillas with acute abdomen were treated with 1% ketoprofen and resumption of a balanced diet. Necropsy and histopathological analysis showed tympany-induced alterations mainly in the cecum and colon. After treatment, the control conditions were restored. The TC protocol is proposed as an experimental approach designed to aid the study of the effects of acute intestinal inflammation and obstruction caused by an inappropriate diet. PMID:25324875

  20. Limitations of navigation through Nubaria canal, Egypt

    PubMed Central

    Samuel, Magdy G.

    2013-01-01

    Alexandria port is the main Egyptian port at the Mediterranean Sea. It is connected to the Nile River through Nubaria canal, which is a main irrigation canal. The canal was designed to irrigate eight hundred thousand acres of agricultural lands, along its course which extends 100 km. The canal has three barrages and four locks to control the flow and allow light navigation by some small barges. Recently, it was decided to improve the locks located on the canal. More than 40 million US$ was invested in these projects. This decision was taken to allow larger barges and increase the transported capacity through the canal. On the other hand, navigation through canals and restricted shallow waterways is affected by several parameters related to both the channel and the vessel. Navigation lane width as well as vessel speed and maneuverability are affected by both the channel and vessel dimensions. Moreover, vessel dimensions and speed will affect the canal stability. In Egypt, there are no guide rules for navigation through narrow and shallow canals such Nubaria. This situation threatens the canal stability and safety of navigation through it. This paper discussed the characteristics of Nubaria canal and the guide rules for navigation in shallow restricted water ways. Dimensions limitation for barges navigating through Nubaria canal is presented. New safe operation rules for navigation in Nubaria canal are also presented. Moreover, the implication of navigation through locks on canal discharge is estimated. PMID:25685482

  1. Corinth Canal, Greece

    NASA Technical Reports Server (NTRS)

    2006-01-01

    The Isthmus of Corinth has played a very important role in the history of Greece. It is the only land bridge between the country's north (Attica) and south (Peloponnese). It is a 6 km wide tongue of land separating the Gulf of Corinth from the Saronic Sea. Populations, armies and commodities have got to move through it. In the 6th century BCE, the Greeks built the Diolkos, a 10 meter-wide stone roadway to pull ships across the Isthmus on wooden cylinders and wheeled vehicles. In 1882, a canal was started and completed 11 years later. It is 6343 meters long, 25 meters wide, and 8 meters deep.

    With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER images Earth to map and monitor the changing surface of our planet.

    ASTER is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products.

    The broad spectral coverage and high spectral resolution of ASTER provides scientists in numerous disciplines with critical information for surface mapping, and monitoring of dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats; monitoring potentially active volcanoes; identifying crop stress; determining cloud morphology and physical properties; wetlands evaluation; thermal pollution monitoring; coral reef degradation; surface temperature mapping of soils and geology; and measuring surface heat balance.

    The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission Directorate.

    Size: 25.3 by 37.7 kilometers (15.7 by 23.4 miles) Location: 37.9 degrees North latitude, 23 degrees East longitude

  2. Fluidmechanics of semicircular canals revisited

    NASA Astrophysics Data System (ADS)

    Obrist, Dominik

    2008-05-01

    In this work we find the exact solution for the flow field in a semicircular canal which is the main sensor for angular motion in the human body. When the head is rotated the inertia of the fluid in the semicircular canal leads to a deflection of sensory hair cells which are part of a gelatinous structure called cupula. A modal expansion of the governing equation shows that the semicircular organ can be understood as a dynamic system governed by duct modes and a single cupular mode. We use this result to derive an explicit expression for the displacement of the cupula as a function of the angular motion of the head. This result shows in a mathematically and physically clean way that the semicircular canal is a transducer for angular velocity.

  3. Discontinuities in the endothelium of epiphyseal cartilage canals and relevance to joint disease in foals.

    PubMed

    Hellings, Ingunn Risnes; Ekman, Stina; Hultenby, Kjell; Dolvik, Nils Ivar; Olstad, Kristin

    2016-01-01

    Cartilage canals have been shown to contain discontinuous blood vessels that enable circulating bacteria to bind to cartilage matrix, leading to vascular occlusion and associated pathological changes in pigs and chickens. It is also inconsistently reported that cartilage canals are surrounded by a cellular or acellular wall that may influence whether bacterial binding can occur. It is not known whether equine cartilage canals contain discontinuous endothelium or are surrounded by a wall. This study aimed to examine whether there were discontinuities in the endothelium of cartilage canal vessels, and whether canals had a cellular or acellular wall, in the epiphyseal growth cartilage of foals. Epiphyseal growth cartilage from the proximal third of the medial trochlear ridge of the distal femur from six healthy foals that were 1, 24, 35, 47, 118 and 122 days old and of different breeds and sexes was examined by light microscopy (LM), transmission electron microscopy (TEM) and immunohistochemistry. The majority of patent cartilage canals contained blood vessels that were lined by a thin layer of continuous endothelium. Fenestrations were found in two locations in one venule in a patent cartilage canal located deep in the growth cartilage and close to the ossification front in the 118-day-old foal. Chondrifying cartilage canals in all TEM-examined foals contained degenerated endothelial cells that were detached from the basement membrane, resulting in gap formation. Thirty-three percent of all canals were surrounded by a hypercellular rim that was interpreted as contribution of chondrocytes to growth cartilage. On LM, 69% of all cartilage canals were surrounded by a ring of matrix that stained intensely eosinophilic and consisted of collagen fibres on TEM that were confirmed to be collagen type I by immunohistochemistry. In summary, two types of discontinuity were observed in the endothelium of equine epiphyseal cartilage canal vessels: fenestrations were observed in

  4. Morphology of the tympanic-basicranial region in Mirounga leonina (Phocidae, Carnivora), postnatal ontogeny and sexual dimorphism.

    PubMed

    Loza, C M; Scarano, A C; Soibelzon, L H; Negrete, J; Carlini, A A

    2015-04-01

    The auditory region of pinnipeds has seldom been described. Here we describe and analyze the ontogenetic trajectory of the tympanic bulla of the southern elephant seal, Mirounga leonina (Phocidae, Mammalia). This species is extremely sexually dimorphic and highly polygynous (organized in harems). We examined 118 specimens, arranged in three age classes (CI, CII, and CIII), ranging from newborn to adults (males and females). To analyze the overall size and shape of the tympanic bulla we performed a geometric morphometric analysis including 87 skulls. Females reach definitive shape and size of the bulla at earlier ontogenetic stages than males, in agreement with their earlier involvement in reproductive activities. The internal anatomy of the tympanic region (e.g. form and extension of the paries) does not show remarkable differences between sexes or age classes. The greatest differences between age classes are related to bone thickness, resulting from the apposition of new annual layers. An examination of possible sex-related external differences among age classes shows significant shape differences between males and females in CIII. The morphology observed in neonates is conserved across all individuals from CI, which included specimens up to 1 year old. Clear morphological differences were observed between CI individuals, on one hand, and CII individuals plus CIII females on the other. During cranial development of both male and females, the glenoid cavity expands and compresses the bulla; this condition reaches its maximum expression in CIII males. CIII males showed the greatest morphological differences, with respect to both CI and CII individuals, and CIII females. PMID:25827162

  5. An electrokinetic model of transduction in the semicircular canal.

    PubMed

    O'Leary, D P

    1970-09-01

    Transduction in the semicircular canal was studied by focusing an infrared beam on either side of exposed ampullae from the posterior canals of Rana pipiens. The direction of fluid movement resulting from a stimulus was inferred by observing the polarity of the change in afferent impulse mean rate relative to the spontaneous value. On the basis of the accepted functional polarization of this receptor, the results indicate that fluid moved toward the warmer side of the ampulla. Convection and thermal reception were shown to be unlikely explanations for these results. Morover, cupular displacements toward the warmer side would not be expected. Because thermo-osmosis can cause fluid to move toward the warmer side in a gelatin membrane, the results can be interpreted as evidence that thermo-osmosis occurred in the gelatinous cupula and influenced the transduction mechanism. Thermo-osmosis of liquids appears to be due to an electric field that is set up in a charged membrane; hence, the hair cells might have detected an electric field that occurred in the cupula during thermo-osmosis. Electroreception might be an important link in the transduction of physiological stimuli also. Rotational stimuli could result in weak electric fields in the cupula by the mechanoelectric effect. Cupular displacements could be important for large stimuli, but extrapolations to threshold stimuli suggest displacements of angstrom amplitudes. Therefore, electroreception by the hair cells could be an explanation of the great sensitivity that has been observed in the semicircular canal and other labyrinthine receptors. PMID:5496906

  6. An Electrokinetic Model of Transduction in the Semicircular Canal

    PubMed Central

    O'Leary, Dennis P.

    1970-01-01

    Transduction in the semicircular canal was studied by focusing an infrared beam on either side of exposed ampullae from the posterior canals of Rana pipiens. The direction of fluid movement resulting from a stimulus was inferred by observing the polarity of the change in afferent impulse mean rate relative to the spontaneous value. On the basis of the accepted functional polarization of this receptor, the results indicate that fluid moved toward the warmer side of the ampulla. Convection and thermal reception were shown to be unlikely explanations for these results. Morover, cupular displacements toward the warmer side would not be expected. Because thermo-osmosis can cause fluid to move toward the warmer side in a gelatin membrane, the results can be interpreted as evidence that thermo-osmosis occurred in the gelatinous cupula and influenced the transduction mechanism. Thermo-osmosis of liquids appears to be due to an electric field that is set up in a charged membrane; hence, the hair cells might have detected an electric field that occurred in the cupula during thermo-osmosis. Electroreception might be an important link in the transduction of physiological stimuli also. Rotational stimuli could result in weak electric fields in the cupula by the mechanoelectric effect. Cupular displacements could be important for large stimuli, but extrapolations to threshold stimuli suggest displacements of angstrom amplitudes. Therefore, electroreception by the hair cells could be an explanation of the great sensitivity that has been observed in the semicircular canal and other labyrinthine receptors. PMID:5496906

  7. Erie Canal Technology: Stump Pullers

    ERIC Educational Resources Information Center

    Greenslade, Thomas B., Jr.

    2013-01-01

    Many years ago I saw a picture of a huge set of wheels that was used to remove tree stumps during the construction of the Erie Canal (1817-1825) and was intrigued by its use of leverage, mechanical advantage, and torque. Figure 1 is a scale model of the device based on my memory of the (lost) picture and published accounts.

  8. Erie Canal Technology: Stump Pullers

    NASA Astrophysics Data System (ADS)

    Greenslade, Thomas B.

    2013-10-01

    Many years ago I saw a picture of a huge set of wheels that was used to remove tree stumps during the construction of the Erie Canal (1817-1825) and was intrigued by its use of leverage, mechanical advantage, and torque. Figure 1 is a scale model of the device based on my memory of the (lost) picture and published accounts.

  9. Biocompatibility evaluation of cigarette and carbon papers used in repair of traumatic tympanic membrane perforations: experimental study.

    PubMed

    Altuntaş, Emine Elif; Sümer, Zeynep

    2013-01-01

    The purposes of this study were to investigate the biocompatibility of two different paper patches (carbon and cigarette papers) and compare the adhesion and proliferation features of L929 fibroblast cells by using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT Test) test and scanning electron microscopy (SEM). In this study, time-dependent cytotoxic effects of cigarette and carbon papers used in repairing small traumatic TM perforations were investigated in vitro by using MTT test. And also adhesion and spreading of cells over disk surface were observed by SEM. Cytotoxicity test carried out by MTT analysis on leakage products collected from two types of paper patches at the end of 24 and 48 h revealed no cytotoxicity (P > 0.05). In SEM studies, it was observed that cells started to proliferate over disk surface as a result of 48-h incubation, and SEM revealed that the cell proliferation over cigarette paper was more compared to the one over carbon paper. We believe that this is the first study where biocompatibility and adhesion features of carbon and cigarette paper have been studied by using L929 fibroblast cell culture. As a result, biocompatibility of cigarette paper and also whether cigarette paper was superior to carbon paper in cell attachment and biocompatibility were studied. It was found, by MTT test and SEM test, that cigarette paper had a higher biocompatibility and cell attachment, and thus cigarette paper should be the patch to be preferred in cases where TM perforations are repaired by paper-patch method. PMID:22271281

  10. Building a better semicircular canal: could we balance any better?

    NASA Astrophysics Data System (ADS)

    Squires, Todd

    2003-11-01

    Every vertebrate organism uses fluid-filled semi-circular canals (SCC) to sense angular rotation -- and thus to balance, navigate, and hunt. Whereas the size of most organs typically scales with the size of the organism itself, the SCC are all about the same size--whether in lizards, mice, humans or whales. What is so special about these dimensions? We consider fluid flow in the canals and elastic deformations of a sensory membrane, and isolate physical and physiological constraints required for successful SCC function. We demonstrate that the `parameter space' open to evolution is almost completely constrained; furthermore, the most sensitive possible SCC has dimensions that are remarkably close to those common to all vertebrates.

  11. Tympanic, Infrared Skin, and Temporal Artery Scan Thermometers Compared with Rectal Measurement in Children: A Real-Life Assessment

    PubMed Central

    Allegaert, Karel; Casteels, Kristina; van Gorp, Ilse; Bogaert, Guy

    2014-01-01

    Introduction Body temperature measurement in children is of clinical relevance. Although rectal measurement is the gold standard, less invasive tools have become available. We aimed to describe the accuracy of tympanic, infrared skin, or temporal artery scan thermometers compared with rectal measurement to reflect core temperature. Methods Rectal (Filac 3000; Covidien, Mechelen, Belgium), tympanic (AccuSystem Genius2 Typmanic Infrared Ear Thermometer, Covidien, Mechelen, Belgium), temporal artery scan (Exergen, Exergen Corp, Watertown, Massachusetts), and infrared (ThermoFlash Contactless Medical Electronic Thermometer, Visiomedlab, Paris, France) body temperature measurements were randomly performed and readings were collected once. Temperature readings were described as median and range, and observations were compared with rectal temperature readings (using Wilcoxon, Bland-Altman, sensitivity, and specificity tests). The child’s comfort was assessed by the child, parent, and nurse (using Likert scales) and ease of use was assessed by nurses (using visual analog scale). Results Based on observations in 294 (median age = 3.2 years, range = 0.02–17 years) children, the mean difference was 0.49°C (tympanic scan; P < 0.0001), 0.34°C (infrared skin scan; P < 0.0001), and 0°C (temporal artery scan; P = 0.9288), respectively, when compared with rectal temperature readings. Based on visual inspection of Bland-Altman plots, all tools overestimated the temperature at lower body temperature and underestimated the temperature at higher body temperature, resulting in a sensitivity of 22% to 41% and a specificity of 98% to 100% for rectal temperatures above 38°C. The Likert scale scores and the visual analog scale scores for rectal measurement were only slightly higher when compared with the other methods. Conclusions All noninvasive techniques underperformed compared with rectal measurement. The temporal artery scan deviations were smallest, but all noninvasive

  12. 160. Photocopy of drawing (taken from Twin Falls Canal Company ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    160. Photocopy of drawing (taken from Twin Falls Canal Company Field Book #361 #86, page 1). SCALE DRAWING, CANAL HEADGATES AND CANAL SURVEY, 'A' LINE. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

  13. Management of Six Root Canals in Mandibular First Molar

    PubMed Central

    Gomes, Fabio de Almeida; Sousa, Bruno Carvalho

    2015-01-01

    Success in root canal treatment is achieved after thorough cleaning, shaping, and obturation of the root canal system. This clinical case describes conventional root canal treatment of an unusual mandibular first molar with six root canals. The prognosis for endodontic treatment in teeth with abnormal morphology is unfavorable if the clinician fails to recognize extra root canals. PMID:25685156

  14. Photodynamic therapy: An adjunct to conventional root canal disinfection strategies.

    PubMed

    Singh, Shipra; Nagpal, Rajni; Manuja, Naveen; Tyagi, Sashi Prabha

    2015-08-01

    Although chemical-based root canal disinfectants are important to reduce microbial loads and remove infected smear layer from root dentin, they have only a limited ability to eliminate biofilm bacteria, especially from root complexities. This paper explores the novel photodynamic therapy (PDT) for antimicrobial disinfection of root canals. The combination of an effective photosensitizer, the appropriate wavelength of light and ambient oxygen is the key factor in PDT. PDT uses a specific wavelength of light to activate a non-toxic dye (photosensitizer), leading to the formation of reactive oxygen species. These reactive oxygen molecules can damage bacterial proteins, membrane lipids and nucleic acids, which promote bacterial cell death. In, addition PDT may enhance cross-linking of collagen fibrils in the dentin matrix and thereby improving dentin stability. The concept of PDT is plausible and could foster new therapy concepts for endodontics. The available knowledge should enable and encourage steps forward into more clinical-oriented research and development. This article discusses PDT as related to root canal disinfection, including its components, mechanism of action, reviews the current endodontic literature and also highlights the shortcomings and advancements in PDT techniques. PMID:25404404

  15. Developmental spinal canal stenosis and somatotype.

    PubMed Central

    Nightingale, S

    1989-01-01

    The hypothesis that somatotype and cervical spine developmental canal stenosis may be associated has been investigated by anthropometry and measurement of lateral projection cervical spine radiographs. A significant association of canal size with somatotype has been found such that those with developmentally narrow canals are more likely to have relatively shorter long-bones, particularly in the upper arm, and longer trunks. Images PMID:2769282

  16. Complicated canal morphology of mandibular first premolar

    PubMed Central

    Pallavi, Vyapaka; Kumar, Janga Ravi; Mandava, Ramesh Babu; Rao, Subramanian Hari

    2015-01-01

    The aim of this article was to report an unusual anatomic variation of mandibular first premolar, with one root and three distinct canals, which leave pulp chamber and merge short of apex to exit as two separate apical foramina. The incidence of three canals existing as two apical foramina has only been documented in the literature by a few case reports. To achieve successful endodontic treatment, the clinician has to identify the different canal configurations and treat them properly. PMID:26538977

  17. Chlorhexidine as a canal irrigant: a review.

    PubMed

    Ryan, Steven

    2010-06-01

    The use of an irrigant during root canal therapy is an important factor in the cleaning and disinfecting of the root canal system. While sodium hypochlorite has been used for decades as a primary irrigant, other irrigants have been investigated as alternatives. This article reviews chlorhexidine as a canal irrigant, explores its different properties, and provides the dental practitioner with information to help make a more informed decision when choosing an irrigant. PMID:20583503

  18. Hypoglossal canal size and hominid speech

    PubMed Central

    DeGusta, David; Gilbert, W. Henry; Turner, Scott P.

    1999-01-01

    The mammalian hypoglossal canal transmits the nerve that supplies the motor innervation to the tongue. Hypoglossal canal size has previously been used to date the origin of human-like speech capabilities to at least 400,000 years ago and to assign modern human vocal abilities to Neandertals. These conclusions are based on the hypothesis that the size of the hypoglossal canal is indicative of speech capabilities. This hypothesis is falsified here by the finding of numerous nonhuman primate taxa that have hypoglossal canals in the modern human size range, both absolutely and relative to oral cavity volume. Specimens of Australopithecus afarensis, Australopithecus africanus, and Australopithecus boisei also have hypoglossal canals that, both absolutely and relative to oral cavity volume, are equal in size to those of modern humans. The basis for the hypothesis that hypoglossal canal size is indicative of speech was the assumption that hypoglossal canal size is correlated with hypoglossal nerve size, which in turn is related to tongue function. This assumption is probably incorrect, as we found no apparent correlation between the size of the hypoglossal nerve, or the number of axons it contains, and the size of the hypoglossal canal in a sample of cadavers. Our data demonstrate that the size of the hypoglossal canal does not reflect vocal capabilities or language usage. Thus the date of origin for human language and the speech capabilities of Neandertals remain open questions. PMID:9990105

  19. Love Canal: environmental and toxicological studies

    SciTech Connect

    Kim, C.S.

    1981-01-01

    The New York State Department of Health has been involved at the Love Canal since 1978. The State has carried out numerous environmental and toxicological studies. The major purposes for these studies were to define how Love Canal contaminants might be escaping into the environment at large, what paths contaminant migration might take, and what toxicological effects Love Canal chemicals might have individually and together. Although underground contaminant migration was hypothesized along swales and underground utility bedding, these mechanisms have been proven not to be operative except for some migration along the utility bedding under Frontier Avenue. In general no underground migration has occurred outside the confines of the three city blocks that contain the Love Canal referred to as the ''first ring''. Studies have been confused by apparent burial of waste materials in areas proximate but not directly connected to the Love Canal. Migration of Love Canal leachate has occurred through storm sewers. Love Canal contaminants have reached creeks to the north and the Niagara River to the south through storm sewer transport. In spite of finding 2, 3, 7, 8 tetrachlorodibenzoparadioxin (TCDD), toxicological studies in situ and through exposure to volatile components in Love Canal soils do not indicate unusual toxicity. Animal studies continue in an attempt to determine the teratogenic and fetotoxic potential of Love Canal chemicals under different routes of exposure.

  20. The primate semicircular canal system and locomotion

    PubMed Central

    Spoor, Fred; Garland, Theodore; Krovitz, Gail; Ryan, Timothy M.; Silcox, Mary T.; Walker, Alan

    2007-01-01

    The semicircular canal system of vertebrates helps coordinate body movements, including stabilization of gaze during locomotion. Quantitative phylogenetically informed analysis of the radius of curvature of the three semicircular canals in 91 extant and recently extinct primate species and 119 other mammalian taxa provide support for the hypothesis that canal size varies in relation to the jerkiness of head motion during locomotion. Primate and other mammalian species studied here that are agile and have fast, jerky locomotion have significantly larger canals relative to body mass than those that move more cautiously. PMID:17576932

  1. 5 CFR 315.601 - Appointment of former employees of the Canal Zone Merit System or Panama Canal Employment System.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Canal Zone Merit System or Panama Canal Employment System. 315.601 Section 315.601 Administrative... employees of the Canal Zone Merit System or Panama Canal Employment System. (a) Agency authority. This... Zone Merit System, which was in effect before March 31, 1982, or under the Panama Canal...

  2. 5 CFR 315.601 - Appointment of former employees of the Canal Zone Merit System or Panama Canal Employment System.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Canal Zone Merit System or Panama Canal Employment System. 315.601 Section 315.601 Administrative... employees of the Canal Zone Merit System or Panama Canal Employment System. (a) Agency authority. This... Zone Merit System, which was in effect before March 31, 1982, or under the Panama Canal...

  3. 5 CFR 315.601 - Appointment of former employees of the Canal Zone Merit System or Panama Canal Employment System.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Canal Zone Merit System or Panama Canal Employment System. 315.601 Section 315.601 Administrative... employees of the Canal Zone Merit System or Panama Canal Employment System. (a) Agency authority. This... Zone Merit System, which was in effect before March 31, 1982, or under the Panama Canal...

  4. 5 CFR 315.601 - Appointment of former employees of the Canal Zone Merit System or Panama Canal Employment System.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Canal Zone Merit System or Panama Canal Employment System. 315.601 Section 315.601 Administrative... employees of the Canal Zone Merit System or Panama Canal Employment System. (a) Agency authority. This... Zone Merit System, which was in effect before March 31, 1982, or under the Panama Canal...

  5. SECTION OF CANAL AT PROPOSED McLELLAN DRIVE INTERCHANGE, SHOWING CANAL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    SECTION OF CANAL AT PROPOSED McLELLAN DRIVE INTERCHANGE, SHOWING CANAL (RIGHT), BRIDAL TRAIL (CENTER) AND PEDESTRIAN/BICYCLE TRAIL (RIGHT). VIEW TO NORTH - High Line Canal, Mouth of South Platte River to confluence with Second Creek, Denver, Denver County, CO

  6. 21 CFR 874.4770 - Otoscope.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR... device intended to allow inspection of the external ear canal and tympanic membrane under magnification. The device provides illumination of the ear canal for observation by using an AC- or...

  7. 21 CFR 874.4770 - Otoscope.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR... device intended to allow inspection of the external ear canal and tympanic membrane under magnification. The device provides illumination of the ear canal for observation by using an AC- or...

  8. 21 CFR 874.4770 - Otoscope.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR... device intended to allow inspection of the external ear canal and tympanic membrane under magnification. The device provides illumination of the ear canal for observation by using an AC- or...

  9. 21 CFR 874.4770 - Otoscope.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR... device intended to allow inspection of the external ear canal and tympanic membrane under magnification. The device provides illumination of the ear canal for observation by using an AC- or...

  10. 21 CFR 874.4770 - Otoscope.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR... device intended to allow inspection of the external ear canal and tympanic membrane under magnification. The device provides illumination of the ear canal for observation by using an AC- or...

  11. 63. PLANS FOR PROPOSED HISTORICAL CANAL SECTION AND PUBLIC BOAT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    63. PLANS FOR PROPOSED HISTORICAL CANAL SECTION AND PUBLIC BOAT LAUNCH RAMP Plan Sheet D-29976, Venice Canals Rehabilitation, Sheet 25 of 26 (delineated by Manuel Bartolome, November 1991) - Venice Canals, Community of Venice, Los Angeles, Los Angeles County, CA

  12. 10. DETAIL, SOUTHEAST SPAN THROUGH CANAL, VIEW BLOCKED BY STEEL, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    10. DETAIL, SOUTHEAST SPAN THROUGH CANAL, VIEW BLOCKED BY STEEL, CLAD COUNTER WEIGHT, WATER SPAN RAISED OUT OF VIEW - Cape Cod Canal Lift Bridge, Spanning Cape Cod Canal, Buzzards Bay, Barnstable County, MA

  13. 3. August, 1971. VIEW ALONG CANAL SHOWING BORDER PATH AND ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. August, 1971. VIEW ALONG CANAL SHOWING BORDER PATH AND BRIDGE FOR INSPECTION - ABOUT ONE MILE FROM CANAL HEAD. - Hurricane Irrigation Canal, State Route 15 Vicinity, Hurricane, Washington County, UT

  14. OBLIQUE VIEW OF NORTHWEST SIDE OF 2195 SOUTHWEST CANAL STREET, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    OBLIQUE VIEW OF NORTHWEST SIDE OF 2195 SOUTHWEST CANAL STREET, VIEW TOWARDS SOUTHEAST - St. Lucie Canal, Lock No. 1, Attendant's Quarters, St. Lucie, Cross State Canal, Okeechobee Intracoastal Waterway, Stuart, Martin County, FL

  15. OBLIQUE VIEW OF SOUTHEAST SIDE OF 2195 SOUTHWEST CANAL STREET, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    OBLIQUE VIEW OF SOUTHEAST SIDE OF 2195 SOUTHWEST CANAL STREET, VIEW TOWARDS NORTH - St. Lucie Canal, Lock No. 1, Attendant's Quarters, St. Lucie, Cross State Canal, Okeechobee Intracoastal Waterway, Stuart, Martin County, FL

  16. 2. BLACK RIVER CANAL SUPPLY FROM END OF MAIN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. BLACK RIVER CANAL - SUPPLY FROM END OF MAIN CANAL TO BLACK RIVER. VIEW TO SOUTHWEST - Carlsbad Irrigation District, Black River Canal, 15 miles Southeast of Carlsbad near Malaga, Carlsbad, Eddy County, NM

  17. 15. VIEW OF GAGE IRRIGATION CANAL NEAR HILLTOP DRIVE AND ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    15. VIEW OF GAGE IRRIGATION CANAL NEAR HILLTOP DRIVE AND BARTON ROAD, SHOWING END OF SIPHON. CANAL FOLLOWS CONTOUR OF HILL UNDER DIRT ROAD - Gage Irrigation Canal, Running from Santa Ana River to Arlington Heights, Riverside, Riverside County, CA

  18. 11. 'Y' CONNECTOR TO PICACHO RESERVOIR ON MAIN CANAL. VIEW ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    11. 'Y' CONNECTOR TO PICACHO RESERVOIR ON MAIN CANAL. VIEW LOOKING WEST FROM MAIN CANAL - San Carlos Irrigation Project, Marin Canal, Amhurst-Hayden Dam to Picacho Reservoir, Coolidge, Pinal County, AZ

  19. Lock No. 1 St. Lucie Canal. Sector gates, internal struts ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Lock No. 1- St. Lucie Canal. Sector gates, internal struts- nose beams. - St. Lucie Canal, St. Lucie Lock No. 1, St. Lucie, Cross State Canal, Okeechobee Intracoastal Waterway, Stuart, Martin County, FL

  20. Dundee Canal Industrial Historic District, Beginning at George Street in ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Dundee Canal Industrial Historic District, Beginning at George Street in Passaic & extending north along Dundee Canal approximately 1.2 miles to Canal headgates opposite East Clifton Avenue in Clifton, Passaic, Passaic County, NJ

  1. Five Canalled and Three-Rooted Primary Second Mandibular Molar

    PubMed Central

    Selvakumar, Haridoss; Kavitha, Swaminathan; Bharathan, Rajendran; Varghese, Jacob Sam

    2014-01-01

    A thorough knowledge of root canal anatomy and its variation is necessary for successful completion of root canal procedures. Morphological variations such as additional root canals in human deciduous dentition are rare. A mandibular second primary molar with more than four canals is an interesting example of anatomic variations, especially when three of these canals are located in the distal root. This case shows a rare anatomic configuration and points out the importance of looking for additional canals. PMID:25147744

  2. Five canalled and three-rooted primary second mandibular molar.

    PubMed

    Selvakumar, Haridoss; Kavitha, Swaminathan; Bharathan, Rajendran; Varghese, Jacob Sam

    2014-01-01

    A thorough knowledge of root canal anatomy and its variation is necessary for successful completion of root canal procedures. Morphological variations such as additional root canals in human deciduous dentition are rare. A mandibular second primary molar with more than four canals is an interesting example of anatomic variations, especially when three of these canals are located in the distal root. This case shows a rare anatomic configuration and points out the importance of looking for additional canals. PMID:25147744

  3. Root Canal Treatment of a Maxillary Second Premolar with Two Palatal Root Canals: A Case Report.

    PubMed

    Golmohammadi, Maryam; Jafarzadeh, Hamid

    2016-01-01

    Accurate diagnosis of the root canal morphology and anatomy is essential for thorough shaping and cleaning of the entire root canal system and consequent successful treatment. This report describes a case of maxillary second premolar with two roots and three root canals (two mesial and distal palatal canals). The case report underlines the importance of complete knowledge about root canal morphology and possible variations, coupled with clinical and radiographic examination in order to increase the ability of clinicians to treat difficult cases. PMID:27471538

  4. Root Canal Treatment of a Maxillary Second Premolar with Two Palatal Root Canals: A Case Report

    PubMed Central

    Golmohammadi, Maryam; Jafarzadeh, Hamid

    2016-01-01

    Accurate diagnosis of the root canal morphology and anatomy is essential for thorough shaping and cleaning of the entire root canal system and consequent successful treatment. This report describes a case of maxillary second premolar with two roots and three root canals (two mesial and distal palatal canals). The case report underlines the importance of complete knowledge about root canal morphology and possible variations, coupled with clinical and radiographic examination in order to increase the ability of clinicians to treat difficult cases. PMID:27471538

  5. Metoptic canal, duplication of the optic canal and Warwick’s foramen in human orbits.

    PubMed

    Bertelli, Eugenio

    2014-01-01

    The region of the optic strut is sometimes traversed by some minor canals whose incidence and general characteristics have never been studied. As such canals could be the route for vessels that could interfere in the surgery of the orbital apex, we undertook a detailed anatomical study on a vast collection of dry skulls. The examination of 943 dry adult skulls and 360 foetal skulls was carried out to precise the anatomy of canals in the optic strut area, their development and relationships with the optic canal. A canal traversing the optic strut was present in 8.54 % of the orbits. Based on diameter, position within the optic strut, and thickness of the bony plate separating it from the optic canal or from the superior orbital fissure, the canals piercing the optic strut were classified into four types, which include the well-known duplication of the optic canal, different aspects of the metoptic canal and a type of canal that to our knowledge has never been reported. Warwick’s foramen was found in 0.74 % of orbits. The area of the optic strut is the frequent site of canals joining the orbit with the middle cranial fossa. Some of them can host the ophthalmic artery; others could be run by minor vessels which, however, could be the source of annoying bleedings in surgical procedures. PMID:23959928

  6. [Upper lateral incisor with 2 canals].

    PubMed

    Fabra Campos, H

    1991-01-01

    Clinical case summary of the patient with an upper lateral incisor with two root canals. The suspicion that there might be an anatomic anomaly in the root that includes a complex root canal system was made when an advanced radicular groove was detected in the lingual surface or an excessively enlarged cingulum. PMID:1659854

  7. 33 CFR 117.1045 - Hood Canal.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Hood Canal. 117.1045 Section 117.1045 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Washington § 117.1045 Hood Canal. The draw of the...

  8. 33 CFR 117.1045 - Hood Canal.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Hood Canal. 117.1045 Section 117.1045 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Washington § 117.1045 Hood Canal. The draw of the...

  9. 33 CFR 117.438 - Company Canal.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Company Canal. 117.438 Section 117.438 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Louisiana § 117.438 Company Canal. (a) The draw of...

  10. GENERAL VIEW OF TUMALO FEED CANAL (RIGHT) AND BEND FEED ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    GENERAL VIEW OF TUMALO FEED CANAL (RIGHT) AND BEND FEED CANAL (LEFT) INTERSECTION. LOOKING SOUTHEAST - Tumalo Irrigation District, Tumalo Project, West of Deschutes River, Tumalo, Deschutes County, OR

  11. Clinical management of infected root canal dentin.

    PubMed

    Love, R M

    1996-08-01

    Several hundred different species of bacteria are present in the human intraoral environment. Bacterial penetration of root canal dentin occurs when bacteria invade the root canal system. These bacteria may constitute a reservoir from which root canal reinfection may occur during or after endodontic treatment. The learning objective of this article is to review endodontic microbiology, update readers on the role of bacteria in pulp and periapical disease, and discuss the principles of management of infected root canal dentin. Complete debridement, removal of microorganisms and affected dentin, and chemomechanical cleansing of the root canal are suggested as being the cornerstones of successful endodontic therapy, followed by intracanal medication to remove residual bacteria, when required. PMID:9242125

  12. Mechanics of the Unusual Basilar Membrane in Gerbil

    NASA Astrophysics Data System (ADS)

    Kapuria, Santosh; Steele, Charles R.; Puria, Sunil

    2011-11-01

    The basilar membrane in gerbil differs from most other mammals, since its width and thickness show little variation from base to apex, and tympanic fiber layer in the pectinate zone forms a pronounced arch. Measurements indicate a quadratically increasing stiffness under point loading, which is contrary to the expected behavior of an arch. The plateau value has been considered to be the physiologically relevant stiffness, but it only occurs after 10-25 μm of deflection, whereas the normal physiological deflection is in the submicron range. The present work aims to resolve these contradictions by considering the mechanics of the geometric configuration.

  13. In vivo determination of the frequency response of the tooth root canal impedance versus distance from the apical foramen.

    PubMed

    Rambo, Marcos V H; Gamba, Humberto R; Ratzke, Alexandre S; Schneider, Fabio K; Maia, Joaquim M; Ramos, Carlos A S

    2007-01-01

    Working length (WL) determination is a key factor to the endodontic therapy or root canal treatment success. Almost all therapy procedures depend on this measure and the wrong WL determination may produce severe consequences, like post-therapeutic pain and the need of a new root canal treatment. Electronic foramen locators (EFL) have been replacing the traditional radiographic imaging as they are faster, easier to use and have a higher success rate when measuring WL. EFLs are based on the root canal impedance assessment between two electrodes: one fixed on the endodontic file that is inserted into the root canal, and the other positioned at oral mucosa membrane. There are only few reported studies that qualify or quantify the root canal impedance characteristics. The present work aims to determine the module of tooth root canal frequency response. The preliminary results show the frequency response module variation as a function of endodontic file position inside the root canal and reinforce the methods based on relative impedance over frequency analysis used in modern EFLs. PMID:18002020

  14. Looking back at Love Canal

    SciTech Connect

    Deegan, J. Jr.

    1987-04-01

    The comprehensive environmental study which describes the results of a monitoring program conducted by EPA at Love Canal is evaluated by EPA's former study director. Attention is focused on the episode's history and the agency's study methods. The aim of the program was to constitute a study team, design a monitoring study, reprogram and reallocate the financial resources needed to conduct the study, and identify and employ contractors who would collect and analyze environmental samples. The agency was directed to ensure the quality of the data acquired from various environmental media and analyzed by numerous laboratories; to integrate, interpret, and report the data; and to assess, from an environmental perspective, the habitability of the area.

  15. Panama Canal Watershed Experiment- Agua Salud Project

    USGS Publications Warehouse

    Stallard, Robert F.; Ogden, Fred L.; Elsenbeer, Helmut; Hall, Jefferson S.

    2010-01-01

    The Agua Salud Project utilizes the Panama Canal’s (Canal) central role in world commerce to focus global attention on the ecosystem services provided by tropical forests. The Canal was one of the great engineering projects in the world. Completed in 1914, after almost a decade of concerted effort, its 80 km length greatly shortened the voyage between the Atlantic and Pacific Oceans. An entire class of ships, the Panamax, has been constructed to maximize the amount of cargo that can be carried in a Canal passage. In today’s parlance, the Canal is a “green” operation, powered largely by water (Table 1). The locks, three pairs on each end with a net lift of 27 meters, are gravity fed. For each ton of cargo that is transferred from ocean to ocean, about 13 tons of water (m3) are used. Lake Gatún forms much of the waterway in the Canal transect. Hydroelectricity is generated at the Gatún dam, whenever there is surplus water, and at Madden Dam (completed in 1936) when water is transferred from Lake Alhajuela to Lake Gatún. The Canal watershed is the source of drinking water for Panama City and Colon City, at either end of the Canal, and numerous towns in between.

  16. How to bond to root canal dentin

    NASA Astrophysics Data System (ADS)

    Nica, Luminita; Todea, Carmen; Furtos, Gabriel; Baldea, Bogdan

    2014-01-01

    Bonding to root canal dentin may be difficult due to various factors: the structural characteristic of the root canal dentin, which is different from that of the coronal dentin; the presence of the organic tissue of the dental pulp inside the root canal, which has to be removed during the cleaning-shaping of the root canal system; the smear-layer resulted after mechanical instrumentation, which may interfere with the adhesion of the filling materials; the type of the irrigants used in the cleaning protocol; the type of the sealer and core material used in the obturation of the endodontic space; the type of the materials used for the restoration of the endodontically treated teeth. The influence of the cleaning protocol, of the root canal filling material, of the type of the adhesive system used in the restoration of the treated teeth and of the region of the root canal, on the adhesion of several filling and restorative materials to root canal dentin was evaluated in the push-out bond strength test on 1-mm thick slices of endodontically treated human teeth. The results showed that all these factors have a statistically significant influence on the push-out bond strength. Formation of resin tags between radicular dentin and the investigated materials was observed in some of the samples at SEM analysis.

  17. Maxillary First Molar with Two Root Canals

    PubMed Central

    Rahimi, Saeed; Ghasemi, Negin

    2013-01-01

    Knowledge regarding the anatomic morphology of maxillary molars is absolutely essential for the success of endodontic treatment. The morphology of the permanent maxillary first molar has been reviewed extensively; however, the presence of two canals in a two-rooted maxillary first molar has rarely been reported in studies describing tooth and root canal anatomies. This case report presents a patient with a maxillary first molar with two roots and two root canals, who was referred to the Department of Endodontics, Tabriz University of Medical Sciences, Iran. PMID:23862051

  18. Evaluation of tympanic temperature and thermal sensation responses during exercise to verify the positive effects of wearing germanium-coated functional clothing

    PubMed Central

    Cho, Su Youn; Roh, Youn Sun; Roh, Hee Tae

    2016-01-01

    [Purpose] The present study investigated the effects of wearing germanium-coated functional clothing on tympanic temperature, thermal sensation, heat shock protein 70 (Hsp70), and lactate during endurance exercise. [Subjects and Methods] Nine healthy and untrained male subjects were enrolled. Subjects ran for 60 min on a treadmill (75% heart rate reserve) in the following 2 tests: 1) control test (wearing conventional clothing) and 2) experimental test (wearing germanium-coated functional clothing). During each test, the tympanic temperature and thermal sensation were measured, and blood samples were collected immediately before exercise and immediately after exercise. Thermal sensation was measured using a DISC score. [Results] The tympanic temperature immediately after exercise was significantly increased compared to the temperature immediately before exercise in the control test, while no significant change was observed in the experimental test. In both tests, the DISC score and Hsp70 and lactate levels immediately after exercise were significantly increased compared to those immediately before exercise. In addition, the DISC score immediately after exercise was significantly higher in the control test than in the experimental test. [Conclusion] Wearing germanium-coated functional clothing during endurance exercise may have the positive effect of alleviating thermal stress that accumulates in the body during exercise. PMID:27390434

  19. Evaluation of tympanic temperature and thermal sensation responses during exercise to verify the positive effects of wearing germanium-coated functional clothing.

    PubMed

    Cho, Su Youn; Roh, Youn Sun; Roh, Hee Tae

    2016-06-01

    [Purpose] The present study investigated the effects of wearing germanium-coated functional clothing on tympanic temperature, thermal sensation, heat shock protein 70 (Hsp70), and lactate during endurance exercise. [Subjects and Methods] Nine healthy and untrained male subjects were enrolled. Subjects ran for 60 min on a treadmill (75% heart rate reserve) in the following 2 tests: 1) control test (wearing conventional clothing) and 2) experimental test (wearing germanium-coated functional clothing). During each test, the tympanic temperature and thermal sensation were measured, and blood samples were collected immediately before exercise and immediately after exercise. Thermal sensation was measured using a DISC score. [Results] The tympanic temperature immediately after exercise was significantly increased compared to the temperature immediately before exercise in the control test, while no significant change was observed in the experimental test. In both tests, the DISC score and Hsp70 and lactate levels immediately after exercise were significantly increased compared to those immediately before exercise. In addition, the DISC score immediately after exercise was significantly higher in the control test than in the experimental test. [Conclusion] Wearing germanium-coated functional clothing during endurance exercise may have the positive effect of alleviating thermal stress that accumulates in the body during exercise. PMID:27390434

  20. 6. VIEW SHOWING WOODEN FLUMES ACROSS MARICOPA CANAL. SUCH FLUMES ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    6. VIEW SHOWING WOODEN FLUMES ACROSS MARICOPA CANAL. SUCH FLUMES WERE USED TO CARRY WATER FROM ONE CANAL TO ANOTHER, BEFORE THE CANAL COMPANIES WERE BOUGHT BY THE GOVERNMENT, AND THE SYSTEM UNIFIED. Photographer unknown, no date - Grand Canal, North side of Salt River, Tempe, Maricopa County, AZ

  1. 158. Photocopy of transit book (taken from Twin Falls Canal ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    158. Photocopy of transit book (taken from Twin Falls Canal Company Transit Book #404T, Page 3, #46, Division One). START OF MAIN CANAL SURVEY, TWIN FALLS COUNTY, MILNER, IDAHO. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

  2. 154. Photocopy of transit book (taken from Twin Falls Canal ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    154. Photocopy of transit book (taken from Twin Falls Canal Company Surveyor's Transit Book #405T, Page 2, #46 Division One). STATEMENT OF SIGHT-SETTING FOR 1903 SURVEY TO ALIGN SOUTH SIDE CANAL, TWIN FALLS COUNTY, MILNER, IDAHO. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

  3. 103. CANAL AT THE ENTRANCE TO THE POMPTON FEEDER NEAR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    103. CANAL AT THE ENTRANCE TO THE POMPTON FEEDER NEAR MOUNTAIN VIEW, NEW JERSEY. THE POMPTON FEEDER BOATS TO TRAVEL NORTH 4.26 MILES TO TO POMPTON AS WELL AS PROVIDING THE MAIN CANAL WITH WATER FROM GREENWOOD LAKE. A MODIFIED QUEEN POST TRUSS BRIDGE SPANS THE CANAL IN THE FOREGROUND. - Morris Canal, Phillipsburg, Warren County, NJ

  4. Seepage investigations of Noyes Canal, Menard County, Texas

    USGS Publications Warehouse

    Yost, Ivan Dale

    1953-01-01

    At the request of the U.S. Department of Agriculture, Soil Conservation Service, and the Menard Irrigation Company, a seepage investigation was made on Noyes Canal (Menard Irrigation Company Canal) in Menard County, Texas, from the headgates of the canal to where the canal empties back into the San Saba River.

  5. 44. CROSS SECTION OF GRAND CANAL (not to scale, but ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    44. CROSS SECTION OF GRAND CANAL (not to scale, but representative of all six canals) Plan Sheet D-29976, Venice Canals Rehabilitation, Sheet No. 7 of 26 (delineated by T. Wu and E. Lee, March 1991) - Venice Canals, Community of Venice, Los Angeles, Los Angeles County, CA

  6. 3. Dundee Canal looking northwest from north of Dundee Textile ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. Dundee Canal looking northwest from north of Dundee Textile Company Mill - Dundee Canal Industrial Historic District, Beginning at George Street in Passaic & extending north along Dundee Canal approximately 1.2 miles to Canal headgates opposite East Clifton Avenue in Clifton, Passaic, Passaic County, NJ

  7. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  8. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  9. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  10. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...