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Hearing Research
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Hearing Research
Article . 2019 . Peer-reviewed
License: Elsevier TDM
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https://dx.doi.org/10.5167/uzh...
Other literature type . 2019
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Experimental investigation of promontory motion and intracranial pressure following bone conduction: Stimulation site and coupling type dependence

Authors: Dobrev, Ivo; Sim, Jae Hoon; Pfiffner, Flurin; Huber, Alexander M; Röösli, Christof;

Experimental investigation of promontory motion and intracranial pressure following bone conduction: Stimulation site and coupling type dependence

Abstract

Investigation of bone conduction sound propagation by osseous and non-osseous pathways and their interactions based upon the stimulation site and coupling method of the actuator from a bone conduction hearing aid (BCHA).Experiments were conducted on five Thiel embalmed whole head cadaver specimens. The electromagnetic actuator from a commercial bone conduction hearing aid (BCHA) (Baha® Cordelle II) was used to provide a stepped sine stimulus in the range of 0.1-10 kHz. Osseous pathways (direct bone stimulation or transcutaneous stimulation) were sequentially activated by stimulation at the mastoid or the BAHA side using several methods including a percutaneously implanted screw, Baha® Attract transcutaneous magnet and a 5-N (5-N) steel headband. Non-osseous pathways (only soft tissue or intra-cranial contents) were activated by actuator stimulation on the eye or neck via attachment to a 5-N steel headband, and were compared with stimulation via equivalent attachment on the mastoid and forehead. The response of the skull was measured as motions of the ipsi- and contralateral promontory and intracranial pressure (ICP) in the central, anterior, posterior, ipsilateral and contralateral temporal regions of the cranial space. Promontory motion was monitored using a 3-dimensional Laser Doppler vibrometer (3D LDV) system.The promontory undergoes spatially complex motion with similar contributions from all motion components, regardless of stimulation mode. Combined 3D promontory motion provided lower inter-sample variability than did any individual component. Transcranial transmission showed gain for the low frequencies and attenuation above 1 kHz, independent of stimulation mode This effect was not only for the magnitude but also its spatial composition such that contralateral promontory motion did not follow the direction of ipsilateral stimulation above 0.5 kHz. Non-osseous stimulation on the neck and eye induced comparable ICP relative to percutaneous (via screw) mastoid stimulation. Corresponding phase data indicated lower phase delays for ICP when stimulation was via non-osseous means (i.e., to the eye) versus osseous means (i.e., to the mastoid or forehead). Sound propagation due to skull stimulation passes through the thicker bony sections first before activating the CSF.Utilization of 3D promontory motion measurements provides more precise (lower inter-sample variability) information about bone vibrations than does any individual component. It also provides a more detailed description of transcranial attenuation. A comprehensive combination of motion and pressures measurements across the head, combined with a variation of the stimulation condition, could reveal details about sound transmission within the skull.

Country
Switzerland
Related Organizations
Keywords

Time Factors, Intracranial Pressure, Intracranial pressure, tissue stimulation, Promontory motion, 610 Medicine & health, 10045 Clinic for Otorhinolaryngology, Vibration, 2809 Sensory Systems, Motion, Hearing Aids, Cadaver, Laser-Doppler Flowmetry, Pressure, Humans, Aged, Aged, 80 and over, Embalming, Temporal Bone, Soft, Middle Aged, Sensory Systems, Cadaver head, Sound, 3D laser Doppler vibrometry, Bone conduction pathways, Bone Conduction

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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
38
Top 10%
Top 10%
Top 10%
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