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Influence of middle ear tumours on the biomechanical behaviour of the chorda tympani

Authors: Mendonça, Leonor; Santos, Carla F.; Gentil, Maria Fernanda; Parente, Marco; Areias, Bruno; Natal Jorge, R.M.;

Influence of middle ear tumours on the biomechanical behaviour of the chorda tympani

Abstract

Chronic otitis media may lead to the development of a cholesteatoma, a benign middle ear tumour. If this occurs, the chorda tympani nerve, a facial nerve branch that crosses the middle ear, may be compromised. The influence of cholesteatoma development near chorda tympani nerve was studied, in order to assess the consequences of this mass in terms of possible facial paralysis. To do so, an ear model based on the finite element method was used. The chorda tympani nerve was originally discretized and assembled in the model. Two different sized tumours were created so cholesteatoma growth could be simulated. The pressure in this nerve were assessed in two moments - when the tumour first interacts with it, pushing it down, and when the tumour compresses it against the incus. Moreover, the effect of applying pressure directly on the nerve was also evaluated, so tumour geometry did not interfere in the analysis. The obtained stress allowed to infer on the consequences regarding taste disturbance and facial paralysis, although some studies report that when pressure fades away, it is possible to fully recover. The von Mises stress was higher when the chorda tympani nerve was pushed against the incus by the large tumour, in the contact area between the nerve and the ossicle.

Country
Portugal
Keywords

Finite element method, Chorda tympani nerve, Biomechanics

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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!
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