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Diagnosing Middle Ear Malformation by Pure-Tone Audiometry Using a Three-Dimensional Finite Element Model: A Case-Control Study.


ABSTRACT:

Background

Hearing loss caused by middle ear malformations is treated by tympanoplasty to reconstruct the acoustic conduction system. The mobility of the ossicles plays a crucial role in postoperative success. However, identifying the location of ossicular malformation based solely on preoperative audiograms is challenging due to the complex relationship between fixation location, deformity levels, and ossicular mobility.

Methods

Middle ear finite element models for simulating ossicular malformations were created, and the results were compared with the actual preoperative audiograms.

Results

This approach objectively diagnosed ossicular fixation and disarticulation, bypassing traditional criteria reliant on physician examination or imaging.

Conclusion

This study suggests that future research should focus on developing a diagnostic framework utilizing large-scale data.

SUBMITTER: Kita SI 

PROVIDER: S-EPMC10707247 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Diagnosing Middle Ear Malformation by Pure-Tone Audiometry Using a Three-Dimensional Finite Element Model: A Case-Control Study.

Kita Shin-Ichiro SI   Miwa Toru T   Kanai Rie R   Morita Yoji Y   Lee Sinyoung S   Koike Takuji T   Kanemaru Shin-Ichi SI  

Journal of clinical medicine 20231204 23


<h4>Background</h4>Hearing loss caused by middle ear malformations is treated by tympanoplasty to reconstruct the acoustic conduction system. The mobility of the ossicles plays a crucial role in postoperative success. However, identifying the location of ossicular malformation based solely on preoperative audiograms is challenging due to the complex relationship between fixation location, deformity levels, and ossicular mobility.<h4>Methods</h4>Middle ear finite element models for simulating oss  ...[more]

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