Universität zu Köln

Luers, J. C., Pazen, D., Meister, H., Lauxmann, M., Eiber, A., Beutner, D. and Huettenbrink, K. B. (2015). Acoustic effects of a superior semicircular canal dehiscence: a temporal bone study. Eur. Arch. Oto-Rhino-Laryn., 272 (3). S. 563 - 572. NEW YORK: SPRINGER. ISSN 1434-4726

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Abstract

A dehiscence of the superior semicircular canal is said to be responsible for a number of specific and unspecific ear symptoms and possible a conductive hearing loss of up to 40 dB. As in vivo a dehiscence would not be opened against air, but is naturally patched with dura and the brain, it was our aim to investigate the effects of an superior semicircular canal dehiscence on the air conduction hearing in fresh human temporal bones with different boundary conditions. At ten fresh human temporal bones, we investigated the transmission of sound energy through the middle and inner ear using a round window microphone and laser Doppler vibrometer for perilymph motions inside the dehiscence. After baseline measurements, the superior semicircular canal was opened. We investigated the change of the transfer function when the canal is opened against air (pressure equivalent water column), against a water column and when it is patched with a layer of dura. Opening the superior semicircular canal resulted in a loss of sound transmission of maximal 10-15 dB only in frequencies below 1 kHz. When covering the dehiscence with a water column, the conductive hearing component was reduced to 6-8 dB. Placing a dura patch on top of the dehiscence resulted in a normalization of the transfer function. If our experiments are consistent with the conditions in vivo, then superior semicircular canal dehiscence does not lead to an extensive and clinically considerable conductive air conduction component.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Luers, J. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pazen, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Meister, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lauxmann, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eiber, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Beutner, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Huettenbrink, K. B. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-411274
DOI:	10.1007/s00405-013-2866-5
Journal or Publication Title:	Eur. Arch. Oto-Rhino-Laryn.
Volume:	272
Number:	3
Page Range:	S. 563 - 572
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-4726
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CONDUCTIVE HEARING-LOSS; INNER-EAR; MIDDLE-EAR; MANIFESTATIONS; DIAGNOSIS; VERTIGO; OTOSCLEROSIS; MANAGEMENT; SYMPTOMS; OUTCOMES Multiple languages Otorhinolaryngology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41127