In Vivo Thickness of the Healthy Tympanic Membrane Determined by Optical Coherence Tomography.


Journal

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
ISSN: 1537-4505
Titre abrégé: Otol Neurotol
Pays: United States
ID NLM: 100961504

Informations de publication

Date de publication:
01 Mar 2024
Historique:
medline: 16 2 2024
pubmed: 16 2 2024
entrez: 16 2 2024
Statut: ppublish

Résumé

Tympanic membrane (TM) thickness is an important parameter for differentiation between a healthy and a pathologic TM. Furthermore, it is needed for modeling the middle ear function. Endoscopic optical coherence tomography (eOCT) provides the opportunity to measure the TM thickness of the entire TM in vivo. A total of 27 healthy ears were examined by eOCT. The system uses a light source with a central wavelength of 1,300 nm. The endoscope with an outer diameter of 3.5 mm provides a field of view of 10 mm and a working distance of 10 mm. Thickness measurements were carried out at 8 points on the TM. Additionally, the existing literature was analyzed, and a mean TM thickness value was determined. The mean thickness of the TM over all measurement points of the pars tensa was 120.2 μm, and the pars flaccida was significantly thicker with a mean thickness of 177.9 μm. Beyond that, there were no significant differences between the single quadrants. The mean TM thickness in the literature was 88.8 μm. EOCT provides the possibility for in vivo thickness determination of the TM. The mean thickness seems to be higher than in the previous studies, which were mostly carried out ex vivo. Our study takes the three-dimensional refraction into account and provides a method for the refraction correction.

Identifiants

pubmed: 38361307
doi: 10.1097/MAO.0000000000004132
pii: 00129492-202403000-00044
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e256-e262

Informations de copyright

Copyright © 2024, Otology & Neurotology, Inc.

Références

Kirsten L, Schindler M, Morgenstern J, et al. Endoscopic optical coherence tomography with wide field-of-view for the morphological and functional assessment of the human tympanic membrane. J Biomed Opt 2018;24:1–11.
Monroy GL, Shelton RL, Nolan RM, et al. Noninvasive depth-resolved optical measurements of the tympanic membrane and middle ear for differentiating otitis media. Laryngoscope 2015;125:E276–82.
Guder E, Lankenau E, Fleischhauer F, et al. Microanatomy of the tympanic membrane in chronic myringitis obtained with optical coherence tomography. Eur Arch Otorhinolaryngol 2015;272:3217–23.
De Greef D, Buytaert JA, Aerts JR, et al. Details of human middle ear morphology based on micro-CT imaging of phosphotungstic acid stained samples. J Morphol 2015;276:1025–46.
von Witzleben M, Stoppe T, Ahlfeld T, et al. Biomimetic Tympanic Membrane Replacement Made by Melt Electrowriting. Adv Healthc Mater 2021;10:e2002089.
Benecke L, Chen Z, Zeidler-Rentzsch I, et al. Development of electrospun, biomimetic tympanic membrane implants with tunable mechanical and oscillatory properties for myringoplasty. Biomater Sci 2022;10:2287–301.
Kirikae I. The Structure and Function of the Middle Ear. University of Tokyo Press; 1960.
Kuypers LC, Decraemer WF, Dirckx JJJ. Thickness distribution of fresh and preserved human eardrums measured with confocal microscopy. Otol Neurotol 2006;27:256–64. http://journals.lww.com/otology-neurotology/Fulltext/2006/02000/Thickness_Distribution_of_Fresh_and_Preserved.19.aspx.
Van der Jeught S, Dirckx JJ, Aerts JR, et al. Full-field thickness distribution of human tympanic membrane obtained with optical coherence tomography. J Assoc Res Otolaryngol 2013;14:483–94.
Lim DJ. Human tympanic membrane—an ultrastructural observation. Acta Otolaryn 1970;70:176–86.
Ruah CB, Schachern PA, Zelterman D, Paparella MM, Yoon TH. Age-related morphologic changes in the human tympanic membrane. A light and electron microscopic study. Arch Otolaryngol Head Neck Surg 1991;117:627–34.
Uebo K, Kodama A, Oka Y, Ishii T. Thickness of normal human tympanic membrane. Ear Res Jpn 1988;19:70–3.
Schmidt SH, Hellström S. Tympanic-membrane structure—new views. ORL 1991;53:32–6.
Gan RZ, Feng B, Sun Q. Three-dimensional finite element modeling of human ear for sound transmission. Ann Biomed Eng 2004;32:847–59.
Cheng T, Dai C, Gan RZ. Viscoelastic properties of human tympanic membrane. Ann Biomed Eng 2007;35:305–14.
Lee CF, Chen PR, Lee WJ, Chen JH, Liu TC. Three-dimensional reconstruction and modeling of middle ear biomechanics by high-resolution computed tomography and finite element analysis. Laryngoscope 2006;116:711–6.
Wada H, Kobayashi T, Naganuma H, Tachizaki H. Analysis of dynamic characteristics of eardrum (Young’s modulus, thickness, and damping ratio of human eardrum). Transactions of the Japan Society of Mechanical Engineers, Series C 1990;56:1431–4.
Pande P, Shelton RL, Monroy GL, Nolan RM, Boppart SA. A mosaicking approach for in vivo thickness mapping of the human tympanic membrane using low coherence interferometry. J Assoc Res Otolaryngol 2016;17:403–16 Published online 2016.
Djalilian HR, Ridgway J, Tam M, et al. Imaging the human tympanic membrane using optical coherence tomography in vivo. Otol Neurotol 2008;29:1091–4.
Kim W, Kim S, Oghalai JS, Applegate BE. Stereo microscope based OCT system capable of subnanometer vibrometry in the middle ear. In: Optical Coherence Imaging Techniques and Imaging in Scattering Media III vol. 11078. International Society for Optics and Photonics; 2019:110780G.
Golde J, Morgenstern J, Liu P, et al. Data-informed imaging: how radiography and shape models support endoscopic OCT imaging of the middle ear. In: Imaging, Therapeutics, and Advanced Technology in Head and Neck Surgery and Otolaryngology 2023 vol. 12354. SPIE; 2023:1235405.
Steuer S, Morgenstern J, Kirsten L, et al. In vivo microstructural investigation of the human tympanic membrane by endoscopic polarization-sensitive optical coherence tomography. J Biomed Opt 2023;28.
Fedorov A, Beichel R, Kalpathy-Cramer J, et al. 3D slicer as an image computing platform for the quantitative imaging network. Magn Reson Imaging 2012;30:1323–41.
Kassem F, Dagan O, Biadsee A, et al. Possible clinical implications of the structural variations between the tympanic membrane quadrants. Laryngoscope Investig Otolaryngol 2022;7:1164–70.
Fox CH, Johnson FB, Whiting J, Roller PP. Formaldehyde fixation. J Histochem Cytochem 1985;33:845–53.
Jonmarker S, Valdman A, Lindberg A, Hellström M, Egevad L. Tissue shrinkage after fixation with formalin injection of prostatectomy specimens. Virchows Arch 2006;449:297–301.
Cai L, Stomackin G, Perez NM, et al. Recovery from tympanic membrane perforation: effects on membrane thickness, auditory thresholds, and middle ear transmission. Hear Res 2019;384:107813 Published online October 15, 2019.
Caminos L, Garcia-Manrique J, Lima-Rodriguez A, Gonzalez-Herrera A. Analysis of the mechanical properties of the human tympanic membrane and its influence on the dynamic behaviour of the human hearing system. Appl Bionics Biomech 2018;2018:1736957 Published online 2018.
Muerbe D, Zahnert T, Bornitz M, Huettenbrink KB. Acoustic properties of different cartilage reconstruction techniques of the tympanic membrane. Laryngoscope 2002;112:1769–76.
Monroy GL, Hong W, Khampang P, et al. Direct analysis of pathogenic structures affixed to the tympanic membrane during chronic otitis media. Otolaryngol Head Neck Surg 2018;159:117–26 Published online 2018.
MacDougall D, Morrison L, Morrison C, et al. Optical coherence tomography Doppler vibrometry measurement of stapes vibration in patients with stapes fixation and normal controls. Otol Neurotol 2019;40:e349–55.
Morgenstern J, Schindler M, Kirsten L, et al. Endoscopic optical coherence tomography for evaluation of success of tympanoplasty. Otol Neurotol 2020;41:e901–5.

Auteurs

Joseph Morgenstern (J)

Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Theodor Kreusch (T)

Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Svea Steuer (S)

Department of Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Steffen Ossmann (S)

Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Julia Walther (J)

Department of Medical Physics and Biomedical Engineering, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Thomas Zahnert (T)

Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Edmund Koch (E)

Department of Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Marcus Neudert (M)

Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Fetscherstraße 74, 01307 Dresden, Germany.

Classifications MeSH