Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-19T12:37:02.552Z Has data issue: false hasContentIssue false

Detection of tympanic membrane movement using film patch with integrated strain gauge, assessed by optical coherence tomography: experimental study

Published online by Cambridge University Press:  27 January 2011

T Just*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock, Germany
T Zehlicke
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock, Germany Department of Otorhinolaryngology, Military Hospital, Hamburg, Germany
O Specht
Affiliation:
Institute for Biomedical Engineering, University of Rostock, Germany
W Sass
Affiliation:
Institute of Microsystem Technology, Hamburg University of Technology, Germany
C Punke
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock, Germany
W Schmidt
Affiliation:
Institute for Biomedical Engineering, University of Rostock, Germany
E Lankenau
Affiliation:
Institute for Biomedical Optics, University of Lübeck, Germany
D Behrend
Affiliation:
Institute for Biomedical Engineering, University of Rostock, Germany
H W Pau
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock, Germany
*
Address for correspondence: Dr Tino Just, Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock, Doberaner Str 137–139, D-18057 Rostock, Germany Fax: +49 381 494 8302 E-mail: [email protected]

Abstract

Objective:

We report an ex vivo and in vivo experimental study of a device designed to measure tympanic membrane movement under normal and pathological conditions, assessed using optical coherence tomography.

Materials and methods:

We designed two types of flexible, round film patch with integrated strain gauge, to be attached to the tympanic membrane in order to measure tympanic membrane movement. Tympanic membrane attachment was assessed using optical coherence tomography. The devices were tested experimentally using an ex vivo model with varying middle-ear pressure.

Results:

Optical coherence tomography reliably assessed attachment of the film patch to the tympanic membrane, before and after middle-ear pressure changes. Strain gauge voltage changes were directly proportional to middle-ear pressure recordings, for low pressure changes. Tympanic membrane perforations smaller than 2 mm could be sealed off with the film patch.

Conclusion:

Attachment of the film patch with integrated strain gauge to the tympanic membrane was not ideal. Nevertheless, the strain gauge was able to precisely detect small pressure changes within the middle ear, in this experimental model.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Hergils, LG, Magnuson, B, Falk, B. Different tympanometric procedures compared with direct pressure measurements in healthy ears. Scand Audiol 1990;19:183–6Google Scholar
2Pau, HW, Sievert, U, Just, T, Sade, J. Pressure changes in the human middle ear without opening the eustachian tube. Acta Otolaryngol 2009;129:1182–6CrossRefGoogle ScholarPubMed
3Just, T, Lankenau, E, Hüttmann, G, Pau, HW. Intra-operative application of optical coherence tomography with an operating microscope. J Laryngol Otol 2009;123:1027–30CrossRefGoogle ScholarPubMed
4Just, T, Lankenau, E, Hüttmann, G, Pau, HW. Optical coherence tomography of the oval window niche. J Laryngol Otol 2009;123:603–8Google Scholar
5Zehlicke, T, Behrend, D, Schmidt, W, Hoffmann, F, Müller, J, Pau, HW. Tensometry – concept and first results of a new technique for measuring the tube function via highly flexible foil strain gauges [in German]. Laryngorhinootologie 2008;87:542–5Google Scholar
6Lankenau, E, Klinger, D, Winter, C, Malik, A, Muller, HH, Oelckers, S et al. Combining optical coherence tomography (OCT) with an operating microscope. In: Buzug, TM, Holz, D, Weber, S, Bongartz, J, Kohl-Bareis, M, Hartmann, U, eds. Advances in Medical Engineering. Berlin, Heidelberg: Springer, 2007;343–8CrossRefGoogle Scholar
7Sass, W, Zehlicke, T, Moß, C, Pau, HW, Müller, J. Testing of Eustachian tube functioning via strain gauge measurements of the tympanic membrane movement. In: Dössel, O and Schlegel, WC, eds. Berlin, Heidelberg: Springer, IFMBE Proceedings 25/XI, 2009:72–5Google Scholar
8McBride, TP, Decray, CS, Cunningham, MJ, Doyle, WJ. Evaluation of noninvasive Eustachian tube function tests in normal adults. Laryngoscope 1988;98:655–8Google Scholar
9Di Martino, EF, Nath, V, Telle, A, Antweiler, C, Walther, LE, Vary, P. Evaluation of Eustachian tube function with perfect sequences: technical realization and first clinical results. Eur Arch Otorhinolaryngol 2010;267:367–74Google Scholar