# Computer Aided Modeling of Human Mastoid Cavity Biomechanics Using Finite Element Analysis

- Chia-Fone Lee
^{1, 2, 3}, - Peir-Rong Chen
^{2, 3}, - Wen-Jeng Lee
^{4}, - Yuan-Fang Chou
^{5}, - Jyh-Horng Chen
^{1, 6}and - Tien-Chen Liu
^{7}Email author

**2010**:203037

https://doi.org/10.1155/2010/203037

© Chia-Fone Lee et al. 2010

**Received: **27 April 2009

**Accepted: **16 June 2009

**Published: **4 August 2009

## Abstract

The aim of the present study was to analyze the human mastoid cavity on sound transmission using finite element method. Pressure distributions in the external ear canal and middle ear cavity at different frequencies were demonstrated. Our results showed that, first, blocking the aditus improves middle ear sound transmission in the 1500- to 2500-Hz range and decreases displacement in frequencies below 1000 Hz when compared with the normal ear. Second, at frequencies lower than 1000 Hz, the acoustic pressures were almost uniformly distributed in the external ear canal and middle ear cavity. At high frequencies, higher than 1000 Hz, the pressure distribution varied along the external ear canal and middle ear cavity. Third, opening the aditus, the pressures difference in dB between the middle ear cavity and external ear canal were larger than those of the closed mastoid cavity in low frequency (<1000 Hz). Finally, there was no significant difference in the acoustic pressure between the oval window and round window is noted and increased by 5 dB by blocking the aditus. These results suggest that our complete FE model including the mastoid cavity is potentially useful and can provide more information in the study of middle ear biomechanics.

## 1. Introduction

The human middle ear, including the tympanic membrane (TM) and the three auditory ossicles (malleus, incus, and stapes), is the mechanical system for sound transmission from the outer to the inner ear. A number of parameters such as the shape and stiffness of the TM, shape and volume of the external ear canal, and volume and pressure of the middle ear cavity directly affect acoustic-mechanical transmission through the middle ear. Changes in these parameters are often related to pathophysiologic conditions of the ear. The function of human hearing was investigated through the use of models. Among these models, the following models for the middle ear represent the state of the art in the area. In general, there are two groups of models. The first group consists of electroacoustic circuit models based on the close link between acoustics and electrical engineering [1–8]. The second group is composed of structural mechanical models, mainly finite element (FE) models of the tympanic membrane and ossicles in humans [9–19] and in animals [20–22].

FE analysis is a computer simulation technique used in engineering and biomechanical analysis. The first FE model of the cat ear drum was reported by Funnell and Laszlo [20]. Since then, FE modeling of middle ear biomechanics has become a rapidly growing area of research. The advent of high-resolution computed tomography (HRCT) made it possible to perform virtual instead of physical sectioning, and computer assistance facilitated the construction of reliable three-dimensional (3D) mathematical anatomic models. Using the combined technologies of FE analysis and 3D reconstruction of the middle ear from HRCT, we developed an FE model of the human middle ear with TM, ossicular bone, middle ear ligament, and middle ear boundaries [23]. This model was validated by comparing data from it to published experimental measurements, and it was tested in several otologic applications [24, 25].

To date, the FE model represents the precise geometric configurations of the ossicles, TM, and ligaments/muscles and has the capability for analysis of transmission of sound through the middle ear. The FE model should, however, also include the external ear canal, middle ear cavity, and cochlea to simulate the complete acoustic-mechanical transmission in the ear. Gan et al. [26] created a two-chamber FE model (ear canal and middle ear cavity) to further simulate middle ear mechanics. They reconstructed the 3D model from a set of histological images. But the mastoid cavity was not included in their FE model, possibly due to the limited size of the histologic images. Therefore, the effects of the mastoid cavity on the sound transmission were unclear. In this paper, we report a three-chamber (ear canal, middle ear, and mastoid cavity) FE model of the right ear, incorporating middle ear ossicles, external ear canal, middle ear cavity, and mastoid cavity. The geometry and surface generation were created from HRCT images obtained in a 47-year-old man. The model was then validated by comparing the results with published experimental measurements. Acoustic-structural coupled analysis was performed to determine the function of external ear canal, middle ear cavity, and mastoid cavity for acoustic-mechanical transmission through the human middle ear.

## 2. Materials and Methods

### 2.1. High-Resolution Computed Tomography of Temporal Bone

### 2.2. A 3D FE Model of the Middle Ear

Mechanical properties used for the middle ear finite element model.

Structure | Data for the finite element model |
---|---|

| |

Density | 1.2 g/cm |

Young's modulus (pars flaccida) | |

(pars tensa) | |

Thickness | 0.1 mm |

| |

Density | |

Head | |

Neck | |

Handle | |

Young's modulus | |

| |

Density | |

Body | |

Short process | |

Long process | |

Young's modulus | |

| |

Density | |

Young's modulus |

*M*] and [

*K*] were element mass and stiffness matrices of the solid and shell elements, respectively, and and were the damping parameters. The action of the cochlear fluid on the stapes footplate was modeled as a set of 49 spring-dashpot elements distributed on the footplate as our previous work [23]. The detailed modeling for the boundary conditions is shown in Table 2 [26]. Figure 1(b) shows the FE model of the human right ear including the external ear canal, ossicles with attached ligaments/muscles, and tympanic cavity. Figure 1(c) shows the extended middle ear FE model to the aditus, mastoid antrum, and mastoid cavity. Figure 1(d) shows the tympanic cavity connects to the mastoid cavity through the aditus. The tympanic cavity and mastoid cavity were displayed transparently.

Structure boundary conditions used for the middle ear finite element model.

Middle ear components | Young's modulus or spring constant | Damping |
---|---|---|

Superior mallear ligament | ||

Lateral mallear ligament | ||

Posterior incudal ligament | ||

Anterior mallear ligament | ||

Posterior stapedial muscle | ||

Tensor tympani muscle | ||

Cochlear fluid | 60 N/m | 0.06 N s/m |

Stapedial annular ligament | 9 N/m | 0 N s/m |

The air in the external ear canal, tympanic cavity, and mastoid cavity, which enclosed the air volume 1442 mm^{3}, 693 mm^{3}, and 6438 mm^{3}, respectively, was meshed with acoustic elements. The external ear canal was expressed as a bent tube with rigid walls based on the dimensions obtained through HRCT scanning. The length of canal from the umbo to the entry section along the canal axis was about 3.04 cm and close to result of Egolf et al. [27]. The canal length superiorly was 2.86 cm and the length inferiorly was 3.21 cm. The cross-sectional area varied from 65.45 mm^{2} (near the TM) to 96.19 mm^{2} at the canal entrance. The published anatomical data for the external air volume would be ranged from 830 to 1972 mm^{3} [28]. A large difference in volume of the middle ear cavity exists between individual subjects; this volume varies from 2000 to 22000 mm^{3} [29]. The volume of tympanic cavity, however, is within the range of approximately 500–1000 mm^{3} [30]. The volume of middle ear cavity is also within the range.

### 2.3. FE Analysis

The acoustic analysis in ANSYS (ANSYS Inc., Canonsburg, PA) programs only involves modeling the fluid medium and the surrounding structure [31]. A coupled acoustic analysis takes the fluid-structure interaction into account. The acoustic pressure in the fluid medium is determined by the wave equation. The interaction of the fluid and the structure at a mesh interface caused the acoustic pressure to exert a force applied to the structure and the structure motion produces an effective fluid load. The governing finite element matrix equations produce the following:

*ρ*

_{0}is the fluid density and is the fluid stiffness matrix. is the applied fluid pressure vector at the interface obtained by integrating the pressure over the area of the surface. is a coupling matrix that represents the effective surface area associated with each node on the fluid-structure interface (FSI). Both the structural and acoustic load quantities that are produced at the acoustic-structure interface are functions of unknown nodal degree of freedom. Equation (2) implies that nodes on a fluid-structure interface have both displacement and pressure degree of freedom. The coupling matrix also takes into account the direction of the normal vector defined for each pair of coincident acoustic and structural element faces that comprise the interface surface. The ear consists of solid structure and acoustic media that belong to different engineering disciplines and result in different boundary conditions. The air in the external ear canal and inside the middle ear cavity was modeled as acoustic elements and governed by an acoustic wave equation under the assumptions that the fluid is compressible and inviscid with uniform mean density and pressure:

where
is acoustic pressure,
is the speed of sound, and
is the fluid medium,
the mean fluid density,
the bulk modulus of fluid, and
is the time. The speed of sound and density of the air were assumed as 343 m/s and 1.2 kg/m^{3}, respectively. The acoustic absorption coefficient of FSI (
) is defined as the fraction of absorbed acoustic energy to total incident energy [32, 33]. The absorption coefficient values are: 0.007 (TM), 0.02 (canal wall), 0.04 (cavity wall), 0.04 (ossicles), and 0.02 (ligament/muscles), respectively, [26].

### 2.4. Validation of the FE Model

The FE model was first tested and validated by comparing the responses of the middle ear system to harmonic pressure on the lateral surface of the TM between the FE analysis and published experimental measurements. Applied 120 dB SPL (20 Pa) to the canal was the same as McElveen's experiments, the harmonic analysis was conducted on the model over a frequency range of 200–8000 by using ANSYS. McElveen et al. [34] conducted a total 6 temporal bone experiments to study the effect of mastoid cavity modification on middle ear sound transmission. Measurements of umbo displacement were made at 200 Hz intervals from 500 to 7000 Hz at the TM. After the initial baseline umbo displacement measurements, the aditus and antrum were blocked with a saline-filled balloon (Fogarty catheter) inserted through a hole in the tegmen made prior to taking the measurements and closed with clay. The balloon was inflated, the hole on the tegmen was closed with clay and the measurement was repeated. Peak-to peak umbo displacement, aditus open versus closed in McElveen's human temporal bone 3 was used for model validation.

## 3. Results

## 4. Discussion

This model is the first one characterized by accurate structural dimensional and geometric shapes of middle ear structures, external ear canal, and mastoid cavity in the human. To confirm the validity of this model, the vibration amplitude of the umbo obtained with this model was compared with that derived from experimental measurement data. The predicted vibration amplitude of stapes was also shown. It was difficult to measure stapes vibration amplitude without opening the middle ear cavity. If a complete FE model of the middle ear were constructed, spatial variations in displacement on the TM, three ossicular vibrations, and spatial pressure distributions in the middle ear cavity and external ear canal could clarified without direct measurement, which are difficult to perform. It appeared that the results from the temporal bone experiments and the FE-predicted results match, namely that blocking the aditus improves middle ear sound transmission in the 1500 to 2500 Hz range and decreases displacement in the low frequencies below 1000 Hz when compared with the normal ear. Blocking the aditus eliminates the compliance of the mastoid cavity thus stiffening the TM and decreasing low frequency transmission, while opening the aditus increases middle ear cavity compliance, decrease TM stiffness and improves the low-frequency response. It has been reported that the effect of the mastoid cavity on the vibration of the TM is remarkable at low frequency and that it behaves like a spring [17, 30, 36]. The mastoid cavity would enhance sound transmission at low frequency ( 1000 Hz) because the spring constant of the air in the mastoid cavity is inversely proportional to its volume. In McElveen's experimental results [34], blocking the aditus decreased transmission in two bones and increased transmission in one bone. The effects were small between results. Because of the small numbers of bone studies and the individual variations between bones, any conclusion about the clinical significance of the temporal bone results might be cautiously. The real results could be affected by confounding variables including middle ear injury, stiffness of TM, and the mobility status of the ossicular chains. Therefore, more large numbers of temporal bone studies should be needed. Some small peaks in umbo displacement were noted in McElveen's results. According to umbo and stapes displacement measurements in temporal bones and living humans, in some 30% of ears, the tympanic membrane (TM) does not produce a smooth frequency response over the important hearing frequencies [37]. Goode [38] reported that measurements of umbo displacement for a constant sound pressure level (SPL) at the TM in 22 frequencies between 200 and 6000 Hz showed peaks and valleys of more than 10 dB. This is possibly the result of previous injuries, both major and minor, to the TM, and perhaps to the ossicles [38]. Our FE model curve is lower than the experimental curve; however, the trend was similar to the experimental curve. The difference between the FE model and the experimental data may also result from the variations of individual temporal bone.

The acoustic pressure distributions in the external ear canal and middle ear cavity are spatially visualized and quantified by our FE model. Our result is the complete FE model, including the external ear canal, TM, ossicles, ligaments/muscles, tympanic cavity, and mastoid cavity. The results demonstrated that acoustic pressure distributions in ear canal and middle ear cavity are functions of frequency and different pressure measurement locations (Figure 3). The difference of acoustic pressure between the ear canal and middle ear cavity was caused by high acoustic impedance of the TM that was induced by attached middle ear and inner ear structure. In the FE coupled analysis, the mastoid cavity effect was taken into the consideration for acoustic impedance. The air vibration in the middle ear cavity was lower than the air vibration in the canal. At low frequencies ( Hz), the acoustic pressure was uniformly distributed in the ear canal (Figure 4(a). At high frequencies ( Hz), the pressure distribution varied along the canal (Figure 4(b). The results reflect superposition of the incident and reflected sound wave from the TM and canal wall in the canal. The sound pressure difference in dB in the middle ear cavity is expected to vary with the air volume of the cavity (Figure 5). The acoustic pressure in the closed mastoid cavity is 10–25 dB lower than that of the canal entrance over the frequency range of 100–8000 Hz. With open aditus, the acoustic pressure in the middle ear cavity is 10–45 dB lower than that of the canal entrance over the frequency range of 100–8000 Hz. This big drop of acoustic pressure in the cavity is caused by the high acoustic impedance of the TM induced by the attached middle ear and inner ear structure.

There was no significant difference of the acoustic pressure measured at different locations in the middle ear cavity at low frequency. As frequency increases, the pressure difference in dB between the oval window and round window is noted and increased by less than 5 dB. These results demonstrate that window pressure difference of the acoustic pathway for sound transmission to the inner ear is insignificant. The same conclusion is also obtained from experimental measurements on the temporal bone by Voss et al. [30], Peake et al. [4], and FE results by Gan et al. [26].

In conclusion, we created an FE model that not only includes the external ear canal and tympanic cavity but also the mastoid cavity, which can help us to understand the mastoid cavity effect on sound transmission. Tympanomastoid surgery modifies the middle ear cavity in various ways. These modifications might have important effects on sound transmission of the middle ear [34]. The acoustic effects of cavity modification by different types of tympanoplasty and mastoidectomy are difficult to determine clinically because TM and ossicular reconstruction are often undertaken as well. These results suggest that the FE model is potentially useful in the study of middle ear biomechanics and in the design and testing of the implantable middle ear hearing devices [39]. It would be possible to predict how middle ear function is affected by various kinds of middle ear pathologies and to understand how individual differences in middle ear structures affect that function prior to surgery. The model could be further improved in several aspects as finding more accurate boundary conditions and adding the structure of cochlea and the cochlear fluid into the model [40]. The overall thickness of TM (0.1 mm) was adopted in our model. Fay et al. [19] incorporates the measurement of the geometry of the ear canal, the 3D asymmetrical geometry of the eardrum and the details of the eardrum fiber structure. To develop a more comprehensive 3D FE model of human ear for multi-field FE analysis using detail TM structures and coupling the current FE model is our next goals. In addition, ligaments/tendons have a clear different behavior in tension and compression, in fact, stiffness in tension is much higher than in compression. The ligaments/tendons in the middle ear were traction free and essentially one-direction member. The behavior was dominant in axial direction. Therefore, if we chose the proper values, the hypothesis of isotropic behavior can be appropriated. A variety of mechanical tests have been reported to measure properties of soft tissue, such as uniaxial tensile, strip biaxial tension, and shear tests. In addition to experimental measurement, numerous material models have been developed to simulate the behavior of tissue in analytical ways [41]. Weiss et al. [42] used a hyperelastic material model with an exponential strain energy function to fit experimental curves of human medial collateral ligament through FEA. There are several nonlinear hyperelastic material models available for analyzing mechanical properties of biological soft tissue, such as the Ogden, Mooney-Rivlin and Yeoh models. In the future, these methods can be used to improve our FE model of human ear. The further study will focus on how the alteration in structure, pathology, collagen fiber layer in tympanic membrane and different air volume sizes of mastoid cavity would affect the acoustic-mechanical transmission through the ear canal and middle ear to the inner ear.

## Declarations

### Acknowledgments

This work was supported by a grant from the National Taiwan University Hospital to T.C.L. (Grant no. NTUH 96A01) and a grant from the Buddhist Tzu Chi General Hospital to C.F.L. (Grant no. TCRD 9703, 9704, 9801, and 9802).

## Authors’ Affiliations

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