• 한국임상수의학회지
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• 제21권2호
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• pp.97-101
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• 2004

This study was aimed for ultrasonographic assessment of the tympanic membrane and the tympanic bulla in five healthy Beagle dogs. To improve an ultrasonographic image, the ear canal was filled with warm saline, and an 11 MHz linear probe and a 6.5 MHz convex probe were used. The structures of ear component such as ear canal, ear cartilage and tympanic membrane were easily identified. Especially, tympanic membrane was presented as a reflaction surface which was resulted from the different acoustic impedence between the fluid-filled anechoic ear canal and the gas-filled hyperechoic tympanic cavity in normal dogs. In five left-side ears, the saline was infused into the external ear canal after the tympanic membrane had been ruptured experimentally. Both anechoic fluid-filled ear canal and tympanic cavity were clearly identified. In five right-side ears, the surgically fluid-filled tympanic cavity was imaged as a hypoechoic oval shaped structure. When tympanic cavity and ear canal have been contained with fluid, it was difficult to identify whether the tympanic membrane was ruptured or not. For assessment of the ear structure with ultrasonography, the 11 MHz linear probe was considered as an optimal equipment for a serial assessment of ear canal, tympanic membrane and tympanic bulla whereas the 6.5 MHz convex probe was suitable to assess the tympanic cavity. The results suggest that ultrasonography with saline infusion into the ear canal can be used to find the intactness of the tympanic membrane and to assess the fluid- filld tympanic bulla.

• The Korean Journal of Physiology
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• 제2권1호
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• pp.39-45
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• 1968

Recently, in this department, pressure-displacement curve and breaking tension of dog and human tympanic membrane were studied using intact, fresh or dried tympanic membrane attached to external auditory meatus. However, physical property, proper elasticity-Young Modulus, of the tympanic membrane has not been clarified yet. Present study is attempted to further clarify proper Young Modulus of tympanic membrane, and to distinguish possible difference between layer of stratum radiatum and layer of stratum circulare of tympanic membrane in breaking tension and in Young Modulus. Tympanic membrane was excised from sacrificed dog, and preparation was made into the size of approximately 1 mm in width and 3 mm in length. In fresh or dried tympanic membrane, which was dried at $80^{\circ}C$ for 24 hrs., some preparations were made along the long axis parallel to the fibers of radial direction, and others were made along the long axis perpendicular to the radial fibers-circular direction. Breaking tension and displacement according to loading, were measured and Young Modulus was calculated in tympanic membrane preparations under the different experimental conditions. Results obtained are summarized as follows : 1. Young Modulus of fresh tympanic membrane in radial direction was $6.57{\times}10^8\;dyne/cm^2$, and that of fresh preparation in circular direction was $1.68{\times}10^8\;dyne/cm^2$. The Young Modulus of fresh tympanic membrane in radial direction resembles to that of silk and whale moustache. In dried tympanic membrane, Young Modulus of preparation of radial direction was $30.2{\times}10^8\;dyne/cm^2$ and that of preparation in circular direction was $25.0{\times}10^8\;dyne/cm^2$. 2. Breaking tension of fresh tympanic membrane was 44.9 gm/mm in radial preparation, and 7.9 gm/mm in circular preparation. In dried tympanic membrane, breaking tension was 46.7 gm/mm in preparation of radial direction, and 17.2 gm/mm in preparation of circular direction. 3. Much smaller breaking tension of the circular preparation-one fifth to the radial preparation-seemed to be responsible for the higher incidence of circular fiber breaking in tympanic membrane performation caused by trauma or sudden change in atmospheric pressure. 4. The correlation seemed to be very close between breaking tension and Young Modulus in tympanic membrane.

• 한방안이비인후피부과학회지
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• 제18권3호
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• pp.95-101
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• 2005

Objective: In children with acute otitis media, we investigated the relationship between state of tympanic membrane and treatment period by video otoscope. Methods: Ten children(6 boys, 4 girls) with acute otitis media were assigned to one of three groups. In the grade I, there were redness in the tympanic membrane. In the grade II, there were bulging, effusion with exudate, dark color in the tympanic membrane. In the grade III, there were effusion with purulent exudate or cholesteatoma with serous exudate. And we investigated the treatment period in each group. Results: Overall, the $mean{\pm}S.D.$ on the treatment period in the grade I was shorter than grade II. It was $12.6{\pm}5.18$ in the grade I versus $26{\pm}2.83$ in the grade II. That in the grade II was shorter than grade III. It was $26{\pm}2.83$ in the grade II versus $148{\pm}43.03$ in the grade III. Conclusions: Although we couldn't have enough cases in each group. we could predict the conclusion that there was the relationship between treatment period and state of tympanic membrane.

• 대한의용생체공학회:의공학회지
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• 제32권4호
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• pp.285-288
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• 2011

In this study, we developed an optical coherence tomography(OCT) using a sweep-source laser whose center wavelength is 1310 nm and a probe of hand-held type. The developed hand-held probe targets to diagnose the middle ear, so it is miniaturized for ease and convenience of control. For the first time, we performed in-vivo clinical experiments on tympanic membrane(TM) perforation patients not reported from previous studies about OCT. The high-resolution sectional images of tympanic membrane perforation can be obtained. There aren't many studies about diagnostic instrument of the middle ear and diagnosis with sectional image of the middle ear, so the developed OCT system and hand-held probe are applicable to tympanic membrane perforation and other pathologic diagnosis in the middle ear.

• 한국임상수의학회지
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• 제22권4호
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• pp.382-385
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• 2005

The aim of this study was to compare ultrasonography with video-otoscopy for the evalution of the external ear canal and the tympanum. Fifty dogs with clinical signs ot the bilateral ear diseases were examined using otoscopy under general anesthesia. Ultrasonographic examination was performed with an 11 MHz linear-arrary probe and a 6.5MHz convex probe, with the external ear canal filled with saline. Saline functioned as a contrast media and enhanced image quality of ultrasonography. The images of 100 ears before and after the ear cleansing were obtained at otoscopy and ultrasonography. On the video-otoscopic images, the tympanic membrane was identified in 59 ears before the ear cleansing and 91 ears after cleansing. On the ultrasonography, the tympanic membrane was detected in 98 ears before the ear cleansing and in all ears after cleansing. With these results, it was concluded that ultrasonography with infusing saline into the ear canal, could be a useful diagnostic procedure to identify the tympanic membrane in otitis dogs.

• 한국전자파학회논문지
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• 제30권1호
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• pp.23-27
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• 2019

본 논문에서는 비 침습적, 비 파괴적으로 샘플의 단층구조와 단층의 미세진동을 실시간으로 동시에 영상화하는 마이크로 바이브로 토모그라피(micro vibro tomography: MVT) 시스템 개발 및 미세진동 측정 방법을 제안한다. 제안한 방법은 광 간섭 단층촬영기술(optical coherence tomography: OCT)을 기반으로 하여, 샘플의 위상변이를 이용해 마이크로 단위의 움직임을 측정하는 알고리즘을 적용한 방법이다. 본 실험에서는 고막을 모방한 라텍스 샘플에 2~5 kHz 주파수의 음파를 인가시키고, 음파에 의한 샘플의 미세진동을 제안한 MVT 시스템을 이용하여 측정하였다. 그 결과, 고막 모방 샘플의 단층구조와 미세진동을 동시에 영상화할 수 있었고, 표면부의 미세진동을 MVT 표면 진동 이미지로 프로젝팅하여 고막 모방 샘플의 전체적인 진동 형태를 관찰할 수 있었다.

• Journal of Yeungnam Medical Science
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• 제35권2호
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• pp.244-247
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• 2018

Congenital intratympanic membrane cholesteatoma (ITMC) is a rare type of congenital cholesteatoma located within the tympanic membrane. This lesion tends to increase in size over time. The development of ITMC can cause several complications such as hearing impairment, dizziness, facial palsy, and intracranial complications, similar to any other cholesteatoma. The treatment of congenital cholesteatoma requires the removal of the lesion through surgery, because disease progression induces bony destruction of the nearby tissue. Most patients presenting with this cholesteatoma type are also treated with primary surgical removal. However, we recently experienced a case of an ITMC that showed a natural transition to an external auditory canal cholesteatoma.

• 한국멀티미디어학회논문지
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• 제19권2호
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• pp.189-199
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• 2016

Many implantable hearing aids are being developed as alternatives to conventional hearing aids which has inconveniences for use and social stigma that make hearing-impaired people avoid to wear it. Particularly, the fully-implantable middle ear hearing devices (F-IMEHD) are being actively studied for mixed or sensorineural hearing impaired people. In development of F-IMEHD, the most difficult problem is improving the performance of implantable microphone. Recently, Cho et al. have studied the tympanic membrane installed microphone which has better sensitivity and is easier to operate on patient than the microphone implanted under the skin. But, it may cause howling problem due to the feedback signal via oval window and ossicle chain from the transducer on round window in the middle ear cavity, therefore, a feedback canceller is necessary. In this paper, we designed NLMS (normalized least mean square) adaptive feedback canceller for F-IMEHD with tympanic membrane installed microphone and a transducer implemented at round window, and computer simulation was performed to verify its operation. The designed adaptive feedback canceller has a delay filter, a 64 point FIR fixed filter and a 8-tap adaptive FIR filter. Computer simulation of the feedback path is modeled by using the data obtained through human cadaver experiment.

• Journal of the Optical Society of Korea
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• 제15권1호
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• pp.74-77
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• 2011

We report a novel extension of 840 nm wavelength- based spectral domain optical tomography to in vivo/real-time human middle ear diagnosis. The system was designed to access the middle ear region with a specifically dedicated handheld probe. The real-time displaying feature was mandatory for in vivo imaging human subject with the handheld probe, and the system could provide about 20 frames per second for 2048 pixels by 1000 A-scans without using any graphics process units under the Labview platform. The inner ear structure of a healthy male volunteer was imaged with the developed system with the axial and lateral resolutions of $15\;{\mu}m$ and $30\;{\mu}m$, respectively. The application of the OCT technology to early diagnose otitis media(OM) is very promising and could be another extensive branch in the OCT field because it provides the depth resolved image including tympanic membrane (TM) and structures below TM whereas the conventional otoscope technique only gives asurface image of the TM.

• 기본간호학회지
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• 제16권2호
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• pp.162-170
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• 2009

Purpose: To verify the usability of tympanic temperature measurement for adults, a comparison of tympanic and axillary temperatures was done. Method: The study was conducted during October 2008, and participants were 110 female nursing students. Axillary temperatures were taken with glass mercury thermometers for 5, 7 and 10 minutes. Tympanic temperatures were taken with Infrared Thermometer IRT 4520 on both ears, twice at a 5-second interval. The data were analyzed using the SPSS 12.0 program. Results: In the 1st measurement, the mean for right tympanic temperatures ($0.06^{\circ}C$) and for left ($0.03^{\circ}C$) were significantly higher than the 2nd. A comparison of mean temperatures for right and left, showed that the mean for the left side on the 1st measurement was significantly higher ($0.01^{\circ}C$) than the right. Also the temperature on left side in the 2nd measurement was higher ($0.04^{\circ}C$) than the right 2nd, but not significantly higher. The mean temperature for right and left tympanic on 1 st and 2nd measurements were significantly higher than axilla for 5 minutes ($0.58^{\circ}C$), for 7 minutes ($0.52^{\circ}C$), and for 10 minutes ($0.43^{\circ}C$). The tympanic temperature was the most closely correlated with the axillary temperature at 10 minutes. Conclusion: Findings indicate that measurement of tympanic temperature is a useful alternative to axillary temperature taken for 10 minutes.