THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA VOLUME 34, NUMBER 8, PART 2 SEPTEMBER 1962 Analysis of the Middle-Ear Function. Part I: Input Impedance j. ZWISLOCKI Bioacoustlcs Laboratory,SyracuseUnioersity,Syracttse,.¾e•oYork (Received March 12, 1962) A quantitativetheoryof themiddle-ear acoustics is developed andexpressed in termsof an electricanalog. The analognetworkis basedon the functionalanatomyof the middleear. The numericalvaluesof its elementsarederivedfromimpedance measurements on normalandpathological earsandfromanatomicaldata. It is shownthat the input impedance of the analogagreeswithin the experimental errorwith the acoustic impedanceat the eardrum,and that changesin analogparameterscorresponding to knownanatomical changes producethe sameeffecton its impedance characteristics asmeasured at the eardrum. INTRODUCTION They should vanish gradually, as the experimental redundancyaccumulates. FTERfourcenturies of empirical research onthe The knowledgeof the acousticfunctionof the middle middleear,• our knowledgeof its acousticpropertiesseemsto be approaching an asymptote.We went ear may be synthesizedin various ways. The most throughperiodsof pure speculation,pseudotheories,primitive way wouldbe to build an artificialmiddleear workinghypotheses, ruggedempiricism, and it is possi- that would replicate the natural middle ear in every ble that we reacheda stagewherean integratiretheory detail. This is impractical, however, and the analytic is within our reach.By theoryis meanthere a formal systembasedon empiricalevidence andconcerned with interpolation amongexperimental dataratherthanwith extrapolation--inotherwords,a systemthat showshow variousexperimentalresultsfit together. This paperdescribes an attempt to producesucha information that could be derived from such an under- taking would be low. Any more sophisticatedmodel must be basedon mathematicaltheory, explicitly or implicitly. As a consequence, the theory developedin further portionsof this paper is essentiallymathematical, although it is presentedin the disguiseof an electric analog. Equations describingthe action of theory.Theprocedure usedissimilarto thatof a jigsaw variousparts of the middleear, as well as of the whole puzzlewhere,at the end of many trials, a coherent middleear, are complexand their solutionis tedious.It pictureemerges. The piecesof the puzzleare bits of is more economicalto expressthem by meansof elecinformationproducedby variouskinds of research trical networksand to study the input-output relation4 rangingfrom anatomyto physiology and acoustics. ships. In this form, the theory appears reasonably Experimentson living subjectsas well as on postsimple and straightforward. mortempreparations are included. There is one importantdifferencebetweena jigsaw ANATOMICAL puzzleandpiecingtogethera scientific theory.Whereas, in the first instance,all piecesare madeto fit exactlyfor EVIDENCE The acousticallyimportant parts of the middle ear all practicalpurposes, in the second,the fit is usually are shownschematicallyin Fig. 1. Proceedingfrom the muchlessperfectand somepiecesdo not seemto fit outer-ear canal, the first part is the eardrum. To it is anywhere. The effectof a certainnoisein thesystem is connected the chain of ossicles that consists of the compensated to someextentby redundancy. Neverthe- malleus,incus,and stapes(hammer,anvil, and stirless,someblurredspotsremainin the final picture. rup). The foot plate of the stapesis imbeddedin the oval window of the inner ear and its motions are trans- • G. vonBik6sy and W. A. Rosenblith,"The Early HistoW of HearingsObservations and Theories,"J. Acoust.Soc.Am. 20, 727 (1948). mittedto the inner-earfluids.The volumedisplacements producedby the stapesare compensated by nearly 1514 ded 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/info/ MIDDLE-EAR PNEUMATIC CELLS FUNCTION: ,MALLEUS •0 d'•'•INCUS EAR • • .•.•p•INC UO0STAPE DIAL INPUT IMPEDANCE 1515 tractedit pullsthe eardrumtowardthe middleear. The stapediusis attachedto the stapesand pullsthis ossicle sideways.While the acousticeffect of the tympanic muscleis uncertain, that of the stapedialmuscleis noticeable.It producesa change in the impedance measured at the eardrum characteristic of the ear. s and in the transmission The eardrum,the ligamentsand the musclesof the middle ear, the ligamentsholdingthe stapedialfoot plate in the oval window,and the elasticpropertiesof equally large displacements of the membraneof the the round-windowmembraneprovide the middle-ear systemwith stiffnessand introducesome frictional round window. resistance. The main resistivecomponent is contributed B•kdsy2 hasshownthat at low and mediumfrequenby the input impedanceof the cochlea. • cies the major central portion of the eardrum moves Motions of the eardrum are transmitted to the ossicunearly as a rigid body and with the sameamplitudeas lar chain as well as to the air-filled cavities of the middle the part of the malleus attached to it. The eardrum ear. As a consequence, thesecavitiesaffectthe acoustic appears to rotate around its upper edge--a modeof characteristics of the middle ear and should not be motionfacilitatedby a flexiblefold near its loweredge. ignored.From the acoustic pointof view, they may be Nevertheless,not the entire membranemoveswith the dividedinto threeparts: the tympaniccavity immedisame amplitude.Toward the edges,the motion deately behind the eardrum, the epitympanumwhich creasesto zero.Also,due to their flexibility,parts of the extendsupwardfromthe tympaniccavity,andthemore eardrumcan moveevenafter a completefixationof the or lessextensivesystemof pneumaticcellsof the temossicles.At high frequencies,the mode of motion poral bonewhichcommunicate with the othercavities changesand different sectionsvibrate in different throughtheantrum.Mostof theepitympanum isfilled phases. = All this meansthat, althoughthe coupling by the bodyof theossicles, sothat onlya narrowpassage between the eardrum and the malleusis close,it is not remainsbetweenthe tympaniccavity and the antrum perfect,and someof the acousticenergyactivatingthe with the adjoiningpneumaticcells.Seenfrom the eareardrum is not transmitted to the ossicles. Fro. 1. Schematic of the middle-ear mechanism. Furtherenergylosses maybeexpected in theossicular jointswhichare not completelyrigid.This is particularly true for the frail incudo-stapedial joint.a Its pronouncedflexibility becomesapparent from the followingobservations. After a completefixationof the stapesthroughan otosclerotic ossification, it is possible to move the incus without i 3 5 much effort. In normal conditions,the incusand the stapesrotate around two different axes that are almost perpendicularto each Fro. 2. Blockdiagramof the middle-earmecha•dsm. other.A contractionof the stapedius musclemaychange the plane of stapedialrotation by ninety degrees. = drum, sucha systemmay be expectedto producea Finally, the extremelysmallcross-sectional areaof the resonanceand an antiresonanceeffect, as has been joint must lead to high stresses duringsoundtransmission.Such stresseswould producenoticeabledeformationsevenin a materialwith a highconstantof elasticity. By contrastto theincudo-stapedial joint, themalleoincudaljoint appearsrobust,and it may be assumed recentlydemonstrated by Onchi.7 On the basisof the functionalanatomy,it is possible to draw a block diagramof the acousticunits of the middleear. This hasbeendonein Fig. 2, whichcontains five functionalunits. Somejustificationfor theseunits and their placement appearsnecessary. First of all, it that the two ossiclesmove as one unit? They appear to may not be obviouswhy the blockrepresenting the rotatearoundtheirpointof gravitysothat the effective middle-earcavitiesprecedes the blocksassociated with massof the systemis reducedto a minimum?.4 the eardrum.This orderis dictatedby the fact that a The ossicles are heldin placeby ligamentsand two displacement ofanypartoftheeardrum isreflected in a muscles,the tensor tympani and the stapedius.The compression of air enclosed in the middle-earcavities tensortympaniis attachedto the hammer;whencon- while it is not necessarily transmittedto the ossicular =G. yon B&k(•sy,Experiments in Hearing (McGraw-Hill Book Company,New York, 1960). aj. Zwislocki, "SomeImpedance Measurements onNormaland Pathological Ears,"J. Acoust.Soc.Am. 29, 1312(1957). • E. B,Srftny,"A Contributionto the Physiologyof BoneConduction," Acta Oto-Laryngol.Suppl.26 (1938). • O. Metz, "The AcousticImpedanceMeasuredon Normal and Pathological Ears,"Acta Oto-Laryngol. Suppl.63 (1946). • J. Zwislocki, "Theorieder Schneckenmechanik" (Theoryof CochlearMechanics),Acta Oto-Laryngol.Suppl. 72 (1948). ?Y. Onchi, "Mechanismof the Middle Ear," J. Acoust.Soc. Am. 33, 794 (1961). d 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/in 1516 J. ZWISLOCKI 600 Consequently,further experimentswere undertaken. They included acoustic measurementson the four temporal bonesandon patientswith a reflected 'eardrum. Most of thesemeasurements wereperformedby meansof an acousticbridgeof the Schustertype) On one temporalbone, the soundpressureproducedin the ear canal by means of a high-impedancesourcewas measureddirectly and comparedto that producedin a standard cavity.ø In this method, the volume to be determined is equal to the product of the standard volume and of the sound-pressure ratio. From bridge measurementson the temporal bones, the following FREQUENCY IN CYCLES PER SECOND volumesof the middle-earcavitieswere obtained:2.1, 3.4, 11.7, and 17.44 cc. With the exceptionof the Fro. 3. Acousticinput impedanceof the middle-earcavitiesand their electricanalog.Heavy linesshowthe impedancecomponents 17.44-ccfigure, thesevalues are reasonablycloseto obtained by Onchi on one temporal bone; thin lines indicate thoseobtainedby meansof waterfilling.The methodof analog resultsbasedon average data. directsound-pressure measurement confirmedthe value of the largest volume obtained with the help of the chain. The secondblock representsthe parts of the acousticbridge.It is possible,therefore,that in the first eardrum whose motion differs from that of the ossicles. method the water did not fill all the cavities. The mean Sincea portion of the eardrum, the malleusand the volumeresultingfrom bridgemeasurements on the four incus,may be considered asoneunit vibratingwith the temporal bonesamounts to 8.6 cc. sameamplitudeand phase,they may be includedin one Sinceit couldbe suspected that the largevolumes block. The next block, number four, accountsfor the obtainedon the temporalbonesweredue to the absence fact that not all acousticenergyis transmittedacross of soft tissue,bridgemeasurements wererepeatedon the incudo-stapedialjoint. Finally, block numberfive otosclerotic patientsduringthe mobilizationoperation. standsfor the stapeswith its attachmentto the oval During one phaseof the operation,a portionof the window, the input impedanceto the cochlea,and the eardrumis reflectedin orderto makethe stapesvisible. round-window membrane. One block is sufficient for It then becomespossibleto measureacousticallythe this complexstructure,sincethe stapesand the round- effective volume of the middle-ear cavities in the lowwindow membrane vibrate with approximately the frequencyrange.Frequencies of 150, 200, and 300 cps sameamplitudeand phase. The next step is an analysisof the network blocksof Fig. 2 and a determinationof the numericalvaluesof their elements. ACTION OF THE MIDDLE-EAR CAVITIES The acoustic action of the middle-ear cavities has been ascertained on the basis of static volume deter- minationsand impedancemeasurements. The volume of the middle-ear cavities was deter- minedon four preparationsof temporalbonesafter the soft tissue had been removed. The bones were sealed were used. They produced comparable results. The volume of the middle-ear cavities measured on six patients ranged from 5.5 to 14.0cc with a median of 9.3 ccanda meanof 8.7 cc.Thesevaluesagreewellwith thoseobtainedon the bonepreparations. The acoustic action of the middle-ear cavities at mediumand high frequencies wasrecentlydetermined by Onchi7 whoperformedimpedancemeasurements on variouspartsof freshear preparations. Unfortunately, the impedance of themiddle-earcavitiesisgivenfor one specimen only. Onchi estimated its total middle-ear volume to be 3.45cc, which is below our average. hermetically withwaxandconnected to a vacuumpump Nevertheless, the generalshapeof the impedance curves by means of a perforated earplug securedin the ear of the specimenshouldnot depart in principlefrom the canal. A valve arrangementmade it possibleto switch average.For this reason,Onchi'simpedancecurvesare from the vacuumpumpto a containerfilledwith colored reproducedin Fig. 3 by meansof heavy lines.The thin water. The amount of water that flowed into the bone could be determined from the level difference in the linesshowthe realand the imaginarycomponents of the impedanceof the electricalanalogshownin the inset. container. It was observedthat, unless the air was No effort was made to match Onchi's individual curves evacuated from the bone, the cavities were not filled completely. The volumes of the middle-ear cavities exactly. The electricalanaloghasbeendesignedmainly on the obtainedon the four bonesamountedto 2.43, 4.1, 8.6, basis of the anatomical evidence. The electrical elements and 10.5 cc, respectively.Thesevaluesare larger than shownin Fig. 3 have the followingsignificance. The the averagevaluesgenerallyacceptedin the literature.s inductanceL• is an analogof the acousticinertancedue sG. yonB•.k•syand W. A. Rosenblith,"The MechanicalPropertiesof the Ear," in Handbook of Experimental Psychology, edited by S.S. Stevens(JohnWiley & Sons,Inc., New York, 1951). • J. Zwislocki,"SomeMeasurements of the Impedanceat the Eardrum," J. Acoust.Soc.Am. 29, 349 (1957). ed 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/info MIDDLE-EAR FUNCTION: INPUT IMPEDANCE 1517 to the narrowpassage betweenthe tympaniccavityand the remainder of the cavities. The resistanceRa stands CO L0 .1• 0 for the acousticresistance arisingfrom the samenarrow passage. The capacitance Cv represents the compliance due to the air volumeof the antrum and of the pneumaticcells.The pneumaticcellshavea complexstructure and the capacitance C• can be considered an adeCd2 Ld quate analogonly at low frequencies. Somesort of a transmission line, as suggested by Onchi, would have been a more likely structure. However, there are no sufficientdata for the designof sucha line,and a study of Onchi'simpedancecurveshas shownthat a simple Fro. 4. Electric analog of the middle ear without incus. Elementstienotedby subscriptsa, p, m, and t belongto the middlecapacitancecan satisfyapproximatelythe input condi- ear cavities,thosewith the subscriptd to a portion of the earo to themallealcomplex. tions. Beyond the resonancepoint, which is situated drum,andthosewith thesubscript around600 cps,the importanceof the pneumaticcells decreases.The resistanceR• representsthe sound the analog of Fig. 3 may be regardedas a sufficient absorptionin the wallsof the tympaniccavity and the approximation. Eustachiantube. Its valueis alsoaffectedby the sound EAR WITHOUT INCUS absorptionin the pneumaticceils.Finally, the capacitance Ct stands for the acoustic complianceof the ! <•Cd• In certain surgical procedures,the incus is removed middle-earcavities.The sumof the capacitancesCp and without otherwise affecting the middle-ear structures. Ct correspondsto the total volume of the middle-ear Ears without the incus are acousticallysimpler than cavities.If we acceptthe acousticcompliance asdefined normalears?The effectsof the incudo•tapedialjoint, by the equation of the stapes,of the cochlea,and of the round-window C= V/pd, membraneare eliminated.The analogcircuit contains only threeunits of Fig. 2, i.e., middle-earcavities,earwith V meaningthevolumeof air, a the averagedensity drum, and malleus. The acoustic properties of the of air, and c the speedof sound,then middle-earcavitiesare knownalready,sothat only the C•,+C•= Acceptingfor the total volumeVman approximatevalue of 8 cc, we obtain C,+C•=5.45X10 -6 cgs units or, in electrical terms, 5.45 uF. The average volume of the tympaniccavity may be estimatedto be of the orderof 0.5 cc. This leadsto Ct=0.35uF and Cv=5.1•F. The value of L, was so chosenthat the zerosof the analog reactanceagreeapproximately with the zerosof Onchi's reactance curve. This value amounts to 14 mH. Other characteristics of the malleus with its attachments and of the eardrum remain to be considered. The malleal structuresconsistof the malleus, the ligamentsholdingit in place,the tensortympani, and the portionof the eardrumthat vibrateswith the same amplitudeand phaseas the malleus.The whole structure can be approximatedin the electricanalogby a seriesconnectionof a capacitance,a resistance,and an inductance. At low frequencies, the portionof the eardrumthat is valuesweretried and rejectedon the basisof subsequent not coupleddirectly to the malleuscan be represented in serieswith a resistance? At higher experiments. The resistance valuesof R• and R,• were by a capacitance the massof the eardrumbecomes effective, determinedfrom the phase relationshipsthat result frequencies, from Onchi'simpedancemeasurements on the middle- and an inductance must be added to the circuit. At still the eardrumvibratesin sections, ear cavities and on the basis of impedancemeasure- higherfrequencies, mentsat the eardrumof normal and pathologicalears. and a complexelectricalnetworkis required.A transIt mustbe emphasized that Onchi'simpedance curves missionline wouldprobablyconstitutethe bestanalog. couldhavebeenduplicatedconsiderably betterthan in However, it could be demonstratedthat the simplified Fig. 3. A smallercapacitance Cv, a largerinductance circuit of Fig. 4 is sufficientfor low and medium La, and resistance R, wouldbring the analogand real frequencies. Figure4 showsthe completeanalognetworkof the ear-impedance curves to closecoincidence.Such an to the undertakingwouldbe in conflictwith otherempirical ear without incus.The elementscorresponding evidence,however,particularly with the determination middle-ear cavities have been describedalready. The of the averagevolumeand with the impedancemeasure~ elementswith the subscripto refer to the malleal commentsat the eardrumof normal and pathologicalears. plex, those with the subscriptd to the remaining Sincethe impedanceof the middle-earcavitiesis low by portionsof the eardrum. The numerical values of the elements in the two comparisonto other partsof the middleear, its effecton the impedanceat the eardrumand on the soundtrans- latter groups,with the exceptionof La, Ca:, and Ra•, missionto the inner ear is not critical. As a consequence, were determinedfrom impedancemeasurementsat t_h• d 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/in 1518 J. ZWISLOCK[ R0= 70 •, La= 15 mH, Ral= 40 •, Rd== 220 fl. The agreementbetweenthe experimentaldata and the analogresultsmaybe considered satisfactory. This is particularlytrue for the reactance.In the resistance data, a discrepancy appearsin the vicinityof 1000cps. _z While the resistance measured in the ear seems to deI00 FREQUENCY FIG. 5. Reactance IN I000 CYCLES at the eardrum I0000 PER SECOND of an ear without incus. Pointsshowdata obtainedon two patients;curvesindicateanalog results. eardrum. The experimentalmethod was describedin two previouspapers? and only small technicalim- creasewith frequency,the resistance of the analog increases. The latter effectis in agreement with anatomical considerations, andit is possible that the decrement in the experimentalresistancedata is due to an artifact. Onchi7pointsout that soundabsorptionin the ear canal may be the cause.In his experiments,the effectof the ear canal couldbe eliminated,and the resistanceshows provementswere introducedfor the purposesof the an upwardtrendsimilarto that of the analog. presentinvestigation2 ø These improvementsconcern A methodof determiningthe networkelementswas in a previous paperin whicha highlysimthe couplingbetweenthe probetubesand the ear canal, described and the measurement of the volume of the ear canal. plifiedelectricanalogof the middleear wasdiscussed. amountof informationit First, an otologicalspeculumwas securedin the ear Although,with increasing canalby meansof a plasticearplugand soorientedthat becamepossibleto devisemore refinedmodels,the the same.As a consequence, the eardrumcouldbe seen.Second,the probetubeswere basicmethodremained discussion at thisplace. connected.tothe speculumthrougha tightly fitting thereis noneedfor its renewed adapter.In thisway, an obstructionof the tubesby the It may be of interest,however,to comparethe magniwalls of the ear canal could be avoided. After the termitude of the analogelementswith the availableanatomiis possiblefor the inducnation of the acousticmeasurements, the tubeswere cal data. Sucha comparison to the effectivemass withdrawn from the speculumand the ear canal was tancesL0 andLa whichcorrespond one-halfof the earfilledwithalcoholup to thetip of thespeculum, usinga of the malleusandof approximately The elements of the analogare calibratedsyringeand a blunt hypodermicneedle.The drum,respectively. elements.In amount of injected alcoholservedas a measureof the numericallyequalto acousticimpedance values,theyhave volumeof air betweenthe tips of the probetubesand orderto obtaintheactualmechanical the eardrum. Since the volume of the ear canal is con- to bemultipliedby the squareof the effectiveareaof the 2 this area amountsto tainedin thecomputational formulasfor theimpedance eardrum.Accordingto B•kdsy, the inductance at the eardrum, its determinationwas undertaken with 0.55cm= on the average.Consequently, L0 is equivalentto a massof 12mg andthe inductance great care. Typicalexperimental resultsobtainedontwopatients La to oneof 4.5 mg. Accordingto B•k•sy and Rosenwith removedincusare shownin Figs.5 and 6. The blith,a the total massof the malleusis of the order of approximately twiceasgreatas curvesindicatethe input impedanceof the electrical 23mgandis,therefore, theeffective mass determined by means of theanalog. analogwith the followingnumericalvalues: This agreeswith the observationthat the ossicles tend Co= 1.4•F, Ca•=0.23/•F, to rotate aroundtheir centerof gravity, so that the effectivemassis reduced.Althoughextractionof the incusmay be expectedto throw the systemout of L0= 40 mH, Ca==0.40 3*F, balance,a the effectivemassshouldremain smaller than the total mass of the malleus. The total mass of the eardrummaybecalculated fromthegeometrical dimensionsand the specificdensity.B•k•sy= estimates the 600 total area of the eardrum to be 0.85 cm= and the thick- 200 Ioo I000 FREQUENCY IN CYCLES I0000 PER SECOND Fro. 6. Resistanceat the eardrum of an ear without incus. Pointsshowdata obtainedon two patients;curvesindicate analog results. nessto be 0.01cm.Assuming a specific densityof 1.1 g/cma,whichis slightly largerthanthatof water,we obtain9.35mg for the total mass.If an areaof 0.55cm= is rigidlycoupled to themalleus, theremaining area, whichaccountsfor La, amountsto 0.3 cmz and its mass to 3.3mg.In viewof thedifficulties in estimating the of the eardrum,this value must be con•0j. Zwislocki, "Electrical Model oftheMiddle Ear,"'J.Acoust. dimensions Soc.Am. 31, 841(A) (1959), sidered inagreement withthatobtained fromtheanalog. ed 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/info MIDDLE-EAR FUNCTION: INPUT IMPEDANCE 1519 u• 15oc It maybe mentioned that WeverandLawrence TM give • for the massof the tympanic membranea value of • of 4.6mg. s 500 14mgwhich would leadtoanequivalent mass ofLa •o•-•5oc o OTOSCLEROTIC EAR oo • m 1500 In the otoscleroticear, the stapesis immobilizedin 2 •o the oval windowand, as a consequence, the cochlea disconnected from the middle-earsystem?In termsof •25DO gß the analognetwork,thismeansan interrupted circuit • 3•oo betweenthe blocks3 and 5. Block4, whichcorresponds to the incudo-stapedialjoint, remainsin the network, - and its elements have to be determined obvious that the m •5oo from anatomical considerations and from impedancemeasurements at the eardrum. It is rather z elastic and fricative [000 FREQUENCY IN CYCLES I0000 PER SECOND l:m. 8. Average reactance and resistanceat the eardrum of otoscleroticears. Closedcirclesindicate experimentalresultsof an earlier series; cressesthose of a more recent serieswhere an improvedtechniquewas used;curvesshowanalogresults. forces in a joint between two bones should play a preponderantrole.The simplestelectricalanalogof such joint at all frequencies, and becauseof the low coupling a systemis a capacitancein serieswith a resistance. a It impedanceof the eardrumat high frequencies. It was could be demonstrated that these two elements suffice alsopossibleto duplicatethe otosclerotic impedanceat to accountfor the effectof the incudo-stapedial joint on the eardrumwithout any changesin the analogcircuit the impedanceat the eardrum.Their numericalvalues of the eardrum. For thesereasons,the analognetwork of the middleear without the incuswasacceptedas the La Ra Cp analogof the otosclerotic ear after the analogcircuitfor Co Lo Re the incudo-stapedial joint had beenadded.The analog is shownin Fig. 7. Its numericalvaluesare C•=0.25 uF and R•=3000 •, in addition to thosedeterminedpreCd• ----C s viously.The valueof L0 canbe doubledor eventripled withoutproducingany appreciable effect. The experimental and the analogimpedance data are Rd2 shownin Figs.8 and9. Figure8 containsmediansof two seriesof experiments performed on 14ears(14 patients)a and 17 ears (9 patients),1ørespectively.Closedcircles Fro. 7. Electric analogof the otoscleroticear. Elementsdenoted by subscrlpt s belong to the incudo-stapedial joint. The other denote the results of the former, crossesof the latter seriesin which the morerecent,improvedtechniquewas elements are the same as in l:ig. 4. used. The curvescorrespondto the analog data. The agreementbetweenthe experimentaland the analog canbe easilydeterminedfrom impedancemeasurements resultsshouldbe consideredsatisfactory,althoughsome at the eardrum,providedit is possibleto assumethat discrepancies are apparent.The absolutevalue of the the parts of the network determinedon ears without analogreactanceis somewhattoo small at low and incusdo not requireany modifications. Suchan assump- somewhattoo largeat mediumfrequencies. The analog tion is opento criticism,as has beenpointedout in a preceding papersandelaboratedon by M•ller.12First of all, the incushasbeenaddedto the malleus.Second,the motionof the two ossicles is probablyaffectedby the fixation of the stapes,and, accordingto M•ller, their effectivemassshouldbe increased.The changein the ossicularmodeof motionmay, in turn, affect the acoustic propertiesof the eardrum. Studieson the electric analog have demonstrated that, although the effective mass of the ossiclesmay well be increasedby a fixationof the stapes,the effecton the impedanceat the eardrumis negligible.This is so becauseof the high impedanceof the incudo-stapedial 500 o •2S00 450C FREQUENCY hE. G. Wever and M. Lawrence, Physiological Acoustics (PrincetonUniversityPress,Princeton,New Jersey,1954). n A. R. M•ller, "Network Model of the Middle Ear," J. Acoust. Soc.Am. 33, 168 (1961). IN CYCLES PER SECOND Fro. 9. Reactance and resistance at the eardrum of otosclerotic ears. Circles and crossesindicate data obtained on 3 patients; curvesshowanalogresults(sameas in Fig. 8). d 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/in 1520 J. ZWISLOCKI resistance is somewhat toosmalloverthe entirerange. In general,the agreementis better with the second experimental series.The discrepancies couldbe easily correctedby a slight modificationof the eardrum circuit.Althoughsucha modification couldbe justified in view of probablechangesin the modeof ossicular o motion,its physicalmeaningcouldnot be ascertained at present. Consequently,it was consideredsuperfluous _z 1500 0 500 ß METZ for•thepurposes of thisarticle.The effectof various • ASPeNALL, MORTON, AND JONES parameterson the impedanceat the eardrum will be o ZWlSLOCKI (SECOND ß ZWISLOCKI (THIRD SEBIES) * M©LLER (FIRGT SERIES) SERIES) x HELLER (SECOND discussed in a subsequent paper. Figure 9 comparesempiricaldata obtainedon three Iooo IOOOO FREQUENCY IN CYCLES PER SECOND typicalpatientsto the analogcharacteristics. It can be seenthat the agreement is at leastas goodas with the Fro. 11. Average reactance at the eardrum of normal ears. mediandata, and that little informationwaslost in the Symbolsindicatedata obtainedby severalinvestigators;curve showsanalogresults. preceding figureasa resultof the averaging procedure. 2500 NORMAL SERIES) EAR dicatethe presenceof a masscomponentin the input of the innerear.This masscomponent is not Functionally, the otoscleroticcar contains all the impedance dueto the entirecolumnof perilymphin the cochlea,as elements of thenormalear,excepttheinputimpedance by severalauthors,but of the cochlea and the impedances of the stapesandof has beenassumederroneously is producedby a shortcolumnof fluid in the vestibule, the round-window membrane. A simplecircuitfor the betweenthe cochleaproperand the oval window.The input impedance of the cochleaitselfis resistive,due to the interactionbetweenthe massof the perilymphand the compliance of the basilarmembrane. This is clearly evident from the generalhydrodynamicaltheory of wave propagation, 6 and has been confirmedexperimentallyby Mundiet• on the guinea-pigear. The mass component of the inner ear cannot be determineddirectly from BCk6sy'sexperiments,since the conditionsprevailingat the oval windowmay have beenalteredduring the experimentalprocedure.HowFro. 10. Electric analog of the normal ear. Elements with subscriptc are addedto thoseof Figs.4 and 7; they belongto the ever,it may be estimatedfrom anatomicalsectionsthat cochlearcomplex. the columnof perilymphbetweenthe oval windowand the cochleaproper does not exceed2 mm. Since the average areaof the stapesfoot plate hasbeenestimated missingcomplexmay be derivedfrom the theoryof electroacoustic analogies. a It consists of a capacitance to be 3.2 mm2, the massof the effectiveperilymph 6.4 mg. This and a resistance for eachof the two windows,and of a columnshouldamountto approximately resistance and an inductance for the cochlea. All these valueis increased by themassof thestapes(2.5mg)• to elementsare connectedin series,so that the capaci- 8.9 mg. In order to obtain the acousticmass,the latter tances and the resistances that stand for the two figuremustbe dividedby the areaof the stapessquared. windowsmay be lumped together.Furthermore,the The calculationyields8.7 g/cm4.The equivalentacouspracticallynegligible massof the stapesmay be added tic massreferredto the impedanceat the eardrumis to the massresultingfrom the inner-earimpedance to obtainedby divisionby the squareof the acoustic constituteone inductance.All the resistances may be lumpedtogetheralso.Asa result,thenetworkof Fig. 10 is obtained.It is an analogof the normalmiddleear,in •o which all the elementsexcept C,, Lc, and R, have ½F-SOD already beendetermined. The elementsof the cochlearcomplexhave been so chosen that theinputimpedance of the analogmatches F•EOUENCY iN CYCLES F'E• SECOND the averageimpedanceat the eardrum. Fro. 12. Average resistance at the eardrum of normal ears. During the matchingexperiments,it wasfound that Symbols indicate data obtained by several investigators; curve the input impedanceis so insensitiveto the inductance showsanalogresults. L• that this elementmay be completelyeliminated. Nevertheless,L, has been left in becauseof anatomical considerations, and becauseB8k&y's experiments in- •aj. R. Mundie and D. F. Henges,"SomeFactorsInfluencing the AcousticalImpedanceof Guinea Pig Ear," J. Acoust.Sec. Am. 32, 1495(A) (1960). ed 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/info MIDDLE-EAR FUNCTION: INPUT IMPEDANCE 1521 of the ear canal. Morton and Jonesmeasuredthe distancefrom the probeto the eardrumand multipliedit. by the averagecross-sectional area of the ear canal.In this way, they obtained a volume of 0.48 cc which is smallerby 0.07cc than the averagevolume usually obtained under similar conditions.Since, on the one hand,theirimpedance valuesat the entranceto the ear canalagreedrather well with data discussed in a previous paper,'ø and, on the other, the calculatedimpedanceat the eardrumappearedsomewhattoo small, it was decided to adjust their data to a volume of o ,• iooo z_ 15oo • 2ooo 0.55 co. •: 2500 I00 I000 FREQUENCY IN CYCLES PER SECOND Figuresi1 and 12 showthat the experimental results are in a fairly goodagreementwith eachother. The largest discrepancies appear above 1000 cps for the reactanceand below 300 cps for the resistance.The probablereasonfor this effect can be found in the magnituderatio of the two components.At low frequencies, the reactanceis largeand the resistance small; transformer ratio between the oval window and the above 1000 cps, the reverseis true. The smallercomeardrum. B•k&y arrives at a theoreticaltransformer ponent is very sensitiveto the phase measurement. ratio of 22. Consequently,the equivalentacousticmass Consequently, an errorin phasedeterminationproduces at the eardrumamountsto approximately20 mg. This a magnifiederrorin the smallerimpedancecomponent. corresponds to an inductanceof 20 mH. The curvesof Figs. 11 and 12 indicate the results The othervaluesof the cochlearcomplexthat fit the obtained on the electrical analog. In the frequency measuredimpedanceat the eardrumare Fzc. 13. Reactance at the eardrum of normal ears. Circles and crossesindicate data obtained on three subjects; curve shows analogresults(sameas in Fig. 11). C• = 0.6 •F, R• = 600 •. rangebetween100 and 1500cpsfor the reactanceand between200and 1500cpsfor the resistance, theyagree with the experimental data withinthe errorof measure- The resistance agreesverywellwith thevaluepredicted ment. in earlierpapers. a.6 Figures 13 and 14 comparethe analogimpedance The experimentaldata obtainedby severalinvesticharacteristicsto typical data obtained on three subgatorsas well as the analogresultsare shownin Figs. jectswith normalhearing.The agreementis as goodas 11 and 12. The data of M•ller •.'• and Zwislockia.•øwere with the averagedata, which leads to the conclusion takendirectlyfromoriginalpapers.The valuesgivenby that the analogis a valid representationof a typical Metz s had to be convertedfrom specificimpedance middle ear. expressed in pcunitsto acousticimpedance expressed in cgsunits.The conversion wasbasedon a characteristic COMPARISON WITH PREVIOUS MODELS acousticimpedance of air of 130 cgsunitswhichcould be derivedfrom the description of Metz'sexperimental The electricalanalogdiscussed in this paper evolved setup.The resultsof Morton and Jones ]• wereadjusted as a resultof successive approximations. The first crude because of their somewhat crude estimates of the volume modelwaspublished in 1957,a somewhat iraprovedone was discussed beforethe AcousticalSocietyof America in 1959. Severalother modelsremainedunpublished.It _m • I000 may be of interestto comparethe numericalvaluesof the principalelementsin the threepublishedanalogsin order to seewhetherthere is someconsistency. Using • 5oo,, o the nomenclatureof this paper,we can make the following comparisons. The capacitance Corepresenting the complianceof the malleo-incudalsystemhad in the 0100 I000 first model a value somewhathigher than 0.56 uF, in FREQUENCY IN CYCLES PER SECONO the secondit grewto 1.64uF, and in the third it deFro. 14. Resistance at the eardrum of normal cars. Circles and crossesindicate data obtained on three subjects; curve shows creaseda little to 1.4uF. The inductancestandingfor analogresults(sameas in t'ig. 12). the acousticmassof the ossicularchain changedfrom 60 to 50 to 40 mH. The capacitancein the complexof • A. R. MMller, "Improved Techniquefor Detailed Measurementsof the Middle Ear Impedance,"J. Acoust.Soc. Am. 32, the incudo-stapedialjoint varied irregularly from 0.35 2S0(A) (1960). a•J. ¾. Morton and R. A. Jones,"The AcousticalImpedance Presentedby SomeHuman Ears to HearingAid Earphonesof the Insert Type," Acustica6, 339 (1956). and 0.52 to 0.25 uF. The analog capacitance of the complianceof the cochlearwindowshad an unreasonably high value of 2.6 #F in the first model, but de- d 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/in 1522 J. ZWISLOCKI creasedto 0.7 #F in the second,and further to 0.6 #F in the third. The input resistance of the cochlearemained reasonablystable changingonly from 540 to 400 to 600•2. It is evident that, despite the growing complexity of the analog,the principal elementskept their order of magnitude.It is probable,therefore,that they are representative of the actualconditionsin the middle in this paper. At tirst glance, M½ller'sassumption appearsquite attractive. Closerscrutinyleadsto some sclerotic fixation. While, in the first situation, the agreement would result. These data, obtained on ear doubts. Rotation of the two ossicles around the incudo- stapedialjoint wouldnecessitate a motionof the portion of the malleus imbedded in the eardrum in a plane tangent to the surfaceof the eardrum. Such a motion would be opposedby an extremelyhigh mechanical ear. impedancewhich is not borne out by experiments. In this context,it may not be superfluousto mention Rotationof the twoossicles aroundthe incudo-stapedial that the inductance L0 obtained for the malleo-incudal joint wouldalsoproducea high masscomponentin the complexin the latestanalogis exactlyequivalentto the impedance at the eardrum.This masswouldbe greater effective mass of these ossiclesas determined by than the total massof the malleo-incudalcomplexand, Frank.•6 By letting the ossiclesoscillatearound their as a consequence, wouldexceed50 mg. In the electrical axis of gravity, Frank obtained an effectivemass of analog,this masswould be reflectedby an inductance 12 mg. When the valueof 40 mg/cm4, equivalentto the of 167mH insteadof about 50 mH, as calculatedby inductanceL0=40 mH, is multipliedby the squareof M½ller for his analog. the effective area of the eardrum, an effective mass of From the analysisof M½ller's work, there emerges 12 mg results. an interestingconclusion that the middle-earstructure A considerable numberof electricalanalogshavebeen effectivelypreventsany motion of the ossiclesother suggestedby various investigators.The older ones than rotationaroundan axis passingthrough,or at becameobsoletein the light of accumulatingexperi- leastnear, the centerof gravity of the malleo-incudal mentalevidence.The morerecentones,designed on the complex? basisof quantitativeinvestigations, needto bediscussed. Anothermodelof the middleear has beensuggested M½ller• hassuggested an analogbasedon impedance by Onchi.7 It was presentedfor the first time in 1949 measurements at the eardrumof clinicallynormal ears. asa mechanicalanalog? In a recentpaper,Onchi shows In order to determinethe circuit elements,he varied the a conversion of the mechanicalanaloginto an electrical responseof the ear by coating the eardrum with col- one. The electricalversion is based on essentiallythe lodionand othersubstances and by lettingthe stapedius sameassumptions that underlythe analogof thispaper, musclecontract.This methodis somewhatanalogous to and, as a consequence, the generalstructuresof the two the onediscussed in this and a preceeding paper.How- analogsare similar. Nevertheless,there are somedifferever, changesin the middle-ear characteristicswere encesthat shouldbe mentioned.They concernmainly producedin a differentway. the portionof the eardrumthat is not rigidlycoupledto There are three aspectsof M•ller's approachthat the malleus, and the incudo-stapedialjoint. Both appearopento criticism.First of all, the complexeffect systemsare representedby a capacitancein Onchi's of the middle-ear cavities is ignored; second,it is paper. Sucha simplificationshouldbe permissible for assumedthat the stapediusmuscleeffectivelyimmobi- the eardrumat lowfrequencies. In the frequencyrange lizesthe stapes;and third, it is assumedthat the ossicles above 1000 cps, a more complexnetwork appears rotate around the incudo-stapedial joint when the necessary.In the incudo-stapedialjoint, where the stapesbecomesimmobile.The effect of the middle-ear lenticularprocessof the incusmovesrelative to the head cavities is small up to about 1000 cps, and, if the of the stapes,frictionmust arise.It shouldbe reprevalidity of the modelis restrictedto thelowfrequencies, sentedin the electricalanalogby a resistance. Impethe omission of thiseffectis not critical.The assumption dance measurements on otosclerotic ears indicate that of stapedialimmobility due to stapediuscontraction this resistance is substantial. may be of greater consequences. A comparisonof It is not possibleto makea comparison with Onchi's M½ller's impedancecurves with analogouscurves ob- analog on a quantitative basis, since Onchi omitted tainedon otosclerotic patientsindicatesthat the stape- giving the numericalvaluesof his elements.However, dius action is considerablyless effective than oto- judging from his impedancedata, a considerabledisimpedanceat lowfrequencies increases by a few percent, preparations,showmuchhigherimpedancevaluesthan in the second,the changeamountsto 100% and often those encounteredin the ears of living subjectswith more. The mode of ossicular motion is of primary normal hearing. Onchi's explanation that the low imimportancein the designof an electricalanalog,and pedancemeasuredon living subjectsis due to the acousM•ller's assumptionthat the malleusand the incuscan tic conditions in the ear canaldoesnot seemacceptable, rotate around the incudo-stapedialjoint makes his sincea highimpedance is foundin otosclerotic patients. analogsubstantiallydifferentfrom the analogdescribed It appears far moreprobablethat post-mortem changes • O. Frank, "Die Leitung des Schallesim Ohr (Sound Trans- missionin the Ear)," Sitzber. math-physik. KI. bayer. Akad. Wiss. Miinchen õ$, 11 (1923). accountfor the high impedance of Onchi'sspecimens. •7¾. Onchi,"A Study of the Mechanismof the Middle Ear," J. Acoust.Soc.Am. 21,404 (1949). ed 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/info MIDDI. E EAR I:UNCTION: INPUT IMPEDANCE 1523 Thispointwill befurtherelaborated on in a subsequentear in a quantitativeway. It correlateschangesin the acoustic impedanceat the eardrum to anatomical changes in the middle-earstructures. It alsoshowsthat the numericalvalues of its parameters,which were In an effort to synthesizethe available empirical derivedfrom averagedata, are a true representation of information on the acoustic function of the middle ear conditionsin typical ears. In anticipation of a subseinto a quantitativetheory,an electricanalogof the quentpaper,it is possibleto statefurther that the anamiddleear has beendevised.The analogmay be con- logprovidesinformationon the transmission properties sideredan expression of the underlyingmathematical of the middle ear, on the correlation of these transtheory.Althoughit wouldhave beenpossibleto obtain missionpropertiesto the impedanceat the eardrumfor the sameresultby meansof a setof algebraicequations, various anatomicalconditions,and finally, on the theseequationswouldhavebeensocomplexthat their transientresponses. meaningwouldnot becomeimmediatelyapparent.An The frequencyrangeof validity for the analogof the electricanalogprovidesa simplevisualimageof the normalear extendsfrom at least 100 to 2000 cps.Its system,and makesit possibleto recognizefunctional responsecharacteristics were recordedup to 8000 cps. relationships almoston sight.Anotheradvantageis the However, the empirical data beyond 2000 cps are time economyin obtaining data for various kinds of meagerand in poor agreementwith each other. For input signalsand for variouschangesin the parameters pathologicalears,no data seemto be availablebeyond of the system. 1400cps.It is hopedthat thesegapswill be filledin the It is true that an electricalanalogis an imperfect near future, althoughexperimentaldifficultiesincrease paper. CONCLUSIONS model and that its validity is restricted to a limited rangeof the variablesinvolved.The sameis true for all possiblemodels or theories, however, and cannot be considereda specificdisadvantage.All the simplifica- rapidly at frequencieshigher than 1000 cps. ACKNOWLEDGMENTS tionsdeemednecessary in the electricanalogdescribed I shouldlike to expressmy gratitudeto Dr. G. D. in this paper have been checkedcarefully against Hoople,to Dr. W. H. Bradley,andto Dr. A. S. Feldman empiricalevidence,and they were not acceptedunless for their help in obtaining data on patients and on the responseof the analogmatchedthat of the real ear within the experimentaluncertainty.It is expectedthat future research will narrow down the tolerances and make certain modificationsnecessary.This should be viewedas scientificinevitability, however,rather than as an inherent weakness of the method. temporal bones. My thanks also go to Mr. V. H. Sandoval,to Mr. S. Madonna,and to Mr. R. Gardlnier for their helpin computationof the impedancedata and in the constructionof the electricalanalogs. This work was supportedby a researchgrant from the National Institute of NeurologicalDiseasesand Blindness,National Institutes of Health, Public Health For the present,it is probablysafe to state that the devisedelectricanaloganswersthe followingquestions. Service,U.S. Departmentof Health, Education,and It specifies the functionof variouspartsof the middle Welfare. d 13 Sep 2011 to 156.145.57.157. Redistribution subject to ASA license or copyright; see http://asadl.org/journals/doc/ASALIB-home/in
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