[Tensometry - development of a measurement technique of the tube function in a temporal bone model].
OBJECTIVE
Middle ear pressure depends widely on the function of the eustachian tube. Tube dysfunction is often a trigger for middle ear diseases like chronic otitis media but also for barotrauma. Patients with impaired tubal function should not be exposed to situations with extreme pressure changes. Until today, there is no valid examining method for long-time measuring of the development of middle ear pressure.


METHODS
The basic idea was to develop a thin flexible film with integrated strain gauges made of platinum and gold, which can be applied directly on the surface of the tympanic membrane. Using these, shifts or distensions of the tympanic membrane in a temporal bone model can be measured and documented.


RESULTS
We were able to show that the measuring system was sensitive enough to register pressure variations in the middle ear volume of a temporal bone model. While using a full bridge design of the strain gauge resistors it could be shown that the measuring voltage of the strain gauges were in phase of the pressure measurement curve or according to the positioning in opposite phase. In single resistor mode the measurement were not so positioning depended. Measuring tympanic membrane movement in case of perforation was feasible.


CONCLUSIONS
To improve the longtime stability of the strain gauge film the next development step will be to make a new design with Konstantan resistors (CU-Ni-Mn). After a testing period, longtime measurements in clinical studies will follow.
Zehlicke
T
T
Bundeswehrkrankenhaus Hamburg, HNO, Hamburg. thorsten.zehlicke@web.de
Just
T
T
Specht
O
O
Schmidt
W
W
Sass
W
W
Moss
C
C
Pau
H-W
HW
D000158:Acoustic Impedance Tests / Q000295:instrumentation*; D001469:Barotrauma / Q000503:physiopathology*; D004432:Ear, Middle / Q000503:physiopathology*; D004867:Equipment Design; D005064:Eustachian Tube / Q000503:physiopathology*; D006046:Gold; D006801:Humans; D010033:Otitis Media / Q000503:physiopathology*; D010036:Otolaryngology / Q000295:instrumentation*; D011237:Predictive Value of Tests; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D014025:Titanium; D014432:Tympanic Membrane / Q000503:physiopathology; D018058:Tympanic Membrane Perforation / Q000503:physiopathology
D006046:Gold; D014025:Titanium