RESUMEN
The mechanism of the active cochlea relies on a complex interaction between microstructures in the organ of Corti. A significant longitudinal vibration "hotspot" was recently observed in the high-frequency region of the living gerbil cochlea between the Deiters cells and the outer hair cells. A similar phenomenon was also found in guinea pigs with a relatively smaller magnitude. The cause is unknown, but one hypothesis is that this phenomenon is due to the structural constraints between different microstructures. It is not easy to explain the mechanism of hotspots directly from experimental observations. It may also be difficult to image or test if the hotspot will occur in the low-frequency region in the cochlea. We built two three-dimensional finite element models corresponding to the high- and low-frequency regions in the guinea pig cochlea. Responses of the organ of Corti to passive acoustic and outer hair cell electrical excitation were calculated. The two excitations were then superimposed to predict the active response of the organ of Corti. The hotspot phenomenon in the experiment was reproduced and analyzed in-depth about influencing factors. Our results indicate that hotspots appear in the low-frequency region of the cochlea as well. We hypothesize that the hotspot is a locally originated phenomenon in the cochlea, and the traveling wave further enhances the response to low-frequency excitation. The movement of outer hair cells inclined in the longitudinal direction is the leading cause of the hotspot.
RESUMEN
Background and Objective: An auditory prosthesis refers to a device designed to restore hearing. Some parameters of the auditory prosthesis, such as mass, implanted position, and degree, need to be repeatedly designed and optimized based on the realistic geometry of the ear. Numerous auditory prostheses designs were based on animal or specimen experiments involving many complex instruments, and the experimental specimens had low repeatability. The finite element method (FEM) can overcome these disadvantages and be carried out on the computer with substantial flexibility in modifying the prosthetic parameters to optimize them. This narrative review aims to analyze the recent advances in the design and optimization of auditory prostheses using the FEM and provides suggestions for future development. Methods: The literature on the design of auditory prostheses using the FEM has been extensively studied using the PubMed and Web of Science databases, including different ear models and relevant parameters of different auditory prostheses that need to be designed and optimized. Key Content and Findings: The process of designing and optimizing a prosthesis using the FEM includes building an ear model and a prosthesis model to simulate the implantation process. The related parameters of the prosthesis can be designed and modified conveniently. The post-implantation response could be used as an indicator to evaluate the prosthesis's performance. Conclusions: The review concluded that the FEM had been widely studied in designing and optimizing middle ear implants and cochlear implants and obtained good results. FEM can be utilized to explore more effective directions for auditory prosthesis design and optimization in the future.