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Comparison of fetal and adult tympanic membrane sizes: a cadaveric study

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Abstract

Objective

The work aimed to compare fetal and adult tympanic membrane (TM) sizes for understanding dimensional development from intrauterine life to adulthood.

Methods

Fifty-six temporal bones (18 fetuses, 10 elderly adults, half male and half female in each group) were included in this study. Using a digital image software, the TM height, width and area were measured.

Results

The mean area, height and width of the TM in adults were found as 58.84 ± 22.01 mm2, 9.06 ± 1.33 mm, and 8.10 ± 1.43 mm, respectively. Moreover, the mean area, height and width of the TM in fetuses were measured as 47.62 ± 12.57 mm2, 8.22 ± 1.12 mm, and 7.25 ± 1.15 mm, respectively. The TM dimensions were increasing in fetuses between 20–32 weeks of gestation. However, the TM dimension was statistically similar at the 7th month, the 8th month and adult periods. The TM height was greater than its width in fetuses and adults.

Conclusion

The calculated regression equations of the TM parameters in fetuses may be used to estimate its size. The TM size did not change from the 7th gestational month, and thus the membrane reached adult diameter in fetal life. The TM height and width showed a very wide range; therefore, we thought that the 12 mm (the height) × 10 mm (the width) graft might be ideal dimension during the repair of the TM perforations.

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References

  1. Anson BJ, Bast TH, Richany SF (1955) The fetal and early postnatal development of the tympanic ring and related structures in man. Ann Otol Rhinol Laryngol 64:802–823

    Article  CAS  Google Scholar 

  2. Anson BJ (1946) Development of the auditory ossicles. Laryngoscope 56:561–569

    Article  CAS  Google Scholar 

  3. Balkany TJ, Berman SA, Simmons MA, Jafek BW (1978) Middle ear effusions in neonates. Laryngoscope 88:398–405

    Article  CAS  Google Scholar 

  4. Beger O, Karagül Mİ, Koç T et al (2020) Effects of different cadaver preservation methods on muscles and tendons: a morphometric, biomechanical and histological study. Anat Sci Int 95:174–189

    Article  Google Scholar 

  5. Beger O, Koç T, Karagül Mİ et al (2019) Evaluation of the stapedial tendon growth dynamic in human fetuses. Surg Radiol Anat 41:833–839

    Article  Google Scholar 

  6. Bruzewicz S, Suder E (2004) Prenatal growth of the human tympanic membrane. Ann Anat 186:271–276

    Article  Google Scholar 

  7. Carniol ET, Bresler A, Shaigany K et al (2018) Traumatic tympanic membrane perforations diagnosed in emergency departments. JAMA Otolaryngol Head Neck Surg 144:136–139

    Article  Google Scholar 

  8. Chow LC, Hui Y, Wei WI (2004) Permeatal temporalis fascia graft harvesting for minimally invasive myringoplasty. Laryngoscope 114:386–388

    Article  Google Scholar 

  9. Decraemer WF, Dirckx JJ, Funnell WR (1991) Shape and derived geometrical parameters of the adult, human tympanic membrane measured with a phase-shift moiré interferometer. Hear Res 51:107–121

    Article  CAS  Google Scholar 

  10. Eby TL, Nadol JB Jr (1986) Postnatal growth of the human temporal bone. Implications for cochlear implants in children. Ann Otol Rhinol Laryngol 95:356–364

    Article  CAS  Google Scholar 

  11. Fields JD, McKeag DB, Turner JL (2008) Traumatic tympanic membrane rupture in a mixed martial arts competition. Curr Sports Med Rep 7:10–11

    Article  Google Scholar 

  12. Green SM, Rothrock SG, Green EA (1993) Tympanometric evaluation of middle ear barotrauma during recreational scuba diving. Int J Sports Med 14:411–415

    Article  CAS  Google Scholar 

  13. Herkal K, Ramasamy K, Saxena SK, Ganesan S, Alexander A (2018) Hearing loss in tympanic membrane perforations: an analytic study. Int J Otorhinolaryngol Head Neck Surg 4:1233–1239

    Article  Google Scholar 

  14. Ikui A, Sando I, Haginomori S, Sudo M (2000) Postnatal development of the tympanic cavity: a computer-aided reconstruction and measurement study. Acta Otolaryngol 120:375–379

    Article  CAS  Google Scholar 

  15. Indorewala S, Pagare R, Aboojiwala S, Barpande S (2004) Dimensional stability of the free fascia grafts: a human study. Laryngoscope 114:543–547

    Article  Google Scholar 

  16. Jahrsdoerfer RA, Aguilar EA, Yeakley JW, Cole RR (1989) Treacher Collins syndrome: an otologic challenge. Ann Otol Rhinol Laryngol 98:807–812

    Article  CAS  Google Scholar 

  17. Kalejaiye A, Giri N, Brewer CC et al (2016) Otologic manifestations of Fanconi anemia and other inherited bone marrow failure syndromes. Pediatr Blood Cancer 63:2139–2145

    Article  CAS  Google Scholar 

  18. Kim CH, Shin JE (2018) Hemorrhage within the tympanic membrane without perforation. J Otolaryngol Head Neck Surg 47:66

    Article  Google Scholar 

  19. Kirikae I (1960) The structure and function of the middle ear. University of Tokyo Press, Tokyo

    Google Scholar 

  20. Leibovitz Z, Egenburg S, Bronshtein M et al (2013) Sonographic imaging of fetal tympanic rings. Ultrasound Obstet Gynecol 42:536–544

    Article  CAS  Google Scholar 

  21. Lim DJ (1970) Human tympanic membrane. An ultrastructural observation. Acta Otolaryngol 70:176–186

    Article  CAS  Google Scholar 

  22. Mirza S, Richardson H (2005) Otic barotrauma from air travel. J Laryngol Otol 119:366–370

    Article  CAS  Google Scholar 

  23. Palva T, Ramsay H (1995) Myringoplasty and tympanoplasty–results related to training and experience. Clin Otolaryngol Allied Sci 20:329–335

    Article  CAS  Google Scholar 

  24. Park MK, Kim KH, Lee JD, Lee BD (2011) Repair of large traumatic tympanic membrane perforation with a Steri-Strips patch. Otolaryngol Head Neck Surg 145:581–585

    Article  Google Scholar 

  25. Ritenour AE, Wickley A, Ritenour JS et al (2008) Tympanic membrane perforation and hearing loss from blast overpressure in Operation Enduring Freedom and Operation Iraqi Freedom wounded. J Trauma 64:S174–S178

    Article  Google Scholar 

  26. Salvinelli F, Maurizi M, Calamita S, D’Alatri L, Capelli A, Carbone A (1991) The external ear and the tympanic membrane. A three-dimensional study. Scand Audiol 20:253–256

    Article  CAS  Google Scholar 

  27. Schuknecht HF (1989) Congenital aural atresia. Laryngoscope 99:908–917

    Article  CAS  Google Scholar 

  28. Standring S, Borley NR, Collins P et al (2008) Gray’s anatomy: the anatomical basis of clinical practice. Elsevier, London

    Google Scholar 

  29. Wahid FI, Nagra SR (2018) Incidence and characteristics of traumatic tympanic membrane perforation. Pak J Med Sci 34:1099–1103

    Article  Google Scholar 

  30. Wajnberg J (1987) The true shape of the tympanic membrane. J Laryngol Otol 101:538–541

    Article  CAS  Google Scholar 

  31. Yoshida T, Sone M, Mizuno T, Nakashima T (2009) Intratympanic membrane congenital cholesteatoma. Int J Pediatr Otorhinolaryngol 73:1003–1005

    Article  Google Scholar 

  32. Zhao S, Han D, Wang D, Li J, Dai H, Yu Z (2008) The formation of sinus in congenital stenosis of external auditory canal with cholesteatoma. Acta Otolaryngol 128:866–870

    Article  Google Scholar 

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Acknowledgement

Deniz Ladin Özdemir and Fatma Müdüroğlu participated to this study as visiting students.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

Authors

Contributions

OB, DLÖ, FM, PT, DÜT: project development, data collection, data analysis, manuscript writing. YV, ABÖ, OD: Data analysis, Manuscript editing.

Corresponding author

Correspondence to Orhan Beger.

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The authors declare no conflict of interest.

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Beger, O., Vayisoğlu, Y., Örs, A.B. et al. Comparison of fetal and adult tympanic membrane sizes: a cadaveric study. Surg Radiol Anat 43, 161–167 (2021). https://doi.org/10.1007/s00276-020-02593-6

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  • DOI: https://doi.org/10.1007/s00276-020-02593-6

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