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At least 919 records · Page 51Linked to original sources

CO2 laser treatment of trichoepithelioma with focused and defocused beam.

A patient with multiple trichoepithelioma was treated with the carbon dioxide (CO2) laser. The beam was utilized in a defocused mode for debulking and exposing the tumors. The focused mode was used for destruction of the dermal remnants of the tumors and in the sculpting of lesions to match the contour of the external ear. Examination of lesional tissue for the presence of estrogen or progesterone receptors revealed the absence of these receptors.

Ear Neoplasms↗

Treatment of perichondritis with a quinolone derivative--norfloxacin.

Auricular perichondritis is an uncommon complication following surgery of the external ear. Pseudomonas aeruginosa is the most commonly associated pathogen. Presented is a patient with auricular perichondritis successfully treated with norfloxacin, a newly available, orally administered antibiotic with antipseudomonal activity.

Basal Cell Carcinoma↗

Chondrodermatitis nodularis chronica helicis. Successful treatment with the carbon dioxide laser.

Chondrodermatitis nodularis chronica helicis is a painful, persistent, or recurrent inflammatory lesion involving the cartilage and skin of the external ear. These lesions are resistant to many therapeutic modalities and often recur even after surgical excision. The CO2 laser was used to vaporize the cutaneous nodules and involved cartilage. The wounds were allowed to heal with only minimal care using hydrogen peroxide cleansing and applications of topical antibiotic ointment. Twelve lesions have been treated with no recurrences after 2 to 15 months. There have been no complications or infections following laser surgery. The pain from these lesions is gone immediately following laser surgery. Healing with excellent cosmetic results is complete usually within 3 to 4 weeks.

Aged↗

Envelope representations of pinna impulse responses relating to three-dimensional localization of sound sources.

Acoustical impulse responses of the external ear system are measured in order to investigate human three-dimensional auditory localization. A sound source of electric spark discharge is presented in nine directions for each of four vertical planes, 1.5 m from the center of the subject's head. The results show that a human pinna works as a compound sound reflector which produces major reflected components within 350 microseconds. The relationship between the direction of the sound source and the impulse response is clearly shown by the use of an envelope formation technique and radial ray displays.

Auditory Perception↗

The influence of pinnae-based spectral cues on sound localization.

The role of pinnae-based spectral cues was investigated by requiring listeners to locate sound, binaurally, in the horizontal plane with and without partial occlusion of their external ears. The main finding was that the high frequencies were necessary for optimal performance. When the stimulus contained the higher audio frequencies, e.g., broadband and 4.0-kHz high-pass noise, localization accuracy was significantly superior to that recorded for stimuli consisting only of the lower frequencies (4.0- and 1.0-kHz low-pass noise). This finding was attributed to the influence of the spectral cues furnished by the pinnae, for when the stimulus composition included high frequencies, pinnae occlusion resulted in a marked decline in localization accuracy. Numerous front-rear reversals occurred. Moreover, the ability to distinguish among sounds originating within the same quadrant also suffered. Performance proficiency for the low-pass stimuli was not further degraded under conditions of pinnae occlusion. In locating the 4.0-kHz high-pass noise when both, neither, or only one ear was occluded, the data demonstrated unequivocally that the pinna-based cues of the "near" ear contributed powerfully toward localization accuracy.

Auditory Perception↗

Neural network models of sound localization based on directional filtering by the pinna.

Three-layer neural-network functions were developed to transform spectral representations of pinna-filtered stimuli at the input to a space-mapped representation of sound-source direction at the output. The inputs are modeled after transfer functions of the external ear of the cat; the output is modeled on the spatial sensitivity of superior colliculus neurons. Network solutions are obtained by backpropagation and by a method that enforces uniform task distribution in the hidden layer of the model. Solutions are characterized using bandlimited inputs to study the relative strength of potential sound localization cues in various frequency regions. This analysis suggests that the frequency region containing the first spectral notch (5-18 kHz) provides the best localization cues. Response properties of model neurons were studied using input patterns modeled after auditory nerve response profiles to pure tones at various frequencies and sound levels. The response properties of hidden layer model neurons resemble cochlear nucleus types III and IV and their composites. Neurons in both hidden and output layers show the properties of spectral notch detectors. Although neural networks have limitations as models of real neural systems, the results illustrate how they can provide insight into the computation of complex transformations in the nervous system.

Auditory Perception↗

Observations on a principal components analysis of head-related transfer functions.

A recent principal components analysis (Kistler and Wightman, 1992) has shown that the transfer functions of the human external ear, for a wide range of source locations, can be expressed as weighted sums of a small number of basis vectors. Directional transfer functions obtained in this laboratory, using substantially different measurement techniques, yielded principal component basis vectors that are remarkably similar to those reported by Kistler and Wightman. When this subject population was divided in half according to the overall physical sizes of subjects, basis vectors computed for the subpopulation of smaller subjects were shifted systematically to higher frequencies relative to those computed for the subpopulation of larger subjects.

Ear, External↗

A computational model of the auditory periphery for speech and hearing research. I. Ascending path.

A dual analog/digital model of the ascending path through the entire auditory periphery is described. The analog representation consists of the concatenation of electrical circuit submodels for (a) the diffraction of the external ear system; (b) the propagation through the concha and auditory canal; (c) the transmission through the middle ear; (d) the basilar membrane motion and cochlear hydrodynamics; (e) the fast motile mechanism of the outer hair cells; and (f) the neural transduction process of the inner hair cells. Time-domain numerical solutions are obtained by applying the technique of wave digital filtering onto the resulting analog circuit. The present version of the model reproduces the sound pressure gain at the eardrum for lateral sound incidence, the vibration characteristics of the stapes, and the low-frequency attenuation provided by the stapedial muscle. Source elements in the cochlear module provide level-dependent basilar membrane tuning curves leading to dynamic compression of input signals near the characteristic frequency/place. The output is the tonotopic distribution of firing activity in the auditory nerve. A companion article addresses the modeling of the descending paths [C. Giguère and P. C. Woodland, J. Acoust, Soc. Am. 94, 343-349 (1993)].

Auditory Pathways↗

Microtia with meatal atresia and conductive deafness: mild and severe manifestations within the same sibship.

Hereditary malformations of the external ear, such as microtia and meatal atresia, not associated with other congenital defects or syndromes, are rarely reported. Only a few familial cases have been described in which both dominant and recessive inheritance has been suggested. We report a sibship in which a wide variation of expression is present and recessive inheritance can be postulated.

Child↗

Balanced t(6;8)(6p8p;6q8q) and the CHARGE association.

A girl is described with bilateral retinal colobomata, Fallot's tetralogy, unilateral choanal atresia, abnormalities of the external ears, bilateral sensorineural deafness, a unilateral facial nerve palsy, and a tracheo-oesophageal fistula. A clinical diagnosis of the CHARGE association was made. She had an apparently balanced whole arm translocation involving chromosomes 6 and 8. Parental karyotypes were normal.

Abnormalities, Multiple↗

Hidradenoma with intracranial involvement.

A case of recurrent hidradenoma of the external ear with intracranial spread is described. The presentation, classification and management of this rare tumour are discussed and the importance of adequate long term review is stressed.

Adenoma, Sweat Gland↗

Effect of eye position on saccades and neuronal responses to acoustic stimuli in the superior colliculus of the behaving cat.

We examined the motor error hypothesis of visual and auditory interaction in the superior colliculus (SC), first tested by Jay and Sparks in the monkey. We trained cats to direct their eyes to the location of acoustic sources and studied the effects of eye position on both the ability of cats to localize sounds and the auditory responses of SC neurons with the head restrained. Sound localization accuracy was generally not affected by initial eye position, i.e., accuracy was not proportionally affected by the deviation of the eyes from the primary position at the time of stimulus presentation, showing that eye position is taken into account when orienting to acoustic targets. The responses of most single SC neurons to acoustic stimuli in the intact cat were modulated by eye position in the direction consistent with the predictions of the "motor error" hypothesis, but the shift accounted for only two-thirds of the initial deviation of the eyes. However, when the average horizontal sound localization error, which was approximately 35% of the target amplitude, was taken into account, the magnitude of the horizontal shifts in the SC auditory receptive fields matched the observed behavior. The modulation by eye position was not due to concomitant movements of the external ears, as confirmed by recordings carried out after immobilizing the pinnae of one cat. However, the pattern of modulation after pinnae immobilization was inconsistent with the observations in the intact cat, suggesting that, in the intact animal, information about the position of the pinnae may be taken into account.

Acoustic Stimulation↗

Effects of altering spectral cues in infancy on horizontal and vertical sound localization by adult ferrets.

We investigated the behavioral consequences of removing the pinna and concha of the external ear bilaterally in infancy on the sound localization ability of adult ferrets. Altering spectral cues in this manner has previously been shown to disrupt the development of the neural representation of auditory space in the superior colliculus. Using broadband noise stimuli, we tested pinnae-removed ferrets and normal ferrets in three sound localization tasks. In each case, we found that both groups of animals performed significantly better when longer duration noise bursts were used. In a relative localization task, we measured the acuity with which the ferrets could discriminate between two speakers in the horizontal plane. The speakers were placed symmetrically either around the anterior midline or around a position 45 degrees lateral to the midline. In this task, the pinnae-removed ferrets achieved very similar scores to the normal ferrets. By contrast, in another relative localization task that measured localization ability in the midsagittal plane, pinnae-removed ferrets performed less well than normals. In an absolute localization task, 12 speakers were spaced at 30 degrees intervals in the horizontal plane at the level of the ferrets' ears. Overall, the pinnae-removed ferrets also performed poorly in this task compared with normal ferrets: they made significantly fewer correct responses, larger localization errors and more front-back errors. Both normal and pinnae-removed animals showed an improvement in performance with practice, although the pattern of improvement differed for each group. The largest improvements in localization accuracy were achieved by the pinnae-removed ferrets, particularly at the frontal positions, and their performance eventually approached that of the normal animals. Nevertheless, some intergroup differences were still present. In particular, the pinnae-removed ferrets continued to make significantly more front-back errors than the normals. These deficits can be attributed to differences in the spectral localization cues available to the animals. Acoustical measurements showed that, compared with normal animals, the head-related transfer functions in the horizontal plane were largely ambiguous around the interaural axis and also contained fewer location-dependent features in the midsagittal plane.

Acoustic Stimulation↗

Comparison of auditory functions in the chimpanzee and human.

Absolute thresholds for pure tones, loudness, frequency and intensity difference thresholds and the resonance of the external auditory meatus were measured in chimpanzees and compared with those in humans. Chimpanzees were more sensitive than humans to frequencies higher than 8 kHz but less sensitive to frequencies lower than 250 Hz and 2- to 4-kHz tones. Difference thresholds for frequency and intensity were greater in chimpanzees than in humans. The resonance of the external ear was about the same in the two species. The effects of differences in hearing between species upon speech perception are discussed.

Adult↗

The oto-respiratory reflex.

The oto-respiratory (O-R) reflex consists of the cough reflex produced by direct mechanical stimulation of the deep portion of the posterior wall of the external auditory meatus. Because the efferent pathways are different for coughing and bronchoconstriction, some subjects can have an O-R reflex (coughing) without the oto-bronchial (O-B) reflex (bronchoconstriction). This study also states that on stimulation of the mechanoreceptors in the external ear, 20 out of 125 normal subjects (16%) presented with the O-R reflex; in 7 of the 20 subjects, bronchoconstriction ('responders') was also documented (O-B reflex). The O-B reflex was particularly evident in 3 of the 7 responders. These normal subjects referred a family history of atopy. Only through animal experimentation can the exact nervous pathway of the O-R reflex be defined. From the physiological point of view, it is difficult to imagine how this 'irritative' reflex could have a protective function against auditory aggression.

Acoustic Stimulation↗

Experimental transferable vascular bed for laryngotracheal reconstruction: further observations.

Free fascia flaps have proven most reliable in providing a vascular bed for an epithelial free graft without adding bulk. They may be a useful tool for laryngotracheal reconstruction. A free flap consisting of a vascular network running in connective tissue can be developed on the rabbit external ear. The vascular characteristics of this flap were examined to test the reliability of the transferable vascular bed in laryngotracheal repair. The perichondrial free flap is useful for bringing an internal lining inside the lumen and for circumferential protection of supporting tissue. However, the natural tendency for surface contraction of perichondrium is a major disadvantage.

Animals↗

Malignant pyoderma.

Malignant pyoderma is a rare inflammatory pyoderma of unknown cause with characteristic destructive and necrotizing ulcers limited to the face, neck, and upper trunk. The typical lesions are small, purulent, periauricular ulcers. Enlargement and coalescence result in extensive lesions that may ultimately destroy portions of the external ear. The histopathologic findings are acute and chronic inflammation with necrosis. Treatment consists of long-term systemic corticosteroids. We present two new cases and alert otolaryngologists to the seriousness of this disease.

Adolescent↗