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International Journal of Bioprinting                                 Acoustic analysis of 3D-printed ossicles




            hardness, with an average hardness value of 406 HV, while   SLM TC4 sample block has an average density of 4.416 g/
            stainless steel 316L and HA/PCL have average hardness   cm , which is 97.91% of the theoretical value of 4.51 g/cm .
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            values of 246 HV and 107 HV, respectively.         The SLM 316L sample block has an average density of 7.819
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               Notably, the average hardness values of titanium alloy   g/cm , which is 97.98% of the theoretical value of 7.98 g/cm .
            TC4 and stainless steel 316L produced via laser selective   However, both samples have slightly lower average densities
            melting are significantly higher compared with those   compared with those produced by traditional methods due
            produced through traditional manufacturing methods.   to instability during printing, which leads to incomplete
            This can be attributed to the presence of dislocation   melting of the powder on the surface. Defects were observed
            structures embedded in coarse grains, resulting in a higher   under the metallographic microscope after polishing. The
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            dislocation  density  than  in  traditionally  manufactured   density of HA is 3.076 g/cm , and PCL has a density of 1.146
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            materials. Consequently,  the strength of  the  materials   g/cm . When combined in the HA/PCL composite, the
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            increases, leading to a 5% and 8% increase in hardness for   density is 1.26 g/cm . These values indicate the influence of
            titanium alloy TC4 and stainless steel 316L, respectively.   material composition on the final density of the composite.
            Moreover,  when  comparing  HA/PCL  composites  with   The middle ear model was created using the 3D printing
            pure PCL, the hardness of the HA/PCL composites also   process. Initially, the main functional components were
            increases by 8%.                                   segregated from a single temporal bone micro-CT data set.
               The prepared sample blocks were subjected to rubbing   As depicted in Figure 5, the soft tissues were molded
            and wear at elevated temperatures, which produced an   using silicone rubber into 3D-printed molds, while
            appearance of circular arc gullies on the contact surface. The   the  ossicles  were  3D-printed using  SLM technology.
            cross-sectional contour of the worn gullies was extracted   Additionally, artificial constructions were implemented for
            using a roughness profilometer, and the wear volume of the   the inner ear, tympanic chamber, and ear canal. However,
            sample blocks was calculated through integral operations.   special  attention  was  given  to ensuring  that the oval
            The actual contours of the two opposite sections of the arc   window, ossicular ligaments, and tympanic membrane
            gullies were scanned, and their respective cross-sectional   were placed in their anatomically correct positions within
            areas were calculated to determine the average value. The   the model.
            obtained data for the  actual  wear volume  (WR) of  the
            sample blocks are shown in Table 3.                   The difference between the experimental group and the
                                                               simulation group lies in the model of the auditory ossicular

                             WR = 2π  RS               (II)    chain. In the experimental group, the printed auditory
                                                               ossicular chain omits the ligaments (malleus ligament,
                           –                                   incus ligament, and stapes ligament). To account for the
               In Equation II, S is the average value of the two opposite   impedance posed by the inner ear lymph, normal saline
            cross-sectional areas; and R is the friction radius (3 mm).  was used as a substitute in the experiment. The 3D-printed
               The test results of the sample blocks, yielded in the   small bones were assembled using glue, and the eardrum
            density detection  method,  are  presented  in  Table 3. The   was replaced with a silicone rubber turnover mold. The


            Table 3. Mechanical test parameters of materials
             Sample number                                              Sample features
                                                 Hardness, HD          Wear volume, WR          Density, p
                                                    (HV)                   (mm )                 (g/cm )
                                                                              3
                                                                                                     3
             TC4 1                                  401.32                 3.684                  4.431
             TC4 2                                  394.73                 3.264                  4.471
             TC4 3                                  412.28                 3.157                  4.496
             316L 1                                 247.94                 5.542                  7.974
             316L 2                                 246.31                 5.854                  7.962
             316L 3                                 251.18                 5.674                  7.976
             HA/PCL 1                               107.46                 1.261                  1.249
             HA/PCL 2                               106.72                 1.236                  1.256
             HA/PCL 3                               108.64                 1.272                  1.284


            Volume 10 Issue 3 (2024)                       328                                doi: 10.36922/ijb.2040
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