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




            line represents the result of finite element numerical   PCL, and the incus is 316L; in Figure 7i, both the malleus
            simulation, while the dotted line represents the result of the   and incus are HA/PCL and exhibit similar trends in the
            experiment. The error band between them is also shown in   experimental and simulation results when the stapes is
            the figure. The transmission characteristics of the healthy   replaced.
            human middle ear can be simplified by considering two   Based on the overall curve trend, the positions
            areas: the lower-frequency platform area and the higher-  obtained through simulation are smoother compared
            frequency roll-off area.                           with the experiment, where the data fluctuated in some

               From Figure 7, it can be observed that the stapes floor   positions. In the preferred material combinations, most
            vibration displacement measured via the laser vibration   intervals between 250 Hz to 750 Hz show an upward trend.
            measurement system in the experiment is generally lower   At around 1000 Hz, there is a relatively stable stage. After
            than the results of finite element analysis. The displacement   4000 Hz, there is a significant roll-off area. The human ear
            values are 10% to 38% lower than the finite element values.   cannot perceive sounds below 20 Hz and above 20,000
            While the overall curve trend is roughly consistent, some   Hz. The clinical hearing test frequency range is generally
            local curves of the ossicular material combination exhibit   125 Hz to 8000 Hz, and human speech frequencies fall
            resonance, which is not clearly reflected in the actual   between 500 Hz and 2000 Hz. The clinical calculation of
            measurement process. The main factors contributing to the   decibels of hearing loss involves averaging the hearing
            discrepancies between the two are as follows:      thresholds of 500 Hz, 1000 Hz, and 2000 Hz. Comparing
                                                               the above combinations of ossicular chain materials with
            (i)   In the experiment, the 3D-printed ossicular chain   the model itself, specific analysis selects the combination of
                 omits the ligaments (malleus ligament, incus   materials resembling the normal human ear. The frequency
                 ligament,  and  stapes  ligament).  These  ligaments   displacement parameters of this combination are shown
                 play a crucial role in supporting and positioning the   in Table 4. Although there is a discrepancy between the
                 ossicles, allowing for sound amplification during the
                 transmission process.                         simulation and experimental values, the general trend is
                                                               essentially consistent. In theory, the simulation results are
            (ii)  The 3D-printed ossicles are bonded with glue, and   also reliable.
                 the contact position angle between the ossicles can
                 also impact the measured values.              4. Discussion
            (iii)  The experiment uses normal saline to replace the   4.1. Corrosion resistance analysis
                 impedance brought by the inner ear lymph, and   The 10 mm × 10 mm × 10 mm sample block’s corroded
                 the tympanic membrane is replaced with a silicone   contact surface was ground and polished until no scratches
                 rubber turnover mold.                         were present. Wires were drawn from other surfaces and
               Despite these experimental factors, the overall trend   insulated with glue to conduct the open circuit potential
            aligns well with the existing literature on the subject.   and moving point polarization curves. During the open
            The simulation and experimental results resonate in the   circuit potential test, the metal sample block was immersed
            frequency range of 750 Hz to 1000 Hz, with the frequency   in a NaCl solution without any external current applied.
            of 1000 Hz marking the transition from the plateau   This allows the sample to reach a stable potential value in a
            area to the roll-off area. The response displacement   corrosive state. The results obtained indicate the material’s
            of the 3D-printed model can be measured in this    stability in the corrosive solution. A more positive open
            frequency range.                                   circuit potential value in the material test reflects better
                                                               stability, less corrosion tendency, and stronger corrosion
               When the malleus was fixed to TC4, and the incus   resistance. Conversely, a poorer electrochemical stability
            material was the same, the stapes material being HA/PCL   was indicated by a less positive value.
            resulted in the highest stapes displacement value, followed
            by TC4, and finally 316L. The same trend was observed   Figure 8 illustrates the potentiodynamic polarization
            when the stapes material was kept constant, and the incus   curve, which is obtained by adjusting the potential to
            was replaced accordingly. In  Figure 7d, the malleus is   observe changes in current density. This curve reflects
            made of 316L and the incus is TC4; in Figure 7e, both the   the polarization and passivation process characteristics
            malleus and incus are 316L; in Figure 7f, the malleus is   of the sample block, allowing the extraction of relevant
            316L, and the incus is HA/PCL; the trend of experimental   parameters for analysis.
            results roughly aligns with that of simulation results. In   It can be observed that although the corrosion
            Figure 7g, the malleus of the auditory ossicle is HA/PCL,   potential and current of TC4 and 316L are different,
            and the incus is TC4; in Figure 7h, the malleus is HA/  the overall trend of the potentiodynamic polarization


            Volume 10 Issue 3 (2024)                       330                                doi: 10.36922/ijb.2040
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