Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach

Purpose Sheep are used as a large-animal model for otology research and can be used to study implantable hearing devices. However, a method for temporal bone extraction in sheep, which enables various experiments, has not been described, and literature on middle ear access is limite...

Full description

Bibliographic Details
Main Authors: Waring, Nicholas A., Chern, Alexander, Vilarello, Brandon J., Lang, Jeffrey H., Olson, Elizabeth S., Nakajima, Hideko H.
Other Authors: Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Format: Article
Language:English
Published: Springer US 2023
Online Access:https://hdl.handle.net/1721.1/153160
_version_ 1824458117095620608
author Waring, Nicholas A.
Chern, Alexander
Vilarello, Brandon J.
Lang, Jeffrey H.
Olson, Elizabeth S.
Nakajima, Hideko H.
author2 Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
author_facet Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Waring, Nicholas A.
Chern, Alexander
Vilarello, Brandon J.
Lang, Jeffrey H.
Olson, Elizabeth S.
Nakajima, Hideko H.
author_sort Waring, Nicholas A.
collection MIT
description Purpose Sheep are used as a large-animal model for otology research and can be used to study implantable hearing devices. However, a method for temporal bone extraction in sheep, which enables various experiments, has not been described, and literature on middle ear access is limited. We describe a method for temporal bone extraction and an extended facial recess surgical approach to the middle ear in sheep. Methods Ten temporal bones from five Hampshire sheep head cadavers were extracted using an oscillating saw. After craniotomy and removal of the brain, a coronal cut was made at the posterior aspect of the orbit followed by a midsagittal cut of the occipital bone and disarticulation of the atlanto-occipital joint. Temporal bones were surgically prepared with an extended facial recess approach. Micro-CT scans of each temporal bone were obtained, and anatomic dimensions were measured. Results Temporal bone extraction was successful in 10/10 temporal bones. Extended facial recess approach exposed the malleus, incus, stapes, and round window while preserving the facial nerve, with the following surgical considerations: minimally pneumatized mastoid; tegmen (superior limit of mastoid cavity) is low-lying and sits below temporal artery; chorda tympani sacrificed to optimize middle ear exposure; incus buttress does not obscure view of middle ear. Distance between the superior aspect of external auditory canal and tegmen was 2.7 (SD 0.9) mm. Conclusion We identified anatomic landmarks for temporal bone extraction and describe an extended facial recess approach in sheep that exposes the ossicles and round window. This approach is feasible for studying implantable hearing devices.
first_indexed 2024-09-23T11:47:53Z
format Article
id mit-1721.1/153160
institution Massachusetts Institute of Technology
language English
last_indexed 2025-02-19T04:20:47Z
publishDate 2023
publisher Springer US
record_format dspace
spelling mit-1721.1/1531602025-01-09T04:52:08Z Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach Waring, Nicholas A. Chern, Alexander Vilarello, Brandon J. Lang, Jeffrey H. Olson, Elizabeth S. Nakajima, Hideko H. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science Purpose Sheep are used as a large-animal model for otology research and can be used to study implantable hearing devices. However, a method for temporal bone extraction in sheep, which enables various experiments, has not been described, and literature on middle ear access is limited. We describe a method for temporal bone extraction and an extended facial recess surgical approach to the middle ear in sheep. Methods Ten temporal bones from five Hampshire sheep head cadavers were extracted using an oscillating saw. After craniotomy and removal of the brain, a coronal cut was made at the posterior aspect of the orbit followed by a midsagittal cut of the occipital bone and disarticulation of the atlanto-occipital joint. Temporal bones were surgically prepared with an extended facial recess approach. Micro-CT scans of each temporal bone were obtained, and anatomic dimensions were measured. Results Temporal bone extraction was successful in 10/10 temporal bones. Extended facial recess approach exposed the malleus, incus, stapes, and round window while preserving the facial nerve, with the following surgical considerations: minimally pneumatized mastoid; tegmen (superior limit of mastoid cavity) is low-lying and sits below temporal artery; chorda tympani sacrificed to optimize middle ear exposure; incus buttress does not obscure view of middle ear. Distance between the superior aspect of external auditory canal and tegmen was 2.7 (SD 0.9) mm. Conclusion We identified anatomic landmarks for temporal bone extraction and describe an extended facial recess approach in sheep that exposes the ossicles and round window. This approach is feasible for studying implantable hearing devices. 2023-12-14T15:58:31Z 2023-12-14T15:58:31Z 2023-09-08 2023-12-05T04:15:39Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/153160 Waring, Nicholas A., Chern, Alexander, Vilarello, Brandon J., Lang, Jeffrey H., Olson, Elizabeth S. et al. 2023. "Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach." en https://doi.org/10.1007/s10162-023-00907-0 Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ The Author(s) under exclusive licence to Association for Research in Otolaryngology application/pdf Springer US Springer US
spellingShingle Waring, Nicholas A.
Chern, Alexander
Vilarello, Brandon J.
Lang, Jeffrey H.
Olson, Elizabeth S.
Nakajima, Hideko H.
Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach
title Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach
title_full Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach
title_fullStr Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach
title_full_unstemmed Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach
title_short Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach
title_sort sheep as a large animal model for otology research temporal bone extraction and transmastoid facial recess surgical approach
url https://hdl.handle.net/1721.1/153160
work_keys_str_mv AT waringnicholasa sheepasalargeanimalmodelforotologyresearchtemporalboneextractionandtransmastoidfacialrecesssurgicalapproach
AT chernalexander sheepasalargeanimalmodelforotologyresearchtemporalboneextractionandtransmastoidfacialrecesssurgicalapproach
AT vilarellobrandonj sheepasalargeanimalmodelforotologyresearchtemporalboneextractionandtransmastoidfacialrecesssurgicalapproach
AT langjeffreyh sheepasalargeanimalmodelforotologyresearchtemporalboneextractionandtransmastoidfacialrecesssurgicalapproach
AT olsonelizabeths sheepasalargeanimalmodelforotologyresearchtemporalboneextractionandtransmastoidfacialrecesssurgicalapproach
AT nakajimahidekoh sheepasalargeanimalmodelforotologyresearchtemporalboneextractionandtransmastoidfacialrecesssurgicalapproach