Effects of composition 1 and trinitrotoluene explosive pressure on auditory tissue: an ovine cadaveric assessment.

4区 医学
Annals of translational medicine Pub Date : 2026-02-28 Epub Date: 2026-02-25 DOI:10.21037/atm-25-93
Amanda McCann, Kirk McGilvray, Kevin Troyer, Abigail Waugh, Jeremy Bachtel, Assal Hussein, Hussam Mahmoud, Paul R Heyliger
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引用次数: 0

Abstract

Background: Eardrum rupture is one of the most common injuries associated with explosive pressures. Estimates for pressures at rupture vary widely and are challenging to determine because of (I) a range of variables that can degrade the structural integrity of the auditory tissue, and (II) the difficulties of minimizing their impact. Improving predictions on the pressures at which eardrum tissue ruptures would provide useful measures in avoiding or reducing the chances of these injuries. Although a variety of animal models could provide useful data, ovine specimens are uniquely positioned to capture representative behavior for humans, given anatomical similarities, while ameliorating some of the pragmatic issues related to specimen preparation and analysis. The objective of this study is to refine estimates of explosive pressure that initiate rupture of the tympanic membrane in sheep.

Methods: Fresh cadaveric sheep ears were directly exposed to outdoor blast pressures generated by either composition 1 (C-1) or trinitrotoluene (TNT) explosives. A variety of imaging methods were used to determine the range of pressures at which eardrum rupture occurs. The pressures were measured at a variety of scaled distances for three separate tests of C-1 (n=5), TNT (n=6), and C-1 (n=4). Direct imaging with a boroscope was used for the first two tests, and with more detailed photographic imaging for the third.

Results: There were three ranges of pressure that bounded eardrum rupture. For pressures under 30 kPa, no ruptures were observed. Pressures between 30 and 40 kPa resulted in a transition range where both ruptures and intact eardrums were observed. For pressures over 40 kPa, all eardrums ruptured. This included three ruptures that were on the opposite side of the blast direction, where the exposed ear canal entrance measured 75 kPa.

Conclusions: Blast pressures that result in cadaveric ovine tissue rupture were narrowed from prior estimates to under 30 kPa (no rupture) to over 40 kPa (rupture) based on direct measurements (n=15). Ears on the opposite side of the blast direction were not spared from rupture.

组合物1和三硝基甲苯爆炸压力对听觉组织的影响:羊尸体的评估。
背景:鼓膜破裂是与爆炸压力相关的最常见的损伤之一。对破裂压力的估计差异很大,而且很难确定,因为(1)一系列变量会降低听觉组织的结构完整性,(2)很难将其影响降到最低。改进对鼓膜组织破裂压力的预测将为避免或减少这些损伤的机会提供有用的措施。尽管各种各样的动物模型可以提供有用的数据,但鉴于解剖学上的相似性,羊标本具有独特的定位,可以捕捉人类的代表性行为,同时改善了与标本制备和分析相关的一些实用问题。本研究的目的是完善估计的爆炸压力,引发鼓膜破裂的绵羊。方法:将新鲜尸体羊耳直接暴露于1组分(C-1)或三硝基甲苯(TNT)炸药产生的室外爆炸压力下。我们使用了多种成像方法来确定鼓膜破裂的压力范围。对C-1 (n=5)、TNT (n=6)和C-1 (n=4)三种不同距离的压力进行了测量。前两次试验使用了透视镜直接成像,第三次试验使用了更详细的摄影成像。结果:鼓膜破裂有三个压力范围。压力低于30kpa时,未观察到破裂。压力在30 - 40kpa之间导致了一个过渡范围,在这个过渡范围内可以观察到鼓膜破裂和完整。压力超过40kpa时,所有耳膜破裂。这包括在爆炸方向的相反一侧的三个破裂,其中暴露的耳道入口测量为75kpa。结论:根据直接测量(n=15),导致尸羊组织破裂的爆炸压力从先前估计的30 kPa以下(无破裂)缩小到40 kPa以上(破裂)。爆炸方向另一侧的耳朵也未能幸免破裂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
769
期刊介绍: The Annals of Translational Medicine (Ann Transl Med; ATM; Print ISSN 2305-5839; Online ISSN 2305-5847) is an international, peer-reviewed Open Access journal featuring original and observational investigations in the broad fields of laboratory, clinical, and public health research, aiming to provide practical up-to-date information in significant research from all subspecialties of medicine and to broaden the readers’ vision and horizon from bench to bed and bed to bench. It is published quarterly (April 2013- Dec. 2013), monthly (Jan. 2014 - Feb. 2015), biweekly (March 2015-) and openly distributed worldwide. Annals of Translational Medicine is indexed in PubMed in Sept 2014 and in SCIE in 2018. Specific areas of interest include, but not limited to, multimodality therapy, epidemiology, biomarkers, imaging, biology, pathology, and technical advances related to medicine. Submissions describing preclinical research with potential for application to human disease, and studies describing research obtained from preliminary human experimentation with potential to further the understanding of biological mechanism underlying disease are encouraged. Also warmly welcome are studies describing public health research pertinent to clinic, disease diagnosis and prevention, or healthcare policy.
 With a focus on interdisciplinary academic cooperation, ATM aims to expedite the translation of scientific discovery into new or improved standards of management and health outcomes practice.
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