Amanda McCann, Kirk McGilvray, Kevin Troyer, Abigail Waugh, Jeremy Bachtel, Assal Hussein, Hussam Mahmoud, Paul R Heyliger
{"title":"Effects of composition 1 and trinitrotoluene explosive pressure on auditory tissue: an ovine cadaveric assessment.","authors":"Amanda McCann, Kirk McGilvray, Kevin Troyer, Abigail Waugh, Jeremy Bachtel, Assal Hussein, Hussam Mahmoud, Paul R Heyliger","doi":"10.21037/atm-25-93","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":8216,"journal":{"name":"Annals of translational medicine","volume":"14 1","pages":"2"},"PeriodicalIF":0.0000,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12981991/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of translational medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/atm-25-93","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/25 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
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.
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.