Abstract

Canalithiasis is a common vestibular system disorder, which may lead to a specific form of vertigo known as BPPV or top-shelf vertigo. In this paper, based on the actual geometric parameters of the human semicircular canal, we designed a four-fold in vitro one-dimensional semicircular canal model using technologies such as three-dimensional printing, image processing, and target tracking. We investigated the essential characteristics of the semicircular canal, such as the time constant of the cupula and the relationship between the number, density, and size of the canalith and the cupular deformation during canalith settlement. The results showed a linear relationship between the number and size of the canalith and the amount of cupular deformation. We also found that when the number of canaliths reached a particular scale, the interaction between the canaliths exerted an additional disturbance on the cupular deformation (“Z” twist). In addition, we explored the latency time of the cupula during canalith settlement. Finally, we verified that the canaliths had little effect on the frequency characteristics of the semicircular canal by a sinusoidal swing experiment. All the results validate the reliability of our 4-fold in vitro one-dimensional semicircular canal model.

References

1.
Huang
,
C. C.
,
Lu
,
C. T.
,
Chao
,
C. Y.
,
Huang
,
T. C.
,
Lou
,
C. W.
, and
Lin
,
J. H.
,
2010
, “
Evaluation of Electrospun Poly (Vinyl Alcohol) (PVA)/Gelatin Nanofiber Membrane and Biocompatibility
,”
Adv. Mater. Res.
,
97–101
, pp.
2249
2252
.10.4028/www.scientific.net/AMR.97-101.2249
2.
Benson
,
A. J.
,
1990
, “
Sensory Functions and Limitations of the Vestibular Systems
,”
Perception Control Self-Motion
, .
R.
Warren
and
A. H.
Wertheim
, eds.,
Laurence Erlbaum Associates
,
Hinsdale, IL
, pp.
145
170
.
3.
Akin
,
F. W.
,
Riska
,
K. M.
,
Williams
,
L.
,
Rouse
,
S. B.
, and
Murnane
,
O. D.
,
2017
, “
Characteristics and Treatment Outcomes of Benign Paroxysmal Positional Vertigo in a Cohort of Veterans
,”
Am. J. Audiol.
,
26
(
4
), pp.
473
480
.10.1044/2017_AJA-16-0118
4.
Hall
,
S. F.
,
Ruby
,
R. R.
, and
McClure
,
J. A.
,
1979
, “
The Mechanics of Benign Paroxysmal Vertigo
,”
J. Otolaryngol.
,
8
(
2
), pp.
151
158
.https://pubmed.ncbi.nlm.nih.gov/430582/
5.
Kishino
,
A.
,
2019
, “
Canalith Repositioning Procedure for Benign Paroxysmal Positional Vertigo
,”
J. Nihon Univ. Medical Assoc.
,
78
(
2
), pp.
87
94
.10.4264/numa.78.2_87
6.
Parnes
,
L. S.
, and
McClure
,
J. A.
,
1992
, “
Free-Floating Endolymph Particles: A New Operative Finding During Posterior Semicircular Canal Occlusion
,”
Laryngoscope
,
102
(
9
), pp.
988
992
.10.1288/00005537-199209000-00006
7.
von Brevern
,
M.
,
Bertholon
,
P.
,
Brandt
,
T.
,
Fife
,
T.
,
Imai
,
T.
,
Nuti
,
D.
, and
Newman-Toker
,
D.
,
2015
, “
Benign Paroxysmal Positional Vertigo: Diagnostic Criteria
,”
J. Vestib. Res.
,
25
(
3,4
), pp.
105
117
.10.3233/VES-150553
8.
Bhattacharyya
,
N.
,
Gubbels
,
S. P.
,
Schwartz
,
S. R.
,
Edlow
,
J. A.
,
El-Kashlan
,
H.
,
Fife
,
T.
,
Holmberg
,
J. M.
, et al.,
2017
, “
Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)
,”
Otolaryngol. Head Neck Surg.
,
156
(
S3
), pp.
S1
S47
.10.1177/0194599816689667
9.
Elsherif
,
M.
,
Eldeeb
,
D.
, and
Eldeeb
,
M.
,
2021
, “
Clinical Significance of Video Head Impulse Test in Benign Paroxysmal Positional Vertigo: A Meta-Analysis
,”
Eur. Arch. Otorhinolaryngol.
,
278
(
12
), pp.
4645
4651
.10.1007/s00405-021-06832-3
10.
Gupta
,
A. K.
,
Sharma
,
K. G.
, and
Sharma
,
P.
,
2019
, “
Effect of Epley, Semont Maneuvers and Brandt-Daroff Exercise on Quality of Life in Patients With Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo (PSCBPPV
),”
Indian J. Otolaryngol. Head Neck Surg.
,
71
(
1
), pp.
99
103
.10.1007/s12070-018-1322-7
11.
Epley
,
J. M.
,
1992
, “
The Canalith Repositioning Procedure: For Treatment of Benign Paroxysmal Positional Vertigo
,”
Otolaryngol. Head Neck Surg.
,
107
(
3
), pp.
399
404
.10.1177/019459989210700310
12.
Epley
,
J. M.
,
1995
, “
Positional Vertigo Related to Semicircular Canalithiasis
,”
Otolaryngol. Head Neck Surg.
,
112
(
1
), pp.
154
161
.10.1016/S0194-59989570315-2
13.
Celis-Aguilar
,
E.
,
Mayoral-Flores
,
H. O.
,
Torrontegui-Zazueta
,
L. A.
,
Medina-Cabrera
,
C. A.
,
León-Leyva
,
I. C.
, and
Dehesa-López
,
E.
,
2022
, “
Effectiveness of Brandt Daroff, Semont and Epley Maneuvers in the Treatment of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial
,”
Indian J. Otolaryngol. Head Neck Surg.
,
74
(
3
), pp.
314
321
.10.1007/s12070-021-02516-w
14.
Asadi
,
H.
,
Mohamed
,
S.
,
Lim
,
C. P.
, and
Nahavandi
,
S.
,
2016
, “
A Review on Otolith Models in Human Perception
,”
Behav. Brain Res.
,
309
, pp.
67
76
.10.1016/j.bbr.2016.03.043
15.
Hain
,
T. C.
,
Squires
,
T. M.
, and
Stone
,
H. A.
,
2005
, “
Clinical Implications of a Mathematical Model of Benign Paroxysmal Positional Vertigo
,”
Ann. NY Acad. Sci.
,
1039
(
1
), pp.
384
394
.10.1196/annals.1325.036
16.
Djukic
,
T.
,
Saveljic
,
I.
, and
Filipovic
,
N.
,
2019
, “
Numerical Modeling of the Motion of Otoconia Particles in the Patient-Specific Semicircular Canal
,”
Comput. Particle Mech.
,
6
(
4
), pp.
767
780
.10.1007/s40571-019-00260-1
17.
Kumar
,
D. K.
,
Banerjee
,
A.
,
Swaminathan
,
S.
, and
Mahesri
,
M.
,
2013
, “
MEMS Modeling of the Posterior Semicircular Canal for Treating Benign Paroxysmal Positional Vertigo
,”
The 8th Annual IEEE International Conference on Nano/Micro Engineered and Molecular Systems
, Suzhou, China, Apr. 7–10, pp.
689
692
.10.1109/NEMS.2013.6559823
18.
Obrist
,
D.
,
Hegemann
,
S.
,
Kronenberg
,
D.
,
Hauselmann
,
O.
, and
Rosgen
,
T.
,
2010
, “
In Vitro Model of a Semicircular Canal: Design and Validation of the Model and Its Use for the Study of Canalithiasis
,”
J. Biomech.
,
43
(
6
), pp.
1208
1214
.10.1016/j.jbiomech.2009.11.027
19.
Obrist
,
D.
, and
Hegemann
,
S.
,
2008
, “
Fluid-Particle Dynamics in Canalithiasis
,”
J. R. Soc. Interface
,
5
(
27
), pp.
1215
1229
.10.1098/rsif.2008.0047
20.
Van Buskirk
,
W. C.
,
Watts
,
R. G.
, and
Liu
,
Y. K.
,
1976
, “
The Fluid Mechanics of the Semicircular Canals
,”
J. Fluid Mech.
,
78
(
1
), pp.
87
98
.10.1017/S0022112076002346
21.
Yu
,
S.
,
Wang
,
J.
,
Shen
,
S.
,
Tang
,
Y.
,
Sun
,
X.
, and
Liu
,
Y.
,
2021
, “
Study of the Biomechanical Mechanisms of Benign Paroxysmal Positional Vertigo
,”
J. Vestib. Res.
,
31
(
3
), pp.
163
172
.10.3233/VES-201547
22.
Bae
,
S. H.
,
Son
,
S. R.
,
Kumar Sakar
,
S.
,
Nguyen
,
T. H.
,
Kim
,
S. W.
,
Min
,
Y. K.
, and
Lee
,
B. T.
,
2014
, “
Evaluation of the Potential Anti-Adhesion Effect of the PVA/Gelatin Membrane
,”
J. Biomed. Mater. Res. B Appl. Biomater.
,
102
(
4
), pp.
840
849
.10.1002/jbm.b.33066
23.
Squires
,
T. M.
,
Weidman
,
M. S.
,
Hain
,
T. C.
, and
Stone
,
H. A.
,
2004
, “
A Mathematical Model for Top-Shelf Vertigo: The Role of Sedimenting Otoconia in BPPV
,”
J. Biomech.
,
37
(
8
), pp.
1137
1146
.10.1016/j.jbiomech.2003.12.014
24.
Liang
,
J.
,
Cai
,
S.
,
Xu
,
C.
,
Chen
,
T.
, and
Chu
,
J.
,
2022
, “
DeepPTV: Particle Tracking Velocimetry for Complex Flow Motion Via Deep Neural Networks
,”
IEEE Trans. Instrumentation Meas.
,
71
, pp.
1
16
.10.1109/tim.2021.3120127
25.
Ohmi
,
K.
, and
Li
,
H.-Y.
,
2000
, “
Particle-Tracking Velocimetry With New Algorithms
,”
Meas. Sci. Technol.
,
11
(
6
), pp.
603
616
.10.1088/0957-0233/11/6/303
26.
Takeda
,
H.
,
Miyama
,
S. M.
, and
Sekiya
,
M.
,
1994
, “
Numerical Simulation of Viscous Flow by Smoothed Particle Hydrodynamics
,”
Prog. Theor. Phys.
,
92
(
5
), pp.
939
960
.10.1143/ptp/92.5.939
27.
Leal
,
L. G.
,
1992
, “
Reprint Titles
,”
Laminar Flow and Convective Transport Processes
,
L. G.
Leal
, ed.,
Elsevier
,
Amsterdam, The Netherlands
, p.
v
.
28.
Boselli
,
F.
,
Kleiser
,
L.
,
Bockisch
,
C. J.
,
Hegemann
,
S. C. A.
, and
Obrist
,
D.
,
2014
, “
Quantitative Analysis of Benign Paroxysmal Positional Vertigo Fatigue Under Canalithiasis Conditions
,”
J. Biomech.
,
47
(
8
), pp.
1853
1860
.10.1016/j.jbiomech.2014.03.019
29.
Wu
,
X.
,
Yu
,
S.
,
Liu
,
W.
, and
Shen
,
S.
,
2020
, “
Numerical Modeling and Verification by Nystagmus Slow-Phase Velocity of the Function of Semicircular Canals
,”
Biomech. Model Mechanobiol.
,
19
(
6
), pp.
2343
2356
.10.1007/s10237-020-01343-2
30.
Juhola
,
M.
,
Aalto
,
H.
,
Jutila
,
T.
, and
Hirvonen
,
T. P.
,
2011
, “
Signal Analysis of Three-Dimensional Nystagmus for Otoneurological Investigations
,”
Ann. Biomed. Eng.
,
39
(
3
), pp.
973
982
.10.1007/s10439-010-0211-3
31.
Rabbitt
,
R. D.
,
2019
, “
Semicircular Canal Biomechanics in Health and Disease
,”
J. Neurophysiol.
,
121
(
3
), pp.
732
755
.10.1152/jn.00708.2018
32.
Halmagyi
,
G.
,
2003
, “
Clinical Neurophysiology of the Vestibular System
,”
J. Neurol. Neurosurg. Psychiat.
,
74
(
5
), pp.
694
694
.10.1136/jnnp.74.5.694
33.
Rabbitt
,
S. M. R. R. D.
,
2009
, “
Biomechanics of Horizontal Canal Benign Paroxysmal Positional Vertigo
,”
J. Vestib. Res.
,
15
(
4
), pp.
203
214
.https://pubmed.ncbi.nlm.nih.gov/16286702/
34.
Obrist
,
D.
,
Nienhaus
,
A.
,
Zamaro
,
E.
,
Kalla
,
R.
,
Mantokoudis
,
G.
, and
Strupp
,
M.
,
2016
, “
Determinants for a Successful Semont Maneuver: An In Vitro Study With a Semicircular Canal Model
,”
Front. Neurol.
,
7
, p.
150
.10.3389/fneur.2016.00150
35.
Benkovic
,
T.
,
Krawczynski
,
J.-F.
, and
Druault
,
P.
,
2020
, “
Vision-Based Correspondence Using Relaxation Algorithms for Particle Tracking Velocimetry
,”
Meas. Sci. Technol.
,
32
(
2
), p.
025303
.10.1088/1361-6501/abb437
36.
Rabbitt
,
R. D.
,
Damiano
,
E. R.
, and
Grant
,
J. W.
,
2004
, “
Biomechanics of the Semicircular Canals and Otolith Organs
,”
Vestibular Syst.
, 19, pp.
153
201
.10.1007/0-387-21567-0_4
37.
Cornman
,
H. L.
,
Stenum
,
J.
, and
Roemmich
,
R. T.
,
2021
, “
Video-Based Quantification of Human Movement Frequency Using Pose Estimation: A Pilot Study
,”
PloS One
,
16
(
12
), p.
e0261450
.10.1371/journal.pone.0261450
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