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== Function ==
== Function ==
In reptiles, the columella function to transduce sound through the [[middle ear]] as part of the [[Auditory system|auditory pathway]]. The columella is relatively straight and moves in a piston-like motion in response to vibration.<ref name=":1">{{Cite book|last=Christensen-Dalsgaard|first=Jakob|title=The malleable middle ear: an underappreciated player in the evolution of hearing in vetrebrates|publisher=Springer|year=2013|isbn=|location=|pages=}}</ref>
In reptiles, the columella function to transduce sound through the [[middle ear]] as part of the [[Auditory system|auditory pathway]]. The columella is relatively straight and moves in a piston-like motion in response to vibration.<ref name="Christensen-Dalsgaard_2013">{{cite book | vauthors = Christensen-Dalsgaard J, Manley GA | chapter = The malleable middle ear: an underappreciated player in the evolution of hearing in vertebrates. | veditors = Köppl C, Manley GA, Popper AN, Fay RR | title = Insights from comparative hearing research | series = Springer Handbook of Auditory Research | date = October 2013 | volume = 49 | pages = 157–191 | publisher = Springer | location = New York, NY. | doi = 10.1007/2506_2013_33 | isbn = 978-1-4614-9077-7 }}</ref>

The columella form thin, bony structures in the interior of the skull and serve the purpose of an [[eardrum]]. Due to the rigidity of bony columella, these [[Diapsid|diapsids]] primarily respond to low-frequency vibrations transmitted through the ground.<ref name="Homberger_2004">{{cite book| first1 = Dominique G | last1 = Homberger | first2 = Warren Franklin | last2 = Walker | name-list-format = vanc |title=Vertebrate dissection |date=2004 |publisher=Thomson Brooks/Cole |isbn=0-03-022522-1 |edition=9th |location=Belmont, CA |oclc=53074665 }}</ref>


The columella form thin, bony structures in the interior of the skull and serve the purpose of an [[eardrum]]. Due to the rigidity of bony columella, these [[Diapsid|diapsids]] primarily respond to low-frequency vibrations transmitted through the ground.<ref name=":0">{{Cite book|last=Homberger, Dominique G.|url=https://www.worldcat.org/oclc/53074665|title=Vertebrate dissection|date=2004|publisher=Thomson Brooks/Cole|others=Walker, Warren F. (Warren Franklin), Walker, Warren F. (Warren Franklin).|isbn=0-03-022522-1|edition=9th ed|location=Belmont, CA|oclc=53074665}}</ref>
== Anatomy ==
== Anatomy ==
As the columella is derived from the hyomandibula, many of its functional relationships remain the same. The columella resides in the air-filled [[tympanic cavity]] of the middle ear. The footplate, or proximal end of the columella, rests in the [[oval window]]. Sound is conducted through the oval window to the interior of the otic capsule.<ref name=":0" /> This motion ultimately stimulates sensory cells in the [[inner ear]].<ref name=":1" />
As the columella is derived from the hyomandibula, many of its functional relationships remain the same. The columella resides in the air-filled [[tympanic cavity]] of the middle ear. The footplate, or proximal end of the columella, rests in the [[oval window]]. Sound is conducted through the oval window to the interior of the otic capsule.<ref name="Homberger_2004" /> This motion ultimately stimulates sensory cells in the [[inner ear]].<ref name="Christensen-Dalsgaard_2013" />


=== Scaly reptiles ===
=== Scaly reptiles ===
In [[Crocodilia|crocodilians]], the columella arises from a proximal and a distal component which develop into the columella and extracolumella, respectively. It is typically trifurcated, with three finger-like projections supporting it against the tympanic membrane.<ref name=":1" /> The extracolumella remains cartilaginous while the columella ossifies during development.<ref>{{Cite journal|last=Frank, G.H and Smit, A.L.|first=1974|date=|title=The Early Ontogeny of the Columella Auris of Crocodilus Niloticus and its Bearing on Problems Concerning the Upper End of the Reptilian Hyoid Arch|url=|journal=African Zoology|volume=9.1|pages=59-87|via=}}</ref> The connection between the columella and extracolumella remains flexible over the animal's lifetime.<ref name=":2">{{Cite journal|last=Claes|first=Raf|date=2018|title=Understanding functioning and evolution of bird middle ear mechanics: a functional morphological analysis.|url=|journal=Dissertation from the University of Antwerp|volume=|pages=|via=}}</ref>
In [[Crocodilia|crocodilians]], the columella arises from a proximal and a distal component which develop into the columella and extracolumella, respectively. It is typically trifurcated, with three finger-like projections supporting it against the tympanic membrane.<ref name="Christensen-Dalsgaard_2013" /> The extracolumella remains cartilaginous while the columella ossifies during development.<ref>{{cite journal | vauthors = Frank GH, Smit AL | date = 1974 |title=The Early Ontogeny of the Columella Auris of Crocodilus Niloticus and its Bearing on Problems Concerning the Upper End of the Reptilian Hyoid Arch |journal=African Zoology |volume=9 | issue = 1 |pages=59–87 | doi = 10.1080/00445096.1974.11448520 }}</ref> The connection between the columella and extracolumella remains flexible over the animal's lifetime.<ref name="Claes_2018">{{cite thesis |last=Claes |first=Raf | name-list-format = vanc |date=2018 |title=Understanding functioning and evolution of bird middle ear mechanics: a functional morphological analysis. |url= | publisher = University of Antwerp | degree = Ph.D. }}</ref>


[[Snake|Snakes]] have lost a tympanic membrane, and thus a distal attachment for the columella. The columella is instead connected to the quadrate bone of the jaw. Thus, snakes are able to detect and localize ground vibrations through the lower jaw, rather than the sides of the head.<ref name=":1" />
[[Snake|Snakes]] have lost a tympanic membrane, and thus a distal attachment for the columella. The columella is instead connected to the quadrate bone of the jaw. Thus, snakes are able to detect and localize ground vibrations through the lower jaw, rather than the sides of the head.<ref name="Christensen-Dalsgaard_2013" />


=== Worm lizards ===
=== Worm lizards ===
In [[Amphisbaenia|Amphisbaenians]], the extracolumella is particularly lengthened and firmly connects with a layer of skin over [[Mandible|dentary bone]] of the lower jaw. This connection appears to facilitate detection of airborne vibrations in the facial area.<ref name=":3">{{Cite book|last=Saunders|first=James|title=The Middle Ear of Reptiles and Birds|publisher=Springer|year=2000|isbn=978-1-4612-7036-2|location=|pages=}}</ref>
In [[Amphisbaenia|Amphisbaenians]], the extracolumella is particularly lengthened and firmly connects with a layer of skin over [[Mandible|dentary bone]] of the lower jaw. This connection appears to facilitate detection of airborne vibrations in the facial area.<ref name="Saunders_2000">{{Cite book|last=Saunders|first=James | name-list-format = vanc |title=The Middle Ear of Reptiles and Birds|publisher=Springer|year=2000|isbn=978-1-4612-7036-2|location=|pages=}}</ref>


=== Frogs ===
=== Frogs ===
In frogs, the extracolumella is simple and club-shaped.<ref name=":1" />
In frogs, the extracolumella is simple and club-shaped.<ref name="Christensen-Dalsgaard_2013" />


=== Birds ===
=== Birds ===
In birds, the columella is anchored to the conical tympanic membrane at an acute angle, rather than a 90-degree angle relative to the plane of the tympanic membrane. This is thought to provide a [[Lever|lever advantage]] in conducting airborne sound from the distal to the proximal end of the columella.<ref name=":3" />
In birds, the columella is anchored to the conical tympanic membrane at an acute angle, rather than a 90-degree angle relative to the plane of the tympanic membrane. This is thought to provide a [[Lever|lever advantage]] in conducting airborne sound from the distal to the proximal end of the columella.<ref name="Saunders_2000" />


== Development ==
== Development ==
During development, the columella is derived from the dorsal end of the hyoid arch.<ref>{{Cite journal|last=Goodrich|first=Edwin S|date=1915|title=Memoirs: The Chorda Tympani and Middle Ear in Reptiles, Birds, and Mammals|url=|journal=Journal of Cell Science|volume=s2-61|pages=137-160|via=}}</ref>
During development, the columella is derived from the dorsal end of the hyoid arch.<ref>{{Cite journal|last=Goodrich|first=Edwin S | name-list-format = vanc |date=1915|title=Memoirs: The Chorda Tympani and Middle Ear in Reptiles, Birds, and Mammals|url=|journal=Journal of Cell Science|volume=s2-61|pages=137–160 }}</ref>


=== In chickens ===
=== In chickens ===
In chick embryos, the primordial columella arises from a mesenchymal condensation. Chondrification of the columella occurs earlier than the extracolumella. During endochondral ossification, the columella ossifies from two origins of periosteum: the shaft and the footplate.<ref>{{Cite journal|last=Wood|first=Jamie L|last2=Hughes|first2=Ami J|last3=Mercer|first3=Kathryn J|last4=Chapman|first4=Susan C|date=2010|title=Analysis of chick (Gallus gallus) middle ear columella formation|url=http://bmcdevbiol.biomedcentral.com/articles/10.1186/1471-213X-10-16|journal=BMC Developmental Biology|language=en|volume=10|issue=1|pages=16|doi=10.1186/1471-213X-10-16|issn=1471-213X|pmc=PMC2834582|pmid=20158901}}</ref>
In chick embryos, the primordial columella arises from a mesenchymal condensation. Chondrification of the columella occurs earlier than the extracolumella. During endochondral ossification, the columella ossifies from two origins of periosteum: the shaft and the footplate.<ref>{{cite journal | vauthors = Wood JL, Hughes AJ, Mercer KJ, Chapman SC | title = Analysis of chick (Gallus gallus) middle ear columella formation | journal = BMC Developmental Biology | volume = 10 | issue = 1 | pages = 16 | date = February 2010 | pmid = 20158901 | pmc = 2834582 | doi = 10.1186/1471-213X-10-16 }}</ref>


== Evolution ==
== Evolution ==
Evolution of the columella is closely related to the evolution of the [[Temporomandibular joint|jaw joint]]. It is an ancestral homolog of the [[stapes]], and is derived from the [[Hyomandibula|hyomandibular]] bone.<ref name=":0" />
Evolution of the columella is closely related to the evolution of the [[Temporomandibular joint|jaw joint]]. It is an ancestral homolog of the [[stapes]], and is derived from the [[Hyomandibula|hyomandibular]] bone.<ref name="Homberger_2004" />


In the transition of tetrapods from sea to land, the earliest appearance of functional columella appeared in [[Temnospondyli|temnospondyls]].<ref>{{Cite journal|last=Manley|first=Geoffrey A|date=2010|title=An evolutionary perspective on middle ears|url=|journal=Hearing Research|volume=263|pages=3-8|via=}}</ref>
In the transition of tetrapods from sea to land, the earliest appearance of functional columella appeared in [[Temnospondyli|temnospondyls]].<ref>{{cite journal | vauthors = Manley GA | title = An evolutionary perspective on middle ears | journal = Hearing Research | volume = 263 | issue = 1-2 | pages = 3–8 | date = May 2010 | pmid = 19786082 | doi = 10.1016/j.heares.2009.09.004 }}</ref>


=== Extracolumella ===
=== Extracolumella ===
[[Crocodilia|Crocodilians]] evolved to lift the head and body off the ground, isolating the head from ground vibrations. Under selective pressure to detect airborne sound vibrations, the columella in crocodilians have become more slender and reduce their mass. The extracolumella, a cartilagenous outgrowth on the distal end of the columella, couples the columella to the tympanum to conduct sound from the exterior air.<ref name=":3" />
[[Crocodilia|Crocodilians]] evolved to lift the head and body off the ground, isolating the head from ground vibrations. Under selective pressure to detect airborne sound vibrations, the columella in crocodilians have become more slender and reduce their mass. The extracolumella, a cartilagenous outgrowth on the distal end of the columella, couples the columella to the tympanum to conduct sound from the exterior air.<ref name="Saunders_2000" />

Birds and modern crocodilians have evolved a trifurcated columella, which forms a Y-shaped support structure on the surface of the tympanic membrane.<ref name="Claes_2018" /> In birds, this is thought to increase the surface area of the columellar footplate, thus lowering the threshold hearing and improving the detection of airborne sound waves.<ref name="Claes_2018" /><ref name="Christensen-Dalsgaard_2013" />[[File:EB1911 Reptiles - Evolution of the Ossicular Chain of the Ear.jpg|left|thumb|253x253px|Depiction of the evolution of the ossicles of the ear. Columella (Co) and extra-columella (E) evolve into the stapes and extra-stapes in embryonic mammals (7).<ref>{{cite journal | vauthors = Olson EC | title = The middle ear--morphological types in amphibians and reptiles | journal = American Zoologist | volume = 6 | issue = 3 | pages = 399–419 | date = August 1966 | pmid = 5949350 | doi = 10.1093/icb/6.3.399 }}</ref>]]


Birds and modern crocodilians have evolved a trifurcated columella, which forms a Y-shaped support structure on the surface of the tympanic membrane.<ref name=":2" /> In birds, this is thought to increase the surface area of the columellar footplate, thus lowering the threshold hearing and improving the detection of airborne sound waves.<ref name=":2" /><ref name=":1" />[[File:EB1911 Reptiles - Evolution of the Ossicular Chain of the Ear.jpg|left|thumb|253x253px|Depiction of the evolution of the ossicles of the ear. Columella (Co) and extra-columella (E) evolve into the stapes and extra-stapes in embryonic mammals (7).<ref>{{Cite journal|last=Olson|first=Everett C|date=1966|title=The Middle Ear--Morphological Types in Amphibians and Reptiles|url=|journal=American Zoologist|volume=6|pages=399-419|via=}}</ref>]]
=== Stapes ===
=== Stapes ===
Mammals and other [[Synapsid|synapsids]] lack columella and extracolumella. As the tympanic cavity evolved to reduce in size, the columella shortened in length. The stirrup-shaped articular processes of the columella inspired a new name for this [[Ossicles|auditory ossicle]], the [[stapes]]. The auditory ossicles continue to function in conducting transmitting sound through the auditory pathway; however, they have lost their function in conducting low frequency ground vibrations.
Mammals and other [[Synapsid|synapsids]] lack columella and extracolumella. As the tympanic cavity evolved to reduce in size, the columella shortened in length. The stirrup-shaped articular processes of the columella inspired a new name for this [[Ossicles|auditory ossicle]], the [[stapes]]. The auditory ossicles continue to function in conducting transmitting sound through the auditory pathway; however, they have lost their function in conducting low frequency ground vibrations.


Later-arising reptiles with columella likely evolved stronger limbs and a more crawling posture, which removed the body from the ground and prevented the transmission of ground-conducted sounds. The skin over the ear evolved into the [[eardrum]], which allowed for the detection of high-frequency airborne vibrations. In mammals, the newly specialized ossicles function to transduce and amplify these vibrations along the auditory pathway.<ref name=":0" />
Later-arising reptiles with columella likely evolved stronger limbs and a more crawling posture, which removed the body from the ground and prevented the transmission of ground-conducted sounds. The skin over the ear evolved into the [[eardrum]], which allowed for the detection of high-frequency airborne vibrations. In mammals, the newly specialized ossicles function to transduce and amplify these vibrations along the auditory pathway.<ref name="Homberger_2004" />


== Artificial columella ==
== Artificial columella ==
In humans, artificially made columella may be produced as [[autograft]]s from [[cortical bone]]. These prostheses are used as replacements for the stapes in [[ear surgery]] to correct for hearing problems (such as [[cholesteatoma]] or re-perforation).<ref>{{Cite journal
In humans, artificially made columella may be produced as [[autograft]]s from [[cortical bone]]. These prostheses are used as replacements for the stapes in [[ear surgery]] to correct for hearing problems (such as [[cholesteatoma]] or re-perforation).<ref>{{cite journal | vauthors = Kylén P, Albrektsson T, Ekvall L, Hellkvist H, Tjellström A | title = Survival of the cortical bone columella in ear surgery | journal = Acta Oto-Laryngologica | volume = 104 | issue = 1–2 | pages = 158–65 | year = 1987 | pmid = 3310512 | doi = 10.3109/00016488709109062 }}</ref><ref>{{cite journal | vauthors = Rönnblom A, Gladiné K, Niklasson A, von Unge M, Dirckx J, Tano K | title = A New, Promising Experimental Ossicular Prosthesis: A Human Temporal Bone Study With Laser Doppler Vibrometry | journal = Otology & Neurotology | volume = 41 | pages = 537–544 | date = December 2019 | issue = 4 | pmid = 31821265 | doi = 10.1097/MAO.0000000000002556 }}</ref>
| last1 = Kylén | first1 = P.
| last2 = Albrektsson | first2 = T.
| last3 = Ekvall | first3 = L.
| last4 = Hellkvist | first4 = H.
| last5 = Tjellström | first5 = A.
| title = Survival of the cortical bone columella in ear surgery
| journal = Acta Oto-Laryngologica
| volume = 104
| issue = 1–2
| pages = 158–165
| year = 1987
| pmid = 3310512 | doi=10.3109/00016488709109062
}}</ref><ref>{{Cite journal|last=Rönnblom|first=Anton|date=2020|title=A New, Promising Experimental Ossicular Prosthesis: A Human Temporal Bone Study with Laser Doppler Vibrometry|url=|journal=Otology & Neurotology|volume=41.4|pages=537-544|via=}}</ref>


==References==
== References ==
{{reflist}}
{{reflist}}



Revision as of 08:10, 9 April 2020

Columella (highlighted) in the skull of the extinct therapsid Dicynodon.

In the auditory system, the columella is a long, rodlike bone that contributes to hearing in amphibians, reptiles and birds. It is an evolutionary homolog of the stapes, one of the auditory ossicles in mammals.

In many species, the extracolumella is a cartilagenous structure that grows in association with the columella.

Function

In reptiles, the columella function to transduce sound through the middle ear as part of the auditory pathway. The columella is relatively straight and moves in a piston-like motion in response to vibration.[1]

The columella form thin, bony structures in the interior of the skull and serve the purpose of an eardrum. Due to the rigidity of bony columella, these diapsids primarily respond to low-frequency vibrations transmitted through the ground.[2]

Anatomy

As the columella is derived from the hyomandibula, many of its functional relationships remain the same. The columella resides in the air-filled tympanic cavity of the middle ear. The footplate, or proximal end of the columella, rests in the oval window. Sound is conducted through the oval window to the interior of the otic capsule.[2] This motion ultimately stimulates sensory cells in the inner ear.[1]

Scaly reptiles

In crocodilians, the columella arises from a proximal and a distal component which develop into the columella and extracolumella, respectively. It is typically trifurcated, with three finger-like projections supporting it against the tympanic membrane.[1] The extracolumella remains cartilaginous while the columella ossifies during development.[3] The connection between the columella and extracolumella remains flexible over the animal's lifetime.[4]

Snakes have lost a tympanic membrane, and thus a distal attachment for the columella. The columella is instead connected to the quadrate bone of the jaw. Thus, snakes are able to detect and localize ground vibrations through the lower jaw, rather than the sides of the head.[1]

Worm lizards

In Amphisbaenians, the extracolumella is particularly lengthened and firmly connects with a layer of skin over dentary bone of the lower jaw. This connection appears to facilitate detection of airborne vibrations in the facial area.[5]

Frogs

In frogs, the extracolumella is simple and club-shaped.[1]

Birds

In birds, the columella is anchored to the conical tympanic membrane at an acute angle, rather than a 90-degree angle relative to the plane of the tympanic membrane. This is thought to provide a lever advantage in conducting airborne sound from the distal to the proximal end of the columella.[5]

Development

During development, the columella is derived from the dorsal end of the hyoid arch.[6]

In chickens

In chick embryos, the primordial columella arises from a mesenchymal condensation. Chondrification of the columella occurs earlier than the extracolumella. During endochondral ossification, the columella ossifies from two origins of periosteum: the shaft and the footplate.[7]

Evolution

Evolution of the columella is closely related to the evolution of the jaw joint. It is an ancestral homolog of the stapes, and is derived from the hyomandibular bone.[2]

In the transition of tetrapods from sea to land, the earliest appearance of functional columella appeared in temnospondyls.[8]

Extracolumella

Crocodilians evolved to lift the head and body off the ground, isolating the head from ground vibrations. Under selective pressure to detect airborne sound vibrations, the columella in crocodilians have become more slender and reduce their mass. The extracolumella, a cartilagenous outgrowth on the distal end of the columella, couples the columella to the tympanum to conduct sound from the exterior air.[5]

Birds and modern crocodilians have evolved a trifurcated columella, which forms a Y-shaped support structure on the surface of the tympanic membrane.[4] In birds, this is thought to increase the surface area of the columellar footplate, thus lowering the threshold hearing and improving the detection of airborne sound waves.[4][1]

Depiction of the evolution of the ossicles of the ear. Columella (Co) and extra-columella (E) evolve into the stapes and extra-stapes in embryonic mammals (7).[9]

Stapes

Mammals and other synapsids lack columella and extracolumella. As the tympanic cavity evolved to reduce in size, the columella shortened in length. The stirrup-shaped articular processes of the columella inspired a new name for this auditory ossicle, the stapes. The auditory ossicles continue to function in conducting transmitting sound through the auditory pathway; however, they have lost their function in conducting low frequency ground vibrations.

Later-arising reptiles with columella likely evolved stronger limbs and a more crawling posture, which removed the body from the ground and prevented the transmission of ground-conducted sounds. The skin over the ear evolved into the eardrum, which allowed for the detection of high-frequency airborne vibrations. In mammals, the newly specialized ossicles function to transduce and amplify these vibrations along the auditory pathway.[2]

Artificial columella

In humans, artificially made columella may be produced as autografts from cortical bone. These prostheses are used as replacements for the stapes in ear surgery to correct for hearing problems (such as cholesteatoma or re-perforation).[10][11]

References

  1. ^ a b c d e f Christensen-Dalsgaard J, Manley GA (October 2013). "The malleable middle ear: an underappreciated player in the evolution of hearing in vertebrates.". In Köppl C, Manley GA, Popper AN, Fay RR (eds.). Insights from comparative hearing research. Springer Handbook of Auditory Research. Vol. 49. New York, NY.: Springer. pp. 157–191. doi:10.1007/2506_2013_33. ISBN 978-1-4614-9077-7.
  2. ^ a b c d Homberger, Dominique G; Walker, Warren Franklin (2004). Vertebrate dissection (9th ed.). Belmont, CA: Thomson Brooks/Cole. ISBN 0-03-022522-1. OCLC 53074665. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  3. ^ Frank GH, Smit AL (1974). "The Early Ontogeny of the Columella Auris of Crocodilus Niloticus and its Bearing on Problems Concerning the Upper End of the Reptilian Hyoid Arch". African Zoology. 9 (1): 59–87. doi:10.1080/00445096.1974.11448520.
  4. ^ a b c Claes, Raf (2018). Understanding functioning and evolution of bird middle ear mechanics: a functional morphological analysis (Ph.D. thesis). University of Antwerp. {{cite thesis}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  5. ^ a b c Saunders, James (2000). The Middle Ear of Reptiles and Birds. Springer. ISBN 978-1-4612-7036-2. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  6. ^ Goodrich, Edwin S (1915). "Memoirs: The Chorda Tympani and Middle Ear in Reptiles, Birds, and Mammals". Journal of Cell Science. s2-61: 137–160. {{cite journal}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  7. ^ Wood JL, Hughes AJ, Mercer KJ, Chapman SC (February 2010). "Analysis of chick (Gallus gallus) middle ear columella formation". BMC Developmental Biology. 10 (1): 16. doi:10.1186/1471-213X-10-16. PMC 2834582. PMID 20158901.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  8. ^ Manley GA (May 2010). "An evolutionary perspective on middle ears". Hearing Research. 263 (1–2): 3–8. doi:10.1016/j.heares.2009.09.004. PMID 19786082.
  9. ^ Olson EC (August 1966). "The middle ear--morphological types in amphibians and reptiles". American Zoologist. 6 (3): 399–419. doi:10.1093/icb/6.3.399. PMID 5949350.
  10. ^ Kylén P, Albrektsson T, Ekvall L, Hellkvist H, Tjellström A (1987). "Survival of the cortical bone columella in ear surgery". Acta Oto-Laryngologica. 104 (1–2): 158–65. doi:10.3109/00016488709109062. PMID 3310512.
  11. ^ Rönnblom A, Gladiné K, Niklasson A, von Unge M, Dirckx J, Tano K (December 2019). "A New, Promising Experimental Ossicular Prosthesis: A Human Temporal Bone Study With Laser Doppler Vibrometry". Otology & Neurotology. 41 (4): 537–544. doi:10.1097/MAO.0000000000002556. PMID 31821265.