The mechanical point impedance of the human head, with and without skin penetration

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Abstract
The fact that a titanium screw can be implanted into the mastoid portion of the human skull, at the same time establishing a permanent, reaction-free skin penetration, has made it possible to attach a new bone conduction hearing aid directly to the skull. To understand and improve this new method of bone stimulation, the mechanical point impedance of the titanium screw-skull system was measured. The conventional point impedance of the skin-covered mastoid portion of the temporal bone was also measured and the difference in magnitude between the two impedances was calculated. An impedance head (Bruel and Kjaer 8001) and an FFT analyzer (Hewlett-Packard 5423) were used for mechanical point impedance measurements. Seven patients have been investigated. The magnitude of the impedance for the screw-skull system was found to be generally between 10 and 30 dB higher than that for the conventional skin-covered mastoid bone. One conclusion is that the conventional point impedance of the skin-covered mastoid portion of the human skull is essentially due to the properties of the skin and subcutaneous soft tissue. Another conclusion is that a much lower stimulation velocity is needed, with skin penetration, to produce a given hearing sensation.

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