The tympanic membrane (TM) is the most peripheral structure in the middle ear and is the first ear structure set in motion by airborne sound. Motion of the TM is transduced by the middle ear system into sound in the cochlear fluids, which then excites the cochlear partition in the inner ear. While measurements of TM motion are not direct measures of hearing sensitivity (which also depends on the function of the inner ear), a TM altered by trauma or middle-ear disease will reduce the acoustic-mechanical input to the inner ear, thereby causing a “conductive” hearing loss. An approach to determine the degree of such a loss in sound conduction to the inner ear measures the deformation of the TM with various acoustic stimuli. Most present-day middle-ear diagnostic procedures are based on acoustic measurements that sense the mobility of the entire TM, e.g., multi- or single-frequency tympanometry,
1, 2 ear-canal reflectance or power absorption,
3, 4, 5 and static pressure-induced variations in sound pressure.
6 Single-point laser vibrometry measurements of the mobility of the umbo in the TM have also been used as diagnostic aids in clinical settings.
7, 8