When fluid tips the balance: New clues to middle-ear hearing damage
Peer-Reviewed Publication
Updates every hour. Last Updated: 7-Nov-2025 06:11 ET (7-Nov-2025 11:11 GMT/UTC)
Middle-ear effusion (MEE)—fluid trapped behind the eardrum—can quietly erode hearing, often without pain or fever. In a breakthrough simulation study, researchers used a finely tuned finite element (FE) model of the human ear to mimic six levels of MEE, from barely present to completely filling the cavity. The results reveal a tipping point: when fluid occupies less than half the middle ear space, hearing loss is minimal, averaging about 3 dB. But once it passes the 50% mark, sound transmission plummets, energy absorbance (EA) rates collapse below 20%, and hearing loss can soar to nearly 46 dB. This “fluid threshold” could sharpen diagnostic accuracy and guide timely treatment.
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