Comparative acoustic performance and mechanical properties of silk membranes for the repair of chronic tympanic membrane perforations

The acoustic and mechanical properties of silk membranes of different thicknesses were tested to determine their suitability as a repair material for tympanic membrane perforations. Membranes of different thickness (10-100μm) were tested to determine their frequency response and their resistance to pressure loads in a simulated ear canal model. Their mechanical rigidity to pressure loads was confirmed by tensile testing. These membranes were tested alongside animal cartilage, currently the strongest available myringoplasty graft as well as paper, which is commonly used for simpler procedures. Silk membranes showed resonant frequencies within the human hearing range and a higher vibrational amplitude than cartilage, suggesting that silk may offer good acoustic energy transfer characteristics. Silk membranes were also highly resistant to simulated pressure changes in the middle ear, suggesting they can resist retraction, a common cause of graft failure resulting from chronic negative pressures in the middle ear. Part of this strength can be explained by the substantially higher modulus of silk films compared with cartilage. This allows for the production of films that are much thinner than cartilage, with superior acoustic properties, but that still provide the same level of mechanical support as thicker cartilage. Together, these in vitro results suggest that silk membranes may provide good hearing outcomes while offering similar levels of mechanical support to the reconstructed middle ear.

Layer-by-layer structured membranes of silk fibroin and polyethylenimine on electrospun silk fibroin nanofibers

Self-assembled silk fibroin (SF)-polyethylenimine (PEI) multilayered films were fabricated on ethanol treated electrospun SF nanofibrous substrates via the electrostatic layer-by-layer (LBL) adsorption. The film coated membranes were characterized using scanning electron microscopy (SEM), transmission electron microscope (TEM) and X-ray photoelectron spectrophotometer (XPS). The SEM images showed that the multilayers of SF-PEI were formed on the surface of the ethanol treated SF nanofibres. The characteristics such as the fiber shape and porous structure were well maintained as the number of the coated SF-PEI bilayers was less than five. However, obvious adhesive substances and blocked pores were observed on the surface of the fibers as the number of bilayers of SF-PEI increased to six. Furthermore, the obvious core-shell structures were observed by TEM. The thickness of five SF-PEI bilayers was approximately 80nm. Additionally, the XPS results also revealed that the SF-PEI multilayer composite membranes formed. The adsorption mainly depended on a simple electrostatic interaction between the layers of SF and PEI. These SF-PEI multilayer assembled nanofibrous membranes could be a promising material for use as a sensor, gene delivery agent and scaffolds.