This high intensity sound wave causes a large vibration of the eardrum and subsequently a large and forceful vibration of the bones of the middle ear.
(This high intensity sound wave; causes; a large vibration of the eardrum and subsequently a large and forceful vibration of the bones of the middle ear)
This high intensity sound wave
causes
a large vibration of the eardrum and subsequently a large and forceful vibration of the bones of the middle ear