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inner hair cell position and function
responsible for conveying place and timing concerning point of maximum perturbation by traveling wave
in a single, longitudinal row along the internal side of the organ of Corti, within the cochlear duct of the inner ear
outer hair cell position and function
amplifying sound arriving at cochlea by means of active response to incoming auditory system
located in the Organ of Corti within the cochlea of the inner ear, arranged in three to four neat rows
e basilar membrane
and are found on the outer side of the tunnel of Corti, positioned closer to the outer spiral sulcus
directional depolarization of hair cells
deflection of cilia (both cells have) by traveling wave of cochlea causes depolarization of hair cell with subsequent activation of VIII nerve
tip links connect cilia so they moves a a unit
movement of cilia opens ion channels allowing K+ to enter hair cells
Potassium depolarizes hair cell in same manner as depolarization of a neuron, initiating a response in the VIII nerve fibers
inner- depolarizes and activates nerve
outer- shortens post depolarization
age/size of brain maturation
structural maturation continues until about age 32.
While physical size reaches roughly 90% of adult capacity by age 5, critical refinement—particularly in the prefrontal cortex—continues through the mid-20s and into the early 30s.
age/size of brain degeneration
significant brain shrinkage (about 5% per decade) and cognitive decline frequently accelerate after age 60–70
steady loss of brain volume, typically starting around age 35, accelerating after age 60 to a reduction of over 0.5% per year
inner ear developmental milestones
pinna- week 6; swelling called oracle helix in mesenchyme on either side of 1st pharyngeal groove become pinna
external auditory meatus- week 8- 18; indentation in myoscheme will become EAM
week 8-9; tube is filled with embryonic fluid that fetus is floating in and doesn’t want to enter into any of this through an opening
inner ear- days 22-24: begins as otic pit and then otic placode
day 32- edges of black coat fuse to form otic vesicle which is primordial membranous labyrinth
week 8-12- otic vesicle (primordial membranous labyrinth) gives rise to all of inner ear; saccular portions differentiate into saccules and cochlear ducts
week 17- all scalae are present
week 9-11- VIII nerve fibers to migrate to spiral ganglion
week 8-12- semicircular canals come from utricular portion; cochlear duct develops from saccular portion
week 20- inner ear is adult size
week 25- fetus can respond to sound
week 27- VIII nerve myelination begins
week 28- ABR can be licited
cochlear devlopmental milestones
week 8- can see all turns of cochlea
week 11- see scala tympani
week 17- all scalae are present
week 9-11- VIII vestibulocochlear nerve form spinal ganglion
weeks 22-25- fetus can hear
•Newborns can localize sounds
–By 5 months you can condition an infant to localize to one side versus the other
–By 5 years the child is as good as an adult at localization
•Speech discrimination
–Rapid improvement in late childhood and is mature by 12 years
postnatal EAM, TM, and Pinna changes
EAM grows to 25-30 mm in adults
TM- adult size in 7th fetal month, orientation is horizontal in infants than at 2-3 years
pinna- grows more rapidly between birth and 3 years; anterior portion grows into adulthood
postnatal middle ear and auditory tube
middle ear cavity volumes increases until 20 years
auditory tube- cartilaginous portion increases in volume as adulthood approaches
portnalatal development of inner ear
inner ear structures are essentially complete at birth
postnatal development of inner ear and auditory pathways
cochlea- complete by 3 months
VIII vestibulocochlear nerve complete at 3 months and myelineated by 24 months
auditory pathway growth and development
•Brainstem nuclei continue to develop, maturing at 1-1/2 years
•Olivocochlear system matures at 6 months
•Myelin on pathways continue to develop through 4 years
•ABR is present at birth, but continues to develop and mature through childhood
•Efferent system matures around 6 mo.
•VIII nerve myelin complete at 24 months
•Auditory cortex myelin complete at12 years!
development of auditory acuity
•Hearing function develops into adolescence
–At birth, threshold is between 25 and 45 dB HL
•6 month old has near-adult threshold above 4 K Hz but low frequencies have higher thresholds
–Threshold improves to 10-15 dB HL by 5 years
•Frequency discrimination
–Adults can hear 1% difference in frequency (JND) between 2 tones
–At 12 months, infants hear a 2% difference
–Achieve adult levels by 11 years old
•Intensity discrimination
–Adult can hear that tones are different if they are 1-2 dB different from each other
–5 month old hears as different if the level difference is 6 dB
–Develops into adulthood
relationship between aging and cerebrospinal fluid spaces
As individuals age, the volume of the brain tends to decrease due to neurodegeneration and other age-related structural changes.
This can lead to an enlargement of the ventricles and increased periventricular spaces, often seen in neuroimaging studies. Additionally,
the production and reabsorption of CSF may also decline, potentially contributing to altered pressure and flow dynamics in the CNS.
relationship between aging and changes in grey matter
As individuals age, there is a significant loss of grey matter volume in the brain, particularly in areas associated with cognitive functions.
This reduction is linked to neurodegenerative processes, leading to cognitive decline and impairments in memory, learning, and executive functions.
The decline in grey matter begins as early as middle age and continues throughout later years.
What is the traveling wave in the context of hearing?
The traveling wave refers to the wave of displacement that occurs in the cochlear fluid as sound vibrations enter the cochlea.
It starts at the base of the cochlea and travels towards the apex, where different frequencies stimulate specific regions of the basilar membrane.
This wave is crucial for the process of converting sound vibrations into neural signals that can be interpreted by the brain.
auditory cranial nerve muscle innervation
The auditory cranial nerve, also known as the vestibulocochlear nerve (CN VIII), innervates the inner ear structures involved in hearing and balance(hair cells)
While it does not innervate muscles directly, its function is closely related to the perception of sound and spatial orientation, with connections to the brainstem and other cranial nerves that may be involved in reflexive actions related to auditory stimuli.
development from the neural plate
The neural plate arises from the ectoderm during embryonic development and thickens to form the neural tube, which will eventually develop into the central nervous system.
neural plasticity
strongest in early life
experience-dependent learning
language exposure shapes auditory cortex
brain development
synaptogenesis (birth or beginning)→ pruning (the brain's natural, necessary process of eliminating weak, unused, or redundant neural connections (synapses) to improve efficiency and strengthen crucial pathways)→ specialization (specific areas of the brain are dedicated to processing particular types of information or performing distinct tasks)
myelination improves speed and efficiency
critical/sensitive periods
aging (peripheral changes
presbycusis- age-related HL that does not include HL from noise exposure or disease conditions, just means aging and not working as well, degeneration of of hair cells, blood supply, and spiral ganglion deterioration
high-frequency loss
hair cell degeneration
reduced cochlear function
aging (central auditory changes)
slower neural processing
reduced temporal resolution
difficulty in noise
aging (brain changes
cortical atrophy
reduced neural synchrony
compensatory recruitment (bilateral activation)
types of hearing loss
Hearing loss can be categorized into three main types: conductive, sensorineural, and mixed.
Conductive hearing loss- occurs when sound is not conducted effectively through the outer ear canal to the eardrum and the tiny bones of the middle ear, often due to blockages or damage.
Sensorineural hearing loss- results from damage to the inner ear or the auditory nerve pathways, affecting the ability to hear faint sounds and hear clearly in noisy environments.
Mixed hearing loss- is a combination of both conductive and sensorineural loss, indicating issues in both sound conduction and nerve transmission.