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Process of energy transformation
Acoustic energy (sound waves) → mechanical → hydraulic → electrochemical aka neural
Outer ear (function + parts)
Function: To gather, channel, and funnel acoustic energy
Parts: Pinna and external auditory meatus (EAM)
Pinna (function)
Aka auricle, the external extension of the ear (what we see as an ear)
Elastic cartilage folds/ridges provide structure and act as a filter for sound, changing their resonance
Paired, which aids in localization
Resonant frequency of pinna
5,000 Hz (very high)
Parts of pinna (6)
Helix (top)
Antihelix (ridge opposite to helix)
Triangular fossa (hollow part near antihelix)
Concha (big curve)
Tragus (little flap near inner, connected side)
Antitragus (bony flap above lobe, opposite to tragus)
Localization (function and process)
Detecting where sound came from, important for safety
We have two ears/pathways. The head acts as a barrier
Sound waves hit either side, are partially funneled through that side’s ear, are partially bounced off of the face, eventually hitting the other ear
By this time it’s slightly dampened and delayed in the second ear
Where the two signals meet up in the brain (on the side of the second ear, because the first signal will keep running until the second signal comes in and they can meet) will give our brain a sense of the degree (0-360) at which it came from
External auditory meatus (EAM)
External ear canal that conveys acoustic energy to TM
Slightly angled forward toward nose
S-shaped to help with resonance
Has two portions
Lateral 1/3: Outer, cartilagenous
Medial 2/3: Osseous (made of temporal bone)
Resonant frequency of EAM
2,500-4,000 Hz
Lateral 1/3 of EAM protective measures
Lined with epithelium that secretes cerumen (earwax)
Purpose of earwax is to protect from things getting too far into our ear, to maintain ear canal health, to help from drying out, and to repel insects
Hair also helps to resist things from going into ear
Microtia
Small pinna
Can hear with a device that bypasses the outer and middle ears and stimulates the mastoid bone
Types of microtia (4)
Microtia I: Small ear, narrow ear canal, other structures are normal
Microtia II: Small ear, very narrow canal, some missing components
Microtia III: Ear is vertical mass of soft tissue, external canal is absent
Anotia: Absent ear structures, no hearing ability
Otitis externa
Swimmer’s ear
Outer ear as an amplifier
Pinna contributes gain of 20 dB at 2,000 Hz
EAM amplifies sound between 1,500-8,000 Hz
Transduction results in a partial lss of amplitude, so we need speech sounds (most important to hear) to be boosted in this part
Speech sounds occur around 500-6,000 Hz
Middle ear space
Air-filled cavity within the temporal bone, bony walls create enclosed space
Lateral wall: Separates outer ear from middle ear
Medial wall: Houses oval and round window
Posterior wall: Communicates with mastoid bone
Anterior wall: Eustachian tube, connects to nasopharynx, helps with drainage and pressure
Structures of middle ear
Tympanic membrane
Auditory ossicles
Tympanic membrane form
Cone-shaped
Fibrous membrane (thin)
End of external auditory meatus (EAM)
Attached to bony wall of EAM by the annulus
Why is the tympanic membrane a fibrous membrane?
It’s really thin which allows us to see behind it
Important when looking for fluid behind ear drum
Annulus
Ring of cartilage, seals middle ear cavity off from external canal, attaches EAM wall to TM
Tympanic membrane vibration
Vibrates in response to sound waves traveling down EAM
Occurs in buckle motion
Low frequencies: Vibrates as a whole
High frequencies: Vibrates selectively
Intensity is measured by amount of displacement
Layers of tympanic membrane
Lateral: Epithelium
Intermediate: Fibrous lamina
Medial: Continuation of mucous membrane lining of middle ear
Fibrous lamina
Has circular and radial fibers
Gives stiffness and strength to TM
Otoscopic exam
Looking into ear with an otoscope (pointy lit device) to note any abnormalities
Normal TM appears light gray or pink
Tympanic muscles
Smallest muscles in body, respond reflexively
Tensor tympani muscles
Stapedius muscle
Tensor tympani muscles
Decreases range of motion of TM
Innervated by V trigeminal
Stapedius muscle
Acoustic reflect threshold (ART) tests it
Driving force of rotating stapes and stiffening TM
Auditory ossicles parts (3)
Malleus
Incus
Stapes
Auditory ossicles functions (3)
Transmits vibrations to fluid-filled inner ear
Increases pressure on that fluid
Protects inner ear from being overdriven by excessively strong vibrations
Malleus (4 parts + relation to TM)
Parts include manubrium, neck, head, lateral process
Eardrum is attached to malleus at the manubrium
It moves the malleus → incus → rotates stapes → hits oval window
Incus parts (4)
Short process
Long process
Lenticular process
Incudostapedial joint
Stapes parts (5)
Head
Neck
Anterior crus
Posterior crus
Footplate
Rests in oval window of inner ear, sealed there by annular ligament
Smallest bone in human body
Stapes
Annular ligament
Seals footplate of stapes to oval window
Middle ear functions (4)
Transduction
Equalization of air pressure
Protection from loud sounds
Overcome impedance mismatch
Transduction in middle ear
Energy transformation from acoustic → mechanical
Occurs at TM → malleus → incus → stapes → inner ear
Equalization of pressure in middle ear
For TM vibration to occur
Air pressure in ME = air pressure in EAM
Middle ear cavity must be sealed to the acoustic energy signal
Eustachian tube helps equalize pressure
Eustachian tube
Runs from middle ear to nasopharynx
Typically closed off at nasopharyngeal entrance
Can be opened by “swallowing” with the tensor veli palatini
Protection from loud sounds in middle ear
Acoustic reflex
Tensor tympani stiffens the TM
Stapedius pulls stapes away from oval window
Overcoming impedance mismatch in middle ear
In order to transform acoustic waves → hydraulic waves without loss of energy, impedance mismatch must be overcome!
Sound amplification in middle ear
TM buckles add 4-6 dB
Ossicular chain multiplies vibration with 2 dB gain
TM to oval window multiplies force with 25 dB gain
Lever effect in middle ear
Malleus and incus act as a lever, force is multiplied due to the size offset between these two parts, has 2 dB gain
Area effect
The surface area of the TM is much larger than the oval window. When vibration is transferred, it’s concentrated, resulting in a 14x increase of mechanical force and a 25 dB gain
Tympanometry
Procedure looking at the integrity of the middle ear system
Assesses compliance, pressure, volume (size of canal) by comparing results to normative ranges
Results of tympanometry
Type A: Normal
A (shallow): Thick tympanic membrane
A (deep): Flaccid tympanic membrane
B: Otitis media
C: Negative pressure, otitis media with no fluid
Movement of sound through ear
Sound is collected by pinna
It travels through external auditory meatus, which sends the acoustic energy along to the TM
Sound waves hit eardrum, which vibrate
This hits the malleus, converting the force into mechanical energy
This hits the incus → stapes → stapes’ footplate hits oval window
This displaces fluid in inner ear, converting the sound into hydraulic energy
Eventually reaches auditory nerve
How is pressure boosted in the ear?
The surface area needs to decrease, concentrate the force
Buckle action of TM
Lever action of ossicles
Area effect between TM and footplate of stapes at oval window
Boundaries of inner ear
Lateral boundary: Middle ear cavity (ossicles)
Vestibule: Shared space for structures of inner ear, has two windows (oval, round)
Sensory structures in vestibular system (5)
3 paired semicular canals
Horizontal
Posterior
Anterior
2 paired otolith organs
Utricle
Saccule
Labyrinths
House the 5 sensory structures within them, aka canals, seen by slicing into vestibule
Osseous labyrinth: Outer canal, bony, filled with perilymph fluid (sea water)
Membraneous labyrinth: Inner canal, filled with endolymph
Semicircular canals
Each has an ampulla (receptor bulb) at the base
Filled with fluid to manage low-frequency, angular (based on spatial awareness) movement
Horizontal semicircular canals
Shaking head left to right
Right HC is paired with left HC
Posterior semicircular canals
Nodding head up and down
Right PC pairs with left AC, vice versa (one of each on opposite sides to manage 360 motion)
Anterior semicircular canals
Moving head/ears toward shoulder
Left AC pairs with right PC, vice versa
Otoliths
Manage gravity in linear motions
Utricle: Gives horizontal movement
Saccule: Gives vertical movement (up/down)
Contain otochonia to create static equilibrium
Otochonia
Otolithic carving crystals that create static equilibrium
Have mass to them, so when we move in a way that adds weight to them, the mass shifts and bends stereocilia, leading to polarization
What happens when otochonia become loose?
They float into the vestibular system and move in the semicircular canals, freely moving in our head which makes our brain think that our body is spinning after quick movements → vertigo
Found through a test that identifies the location of the impairment
Stereocilia
Shorter hairs in bunches that project from the organs of balance into endolymph fluid
Disturbed by head movements, which sends a signal to the brain with info
The CNS interprets the info and uses it to make postural adjustments
Depolarization process
Head moves
Endolymph fluid shifts due to inertia
This moves the basilar membrane, which moves stereocilia toward kinocilia
This creates a shearing action along the TM
This creates pressure on tip links, which open up ion channels
This causes ions (potassium and calcium) to flow in and create action potential
After the flow, glutamate (a neurotransmitter) is released at synaptic cleft
Energy changes from hydraulic → electrical/neurochemical
Cochlea
A snail shell-like coiled structure with 2.5 turns, about 1.5 inches long from base to apex
Has both a bony and membraneous labyrinth
Houses organ of corti and scala
Transduces mechanical → hydraulic energy
Organ of corti
Our hearing organ within the cochlea
Modiolus
Fibers of CN VIII auditory nerve, becomes the internal auditory meatus (internal tunnel for CN)
Scala
Fluid-filled, cornucopia-shaped canals
Scalas (3)
Scala vestibuli (top)
Scala media (middle)
Scala tympani (bottom)
Osseous labyrinth
Houses scala vestibuli and scala tympani
Both filled with perilymph fluid
Outer, bony parts
Helicotrema
Apex of canals, where the scala tympani and scala vestibuli meet and communicate
Membraneous labyrinth
Houses scala media aka cochlear duct
Filled with endolymph fluid
Inner membrane surrounding organ of corti
Membranes of cochlear duct (aka scala media)
Reisner’s membrane
Basilar membrane
Tectorial membrane
Reisner’s membrane
Superior cochlear duct membrane, acts as the border between scala media and scala vestibuli
Basilar membrane
Inferior cochlear duct membrane, acts as the border between scala media and scala tympani
Supported by attachments to the bony walls of the osseous labyrinth
Organ of corti is embedded here
Frequency-related function of the basilar membrane
Tonotopic organization (specific locations have different resonant frequencies) happens here because it’s narrow at the base and wider at the apex
Tectorial membrane hairs
Outer hair cells make contact with the TM and are embedded, while the inner hair cells of the organ of corti don’t make contact with the TM
Afferent nerves
Input toward the brain collected by hair cells
Inner hair cells: One row, many fibers to one nerve, 3000 of them
Outer hair cells: Three rows, one fiber to many nerves, 12000 of them
Efferent nerves
Input away from the brain, inhibitory (reduce afferent activity)
Requires a feedback loop to know if we need to enhance or change auditory signal
Polarization
Moving head → endolymph fluid moves kinocilia (tall hairs) in relation to stereocilia with fast, angular motions, causing them to bend
If stereocilia bends toward kinocilia → depolarization (activated, action potential is fired)
If stereocilia bends away from kilocilia → hyperpolarization
Hyperpolarization process
Occurs when we need sound signals to stop being transmitted and action potentials to conclude
The basilar membrane stops vibrating, causing the stereocilia to bend away from kinocilia
The tip links contract and close ion channels, meaning that no NTs are released and no action potentials are created
Presbycusis
An age-related hearing loss caused by hair cells dying, leading to a lack of frequency distinction, requiring a louder input