Round Window, Ear
Perilymph
Scala Tympani
Ear
Temporal Bone
Ossicular Prosthesis
Ear, Middle
Stapes
Hearing Loss, Mixed Conductive-Sensorineural
Ear, Inner
Cochlea
Tympanic Membrane
Ear Canal
Cochlear Microphonic Potentials
Labyrinthine Fluids
Cochlear Implantation
Bone Conduction
Ear Ossicles
Scala Vestibuli
Audiometry, Evoked Response
Ear, External
Vestibulocochlear Nerve Diseases
Oval Window, Ear
Basilar Membrane
Hearing Loss, Conductive
Labyrinth Diseases
Spiral Ganglion
Chinchilla
Stapes Surgery
Cochlear Aqueduct
Evoked Potentials, Auditory, Brain Stem
Cochlear Nerve
Gerbillinae
Cochlear Implants
Hair Cells, Auditory
Hearing Loss
Guinea Pigs
Hearing Loss, Sudden
Vibration
Presbycusis
Hearing Loss, Sensorineural
Transducers
Otoacoustic Emissions, Spontaneous
Administration, Topical
Electrical cochlear stimulation in the deaf cat: comparisons between psychophysical and central auditory neuronal thresholds. (1/76)
Cochlear prostheses for electrical stimulation of the auditory nerve ("electrical hearing") can provide auditory capacity for profoundly deaf adults and children, including in many cases a restored ability to perceive speech without visual cues. A fundamental challenge in auditory neuroscience is to understand the neural and perceptual mechanisms that make rehabilitation of hearing possible in these deaf humans. We have developed a feline behavioral model that allows us to study behavioral and physiological variables in the same deaf animals. Cats deafened by injection of ototoxic antibiotics were implanted with either a monopolar round window electrode or a multichannel scala tympani electrode array. To evaluate the effects of perceptually significant electrical stimulation of the auditory nerve on the central auditory system, an animal was trained to avoid a mild electrocutaneous shock when biphasic current pulses (0.2 ms/phase) were delivered to its implanted cochlea. Psychophysical detection thresholds and electrical auditory brain stem response (EABR) thresholds were estimated in each cat. At the conclusion of behavioral testing, acute physiological experiments were conducted, and threshold responses were recorded for single neurons and multineuronal clusters in the central nucleus of the inferior colliculus (ICC) and the primary auditory cortex (A1). Behavioral and neurophysiological thresholds were evaluated with reference to cochlear histopathology in the same deaf cats. The results of the present study include: 1) in the cats implanted with a scala tympani electrode array, the lowest ICC and A1 neural thresholds were virtually identical to the behavioral thresholds for intracochlear bipolar stimulation; 2) behavioral thresholds were lower than ICC and A1 neural thresholds in each of the cats implanted with a monopolar round window electrode; 3) EABR thresholds were higher than behavioral thresholds in all of the cats (mean difference = 6.5 dB); and 4) the cumulative number of action potentials for a sample of ICC neurons increased monotonically as a function of the amplitude and the number of stimulating biphasic pulses. This physiological result suggests that the output from the ICC may be integrated spatially across neurons and temporally integrated across pulses when the auditory nerve array is stimulated with a train of biphasic current pulses. Because behavioral thresholds were lower and reaction times were faster at a pulse rate of 30 pps compared with a pulse rate of 2 pps, spatial-temporal integration in the central auditory system was presumably reflected in psychophysical performance. (+info)Ouabain application to the round window of the gerbil cochlea: a model of auditory neuropathy and apoptosis. (2/76)
The physiological and morphological changes resulting from acute and chronic infusion of ouabain onto the intact round-window (RW) membrane were examined in the gerbil cochlea. Osmotic pumps fitted with cannulas allowed chronic (0.5-8 days) infusions of ouabain. Acute and short-term applications of ouabain (1-24 h) induced an increase in auditory-nerve compound action potential (CAP) thresholds at high frequencies with lower frequencies unaffected. The resulting threshold shifts were basically all (no response) or none (normal thresholds), with a sharp demarcation between high and low frequencies. Survival times of 2 days or greater after ouabain exposure resulted in complete auditory neuropathy with no CAP response present at any frequency. Distortion product otoacoustic emissions (DPOAEs) and the endocochlear potential (EP) were largely unaffected by the ouabain indicating normal function of the outer hair cells (OHC) and stria vascularis. One to 3 days after short-term applications, apoptosis was evident among the spiral ganglion neurons assessed both morphologically and with TdT-mediated dUTP-biotin nick end labeling (TUNEL). With 4-8 day survival times, most spiral ganglion cells were absent; however, a few cell bodies remained intact in many ganglia profiles. These surviving neurons had many of the characteristics of type II afferents. Our working hypothesis is that the ouabain induces a spreading depression among the type I ganglion cells by blocking the Na,K-ATPase pump. Because of the constant spike activity of these cells, the ouabain rapidly alters potassium concentrations within ([K+]i) and external to ([K+]o) the ganglion cells, thereby initiating an apoptotic cascade. (+info)Basilar membrane vibrations near the round window of the gerbil cochlea. (3/76)
Using a laser velocimeter, responses to tones were measured at a basilar membrane site located about 1.2 mm from the extreme basal end of the gerbil cochlea. In two exceptional cochleae in which function was only moderately disrupted by surgical preparations, basilar membrane responses had characteristic frequencies (CFs) of 34-37 kHz and exhibited a CF-specific compressive nonlinearity: Sensitivity near the CF decreased systematically and the response peaks shifted toward lower frequencies with increasing stimulus level. Response phases also changed with increases in stimulus level, exhibiting small relative lags and leads at frequencies just lower and higher than CF, respectively. Basilar membrane responses to low-level CF tones exceeded the magnitude of stapes vibrations by 54-56 dB. Response phases led stapes vibrations by about 90 degrees at low stimulus frequencies; at higher frequencies, basilar membrane responses increasingly lagged stapes vibration, accumulating 1.5 periods of phase lag at CF. Postmortem, nonlinearities were abolished and responses peaked at approximately 0.5 octave below CF, with phases which lagged and led in vivo responses at frequencies lower and higher than CF, respectively. In conclusion, basilar membrane responses near the round window of the gerbil cochlea closely resemble those for other basal cochlear sites in gerbil and other species. (+info)Effects of furosemide applied chronically to the round window: a model of metabolic presbyacusis. (4/76)
Hearing thresholds in elderly humans without a history of noise exposure commonly show a profile of a flat loss at low frequencies coupled with a loss that increases with frequency above approximately 2 kHz. This profile and the relatively robust distortion product otoacoustic emissions that are found in elderly subjects challenge the common belief that age-related hearing loss (presbyacusis) is based primarily on sensory-cell disorders. Here, we examine a model of presbyacusis wherein the endocochlear potential (EP) is reduced by means of furosemide applied chronically to one cochlea of a young gerbil. The model results in an EP that is reduced from 90 to approximately 60 mV, a value often seen in quiet-aged gerbils, with no concomitant loss of hair cells. Resulting measures of cochlear and neural function are quantitatively similar to those seen in aging gerbils and humans, e.g., a flat threshold loss at low frequencies with a high-frequency roll-off of approximately -8.4 dB/octave. The effect of the EP on neural thresholds can be parsimoniously explained by the known gain characteristics of the cochlear amplifier as a function of cochlear location: in the apex, amplification is limited to approximately 20 dB, whereas in the base, the gain can be as high as 60 dB. At high frequencies, amplification is directly proportional to the EP on an approximately 1 dB/mV basis. This model suggests that the primary factor in true age-related hearing loss is an energy-starved cochlear amplifier that results in a specific audiogram profile. (+info)Loud sound-induced changes in cochlear mechanics. (5/76)
To investigate the inner ear response to intense sound and the mechanisms behind temporary threshold shifts, anesthetized guinea pigs were exposed to tones at 100-112 dB SPL. Basilar membrane vibration was measured using laser velocimetry, and the cochlear microphonic potential, compound action potential of the auditory nerve, and local electric AC potentials in the organ of Corti were used as additional indicators of cochlear function. After exposure to a 12-kHz intense tone, basilar membrane vibrations in response to probe tones at the characteristic frequency of the recording location (17 kHz) were transiently reduced. This reduction recovered over the course of 50 ms in most cases. Organ of Corti AC potentials were also reduced and recovered with a time course similar to the basilar membrane. When using a probe tone at either 1 or 4 kHz, organ of Corti AC potentials were unaffected by loud sound, indicating that transducer channels remained intact. In most experiments, both the basilar membrane and the cochlear microphonic response to the 12-kHz overstimulation was constant throughout the duration of the intense stimulus, despite a large loss of cochlear sensitivity. It is concluded that the reduction of basilar membrane velocity that followed loud sound was caused by changes in cochlear amplification and that the cochlear response to intense stimulation is determined by the passive mechanical properties of the inner ear structures. (+info)Effects of chronic furosemide treatment and age on cell division in the adult gerbil inner ear. (6/76)
Atrophy of the stria vascularis and spiral ligament and an associated decrease in the endocochlear potential (EP) are significant factors in age-related hearing loss (presbyacusis). To model this EP decrease, furosemide was delivered into the round-window niche of young adult gerbils by osmotic pump for seven days, chronically reducing the EP by 30-40 mV. Compound action potential (CAP) thresholds were correspondingly reduced by 30-40 dB SPL at high frequencies. Two weeks after withdrawal of furosemide, the treated ears showed an EP recovery of up to 20-30 mV along with a similar recovery of CAP thresholds. The influence of cell division on furosemide-induced and age-related decline of the EP was examined using a mitotic tracer, bromodeoxyuridine (BrdU). Cell proliferation was examined in three groups: young control, furosemide-treated, and aged cochleas. Sections immunostained for BrdU were bleached with H2O2 to eliminate ambiguities with melanin pigment in the inner ear. Cell types positively labeled for BrdU in all three groups included Schwann cells in Rosenthal's canal; glial cells in the osseous spiral lamina; fibrocytes in the limbus, sacculus, and spiral ligament (SL); epithelial cells in Reissner's and round-window membranes; intermediate cells in the stria vascularis; and vascular endothelial cells. Quantitative analysis showed that the mean number of BrdU-positive (BrdU+) intermediate cells in the stria did not differ significantly among the three groups. In contrast, there was a significant increase of BrdU + fibrocytes in the SL of furosemide-treated animals as compared to the young control group. Moreover, there was a significant decrease in labeled fibrocytes in the aged versus the young ears, particularly among the type II and type IV subtypes. The results suggest that the increased fibrocyte turnover in the SL after furosemide treatment may be related to the recovery of EP and CAP thresholds, supporting the hypothesis that fibrocyte proliferation may be essential for maintaining the EP and cochlear function in normal and damaged cochleas. Moreover, the decreased turnover of SL fibrocytes with age may be a contributing factor underlying the lateral wall pathology and consequent EP loss that often accompanies presbyacusis. (+info)Role of mannitol in reducing postischemic changes in distortion-product otoacoustic emissions (DPOAEs): a rabbit model. (7/76)
OBJECTIVES: The aim of this study was to observe the effects of mannitol, administered topically at the round window (RW), on cochlear blood flow (CBF) and distortion-product otoacoustic emission (DPOAE) after repeated episodes of cochlear ischemia. METHODS: Ten young rabbits were used for this study. Reversible ischemic episodes within the cochlea were induced by directly compressing the internal auditory artery (IAA). CBF was measured using a laser-Doppler (LD) probe positioned at the RW niche. DPOAEs were measured at 4, 8, and 12 kHz geometric mean frequency (GMF) using 60 dB sound pressure level (SPL) primary tone stimuli. In five test ears, mannitol was administered topically at the RW for 30 minutes before the IAA compressions. In five control ears, the IAA compressions were undertaken without application of RW medication. Each ear underwent three 5 minute IAA compressions with a 60 minute rest period between compressions. RESULTS: In the control animals, it was observed that a progressive reduction in DPOAE level followed each successive IAA compression at all three test frequencies. The reduction in DPOAE amplitudes was consistently greater at the higher test frequencies. In the test rabbits, the RW administration of mannitol resulted in significantly less reduction in DPOAE level measures after repeated IAA compressions. For example, 30 minutes after reperfusion at 12 kHz GMF, DPOAE levels in the control ears were reduced by 1.5, 6.0, and 16 dB, compared with 1.5, 4.0, and 6.0 dB in the mannitol test ears. CONCLUSIONS: Mannitol appears to exert a protective effect on cochlear function after periods of ischemia. The RW appears to be an efficacious route for topical administration of mannitol into the inner ear. (+info)Gentamicin pharmacokinetics in the chicken inner ear. (8/76)
Avians have the unique ability to regenerate cochlear hair cells that are lost due to ototoxins or excessive noise. Many methodological techniques are available to damage the hair cells for subsequent scientific study. A recent method utilizes topical application of an ototoxic drug to the round window membrane. The current study examines the pharmacokinetics of gentamicin in the inner ear of chickens following topical application to the round window membrane or a single systemic high dose given intraperitoneally. Chickens were given gentamicin topically or systemically and survived for 1, 4, 12, 24, or 120 h (controls at 4 and 120 h). Serum and perilymph samples were obtained prior to sacrifice and measured for gentamicin levels. Results revealed higher levels of gentamicin in the perilymph of topically treated chickens than systemically treated chickens, with significant amounts of gentamicin still present in both at the latest survival time of 5 days. As expected, systemically treated chickens had much higher levels of gentamicin in the serum than topically treated chickens. Advantages and disadvantages to each method of drug administration are discussed. (+info)The round window ( membrana tympani rotunda) is a small, thin membrane-covered opening located in the inner ear between the middle ear and the cochlea. It serves as one of the two openings that lead into the cochlea, with the other being the oval window.
The round window's primary function is to help regulate and dampen the pressure changes within the cochlea that occur when sound waves reach the inner ear. This is accomplished through the movement of the fluid-filled spaces inside the cochlea (the scala vestibuli and scala tympani) caused by vibrations from the stapes bone, which connects to the oval window.
As the stapes bone moves in response to sound waves, it causes a corresponding motion in the perilymph fluid within the cochlea. This movement then creates pressure changes at the round window, causing it to bulge outward or move inward. The flexibility of the round window allows it to absorb and dissipate these pressure changes, which helps protect the delicate structures inside the inner ear from damage due to excessive pressure buildup.
It is important to note that any damage or dysfunction in the round window can negatively impact hearing ability and cause various hearing disorders.
Perilymph is a type of fluid found in the inner ear, more specifically within the bony labyrinth of the inner ear. It fills the space between the membranous labyrinth and the bony labyrinth in the cochlea and vestibular system. Perilymph is similar in composition to cerebrospinal fluid (CSF) and contains sodium, chloride, and protein ions. Its main function is to protect the inner ear from damage, maintain hydrostatic pressure, and facilitate the transmission of sound waves to the hair cells in the cochlea for hearing.
The Scala Tympani is a part of the inner ear's bony labyrinth, specifically within the cochlea. It is one of the two channels (the other being the Scala Vestibuli) that make up the bony duct of the cochlea, through which sound waves are transmitted to the inner ear.
The Scala Tympani starts at the round window, which is a membrane-covered opening located on the cochlea's outer wall. It runs parallel to the Scala Vestibuli and connects with it at the helicotrema, a small opening at the apex or tip of the cochlea.
When sound waves reach the inner ear, they cause vibrations in the fluid-filled Scala Tympani and Scala Vestibuli, which stimulate hair cells within the organ of Corti, leading to the conversion of mechanical energy into electrical signals that are then transmitted to the brain via the auditory nerve.
It's important to note that any damage or dysfunction in the Scala Tympani or other parts of the inner ear can lead to hearing loss or other auditory disorders.
The ear is the sensory organ responsible for hearing and maintaining balance. It can be divided into three parts: the outer ear, middle ear, and inner ear. The outer ear consists of the pinna (the visible part of the ear) and the external auditory canal, which directs sound waves toward the eardrum. The middle ear contains three small bones called ossicles that transmit sound vibrations from the eardrum to the inner ear. The inner ear contains the cochlea, a spiral-shaped organ responsible for converting sound vibrations into electrical signals that are sent to the brain, and the vestibular system, which is responsible for maintaining balance.
The temporal bone is a paired bone that is located on each side of the skull, forming part of the lateral and inferior walls of the cranial cavity. It is one of the most complex bones in the human body and has several important structures associated with it. The main functions of the temporal bone include protecting the middle and inner ear, providing attachment for various muscles of the head and neck, and forming part of the base of the skull.
The temporal bone is divided into several parts, including the squamous part, the petrous part, the tympanic part, and the styloid process. The squamous part forms the lateral portion of the temporal bone and articulates with the parietal bone. The petrous part is the most medial and superior portion of the temporal bone and contains the inner ear and the semicircular canals. The tympanic part forms the lower and anterior portions of the temporal bone and includes the external auditory meatus or ear canal. The styloid process is a long, slender projection that extends downward from the inferior aspect of the temporal bone and serves as an attachment site for various muscles and ligaments.
The temporal bone plays a crucial role in hearing and balance, as it contains the structures of the middle and inner ear, including the oval window, round window, cochlea, vestibule, and semicircular canals. The stapes bone, one of the three bones in the middle ear, is entirely encased within the petrous portion of the temporal bone. Additionally, the temporal bone contains important structures for facial expression and sensation, including the facial nerve, which exits the skull through the stylomastoid foramen, a small opening in the temporal bone.
An ossicular prosthesis is a medical device used to replace one or more of the small bones (ossicles) in the middle ear that are involved in hearing. These bones, known as the malleus, incus, and stapes, form a chain responsible for transmitting sound vibrations from the eardrum to the inner ear.
An ossicular prosthesis is typically made of biocompatible materials such as ceramic, plastic, or metal. The prosthesis is designed to bypass damaged or missing ossicles and reestablish the connection between the eardrum and the inner ear, thereby improving hearing function. Ossicular prostheses are often used in surgeries aimed at reconstructing the middle ear, such as tympanoplasty or stapedectomy, to treat various types of conductive hearing loss.
The middle ear is the middle of the three parts of the ear, located between the outer ear and inner ear. It contains three small bones called ossicles (the malleus, incus, and stapes) that transmit and amplify sound vibrations from the eardrum to the inner ear. The middle ear also contains the Eustachian tube, which helps regulate air pressure in the middle ear and protects against infection by allowing fluid to drain from the middle ear into the back of the throat.
The stapes is the smallest bone in the human body, which is a part of the middle ear. It is also known as the "stirrup" because of its U-shaped structure. The stapes connects the inner ear to the middle ear, transmitting sound vibrations from the ear drum to the inner ear. More specifically, it is the third bone in the series of three bones (the ossicles) that conduct sound waves from the air to the fluid-filled inner ear.
Mixed conductive-sensorineural hearing loss is a type of hearing impairment that involves both conductive and sensorineural components.
Conductive hearing loss occurs when there are problems with the outer or middle ear that prevent sound from being transmitted efficiently to the inner ear. This can be due to various causes, such as damage to the eardrum, blockage in the ear canal, or issues with the bones in the middle ear.
Sensorineural hearing loss, on the other hand, results from damage to the inner ear (cochlea) or the nerve pathways that transmit sound to the brain. This type of hearing loss is typically permanent and can be caused by factors such as aging, exposure to loud noises, genetics, or certain medical conditions.
In mixed conductive-sensorineural hearing loss, there is a combination of both types of impairment. This means that sound transmission is affected by problems in the outer or middle ear, as well as damage to the inner ear or auditory nerve. As a result, a person with this type of hearing loss may have difficulty hearing faint sounds and understanding speech, particularly in noisy environments. Treatment for mixed conductive-sensorineural hearing loss typically involves addressing both the conductive and sensorineural components of the impairment, which may include medical treatment, surgery, or the use of hearing aids.
The inner ear is the innermost part of the ear that contains the sensory organs for hearing and balance. It consists of a complex system of fluid-filled tubes and sacs called the vestibular system, which is responsible for maintaining balance and spatial orientation, and the cochlea, a spiral-shaped organ that converts sound vibrations into electrical signals that are sent to the brain.
The inner ear is located deep within the temporal bone of the skull and is protected by a bony labyrinth. The vestibular system includes the semicircular canals, which detect rotational movements of the head, and the otolith organs (the saccule and utricle), which detect linear acceleration and gravity.
Damage to the inner ear can result in hearing loss, tinnitus (ringing in the ears), vertigo (a spinning sensation), and balance problems.
The cochlea is a part of the inner ear that is responsible for hearing. It is a spiral-shaped structure that looks like a snail shell and is filled with fluid. The cochlea contains hair cells, which are specialized sensory cells that convert sound vibrations into electrical signals that are sent to the brain.
The cochlea has three main parts: the vestibular canal, the tympanic canal, and the cochlear duct. Sound waves enter the inner ear and cause the fluid in the cochlea to move, which in turn causes the hair cells to bend. This bending motion stimulates the hair cells to generate electrical signals that are sent to the brain via the auditory nerve.
The brain then interprets these signals as sound, allowing us to hear and understand speech, music, and other sounds in our environment. Damage to the hair cells or other structures in the cochlea can lead to hearing loss or deafness.
The tympanic membrane, also known as the eardrum, is a thin, cone-shaped membrane that separates the external auditory canal from the middle ear. It serves to transmit sound vibrations from the air to the inner ear, where they are converted into electrical signals that can be interpreted by the brain as sound. The tympanic membrane is composed of three layers: an outer layer of skin, a middle layer of connective tissue, and an inner layer of mucous membrane. It is held in place by several small bones and muscles and is highly sensitive to changes in pressure.
Otologic surgical procedures refer to a range of surgeries performed on the ear or its related structures. These procedures are typically conducted by otologists, who are specialists trained in diagnosing and treating conditions that affect the ears, balance system, and related nerves. The goal of otologic surgery can vary from repairing damaged bones in the middle ear to managing hearing loss, tumors, or chronic infections. Some common otologic surgical procedures include:
1. Stapedectomy/Stapedotomy: These are procedures used to treat otosclerosis, a condition where the stapes bone in the middle ear becomes fixed and causes conductive hearing loss. The surgeon creates an opening in the stapes footplate (stapedotomy) or removes the entire stapes bone (stapedectomy) and replaces it with a prosthetic device to improve sound conduction.
2. Myringoplasty/Tympanoplasty: These are surgeries aimed at repairing damaged eardrums (tympanic membrane). A myringoplasty involves grafting a piece of tissue over the perforation in the eardrum, while a tympanoplasty includes both eardrum repair and reconstruction of the middle ear bones if necessary.
3. Mastoidectomy: This procedure involves removing the mastoid air cells, which are located in the bony prominence behind the ear. A mastoidectomy is often performed to treat chronic mastoiditis, cholesteatoma, or complications from middle ear infections.
4. Ossiculoplasty: This procedure aims to reconstruct and improve the function of the ossicles (middle ear bones) when they are damaged due to various reasons such as infection, trauma, or congenital conditions. The surgeon uses prosthetic devices made from plastic, metal, or even bone to replace or support the damaged ossicles.
5. Cochlear implantation: This is a surgical procedure that involves placing an electronic device inside the inner ear to help individuals with severe to profound hearing loss. The implant consists of an external processor and internal components that directly stimulate the auditory nerve, bypassing the damaged hair cells in the cochlea.
6. Labyrinthectomy: This procedure involves removing the balance-sensing structures (vestibular system) inside the inner ear to treat severe vertigo or dizziness caused by conditions like Meniere's disease when other treatments have failed.
7. Acoustic neuroma removal: An acoustic neuroma is a benign tumor that grows on the vestibulocochlear nerve, which connects the inner ear to the brain. Surgical removal of the tumor is necessary to prevent hearing loss, balance problems, and potential neurological complications.
These are just a few examples of the various surgical procedures performed by otolaryngologists (ear, nose, and throat specialists) to treat conditions affecting the ear and surrounding structures. Each procedure has its specific indications, benefits, risks, and postoperative care requirements. Patients should consult with their healthcare providers to discuss the most appropriate treatment options for their individual needs.
The ear canal, also known as the external auditory canal, is the tubular passage that extends from the outer ear (pinna) to the eardrum (tympanic membrane). It is lined with skin and tiny hairs, and is responsible for conducting sound waves from the outside environment to the middle and inner ear. The ear canal is typically about 2.5 cm long in adults and has a self-cleaning mechanism that helps to keep it free of debris and wax.
Cochlear microphonic potentials (CMs) are electrical responses that originate from the hair cells in the cochlea, which is a part of the inner ear responsible for hearing. These potentials can be recorded using an electrode placed near the cochlea in response to sound stimulation.
The CMs are considered to be a passive response of the hair cells to the mechanical deflection caused by sound waves. They represent the receptor potential of the outer hair cells and are directly proportional to the sound pressure level. Unlike other electrical responses in the cochlea, such as the action potentials generated by the auditory nerve fibers, CMs do not require the presence of neurotransmitters or synaptic transmission.
Cochlear microphonic potentials have been used in research to study the biophysical properties of hair cells and their response to different types of sound stimuli. However, they are not typically used in clinical audiology due to their small amplitude and susceptibility to interference from other electrical signals in the body.
Labyrinthine fluids, also known as endolymph and perilymph, are fluids that fill the inner ear structures, specifically the bony labyrinth. The bony labyrinth is divided into two main parts: the cochlea, responsible for hearing, and the vestibular system, responsible for balance.
Endolymph is a clear, plasma-like fluid found within the membranous labyrinth, which is a series of interconnected tubes and sacs that lie inside the bony labyrinth. Endolymph plays a crucial role in the functioning of both the cochlea and vestibular system by creating an electrochemical gradient necessary for the conversion of mechanical sound vibrations into electrical signals in the cochlea, as well as facilitating the detection of head movements and maintaining balance in the vestibular system.
Perilymph, on the other hand, is a clear, colorless fluid that fills the space between the bony labyrinth and the membranous labyrinth. It is similar in composition to cerebrospinal fluid (CSF) and serves as a protective cushion for the delicate inner ear structures. Perilymph also helps maintain the electrochemical gradient required for sound transduction in the cochlea.
Disorders related to these labyrinthine fluids, such as endolymphatic hydrops or perilymph fistula, can lead to hearing and balance problems.
Cochlear implantation is a surgical procedure in which a device called a cochlear implant is inserted into the inner ear (cochlea) of a person with severe to profound hearing loss. The implant consists of an external component, which includes a microphone, processor, and transmitter, and an internal component, which includes a receiver and electrode array.
The microphone picks up sounds from the environment and sends them to the processor, which analyzes and converts the sounds into electrical signals. These signals are then transmitted to the receiver, which stimulates the electrode array in the cochlea. The electrodes directly stimulate the auditory nerve fibers, bypassing the damaged hair cells in the inner ear that are responsible for normal hearing.
The brain interprets these electrical signals as sound, allowing the person to perceive and understand speech and other sounds. Cochlear implantation is typically recommended for people who do not benefit from traditional hearing aids and can significantly improve communication, quality of life, and social integration for those with severe to profound hearing loss.
Bone conduction is a type of hearing mechanism that involves the transmission of sound vibrations directly to the inner ear through the bones of the skull, bypassing the outer and middle ears. This occurs when sound waves cause the bones in the skull to vibrate, stimulating the cochlea (the spiral cavity of the inner ear) and its hair cells, which convert the mechanical energy of the vibrations into electrical signals that are sent to the brain and interpreted as sound.
Bone conduction is a natural part of the hearing process in humans, but it can also be used artificially through the use of bone-conduction devices, such as hearing aids or headphones, which transmit sound vibrations directly to the skull. This type of transmission can provide improved hearing for individuals with conductive hearing loss, mixed hearing loss, or single-sided deafness, as it bypasses damaged or obstructed outer and middle ears.
The ear ossicles are the three smallest bones in the human body, which are located in the middle ear. They play a crucial role in the process of hearing by transmitting and amplifying sound vibrations from the eardrum to the inner ear. The three ear ossicles are:
1. Malleus (hammer): The largest of the three bones, it is shaped like a hammer and connects to the eardrum.
2. Incus (anvil): The middle-sized bone, it looks like an anvil and connects the malleus to the stapes.
3. Stapes (stirrup): The smallest and lightest bone in the human body, it resembles a stirrup and transmits vibrations from the incus to the inner ear.
Together, these tiny bones work to efficiently transfer sound waves from the air to the fluid-filled cochlea of the inner ear, enabling us to hear.
Scala Vestibuli is a term used in anatomy, particularly in the field of otology (the study of the ear and its diseases). It refers to one of the three bony canals that make up the inner ear's complex system of fluid-filled channels known as the vestibular system.
More specifically, Scala Vestibuli is the uppermost of the three scalae (singular: scala) in the cochlea, a snail-shaped structure in the inner ear responsible for hearing. The other two scalae are Scala Tympani and Scala Media.
Scala Vestibuli and Scala Tympani are connected at the apex of the cochlea through an opening called the helicotrema. The Scala Vestibuli is filled with perilymph, a fluid that helps transmit sound waves to the inner ear.
Please note that while I strive to provide accurate and detailed information, it's always best to consult with a healthcare professional or medical textbook for definitive medical definitions and explanations.
Audiometry, evoked response is a hearing test that measures the brain's response to sound. It is often used to detect hearing loss in infants and young children, as well as in people who are unable to cooperate or communicate during traditional hearing tests.
During the test, electrodes are placed on the scalp to measure the electrical activity produced by the brain in response to sounds presented through earphones. The responses are recorded and analyzed to determine the quietest sounds that can be heard at different frequencies. This information is used to help diagnose and manage hearing disorders.
There are several types of evoked response audiometry, including:
* Auditory Brainstem Response (ABR): measures the electrical activity from the brainstem in response to sound.
* Auditory Steady-State Response (ASSR): measures the brain's response to continuous sounds at different frequencies and loudness levels.
* Auditory Middle Latency Response (AMLR): measures the electrical activity from the auditory cortex in response to sound.
These tests are usually performed in a quiet, sound-treated room and can take several hours to complete.
The external ear is the visible portion of the ear that resides outside of the head. It consists of two main structures: the pinna or auricle, which is the cartilaginous structure that people commonly refer to as the "ear," and the external auditory canal, which is the tubular passageway that leads to the eardrum (tympanic membrane).
The primary function of the external ear is to collect and direct sound waves into the middle and inner ear, where they can be converted into neural signals and transmitted to the brain for processing. The external ear also helps protect the middle and inner ear from damage by foreign objects and excessive noise.
The vestibulocochlear nerve, also known as the 8th cranial nerve, is responsible for transmitting sound and balance information from the inner ear to the brain. Vestibulocochlear nerve diseases refer to conditions that affect this nerve and can result in hearing loss, vertigo, and balance problems.
These diseases can be caused by various factors, including genetics, infection, trauma, tumors, or degeneration. Some examples of vestibulocochlear nerve diseases include:
1. Vestibular neuritis: an inner ear infection that causes severe vertigo, nausea, and balance problems.
2. Labyrinthitis: an inner ear infection that affects both the vestibular and cochlear nerves, causing vertigo, hearing loss, and tinnitus.
3. Acoustic neuroma: a benign tumor that grows on the vestibulocochlear nerve, causing hearing loss, tinnitus, and balance problems.
4. Meniere's disease: a inner ear disorder that causes vertigo, hearing loss, tinnitus, and a feeling of fullness in the ear.
5. Ototoxicity: damage to the inner ear caused by certain medications or chemicals that can result in hearing loss and balance problems.
6. Vestibular migraine: a type of migraine that is associated with vertigo, dizziness, and balance problems.
Treatment for vestibulocochlear nerve diseases varies depending on the specific condition and its severity. It may include medication, physical therapy, surgery, or a combination of these approaches.
The oval window ( fenestra vestibuli ) is a small opening in the inner ear, specifically in the bony labyrinth of the temporal bone. It connects the middle ear to the vestibular system of the inner ear, more precisely to the vestibule. The oval window is covered by the base of the stapes, one of the three smallest bones in the human body, also known as the stirrup. This arrangement allows for the transmission of vibratory energy from the tympanic membrane (eardrum) to the inner ear, which is essential for hearing.
The basilar membrane is a key structure within the inner ear that plays a crucial role in hearing. It is a narrow, flexible strip of tissue located inside the cochlea, which is the spiral-shaped organ responsible for converting sound waves into neural signals that can be interpreted by the brain.
The basilar membrane runs along the length of the cochlea's duct and is attached to the rigid bony structures at both ends. It varies in width and stiffness along its length, with the widest and most flexible portion located near the entrance of the cochlea and the narrowest and stiffest portion located near the apex.
When sound waves enter the inner ear, they cause vibrations in the fluid-filled cochlear duct. These vibrations are transmitted to the basilar membrane, causing it to flex up and down. The specific pattern of flexion along the length of the basilar membrane depends on the frequency of the sound wave. Higher frequency sounds cause maximum flexion near the base of the cochlea, while lower frequency sounds cause maximum flexion near the apex.
As the basilar membrane flexes, it causes the attached hair cells to bend. This bending stimulates the hair cells to release neurotransmitters, which then activate the auditory nerve fibers. The pattern of neural activity in the auditory nerve encodes the frequency and amplitude of the sound wave, allowing the brain to interpret the sound.
Overall, the basilar membrane is a critical component of the hearing process, enabling us to detect and discriminate different sounds based on their frequency and amplitude.
Conductive hearing loss is a type of hearing loss that occurs when there is a problem with the outer or middle ear. Sound waves are not able to transmit efficiently through the ear canal to the eardrum and the small bones in the middle ear, resulting in a reduction of sound that reaches the inner ear. Causes of conductive hearing loss may include earwax buildup, fluid in the middle ear, a middle ear infection, a hole in the eardrum, or problems with the tiny bones in the middle ear. This type of hearing loss can often be treated through medical intervention or surgery.
Labyrinth diseases refer to conditions that affect the inner ear's labyrinth, which is the complex system of fluid-filled channels and sacs responsible for maintaining balance and hearing. These diseases can cause symptoms such as vertigo (a spinning sensation), dizziness, nausea, hearing loss, and tinnitus (ringing in the ears). Examples of labyrinth diseases include Meniere's disease, labyrinthitis, vestibular neuronitis, and benign paroxysmal positional vertigo. Treatment for these conditions varies depending on the specific diagnosis but may include medications, physical therapy, or surgery.
The spiral ganglion is a structure located in the inner ear, specifically within the cochlea. It consists of nerve cell bodies that form the sensory component of the auditory nervous system. The spiral ganglion's neurons are bipolar and have peripheral processes that form synapses with hair cells in the organ of Corti, which is responsible for converting sound vibrations into electrical signals.
The central processes of these neurons then coalesce to form the cochlear nerve, which transmits these electrical signals to the brainstem and ultimately to the auditory cortex for processing and interpretation as sound. Damage to the spiral ganglion or its associated neural structures can lead to hearing loss or deafness.
## I am not aware of a medical definition for the term "chinchilla."
A chinchilla is actually a type of rodent that is native to South America. They have thick, soft fur and are often kept as exotic pets or used in laboratory research. If you're looking for information about chinchillas in a medical context, such as their use in research or any potential health concerns related to keeping them as pets, I would be happy to help you try to find more information on those topics.
Stapes surgery, also known as stapedectomy or stapedotomy, is a surgical procedure performed to correct hearing loss caused by otosclerosis. Otosclerosis is a condition in which the stapes bone in the middle ear becomes fixed and unable to vibrate properly, leading to conductive hearing loss.
During stapes surgery, the surgeon makes an incision behind the ear and creates a small opening in the eardrum. The fixed stapes bone is then removed or modified, and a prosthetic device is inserted in its place to allow sound vibrations to be transmitted to the inner ear. In some cases, a piece of tissue or artificial material may be used to fill the space left by the removed bone.
Stapedectomy involves complete removal of the stapes bone, while stapedotomy involves making a small hole in the stapes bone and inserting a prosthetic device through it. Both procedures are typically performed on an outpatient basis and have a high success rate in restoring hearing. However, as with any surgical procedure, there are risks involved, including infection, permanent hearing loss, and balance problems.
The cochlear aqueduct is a small canal that runs from the inner ear to the brain. It contains a fluid called perilymph, which helps to protect and cushion the structures of the inner ear. The cochlear aqueduct also serves as a passageway for the endolymphatic duct and sac, which are involved in the regulation of the inner ear's fluid balance.
Anomalies or abnormalities of the cochlear aqueduct can lead to hearing problems, balance disorders, and other symptoms. For example, a large or dilated cochlear aqueduct may be associated with an increased risk of meningitis, a serious infection of the membranes surrounding the brain and spinal cord. In some cases, surgical closure of the cochlear aqueduct may be necessary to prevent recurrent meningitis or other complications.
Auditory brainstem evoked potentials (ABEPs or BAEPs) are medical tests that measure the electrical activity in the auditory pathway of the brain in response to sound stimulation. The test involves placing electrodes on the scalp and recording the tiny electrical signals generated by the nerve cells in the brainstem as they respond to clicks or tone bursts presented through earphones.
The resulting waveform is analyzed for latency (the time it takes for the signal to travel from the ear to the brain) and amplitude (the strength of the signal). Abnormalities in the waveform can indicate damage to the auditory nerve or brainstem, and are often used in the diagnosis of various neurological conditions such as multiple sclerosis, acoustic neuroma, and brainstem tumors.
The test is non-invasive, painless, and takes only a few minutes to perform. It provides valuable information about the functioning of the auditory pathway and can help guide treatment decisions for patients with hearing or balance disorders.
The auditory threshold is the minimum sound intensity or loudness level that a person can detect 50% of the time, for a given tone frequency. It is typically measured in decibels (dB) and represents the quietest sound that a person can hear. The auditory threshold can be affected by various factors such as age, exposure to noise, and certain medical conditions. Hearing tests, such as pure-tone audiometry, are used to measure an individual's auditory thresholds for different frequencies.
The cochlear nerve, also known as the auditory nerve, is the sensory nerve that transmits sound signals from the inner ear to the brain. It consists of two parts: the outer spiral ganglion and the inner vestibular portion. The spiral ganglion contains the cell bodies of the bipolar neurons that receive input from hair cells in the cochlea, which is the snail-shaped organ in the inner ear responsible for hearing. These neurons then send their axons to form the cochlear nerve, which travels through the internal auditory meatus and synapses with neurons in the cochlear nuclei located in the brainstem.
Damage to the cochlear nerve can result in hearing loss or deafness, depending on the severity of the injury. Common causes of cochlear nerve damage include acoustic trauma, such as exposure to loud noises, viral infections, meningitis, and tumors affecting the nerve or surrounding structures. In some cases, cochlear nerve damage may be treated with hearing aids, cochlear implants, or other assistive devices to help restore or improve hearing function.
Gerbillinae is a subfamily of rodents that includes gerbils, jirds, and sand rats. These small mammals are primarily found in arid regions of Africa and Asia. They are characterized by their long hind legs, which they use for hopping, and their long, thin tails. Some species have adapted to desert environments by developing specialized kidneys that allow them to survive on minimal water intake.
Cochlear implants are medical devices that are surgically implanted in the inner ear to help restore hearing in individuals with severe to profound hearing loss. These devices bypass the damaged hair cells in the inner ear and directly stimulate the auditory nerve, allowing the brain to interpret sound signals. Cochlear implants consist of two main components: an external processor that picks up and analyzes sounds from the environment, and an internal receiver/stimulator that receives the processed information and sends electrical impulses to the auditory nerve. The resulting patterns of electrical activity are then perceived as sound by the brain. Cochlear implants can significantly improve communication abilities, language development, and overall quality of life for individuals with profound hearing loss.
Ear diseases are medical conditions that affect the ear and its various components, including the outer ear, middle ear, and inner ear. These diseases can cause a range of symptoms, such as hearing loss, tinnitus (ringing in the ears), vertigo (dizziness), ear pain, and discharge. Some common ear diseases include:
1. Otitis externa (swimmer's ear) - an infection or inflammation of the outer ear and ear canal.
2. Otitis media - an infection or inflammation of the middle ear, often caused by a cold or flu.
3. Cholesteatoma - a skin growth that develops in the middle ear behind the eardrum.
4. Meniere's disease - a disorder of the inner ear that can cause vertigo, hearing loss, and tinnitus.
5. Temporomandibular joint (TMJ) disorders - problems with the joint that connects the jawbone to the skull, which can cause ear pain and other symptoms.
6. Acoustic neuroma - a noncancerous tumor that grows on the nerve that connects the inner ear to the brain.
7. Presbycusis - age-related hearing loss.
Treatment for ear diseases varies depending on the specific condition and its severity. It may include medication, surgery, or other therapies. If you are experiencing symptoms of an ear disease, it is important to seek medical attention from a healthcare professional, such as an otolaryngologist (ear, nose, and throat specialist).
Auditory hair cells are specialized sensory receptor cells located in the inner ear, more specifically in the organ of Corti within the cochlea. They play a crucial role in hearing by converting sound vibrations into electrical signals that can be interpreted by the brain.
These hair cells have hair-like projections called stereocilia on their apical surface, which are embedded in a gelatinous matrix. When sound waves reach the inner ear, they cause the fluid within the cochlea to move, which in turn causes the stereocilia to bend. This bending motion opens ion channels at the tips of the stereocilia, allowing positively charged ions (such as potassium) to flow into the hair cells and trigger a receptor potential.
The receptor potential then leads to the release of neurotransmitters at the base of the hair cells, which activate afferent nerve fibers that synapse with these cells. The electrical signals generated by this process are transmitted to the brain via the auditory nerve, where they are interpreted as sound.
There are two types of auditory hair cells: inner hair cells and outer hair cells. Inner hair cells are the primary sensory receptors responsible for transmitting information about sound to the brain. They make direct contact with afferent nerve fibers and are more sensitive to mechanical stimulation than outer hair cells.
Outer hair cells, on the other hand, are involved in amplifying and fine-tuning the mechanical response of the inner ear to sound. They have a unique ability to contract and relax in response to electrical signals, which allows them to adjust the stiffness of their stereocilia and enhance the sensitivity of the cochlea to different frequencies.
Damage or loss of auditory hair cells can lead to hearing impairment or deafness, as these cells cannot regenerate spontaneously in mammals. Therefore, understanding the structure and function of hair cells is essential for developing therapies aimed at treating hearing disorders.
Hearing loss is a partial or total inability to hear sounds in one or both ears. It can occur due to damage to the structures of the ear, including the outer ear, middle ear, inner ear, or nerve pathways that transmit sound to the brain. The degree of hearing loss can vary from mild (difficulty hearing soft sounds) to severe (inability to hear even loud sounds). Hearing loss can be temporary or permanent and may be caused by factors such as exposure to loud noises, genetics, aging, infections, trauma, or certain medical conditions. It is important to note that hearing loss can have significant impacts on a person's communication abilities, social interactions, and overall quality of life.
I must clarify that the term "Guinea Pigs" is not typically used in medical definitions. However, in colloquial or informal language, it may refer to people who are used as the first to try out a new medical treatment or drug. This is known as being a "test subject" or "in a clinical trial."
In the field of scientific research, particularly in studies involving animals, guinea pigs are small rodents that are often used as experimental subjects due to their size, cost-effectiveness, and ease of handling. They are not actually pigs from Guinea, despite their name's origins being unclear. However, they do not exactly fit the description of being used in human medical experiments.
Sudden hearing loss, also known as sudden sensorineural hearing loss (SSHL), is a type of hearing impairment that occurs suddenly or over a period of up to 3 days. It is typically defined as a hearing reduction of at least 30 decibels in three connected frequencies. The cause of SSHL is often unknown, but it can be associated with viral infections, trauma, neurological disorders, and exposure to certain ototoxic medications. In some cases, the hearing loss may resolve on its own, but prompt medical evaluation and treatment are recommended to improve the chances of recovery. Treatment options include corticosteroids, antiviral medication, and hyperbaric oxygen therapy.
In the context of medicine and physiology, vibration refers to the mechanical oscillation of a physical body or substance with a periodic back-and-forth motion around an equilibrium point. This motion can be produced by external forces or internal processes within the body.
Vibration is often measured in terms of frequency (the number of cycles per second) and amplitude (the maximum displacement from the equilibrium position). In clinical settings, vibration perception tests are used to assess peripheral nerve function and diagnose conditions such as neuropathy.
Prolonged exposure to whole-body vibration or hand-transmitted vibration in certain occupational settings can also have adverse health effects, including hearing loss, musculoskeletal disorders, and vascular damage.
Presbycusis is an age-related hearing loss, typically characterized by the progressive loss of sensitivity to high-frequency sounds. It's a result of natural aging of the auditory system and is often seen as a type of sensorineural hearing loss. The term comes from the Greek words "presbus" meaning old man and "akousis" meaning hearing.
This condition usually develops slowly over many years and can affect both ears equally. Presbycusis can make understanding speech, especially in noisy environments, quite challenging. It's a common condition, and its prevalence increases with age. While it's not reversible, various assistive devices like hearing aids can help manage the symptoms.
Acoustic stimulation refers to the use of sound waves or vibrations to elicit a response in an individual, typically for the purpose of assessing or treating hearing, balance, or neurological disorders. In a medical context, acoustic stimulation may involve presenting pure tones, speech sounds, or other types of auditory signals through headphones, speakers, or specialized devices such as bone conduction transducers.
The response to acoustic stimulation can be measured using various techniques, including electrophysiological tests like auditory brainstem responses (ABRs) or otoacoustic emissions (OAEs), behavioral observations, or functional imaging methods like fMRI. Acoustic stimulation is also used in therapeutic settings, such as auditory training programs for hearing impairment or vestibular rehabilitation for balance disorders.
It's important to note that acoustic stimulation should be administered under the guidance of a qualified healthcare professional to ensure safety and effectiveness.
Sensorineural hearing loss (SNHL) is a type of hearing impairment that occurs due to damage to the inner ear (cochlea) or to the nerve pathways from the inner ear to the brain. It can be caused by various factors such as aging, exposure to loud noises, genetics, certain medical conditions (like diabetes and heart disease), and ototoxic medications.
SNHL affects the ability of the hair cells in the cochlea to convert sound waves into electrical signals that are sent to the brain via the auditory nerve. As a result, sounds may be perceived as muffled, faint, or distorted, making it difficult to understand speech, especially in noisy environments.
SNHL is typically permanent and cannot be corrected with medication or surgery, but hearing aids or cochlear implants can help improve communication and quality of life for those affected.
A transducer is a device that converts one form of energy into another. In the context of medicine and biology, transducers often refer to devices that convert a physiological parameter (such as blood pressure, temperature, or sound waves) into an electrical signal that can be measured and analyzed. Examples of medical transducers include:
1. Blood pressure transducer: Converts the mechanical force exerted by blood on the walls of an artery into an electrical signal.
2. Temperature transducer: Converts temperature changes into electrical signals.
3. ECG transducer (electrocardiogram): Converts the electrical activity of the heart into a visual representation called an electrocardiogram.
4. Ultrasound transducer: Uses sound waves to create images of internal organs and structures.
5. Piezoelectric transducer: Generates an electric charge when subjected to pressure or vibration, used in various medical devices such as hearing aids, accelerometers, and pressure sensors.
Spontaneous otoacoustic emissions (SOAEs) are low-level sounds that are produced by the inner ear (cochlea) without any external stimulation. They can be recorded in a quiet room using specialized microphones placed inside the ear canal. SOAEs are thought to arise from the motion of the hair cells within the cochlea, which generate tiny currents in response to sound. These currents then cause the surrounding fluid and tissue to vibrate, producing sound waves that can be detected with a microphone.
SOAEs are typically present in individuals with normal hearing, although their presence or absence is not a definitive indicator of hearing ability. They tend to occur at specific frequencies and can vary from person to person. In some cases, SOAEs may be absent or reduced in individuals with hearing loss or damage to the hair cells in the cochlea.
It's worth noting that SOAEs are different from evoked otoacoustic emissions (EOAEs), which are sounds produced by the inner ear in response to external stimuli, such as clicks or tones. Both types of otoacoustic emissions are used in hearing tests and research to assess cochlear function and health.
Topical administration refers to a route of administering a medication or treatment directly to a specific area of the body, such as the skin, mucous membranes, or eyes. This method allows the drug to be applied directly to the site where it is needed, which can increase its effectiveness and reduce potential side effects compared to systemic administration (taking the medication by mouth or injecting it into a vein or muscle).
Topical medications come in various forms, including creams, ointments, gels, lotions, solutions, sprays, and patches. They may be used to treat localized conditions such as skin infections, rashes, inflammation, or pain, or to deliver medication to the eyes or mucous membranes for local or systemic effects.
When applying topical medications, it is important to follow the instructions carefully to ensure proper absorption and avoid irritation or other adverse reactions. This may include cleaning the area before application, covering the treated area with a dressing, or avoiding exposure to sunlight or water after application, depending on the specific medication and its intended use.