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Physiology of Hearing &
EquilibriumDr. Vishal Sharma
Parts of hearing apparatus
Conductive apparatus: external & middle ear
Conducts mechanical sound impulse to inner ear
Perceptive apparatus: cochlea
Converts mechanical sound impulse into electrical
impulse & transmits to higher centers
Role of external ear
• Collection of sound waves by pinna &
conduction to tympanic membrane
• Increases sound intensity by 15-20 dB
• Cupping of hand behind pinna also increases
sound intensity by 15 dB especially at 1.5 kHz.
Role of middle ear in hearing
• Impedance matching mechanism (step – up
transformer or amplifier function)
• Preferential sound pressure application to oval
window (phase difference by ossicular coupling)
• Equalization of pressure on either sides of
tympanic membrane (via Eustachian tube)
Impedance matching mechanism
• When sound travels from air in middle ear to fluid in
inner ear, its amplitude is ed by fluid impedance.
• Only 0.1 % sound energy goes inside inner ear.
• Middle ear amplifies sound intensity to compensate
for this loss. Converts sound of low pressure, high
amplitude to high pressure, low amplitude vibration
suitable for driving cochlear fluids.
Hermann von Helmholtz
Described impedance matching in 1868
T.M. Catenary lever (curved membrane effect):
Sound waves focused on malleus. Magnifies 2 times
Ossicular Lever ratio:
Length of handle of malleus > long process of incus.
Magnifies 1.3 times
Surface area ratio (Hydraulic lever):
T.M. = 55 mm2 ; Stapes foot plate = 3.2 mm2
Magnifies 17 times
Total Mechanical advantage: 2 X 17 X 1.3 = 45
times = 30 – 35 dB
• Property to allow certain sound frequencies to pass more readily to inner ear.
• External auditory canal = 2500 – 3000 Hz
• Tympanic membrane = 800 - 1600 Hz
• Ossicular chain = 500 – 2000 Hz
• Range = 500 – 3000 Hz (speech frequency)
Natural Resonance
Preferential sound pressure application (phase difference)
• Sound pressure preferentially applied to oval
window by ossicular coupling while round
window is protected by tympanic membrane
• Sound pressure travels to scala vestibuli
helicotrema scala tympani round window
membrane yields scala media moves up &
down movement of hair cells in scala media
Preferential sound pressure application (phase difference)
• Yielding of round window membrane (push-pull
effect) is necessary as inner ear fluids are
incompressible
• Large tympanic membrane perforation loss of
this function (push-push effect) no movement
of inner ear fluids
Ossicular break + intact T.M. = 55-60 dB loss
Ossicular break + T.M. perforated = 45-50 dB loss
– Movement of basilar membrane
– Shear force between tectorial membrane & hair cells
– Cochlear microphonics
– Nerve impulses
Transduction of mechanical energy to electrical impulses
Cochlear hair cells
Transducer Mechanism
Auditory pathway• Eighth (Auditory) nerve
• Cochlear nucleus
• Olivary nucleus (superior)
• Lateral lemniscus
• Inferior colliculus
• Medial geniculate body
• Auditory cortex
Theories of hearingPlace / Resonance Theory (Helmholtz, 1857)
Perception of pitch depends on selective
vibration of specific place on basilar membrane.
Telephone Theory (Rutherford, 1886)
Entire basilar membrane vibrates. Pitch related
to rate of firing of individual auditory nerve
fibers.
Theories of hearingVolley Theory (Wever, 1949)
> 5 KHz: Place theory; <400 Hz: Telephone theory
400 – 5000 Hz: Volley theory
Groups of fibres fire asynchronously (volley
mechanism). Required frequency signal is
presented to C.N.S. by sequential firing in groups
of 2 - 5 fibers as each fiber has limitation of 1 Khz.
Sound stimulus produces a wave-like vibration of
basilar membrane starting from basal turn towards
apex of cochlea . It increases in amplitude as it moves
until it reaches a maximum & dies off. Sound
frequency is determined by point of maximum
amplitude. High frequency sounds cause wave with
maximum amplitude near to basal turn of cochlea.
Low frequency sound waves have their maximum
amplitude near cochlear apex.
Bekesy’s travelling wave theory
Georg von Bekesy
Won Nobel
prize for
his
traveling
wave
theory in
1961
Bekesy’s travelling wave theory
Theories of bone conductionCompression theory: skull vibration from sound
stimulus vibration of bony labyrinth & inner
ear fluids
Inertia theory: sound stimulus skull vibration but
ear ossicles lag behind due to inertia. Out of
phase movement of skull & ear ossicles
movement of stapes footplate vibration of
inner ear fluids
Theories of bone conduction
Osseo-tympanic theory: sound stimulus skull
vibration but mandible condyle lags behind due
to inertia. Out of phase movement of skull &
mandible vibration of air in external auditory
canal vibration of tympanic membrane
Tonndorf’s theory: sound stimulus skull
vibration rotational vibration of ear ossicles
movement of stapes footplate
Physiology of equilibrium
Balance of body during static or dynamic
positions is maintained by 4 organs:
1. Vestibular apparatus (inner ear)
2. Eye
3. Posterior column of spinal cord
4. Cerebellum
Vestibular apparatus
Semicircular canals
Angular acceleration & deceleration
Utricle
Horizontal linear acceleration & deceleration
Saccule
Vertical linear acceleration & deceleration
Orientation of semicircular canals
Physiology of head movementHead Movement Semicircular canal
stimulated
Yaw Lateral
Pitch Posterior + Superior
Roll Superior + Posterior
Nystagmus (slow component)
Nystagmus (fast component)
Semicircular canal stimulated
Nystagmus Direction
Right Lateral Right horizontal
Left Lateral Left horizontal
Right Superior Down beating, counter-clockwise
Left Superior Down beating, clockwise
Right Posterior Up beating, counter-clockwise
Left Posterior Up beating, clockwise
Vestibulo-ocular reflex (VOR)
Movement of head to left left horizontal canal
stimulated & right horizontal canal inhibited
To keep eyes fixed on a stationary point, both eyes
move to right side by stimulating right lateral
rectus & left medial rectus muscles
Thank You