Special Senses-Sense of Hearing...complete lecture

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    SENSE OF HEARING

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    Sense of Hearing

    Mechanism by which EAR

    Receive sound waves

    Discriminate their frequencies

    Transmit auditory information to central nervoussystem

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    ANATOMY OF EAR1. The outer ear

    - pinna

    - ear canal

    - eardrum

    2. The middle ear

    - three ossicle bones;

    (malleus, incus,stapes)

    - two major muscles

    (stapedial muscle,tensor

    tympani)

    - Eustachian tube

    3. The inner ear

    - cochlea (hearing)

    - vestibular system(balance)

    4. The central auditorysystem

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    OUTER EAR

    Three parts ofouter ear

    1) Pinna

    2) Ear canal

    3) Ear drum

    Major functionof outer ear

    1)amplification

    2) soundlocalization

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    MIDDLE EAR

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    Three main parts ofmiddle ear

    (1)Three Ossicle

    bones:- Malleus(1), Incus(3),

    Stapes(6)

    Function)Impedancematching

    (2)Two muscles

    - Stapedial muscle(5)

    - Tensor tympani(9)

    Function)Protection(attenuation reflex)

    (3)Eustachian tube(8)

    Function)Equalizer ofair pressure

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    TRANSMISSION OF SOUND

    WAVES THROUGH MIDDLE EAR The tip end of handle of

    malleus is attached tocenter of tympanicmembrane and at thisattachment is constantlypulled by tensor tympanimuscle which keep tympanicmembrane tensed

    Sound vibrations on anyportion of tense tympanicmembrane is transmitted tomalleus and then to incusand then to stapes foot plate

    on oval window window, setsthe fluid of inner ear intomotioneventually excitinghearing receptors.

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    IMPEDANCE MATCHING

    Sound transmission in fluid (inner ear) requiresmuch higher pressure than sound transmission in air(outer ear)

    Therefore, the tympanic membrane and ossicular

    system provide impedance matching between thesound waves in air and the sound vibrations in the

    fluid of the cochlea.

    The amplitude of movement of the stapes faceplate

    with each sound vibration is as much as the

    amplitude of the handle of the malleus

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    This increases theforce of movement about 1.3

    times.

    The surface area of the tympanic membraneis about 55 square millimeters, whereas the

    surface area of the stapes averages 3.2 square

    millimeters. This 17-fold difference times the 1.3-fold ratio

    of the lever system causes about 22 times as

    much total force to be exerted on the fluid ofthe cochlea as is exerted by the sound waves

    against the tympanic membrane.

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    ATTENUATION REFLEX

    When loud sounds aretransmitted through the

    ossicular system and from

    there into the central

    nervous system, a reflexoccurs after a latent period

    of only 40 to 80

    milliseconds to cause

    contraction of the

    stapedius muscle and, to a

    lesser extent, the tensor

    tympani muscle

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    The tensor tympani musclepulls the handle

    of the malleus inward while the stapedius

    muscle pulls the stapes outward. These two

    forces oppose each other and thereby causethe entire ossicular system to develop

    increased rigidity

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    IMPORTANCE

    1. Toprotect the cochlea from damaging vibrationscaused by excessively loud sound

    2. To mask low-frequency sounds in loud

    environments. allows a person to concentrate onsounds above 1000 cycles per second

    3. Decrease a persons hearing sensitivity to his or

    her own speech.

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    INNER EAR

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    FUNCTIONAL ANATOMY OF

    COCHLEA

    The cochlea is a systemof 3 coiled tubes

    (1) scala vestibuli(contains perilymph)

    (2) scala media (contains

    endolymph)(3) scala tympani.

    (contains perilymph)

    Reissners membrane

    Basilar membrane

    Organ of Corti

    Helicotrema

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    BASILAR MEMBRANE Fibrous membrane Separates the scala

    media from the scalatympani

    20,000 to 30,000 basilar

    fibers Projects from modiolus,

    toward the outer wall

    Stiff, elastic, reed likestructures

    Fixed at basal end butfree at distal end

    Vibrates at free end

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    The lengths of the basilar fibers increaseprogressively

    beginning at the oval window (base) of the cochleato the helicotrema (apex)

    The diameters of the fibers, however, decrease frombase

    to apex

    The stiff, short fibers near the oval window of the

    cochlea vibrate best at a very high frequency

    Long, limber fibers near the tip of the cochlea vibrate

    best at a low frequency.

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    the

    Cochlea

    When stapes footplatemoves inwards againstthe oval window, roundwindow must bulgeoutwards

    Sound waves causebasilar membrane to bendin direction of roundwindow

    As a result basilar fibersdevelop elastic tension,

    initiates a fluid wave thattravels along the basilarmembrane towards theapex

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    Different sound frequencies on

    basilar membrane

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    is for discrimination of sound waves

    of different frequencies

    High frequency at the base Low frequency at the apex

    Intermediate frequency at the intermediatedistance between two extremes

    Spatial organization of nerve fibers in cochlearpathway from cochlea to cerebral cortex

    Specific brain neurons are activated by specificsound frequencies

    So nervous system detects different soundfrequencies according to position of stimulatedpart of basilar membrane

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    VOLLEY OR FREQUENCY

    PRINCIPLE

    Low frequencysounds 20 to 2000cycles per secondssend volleys of nerve

    impulsessynchronized at samefrequency throughcochlear nerve tocochlear nuclei, which

    distinguish thedifferent frequenciesof volleys.

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    Sound frequencies are discriminated from oneanother on the basis of

    Place of maximum stimulation of nerve fibers from

    the organ of corti lying on the basilar membrane.

    (depends upon positions along the basilar

    membrane that are most stimulated)

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    Loudness (amplitude/intensity)

    Perception of loudness is related to

    1- sound pressure level in db

    2- duration of sound

    POWER LAW:Psychophysical perception is log linear with

    stimulus magnitude

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    DETERMINATION OF LOUDNESS

    1) Amplitude of vibration of basilar membrane andhair cells increases leading to excitation of

    nerve endings at more rapid rates.

    2) Spatial summation: more and more hair cells

    stimulated leading to transmission throughmany nerve fibers rather than few.

    3) Stimulation of outer hair cells

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    Function of organ of corti

    Receptor organ

    Single row of internal

    hair cells

    3 or 4 rows of outer

    hair cells

    90-95% cochlear

    nerve endings

    terminate on innerhair cells (detection of

    sound)

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    Reticular

    lamina

    Stereocilia

    Tectorialmembrane

    Triangular

    rods of

    Corti

    Basilar

    fibers

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    Hair Cell Receptor Potentials and Excitation

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    Hair Cell Receptor Potentials and Excitation

    of Auditory Nerve

    Fibers

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    Endocochlear Potential

    An electrical potential of about +80 millivoltsexists all the time between endolymph and

    perilymph, with positivity inside the scala media

    and negativity outside

    Generated by continual secretion of positivepotassium ions into the scala media by the stria

    vascularis.

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    Central auditory pathway

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    AUDITORY CORTEX

    Supratemporal portionof superior temporalgyrus

    Primary auditory cortexexcited by projections

    from medial geniculatebody

    Secondary auditorycortex (auditoryassociation area)excited by impulsesfrom primary auditorycortex and thalamicassociation area

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    Low frequency

    anteriorly

    High frequency

    posteriorly

    Discriminates sound

    frequencies

    Detection of direction Sudden onset of

    sound

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    Importance of auditory cortex

    Discrimination of tonal and sequential sound patterns Destruction of both primary auditory cortices leads to

    high reduction of ones sensitivity for hearing

    Destruction of one side only slightly reduces hearing

    in the opposite ear because of many crossoverconnections in auditory pathway

    However, it does affect ones ability to localize thesource of a sound, because comparative signals inboth cortices are required for the localization

    Lesions that affect the auditory association areas onlyleads to unable to interpret the meaning of the soundheard.

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    Determination of sound direction

    (1) The time lag between the entry of sound into one ear andits entry into the opposite ear

    (2) The difference between the intensities of the sounds inthe two ears.

    The first mechanism functions best at frequencies

    below 3000 cycles per second The second mechanism operates best at higher

    frequencies

    The two mechanisms cannot tell whether the sound isemanating from in front of or behind the person or fromabove or below. This discrimination is achieved mainly by

    thepinnae of the two ears. The shape of the pinnachanges the quality of the sound entering the ear,depending on the direction from which the sound comes.

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    Centrifugal Signals from the Central Nervous

    System to Lower Auditory Centers

    Retrograde pathways (inhibitory) from cortex tocochlea which allows the person to direct his or

    her attention to sounds of particular qualities

    while rejecting sounds of other qualities

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    Conduction deafness:

    Anatomical site: Middle ear (ossicular chain), tympanic membrane or

    external ear.

    Causes: Ear wax, infection (otitis media), foreign body, tumor, tympanicmembrane perforation, genetic causes.

    Weber test: Sound localizes to affected ear (ear with conductive loss).

    Rinnes test: Negative, Bone conduction> air conduction (bone/air gap)

    Treatment: In most of the cases hearing loss is reversible. Antibiotics,

    antifungal, surgical repair, cochlear implants.

    Perceptive deafness:

    Anatomical site: Root cause lies in vestibulocochlear nerve, the inner

    ear (damage to hair cells) or central processing centers of brain.

    Causes: Noise, trauma, infections, congenital, aging.

    Weber test: Sound localizes to normal ear.

    Rinnes test: Positive, air conduction> bone conduction (both air and

    bone conduction are decreased equally, but difference between them

    unchanged).

    Treatment: Loss permanent. Hearing aids

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    Audiogram:

    Is plotted on the basis of interrelationship ofsound intensity with frequency.

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    The Vestibular System

    VestibularLabyrinthOtolith organs

    Utricle and

    SacculeSemicircular

    canals Anterior,

    Posterior andLateral orhorizontal

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    Function of vestibular apparatus

    Is the sensory organ for detecting sensations ofequilibrium.

    Accurate control requires accurate information

    Sensory inputs:

    1- vestibular system

    2- visual system

    3- proprioceptive system

    4- cutaneous sensations

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    Otolith organs

    Both utricle and sacculecontain a sensory areainside known asMACULA

    Macula of utricle lies in

    horizontal plane anddetermine orientation ofhead when head isupright

    Macula of saccule liesin vertical plane anddetermine orientation ofhead when person islying down

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    Function of Otolith organs

    Static equilibrium Linear acceleration

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    Semicircular Ducts

    ANTERIOR POSTERIOR

    LATERAL

    Three planes of space

    Ampulla Endolymph

    Crista ampullaris

    Cupula

    Hair cells Stereocilia

    Kinocilia

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    Crista ampullaris

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    Crista ampullaris

    RrRotationof head

    Bending of cupu

    Stereocilia bend Receptor cell fires

    Synapse activated

    Stimulation of nerve endings Dynamic equilibrium sense

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    Function of semicircular ducts

    Angular acceleration Rapid intricate

    changing body

    movements

    Predictive role

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    VESTIBULAR PATHWAY:

    First order neurons in Scarpas ganglion 2ndorder neurons in vestibular nuclei at junction

    of pons and medulla

    Then pathway ascends to parietal cortex, area for

    equilibrium

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    Neural connections

    Cerebellum Motor nuclei of CN 3,4 & 6

    Reticular formation

    Spinal cord