physiology of hearing Flashcards

1
Q

threshold

A

plot quietest sound that can be heard at each frequency

Sound pressure defined as 20 x log10 P/Pref
This is called dB SPL
Human ear is more sensitive to sounds at certain frequencies
So we get curves which are difficult to interpret

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2
Q

mammalian ear

A

Outer Ear
-Pinna
-Ear canal

Middle Ear
-Tympanic membrane
-Ossicles

Inner Ear
-Cochlea
-Vestibule

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3
Q

importance of two ears

A

Localisation of sound in horizontal plane
Primarily inter-aural time difference
Also difference in loudness

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4
Q

outer ear- pinna

A

Pinna amplifies & filters incoming sounds
Directional-dependent filtering at certain frequencies

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5
Q

outer ear- canal

A

For a tube closed at one end, the wavelength of the resonant frequency (f0) is related to 4 × tube length (L)
“f” _“0” “= “ “c” /”4 × L” “ = “ “344 m/s” /”4 × 2.5 cm” “≅ 3.4 kHz”

This resonance results in a ~10 dB (3×) increase in level for speech frequencies

The pinna & canal combined increase sound pressure level by up to 20 dB

Frequency filtering useful for sound localisation in vertical and front-back planes

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6
Q

middle ear overcoming impedance mismatch

A

Collect sound energy over a large area
tympanic membrane

Convert vibration of air (not v dense) into vibration of bone (dense)

Concentrate all the energy onto small area (oval window)

Use the bone as a piston to transfer energy into the fluid

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7
Q

importance of tympanic membrane and stapes

A

Impedance matching
99.9% of sound bounces off an air-fluid interface
transmission of sound from air to fluid-filled inner ear inefficient
area ratio TM : oval window amplifies sound by concentrating energy

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8
Q

middle ear bones and muscles

A

Three wee bones
Malleus - Incus - Stapes

Protective muscles
Stapedius reflex
Tensor tympani

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9
Q

Eustachian tube

A

Connects the nasopharynx to the middle ear
Allows air to enter and leave the middle ear
Closed at rest, opens during swallowing and Valsalva
Keeps the air pressure in the middle ear space the same as the ambient atmospheric pressure
This is important to enable the tympanic membrane to vibrate
Dysfunction leads to blocked feeling and poor hearing (e.g. aeroplane flight)

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10
Q

hearing loss

A

Conductive hearing loss caused by:
Ear canal – wax, foreign body, congenital atresia
Tympanic membrane – perforation
Ossicles – congenital fusion, damage from infection
Middle ear space – fluid instead of air

Inner ear works fine if you can get the sound to it by another route
Vibrate the skull – bone conduction

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11
Q

the inner ear

A

Two sensory structures in one organ
Vestibular apparatus
contains sensory structures for balance and head movements
Cochlea
Contains sensory epithelium for hearing: the organ of Corti.

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12
Q

how does the vibration get into the cochlea

A
  1. Oval window faces into vestibule
  2. Vestibule contains sensory epithelia for saccule & utricle
  3. Vestibule leads into scala vestibuli (upper cochlear duct)
  4. Pressure waves travel along scala vestibuli then back through scala tympani (lower cochlear duct)
  5. Waves terminate at the round window
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13
Q

scala media

A

Organ of Corti
Sensory epithelium containing auditory hair cells.
Stria vascularis
Regulates ionic and metabolic functions of scala media.
Scala media full of endolymph
Rich in potassium, low sodium
Scala vestibuli/tympani full of perilymph
high sodium, low potassium
more typical extracellular fluid

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14
Q

hair cell structure

A

Hair cells are of epithelial origin, resembling cells that line the stomach
Stereocilia form bundle at apical pole of the hair cell
Stereocilia arranged from shortest to tallest

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15
Q

depolarisation and spike generation

A

Stereocilia pushed towards the tallest > depolarisation
K+ channels opened, K+ flows into cells from endolymph
Stereocilia pushed towards the shortest > hyperpolarisation
K+ channels closed

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16
Q

outer hair cells

A
  • amplify vibration
    Outer hair cells are motile
    When stimulated by movement of basilar membrane OHCs change shape & stiffness
    This feeds energy back into the basilar membrane (reverse transduction)
    Acts as an amplifier, increasing amount of vibration on basilar membrane (cochlear amplifier)
    Also improves frequency selectivity
17
Q

clinical relevance (hair of ears)

A

Outer hair cells move in response to a noise and we can hear them moving
Called otoacoustic emissions
Quick, objective screening test for hearing loss in babies

All hair cells are vulnerable
Infections, ototoxins, noise
Aging, “wear and tear”
Sensorineural hearing loss
Loss of inner hair cells
No signal to the brain
∞ dB loss in hearing
Loss of outer hair cells
Basilar vibration is insufficiently amplified
~50 dB loss in hearing
Loss of sound discrimination

18
Q

hearing aids

A

Hearing aids are just microphone-amplifier-speaker
They make everything louder
This is all you need to correct conductive hearing loss
Helpful but doesn’t completely alleviate the disability of sensorineural hearing loss
Loss of discrimination
Loss of dynamic range
Central processing effects

19
Q

central processing of sound

A

First order neurons in the spiral ganglion of the cochlea
Travel in CN VIII through internal acoustic meatus to cerebello-pontine angle
Synapse on cochlear nuclei (junction of medulla and pons)
From there via Olive and Trapezoid body (pons) to Inferior colliculus (midbrain)
Medial geniculate body (thalamus)
Superior temporal gyrus (cortex)