Intro to Audition & Hearing
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Sound and the Ear Chapter 2
© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Chapter© Jones & Bartlett 2 Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Sound and the Ear © Jones Karen &J. Kushla,Bartlett ScD, Learning, CCC-A, FAAA LLC © Jones & Bartlett Learning, LLC Lecturer NOT School FOR of SALE Communication OR DISTRIBUTION Disorders and Deafness NOT FOR SALE OR DISTRIBUTION Kean University © Jones & Bartlett Key Learning, Terms LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR Acceleration DISTRIBUTION Incus NOT FOR SALE OR Saccule DISTRIBUTION Acoustics Inertia Scala media Auditory labyrinth Inner hair cells Scala tympani Basilar membrane Linear scale Scala vestibuli Bel Logarithmic scale Semicircular canals Boyle’s law Malleus Sensorineural hearing loss Broca’s area © Jones & Bartlett Mass Learning, LLC Simple harmonic© Jones motion (SHM) & Bartlett Learning, LLC Brownian motion Membranous labyrinth Sound Cochlea NOT FOR SALE OR Mixed DISTRIBUTION hearing loss Stapedius muscleNOT FOR SALE OR DISTRIBUTION Compression Organ of Corti Stapes Condensation Osseous labyrinth Tectorial membrane Conductive hearing loss Ossicular chain Tensor tympani muscle Decibel (dB) Ossicles Tonotopic organization © Jones Decibel & hearing Bartlett level (dB Learning, HL) LLC Outer ear © Jones Transducer & Bartlett Learning, LLC Decibel sensation level (dB SL) Outer hair cells Traveling wave theory NOT Decibel FOR sound SALE pressure OR level DISTRIBUTION -
A Pictorial Review of Round Window Pathologies
REVIEW ARTICLE The Forgotten Second Window: A Pictorial Review of Round Window Pathologies J.C. Benson, F. Diehn, T. Passe, J. Guerin, V.M. Silvera, M.L. Carlson, and J. Lane ABSTRACT SUMMARY: The round window serves to decompress acoustic energy that enters the cochlea via stapes movement against the oval window. Any inward motion of the oval window via stapes vibration leads to outward motion of the round window. Occlusion of the round window is a cause of conductive hearing loss because it increases the resistance to sound energy and con- sequently dampens energy propagation. Because the round window niche is not adequately evaluated by otoscopy and may be incompletely exposed during an operation, otologic surgeons may not always correctly identify associated pathology. Thus, radiol- ogists play an essential role in the identification and classification of diseases affecting the round window. The purpose of this review is to highlight the developmental, acquired, neoplastic, and iatrogenic range of pathologies that can be encountered in round window dysfunction. ABBREVIATIONS: LO 4 labyrinthitis ossificans; RW 4 round window he round window (RW) serves as a boundary between the considerations of the round window that can be encoun- Tbasal turn of the cochlea anteriorly and the round win- tered on imaging are reviewed. dow niche posteriorly.1 It, along with the oval window, is 1 of 2 natural openings between the inner and middle ear. The Physiology and Functionality “ ” round window is often overshadowed by the first window The inner ear “windows” refer to openings in the otic capsule “ ” (the oval window) and pathologic third windows (eg, that connect the fluid in the inner ear to either the middle ear or superior semicircular canal dehiscence). -
The Standing Acoustic Wave Principle Within the Frequency Analysis Of
inee Eng ring al & ic d M e e d Misun, J Biomed Eng Med Devic 2016, 1:3 m i o c i a B l D f o e v DOI: 10.4172/2475-7586.1000116 l i a c n e r s u o Journal of Biomedical Engineering and Medical Devices J ISSN: 2475-7586 Review Article Open Access The Standing Acoustic Wave Principle within the Frequency Analysis of Acoustic Signals in the Cochlea Vojtech Misun* Department of Solid Mechanics, Mechatronics and Biomechanics, Brno University of Technology, Brno, Czech Republic Abstract The organ of hearing is responsible for the correct frequency analysis of auditory perceptions coming from the outer environment. The article deals with the principles of the analysis of auditory perceptions in the cochlea only, i.e., from the overall signal leaving the oval window to its decomposition realized by the basilar membrane. The paper presents two different methods with the function of the cochlea considered as a frequency analyzer of perceived acoustic signals. First, there is an analysis of the principle that cochlear function involves acoustic waves travelling along the basilar membrane; this concept is one that prevails in the contemporary specialist literature. Then, a new principle with the working name “the principle of standing acoustic waves in the common cavity of the scala vestibuli and scala tympani” is presented and defined in depth. According to this principle, individual structural modes of the basilar membrane are excited by continuous standing waves of acoustic pressure in the scale tympani. Keywords: Cochlea function; Acoustic signals; Frequency analysis; The following is a description of the theories in question: Travelling wave principle; Standing wave principle 1. -
The Round Window Region and Contiguous Areas: Endoscopic Anatomy and Surgical Implications
Eur Arch Otorhinolaryngol DOI 10.1007/s00405-014-2923-8 OTOLOGY The round window region and contiguous areas: endoscopic anatomy and surgical implications Daniele Marchioni · Matteo Alicandri-Ciufelli · David D. Pothier · Alessia Rubini · Livio Presutti Received: 16 October 2013 / Accepted: 28 January 2014 © Springer-Verlag Berlin Heidelberg 2014 Abstract The round window region is a critical area of window region. Exact anatomical knowledge of this region the middle ear; the aim of this paper is to describe its anat- can have important advantages during surgery, since some omy from an endoscopic perspective, emphasizing some pathology can invade inside cavities or tunnels otherwise structures, the knowledge of which could have important not seen by instrumentation that produces a straight-line implications during surgery, as well as to evaluate what view (e.g. microscope). involvement cholesteatoma may have with these structures. Retrospective review of video recordings of endoscopic Keywords Retrotympanum · Endoscopic ear surgery · ear surgeries and retrospective database review were con- Cholesteatoma · Middle ear anatomy · Round window ducted in Tertiary university referral center. Videos from endoscopic middle ear procedures carried out between June 2010 and September 2012 and stored in a shared data- Introduction base were reviewed retrospectively. Surgeries in which an endoscopic magnification of the round window region and The surgical management of cholesteatoma is still a contro- the inferior retrotympanum area was performed intraop- versial issue. Endoscopic instrumentation, techniques and eratively were included in the study. Involvement by cho- knowledge have improved considerably over the last few lesteatoma of those regions was also documented based years, and we believe that, in the future, endoscopic surgi- on information obtained from the surgical database. -
Morphological and Functional Changes in a New Animal Model Of
Laboratory Investigation (2013) 93, 1001–1011 & 2013 USCAP, Inc All rights reserved 0023-6837/13 Morphological and functional changes in a new animal model of Me´nie`re’s disease Naoya Egami1, Akinobu Kakigi1, Takashi Sakamoto1, Taizo Takeda2, Masamitsu Hyodo2 and Tatsuya Yamasoba1 The purpose of this study was to clarify the underlying mechanism of vertiginous attacks in Me´nie`re’s disease (MD) while obtaining insight into water homeostasis in the inner ear using a new animal model. We conducted both histopatho- logical and functional assessment of the vestibular system in the guinea-pig. In the first experiment, all animals were maintained 1 or 4 weeks after electrocauterization of the endolymphatic sac of the left ear and were given either saline or desmopressin (vasopressin type 2 receptor agonist). The temporal bones from both ears were harvested and the extent of endolymphatic hydrops was quantitatively assessed. In the second experiment, either 1 or 4 weeks after surgery, animals were assessed for balance disorders and nystagmus after the administration of saline or desmopressin. In the first experiment, the proportion of endolymphatic space in the cochlea and the saccule was significantly greater in ears that survived for 4 weeks after surgery and were given desmopressin compared with other groups. In the second experiment, all animals that underwent surgery and were given desmopressin showed spontaneous nystagmus and balance disorder, whereas all animals that had surgery but without desmopressin administration were asymptomatic. Our animal model induced severe endolymphatic hydrops in the cochlea and the saccule, and showed episodes of balance disorder along with spontaneous nystagmus. -
Low-Frequency Noise: a Biophysical Phenomenon M
PSC REF#:288480 Public Service Commission of Wisconsin RECEIVED: 07/08/16, 8:46:12 AM Congres Geluid, Trillingen, Luchtkwaliteit en Gebied & Gebouw 2012 Low-frequency noise: a biophysical phenomenon M. Oud (medical physicist / consultant)* * [email protected], http://nl.linkedin.com/in/mireilleoud, the Netherlands Abstract Complaints on low-frequency noise were till recently fairly unexplained, but audiological research shed light on the mechanisms that enable perception of frequencies below the threshold of average normal hearing. It was shown that exposure to low-frequency sound may alter the inner ear. This results in an increase of sensitivity to low-frequency sounds, and as a result, previously imperceptible sounds becomes audible to the exposed person. Interactions between inner-ear responses to low and higher frequencies furthermore account for perception of low-frequency sound, as well as the property of the hearing system to perceive so-called difference tones. Introduction A growing minority of people experiences an increased sensitivity for low-frequency sound. Not surprisingly, they complain about noise, even about loud noise in some cases. Their complaints about the presence of hum, buzz, and rumble are often not recognized as a nuisance, since the majority of people does not perceive the very low frequencies. Low-frequency noise (LFN) may have serious health effects like vertigo, disturbed sleep, stress, hypertension, and heart rhythm disorders [1]. The number of sufferers is growing, and this has two possible causes. The sources of low- frequency sounds increased in volume and dimension over the past decades, and auditory sensitisation takes years to develop. Nowadays, the main source of low-frequency noise is the public infrastructure: wind turbines, gas transmission grid, industrial plants, road and railway traffic, sewerage, and so on. -
Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond
Published August 25, 2016 as 10.3174/ajnr.A4922 REVIEW ARTICLE Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond X M.-L. Ho, X G. Moonis, X C.F. Halpin, and X H.D. Curtin ABSTRACT SUMMARY: Third window abnormalities are defects in the integrity of the bony structure of the inner ear, classically producing sound-/ pressure-induced vertigo (Tullio and Hennebert signs) and/or a low-frequency air-bone gap by audiometry. Specific anatomic defects include semicircular canal dehiscence, perilabyrinthine fistula, enlarged vestibular aqueduct, dehiscence of the scala vestibuli side of the cochlea, X-linked stapes gusher, and bone dyscrasias. We discuss these various entities and provide key examples from our institutional teaching file with a discussion of symptomatology, temporal bone CT, audiometry, and vestibular-evoked myogenic potentials. ABBREVIATIONS: EVAS ϭ enlarged vestibular aqueduct syndrome; SSCCD ϭ superior semicircular canal dehiscence hird window abnormalities are defects in the integrity of the ing effects decrease air conduction. The 2 physiologic windows Tbony structure of the inner ear, first described by Minor et al between the middle and inner ear are the oval window, which in 1998.1 In 2008, Merchant and Rosowski2 proposed a universal transmits vibrations from the auditory ossicles, and the round theory for the underlying mechanism of hearing loss accompany- window of the cochlea. With air conduction, there is physiologic ing these defects. Normal sound conduction is transmitted entrainment of the oval and round windows due to coupling by through the oval and round windows, which serve as fluid inter- incompressible perilymph. Pressure differences between the co- faces between air in the middle ear and perilymphatic fluid spaces chlear perilymphatic spaces activate hair cells and create the per- of the inner ear. -
CONGENITAL MALFORMATIONS of the INNER EAR Malformaciones Congénitas Del Oído Interno
topic review CONGENITAL MALFORMATIONS OF THE INNER EAR Malformaciones congénitas del oído interno. Revisión de tema Laura Vanessa Ramírez Pedroza1 Hernán Darío Cano Riaño2 Federico Guillermo Lubinus Badillo2 Summary Key words (MeSH) There are a great variety of congenital malformations that can affect the inner ear, Ear with a diversity of physiopathologies, involved altered structures and age of symptom Ear, inner onset. Therefore, it is important to know and identify these alterations opportunely Hearing loss Vestibule, labyrinth to lower the risks of all the complications, being of great importance, among others, Cochlea the alterations in language development and social interactions. Magnetic resonance imaging Resumen Existe una gran variedad de malformaciones congénitas que pueden afectar al Palabras clave (DeCS) oído interno, con distintas fisiopatologías, diferentes estructuras alteradas y edad Oído de aparición de los síntomas. Por lo anterior, es necesario conocer e identificar Oído interno dichas alteraciones, con el fin de actuar oportunamente y reducir el riesgo de las Pérdida auditiva Vestíbulo del laberinto complicaciones, entre otras —de gran importancia— las alteraciones en el área del Cóclea lenguaje y en el ámbito social. Imagen por resonancia magnética 1. Epidemiology • Hyperbilirubinemia Ear malformations occur in 1 in 10,000 or 20,000 • Respiratory distress from meconium aspiration cases (1). One in every 1,000 children has some degree • Craniofacial alterations (3) of sensorineural hearing impairment, with an average • Mechanical ventilation for more than five days age at diagnosis of 4.9 years. The prevalence of hearing • TORCH Syndrome (4) impairment in newborns with risk factors has been determined to be 9.52% (2). -
ANATOMY of EAR Basic Ear Anatomy
ANATOMY OF EAR Basic Ear Anatomy • Expected outcomes • To understand the hearing mechanism • To be able to identify the structures of the ear Development of Ear 1. Pinna develops from 1st & 2nd Branchial arch (Hillocks of His). Starts at 6 Weeks & is complete by 20 weeks. 2. E.A.M. develops from dorsal end of 1st branchial arch starting at 6-8 weeks and is complete by 28 weeks. 3. Middle Ear development —Malleus & Incus develop between 6-8 weeks from 1st & 2nd branchial arch. Branchial arches & Development of Ear Dev. contd---- • T.M at 28 weeks from all 3 germinal layers . • Foot plate of stapes develops from otic capsule b/w 6- 8 weeks. • Inner ear develops from otic capsule starting at 5 weeks & is complete by 25 weeks. • Development of external/middle/inner ear is independent of each other. Development of ear External Ear • It consists of - Pinna and External auditory meatus. Pinna • It is made up of fibro elastic cartilage covered by skin and connected to the surrounding parts by ligaments and muscles. • Various landmarks on the pinna are helix, antihelix, lobule, tragus, concha, scaphoid fossa and triangular fossa • Pinna has two surfaces i.e. medial or cranial surface and a lateral surface . • Cymba concha lies between crus helix and crus antihelix. It is an important landmark for mastoid antrum. Anatomy of external ear • Landmarks of pinna Anatomy of external ear • Bat-Ear is the most common congenital anomaly of pinna in which antihelix has not developed and excessive conchal cartilage is present. • Corrections of Pinna defects are done at 6 years of age. -
Organum Vestibulocochleare INTERNAL EAR MIDDLE EAR EXTERNAL EAR PETROSAL BONE- Eq EXTERNAL EAR AURICLE
EAR organum vestibulocochleare INTERNAL EAR MIDDLE EAR EXTERNAL EAR PETROSAL BONE- Eq EXTERNAL EAR AURICLE The external ear plays the role of an acoustic antenna: auricle the auricle (together with the head) collects and focuses sound waves, the ear canal act as a resonator. tympanic membrane anular cartilage meatus acusticus externus EXTERNAL EAR EXTERNAL EAR AURICLE scutiform cartilage Auricular muscles: -Dorsal -Ventral -Rostral -Caudal EXTERNAL EAR MEATUS ACUSTICUS EXTERNUS auricular cartilage vertical canal auditory ossicles horizontal cochlea canal auditory tube tympanic tympanic eardrum bulla cavity tympanic membrane MIDDLE EAR Auditory ossicles STAPES INCUS Tympanic cavity: (anvil) (stirrup) - epitympanium - mesotympanium - hypotympanium MALLEUS (hammer) auditory vestibular window- ossicles or oval window through which mechanical stimuli (transmitted by the auditory ossicles) enter the epitympanic internal ear for translation recess into nerve impulses auditory tube (Eustachian tube) cochlear window- or round window tympanic cavity bulla tympanica through which the vibration of the perilympha is absorbed MIDDLE EAR MIDDLE EAR GUTTURAL POUCH- Eq MIDDLE EAR AUDITORY OSSICLES head INCUS processus rostralis (stirrup) STAPES processus muscularis (anvil) manubrium short crus body MALLEUS (hammer) Two muscles of the ossicles: long crus m. tensor tympani- n. tensoris tympani ex. n. base mandibularis (footplate) m. stapedius- n. stapedius ex. n. facialis crus The muscles fix the bones and protect the cochlea crus against the harmful effects -
36 | Sensory Systems 1109 36 | SENSORY SYSTEMS
Chapter 36 | Sensory Systems 1109 36 | SENSORY SYSTEMS Figure 36.1 This shark uses its senses of sight, vibration (lateral-line system), and smell to hunt, but it also relies on its ability to sense the electric fields of prey, a sense not present in most land animals. (credit: modification of work by Hermanus Backpackers Hostel, South Africa) Chapter Outline 36.1: Sensory Processes 36.2: Somatosensation 36.3: Taste and Smell 36.4: Hearing and Vestibular Sensation 36.5: Vision Introduction In more advanced animals, the senses are constantly at work, making the animal aware of stimuli—such as light, or sound, or the presence of a chemical substance in the external environment—and monitoring information about the organism’s internal environment. All bilaterally symmetric animals have a sensory system, and the development of any species’ sensory system has been driven by natural selection; thus, sensory systems differ among species according to the demands of their environments. The shark, unlike most fish predators, is electrosensitive—that is, sensitive to electrical fields produced by other animals in its environment. While it is helpful to this underwater predator, electrosensitivity is a sense not found in most land animals. 36.1 | Sensory Processes By the end of this section, you will be able to do the following: • Identify the general and special senses in humans • Describe three important steps in sensory perception • Explain the concept of just-noticeable difference in sensory perception Senses provide information about the body and its environment. Humans have five special senses: olfaction (smell), gustation (taste), equilibrium (balance and body position), vision, and hearing. -
Audiology 101: an Introduction to Audiology for Nonaudiologists Terry Foust, Aud, FAAA, CC-SLP/A; & Jeff Hoffman, MS, CCC-A
NATIONALA RESOURCE CENTER GUIDE FOR FOR EARLY HEARING HEARING ASSESSMENT DETECTION & & MANAGEMENT INTERVENTION Chapter 5 Audiology 101: An Introduction to Audiology for Nonaudiologists Terry Foust, AuD, FAAA, CC-SLP/A; & Jeff Hoffman, MS, CCC-A Parents of young Introduction What is an audiologist? children who are arents of young children who are An audiologist is a specialist in hearing identified as deaf or hard identified as deaf or hard of hearing and balance who typically works in of hearing (DHH) are P(DHH) are suddenly thrust into a either a medical, private practice, or an suddenly thrust into a world of new concepts and a bewildering educational setting. The primary roles of world of new concepts array of terms. What’s a decibel or hertz? an audiologist include the identification and a bewildering array What does sensorineural mean? Is a and assessment of hearing and balance moderate hearing loss one to be concerned problems, the habilitation or rehabilitation of terms. about, since it’s only moderate? What’s of hearing and balance problems, and the a tympanogram or a cochlear implant? prevention of hearing loss. When working These are just a few of the many questions with infants and young children, the that a parent whose child has been primary focus of audiology is hearing. identified as DHH may have. In addition to parents, questions also arise from Audiologists are licensed by the state in professionals and paraprofessionals who which they practice and may be members work in the field of early hearing detection of the American Speech-Language- and intervention (EHDI) and are not Hearing Association (ASHA), American audiologists.