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Physiology of Hearing: DR Masarat Nazeer

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PHYSIOLOGY OF HEARING

DR MASARAT NAZEER
PHYSIOLOGICAL ANATOMY OF EAR
EAR—EXTERNAL EAR ,-MIDDLE EAR,-INNER EAR
EXTERNAL EAR----It consists of the auricle (pinna) and external auditory canal.
Pinna-- flap of elastic cartilage with rim called helix and lobule.
It funnels the sound waves into the auditory canal
It helps to establish the direction of sound waves
Auditory canal-- (meatus) is a 2.5 cm long tube in the temporal bone extending
from the auricle to the eardrum.It conducts the sound waves to the middle ear.
The pinna and the external auditory canal together produce a 15 dB increase in
the sound intensity due to their characteristic shape.
MIDDLE EAR (tympanic cavity) is a rectangular air-filled compartment in the
temporal bone The middle ear contains three bony ossicles and two ossicular
muscles.
Tympanic membrane (eardrum) is a thin elastic semitransparent conical
membrane about 50–90 mm2 in surface area, with its apex (called umbo)
toward the middle ear. Acts as a resonator, it critically dampens the sound
waves.
• AUDITORY OSSICLES;-These are three small bones, the malleus (hammer),
the incus (anvil), and the stapes (stirrup). They extend across the middle ear
cavity one joined to the other. The pressure waves travel through the
ossicular chain and produce vibrations of the footplate of stapes, which
then transmits the vibrations to the perilymph of the inner ear through oval
window.
• AUDITORY MUSCLES;-Stapedius (dampens the vibrations transmitted to the
inner ear )and tensor tympani (more responsive to the sound waves) are
two tiny skeletal muscles attached to the stapes and the malleus,
respectively.
• EUSTATIAN TUBE;- connects the middle ear with the pharynx and equalizes
the air pressures on both sides of the tympanic membrane.
INTERNAL EAR or LYBRINTH;-- consists of BONY and MEMBRANOUS LYBRINTH
BONY LYBRINTH---contains fluid called PERILYMPH
MEMBRANOUS LYBRINTH—contains fluid called ENDOLYMPH
consists of the auditory apparatus (cochlea) and the vestibular apparatus
(the saccule, utricle, and the semicircular canals).
The function of cochlea is transduction of the sound energy into action
potentials in the cochlear nerve fiber.
ORGAN OF CORTI is a specialized structure HAIR CELLS contains cillia or stercocillia
On Basilar membrane, contains HAIR CELLS. And are connected to nerve fibers.
Converts mechanical energy into action
Potential in the choclear nerve.
AUDITORY PATHWAY
The auditory pathways, in
general,
have five order of neurons
CHARECTERISTICS;-
•extensive bilateral projection.
multiple higher centers.
• tonotopic organization
Primary Auditory Cortex
The primary auditory cortex (Brodmann area
41) is located in the sylvian fissure, in the
superior portion of the temporal lobe
Brodmann Area 22
Brodmann area 22 processes auditory signals
related to speech. In the right hemisphere, it
processes the intensity, pitch, and melody of
speech. In the left side, it helps in
understanding the words that is being spoken.
PLANUM TEMPORALE: Planum temporale, a
part of the posterior superior temporal gyrus
processes auditory signals related to language

The efferent fibers originating from auditory


cortex project to the medial geniculate body,
inferior colliculus, and cerebellum via pons

.
MECHANISM OF HEARING
• Sound waves are alternate compression and rarefaction of molecules that
strike the tympanic membrane to produce the sensation of sound. The
waves originate from a vibrating source (like vocal cord, tuning fork, etc.)
and travel through an elastic medium like air or water.
• The amplitude of sound waves determines the loudness or intensity of the
sound. The greater the amplitude, the louder is the sound.
• The human audibility curve ranges from 0 dB to 100 dB, and the human ear
is more sensitive to intensity of about 60 dB at a frequency of 1,000–4,000
Hz.
• The hearing threshold for a given sound increases in the presence of
background sounds or noise. This phenomenon is known as MASKING.
• TRANSMISSION OF SOUND WAVES occurs by
OSSICULAR CONDUCTION,AIR CONDUCTION and BONE CONDUCTION.
TRANSDUCTION OF SOUND WAVES
• The mechanical energy (pressure waves) of sound is converted into
receptor potentials in the hair cell and finally gets conducted as action
potentials in the auditory pathways.
• Resting State of Hair Cell
• In the resting state, two potentials are recorded from the ear.
i. Resting membrane potential of the hair cell
ii Endocochlear potential.

The CHOCHLEA encodes the frequency and amplitude of sound waves that is
further processed in the auditory pathway higher up in the cortex.
• Thus, the cochlea acts as a fine transducer as well as a frequency
analyzer.
CHOCHLEAR POTENTIALS ;- These are cochlear microphonic (CM),
summation potentials (SP), and nerve action potentials (AP).
APPLIED PHYSIOLOGY EAR
HEARING DEFECTS
DEAFNESS
1) Conductive;--
2) Sensorineural
3) Mixed
TESTS FOR HEARING
Rinne’s test
Weber’s test
Schwabach’s test
AUDIOMETRY
Brainstem Auditory Evoked Response(BAER)

TREATMENT OF DEAFNESS
Hearing aids
Cochlear implants

DISEASES OF EAR

• OTITIS EXTERNA (SWIMMER’S EAR)


• ACUTE SUPURRATIVE OTITIS MEDIA(ASOM)
• CHRONIC SUPURRATIVE OTITIS MEDIA(CSOM)
• OTOSCLEROSIS
• MENIER’S DISEASE
• AUCOSTIC NEUROMAS

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