Inner ear

thumb|right|Inner ear

The inner ear (internal ear, auris interna) is the innermost part of the vertebrate ear. In vertebrates, the inner ear is mainly responsible for sound detection and balance. In mammals, it consists of the bony labyrinth, a hollow cavity in the temporal bone of the skull with a system of passages comprising two main functional parts:

The cochlea, dedicated to hearing; converting sound pressure patterns from the outer ear into electrochemical impulses which are passed on to the brain via the auditory nerve.
The vestibular system, dedicated to balance.

The inner ear is found in all vertebrates, with substantial variations in form and function. The inner ear is innervated by the eighth cranial nerve in all vertebrates.

Structure

thumb|The [[cochlea and vestibule, viewed from above.]]

The labyrinth can be divided by layer or by region.

Bony and membranous labyrinths

The bony labyrinth, or osseous labyrinth, is the network of passages with bony walls lined with periosteum. The three major parts of the bony labyrinth are the vestibule of the ear, the semicircular canals, and the cochlea. The membranous labyrinth runs inside of the bony labyrinth, and creates three parallel fluid filled spaces. The two outer are filled with perilymph and the inner with endolymph.

Vestibular and cochlear systems

In the middle ear, the energy of pressure waves is translated into mechanical vibrations by the three auditory ossicles. Pressure waves move the tympanic membrane which in turns moves the malleus, the first bone of the middle ear. The malleus articulates to incus which connects to the stapes. The footplate of the stapes connects to the oval window, the beginning of the inner ear. When the stapes presses on the oval window, it causes the perilymph, the liquid of the inner ear, to move. The middle ear thus serves to convert the energy from sound pressure waves to a force upon the perilymph of the inner ear. The oval window has only approximately 1/18 the area of the tympanic membrane and thus produces a higher pressure. The cochlea propagates these mechanical signals as waves in the fluid and membranes and then converts them to nerve impulses which are transmitted to the brain.

The vestibular system is the region of the inner ear where the semicircular canals converge, close to the cochlea. The vestibular system works with the visual system to keep objects in view when the head is moved. Joint and muscle receptors are also important in maintaining balance. The brain receives, interprets, and processes the information from all these systems to create the sensation of balance.

The vestibular system of the inner ear is responsible for the sensations of balance and motion. It uses the same kinds of fluids and detection cells (hair cells) as the cochlea uses, and sends information to the brain about the attitude, rotation, and linear motion of the head. The type of motion or attitude detected by a hair cell depends on its associated mechanical structures, such as the curved tube of a semicircular canal or the calcium carbonate crystals (otolith) of the saccule and utricle.

Development

The human inner ear develops during week 4 of embryonic development from the auditory placode, a thickening of the ectoderm which gives rise to the bipolar neurons of the cochlear and vestibular ganglions. As the auditory placode invaginates towards the embryonic mesoderm, it forms the auditory vesicle or otocyst.

The auditory vesicle will give rise to the utricular and saccular components of the membranous labyrinth. They contain the sensory hair cells and otoliths of the macula of utricle and of the saccule, respectively, which respond to linear acceleration and the force of gravity. The utricular division of the auditory vesicle also responds to angular acceleration, as well as the endolymphatic sac and duct that connect the saccule and utricle.

Beginning in the fifth week of development, the auditory vesicle also gives rise to the cochlear duct, which contains the spiral organ of Corti and the endolymph that accumulates in the membranous labyrinth. The vestibular wall will separate the cochlear duct from the perilymphatic scala vestibuli, a cavity inside the cochlea. The basilar membrane separates the cochlear duct from the scala tympani, a cavity within the cochlear labyrinth. The lateral wall of the cochlear duct is formed by the spiral ligament and the stria vascularis, which produces the endolymph. The hair cells develop from the lateral and medial ridges of the cochlear duct, which together with the tectorial membrane make up the organ of Corti.

Disorders

Interference with or infection of the labyrinth can result in a syndrome of ailments called labyrinthitis. The symptoms of labyrinthitis include temporary nausea, disorientation, vertigo, and dizziness. Labyrinthitis can be caused by viral infections, bacterial infections, or physical blockage of the inner ear.

Another condition has come to be known as autoimmune inner ear disease (AIED). It is characterized by idiopathic, rapidly progressive, bilateral sensorineural hearing loss. It is a fairly rare disorder while at the same time, a lack of proper diagnostic testing has meant that its precise incidence cannot be determined.

Other animals

Birds have an auditory system similar to that of mammals, including a cochlea. Reptiles, amphibians, and fish do not have cochleas but hear with simpler auditory organs or vestibular organs, which generally detect lower-frequency sounds than the cochlea. The cochlea of birds is also similar to that of crocodiles, consisting of a short, slightly curved bony tube within which lies the basilar membrane with its sensory structures.

Cochlear system

In reptiles, sound is transmitted to the inner ear by the stapes (stirrup) bone of the middle ear. This is pressed against the oval window, a membrane-covered opening on the surface of the vestibule. From here, sound waves are conducted through a short perilymphatic duct to a second opening, the round window, which equalizes pressure, allowing the incompressible fluid to move freely. Running parallel with the perilymphatic duct is a separate blind-ending duct, the lagena, filled with endolymph. The lagena is separated from the perilymphatic duct by a basilar membrane, and contains the sensory hair cells that finally translate the vibrations in the fluid into nerve signals. It is attached at one end to the saccule.

In most reptiles the perilymphatic duct and lagena are relatively short, and the sensory cells are confined to a small basilar papilla lying between them. However, in mammals, birds, and crocodilians, these structures become much larger and somewhat more complicated. In birds, crocodilians, and monotremes, the ducts are simply extended, together forming an elongated, more or less straight, tube. The endolymphatic duct is wrapped in a simple loop around the lagena, with the basilar membrane lying along one side. The first half of the duct is now referred to as the scala vestibuli, while the second half, which includes the basilar membrane, is called the scala tympani. As a result of this increase in length, the basilar membrane and papilla are both extended, with the latter developing into the organ of Corti, while the lagena is now called the cochlear duct. All of these structures together constitute the cochlea.

Additional images

Image:Anatomy of the Human Ear.svg|Human ear anatomy.

Image:Ear labyrinth.jpg|Ear labyrinth

Image:Oreille Interne.png|Inner ear

Image:Temporal bone2.jpg|Temporal bone

Image:Gray925.png|Right human membranous labyrinth, removed from its bony enclosure and viewed from the antero-lateral aspect

Image:1408 Frequency Coding in The Cochlea.jpg|Frequency coding in the cochlea

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References

Ruckenstein, M. J. (2004). "Autoimmune Inner Ear Disease". Current Opinion in Otolaryngology & Head and Neck Surgery, 12(5), pp. 426–430.
Saladin, Anatomy and Physiology 6th ed., print
American Speech-Language-Hearing Association, "The Middle Ear",