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DR. RAJU MANDAL 
JUNIOR RESIDENT 
DEPT. OF E.N.T 
M.C.H
WHAT IS COCHLEA ? 
 The inner ear is contained in 
the petrous apex of the 
temporal bone, and is encased 
in a bony structure called the 
osseous or bony labyrinth 
 The labyrinth consists of three 
continuous sections: 
1. Vestibule- 
2. Cochlea- 
3. Semicircular canals-
WHAT IS COCHLEA ? 
 Snail shaped coiled 
tube(cochlos is greek for 
“snail”) 
 2.5 to 2.75 turns round a 
central axix called modiolus. 
 30 mm long
PARTS OF COCHLEA 
A. OSSEUS LABYRINTH. 
B. MEMBRANOUS 
LABIRYNTH-o 
It has 3 canals> 
1. Scala media(cochlear duct) 
2. Scala vestibuli 
3. Scala tympani
Scala media- separated froms 
scala vestibuli by Reissner’s 
membrane & from scala 
tympani by basilar membrane. 
contains endolymph. 
Scala vestibule - 
connected to middle ear via oval 
window. 
contains perilymph 
Scala tympani-connected 
to middle ear by 
round window 
contains perilymph
 THREE FUNCTIONAL UNITS OF COCHLEA- 
ORGAN OF CORTI- 
STRIA VASCULARIS- 
SPIRAL GANGLION-
ORGAN OF CORTI 
 It acts as ‘sensor `(auditory 
receptor organ)of cochlea.= 
inner hair cell 
outer hair cell 
supporting cell 
basilar membrne 
tectotial membrane
BASILAR MEMBRANE 
Travelling wave moves from base to apex 
along the basilar memb 
For a pure tone stimulus,the 
travelling wave reaches a maximum at 
characteristic place along basilar memb. & 
then decays. 
Location of maximum depends on 
frequency of stimulus(TONOTOPIC 
ORGANIZATION OF COCHLEA)
Characteristic frequency at specific location depends on molecular 
structure/passive system & active system. 
Anatomical change from base to 
apex includes increase width of 
basilar memb. & size of O.H.C 
Base is tuned for frequency as 
high as 2oKHz & apex for as low 
as 20 Hz 
Sensitivity to noise/ototoxic 
insult is more at base
Passive cochlear 
mechanism 
Active cochlear mechanism 
 MECHANO-ELECTRICAL 
Of I.H.C 
 Energy cosnuming(prestin) 
 Of O.H.C 
 Susceptible to hypoxia or 
noise induced insults. 
 Activation of it causes altered 
cochlear output
INNER HAIR CELL 
 STUCTURES- 
 3500 flask-shaped inner hair 
cell lined up in single row. 
 have hair bundles of highly organised actin filled 
3-4 stereocilia 
 Sterocilia graded in height-most lateral row 
being tallest & most medial row being shortest. 
 Sterocilia has dense rootlet that penetrate into 
apical cuticular plate. 
 Mechano-electric al transduction apparatus 
present at tip of sterocilium which contains 
mechanically gated cation channel.
FUNCTIONS-A. 
MECHANO-ELECTRIC TRANSDUCTION> 
movement of stapes > displacement of cochlear fluid in scala 
vestibuli> incompressibility of perilymph causes movement of 
basilar memb. 
mechanical deflection of hair cell’s stereocilliay bundle towards 
tallest row of stereocilia 
Increase mechanical tension in transduction apparatus 
Confrontational change in the transduction potein 
Increase channel open & depolarzation of cell
B. ADAPTATION 
 Rapid closure of 
transduction protein by 
ca⁺⁺ ion binding 
“Fast” adatation 
 Sliding of myosin based 
motor which associated 
with transduction 
protein 
“Slow” adaptation
OUTER HAIR CELLS 
STUCTURES- 
 Three rows of outer hair cell 
 “v” shaped arrangement 
 Cylindrical shape 
 Contain steriocilia bundle like 
inner hair cell but it touches 
tectorial membrane.
 FUNCTIONS-AMPLIFICATION 
> necessary for detection of sound at 
low sound pressure. It has two mechanism= 
A. Electromotility-electrical 
stimulus when depolarize ,then OHC contract 
& elongates (by Prestin motor protein) when hyperpolarised 
OHC exert mechanical force that feeds back 
into movement of basilar membrane further moves 
basilar membrane moves sterocilia in excitatory 
direction Amplification. 
B. Active hair bundle movement-
SUPPORTING CELLS 
1. Deiters cell-phalangeal 
supporting cell of OHC 
2. Hensen’s cel(outer marginal 
cell) 
3. Claudius cell 
4. Border cell of held
TECTORIAL MEMBRANE 
• Extracellular structure that overlies both IHC & OHC 
• But only tallest sterocilia of OHC embedded into it 
FUNCTION: 
Previously –thought as simple liver which helps in moves 
up & down of basilar memb. 
Recently _thought as resonant gel & helps to increase 
frequency selectivity of cochlea.
STRIA VASCULARIS 
 Highly vascularised, multi-layered 
tissue that is a part of 
lateral wall of the scala media 
3 layers- 
1. Marginal (tight junction) 
2. Intermediate 
3. Basal layer(tight junction) 
Extracellular space b/w marginal 
& basal layer- intrastrial 
compartment
COCHLEAR HOMEOSTASIS
COCHLEAR HOMEOSTASIS 
K> enter hair cell by 
M.E.T Ch >released 
through basolateral surface 
of H.C into extracellular 
perilymph> 
Type 2 & 1 fibrocyte of 
spiral ligament takes up K 
By KCN QN/E1 marginal 
cell release K in Scala 
media. 
By NKCCL Ch ,K enter basal 
layer of Stia vascularis. 
ByKCNJ10 ch released to 
intastrial space .From which 
it actively pumped and 
contraported to marginal 
layer
FUNCTION 
Due to such cochlear 
homeostasis the endocochlear 
potential of endolymph 
formed(+85 mv) 
With resting membrane 
potencial of-45 mv creates 130 
mv of K gradientwhich is one 
of the main driving force of K 
entry into cell.
DISEASE DUE TO ALTERED 
COCHLEAR HOMEOSTASIS
SPIRAL GANGLION & 
INNERVATION 
It located in Rosenthal’s 
canal within modulus of cochlea. 
CONTAINS 
Afferent fibres-upto cochler 
nucleus in brain stem- 
A. Type 1 ganglion neuron- 
(95%)-thick ,myelinated, 
innervate only single I.H.C 
B. type2 (5%)ganglionic 
neuron-thin ,unmyelinated, 
hae multiple branches to 
multiple O.H.C. 
 Efferent fibres- 
From superior olivary nucleus 
via brainstem 
to both I.H.C & O.H.C 
allow central nervous 
system to modulate the 
operations of cochlea.
CENTRAL CONNECTIONS OF 
AUDITORY SYSTEM 
 Sound driven activity enters 
in brain by way of auditory 
nerve, it is transformed by no 
less than 12 types of 
projection in 7 major 
processing centers before 
converging in the auditory 
thalamus.
COCHLEAR NUCLEUS 
 Prominent bulge in lateral surface of 
brainstem 
 PARTS- 
• Dorsalless prominent 
potential site for generation 
tinnitus 
tonotopically organised with low 
frequency ventrolateraly & high 
frequency dorsomedially. 
project directly to I.C.
 VENTRAL...> 
a) Antero-ventral> 
Initial processor of auditory 
nerve inforation. 
Bushy cell- send large callibre axon to 
b/l olivary complex & helps in sound 
localisation. 
b) Post-ventral> Stellete neuron & Octopus & 
fusiform cell- send fine multiple axon to Inf. 
colliculus & help in encoding frequency , 
spectral & sound intensity.
SUPERIOR OLIVAY COMPLEX 
• In caudal aspect of pons. 
• It is first central auditory center to receive binaural 
innervation. 
• Two part-MSO & LSO 
• Sound localisation by inter-aural time delay by MSO 
& inter-aural intensity 
difference by LSO. 
• Also helps in sound detection & compound sound 
processing.
Projections of S.O.C 
ASCENDING DESCENDING 
lateral lemniscus 
nucleus of lateral 
lemnicus 
inferior 
colliculus 
OLIVO-COCHLEAR 
BUNDLE 
influence cochlear 
sensitivity & tunning 
through modulation of 
OHC 
Influence aspect of 
hearing in noise.
LATERAL LEMNISCUS 
• By which medullary & pontine 
auditory nerve fibre reach to 
inferior colliculus. 
• Two part- ventral & dorsal 
• Helps in sound localisation & 
processing. 
• Component of acoustic startle 
reflex pathway( with ventral 
cochlear nucleus )> form 3 to 5 
wave in ABR. 
receive differential 
innervation from 
ipsilateral & contralateral 
cochlear nucleus & S.O.C 
subdivisions.
INFERIOR COLLICULUS 
• Present in midbrain 
• Helps in sound localisation, frequency determination, 
integration of auditory with non-auditory system. 
• 3 parts- 
1. Central nucleus-projections come from directly/ 
indirectly , mon/binaural 
2. Cortex- Projections to primary & secondary 
auditory cortex through M.G.B. 
3. Paracentral nucleus
Central nucleus is layered into 
isofrequency bands 
Along each band, the cells have 
same dendritic fields & 
respond best to approximately 
same frequency 
Higher frequency in midline & 
lower frequency towards 
outside 
Produce tonotopic map
MEDIAL GENICULATE BODY 
 Present in thalamus 
 3 parts- 
A. Ventral-(3 subnuclei)- 
projection to auditory 
cortex.Helps in 
tonotopic organisation. 
B. Dorsal-(1o sub nuclei) 
C. Medial- 
Have both auditory & non-auditory 
connections.plays 
role in arousal & attending 
in auditory stimuli.
AUDITORY CORTEX 
 Deep within sylvian fissure of superior surface of of the 
temporal lobe. 
 Consists of multi-layered tonotopically organised 
region 
1. Primary(A1)-brodman area 41 
2. secondary(A2)-broad area 42 
3. Anterior auditory field area(AAF/A) 
4. Ventral auditory field area(V) 
5. Posterior auditory field area(P)
 Numerous cortical association areas surround the primary 
auditory cortex- 
1. Wernicke's area (left side)/ area 22-neural substrate for 
receptive language 
2. Just posterior to area 22, in the inferior parietal lobe, are 
the angular gyrus and supramarginal gyrus (areas 39 and 
40)-integrate auditory, somatosensory, and visual 
information 
3. Broca's area/ area 44 and 45-expressive language, and the 
perception of musical syntax.
 Functions- 
1. Discrimation of sound source 
2. Localisation of sound 
3. Recognition of voice 
4. Auditory memory
Ultra stuctures of cochlea & its central connections

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Ultra stuctures of cochlea & its central connections

  • 1. DR. RAJU MANDAL JUNIOR RESIDENT DEPT. OF E.N.T M.C.H
  • 2. WHAT IS COCHLEA ?  The inner ear is contained in the petrous apex of the temporal bone, and is encased in a bony structure called the osseous or bony labyrinth  The labyrinth consists of three continuous sections: 1. Vestibule- 2. Cochlea- 3. Semicircular canals-
  • 3. WHAT IS COCHLEA ?  Snail shaped coiled tube(cochlos is greek for “snail”)  2.5 to 2.75 turns round a central axix called modiolus.  30 mm long
  • 4. PARTS OF COCHLEA A. OSSEUS LABYRINTH. B. MEMBRANOUS LABIRYNTH-o It has 3 canals> 1. Scala media(cochlear duct) 2. Scala vestibuli 3. Scala tympani
  • 5. Scala media- separated froms scala vestibuli by Reissner’s membrane & from scala tympani by basilar membrane. contains endolymph. Scala vestibule - connected to middle ear via oval window. contains perilymph Scala tympani-connected to middle ear by round window contains perilymph
  • 6.  THREE FUNCTIONAL UNITS OF COCHLEA- ORGAN OF CORTI- STRIA VASCULARIS- SPIRAL GANGLION-
  • 7. ORGAN OF CORTI  It acts as ‘sensor `(auditory receptor organ)of cochlea.= inner hair cell outer hair cell supporting cell basilar membrne tectotial membrane
  • 8. BASILAR MEMBRANE Travelling wave moves from base to apex along the basilar memb For a pure tone stimulus,the travelling wave reaches a maximum at characteristic place along basilar memb. & then decays. Location of maximum depends on frequency of stimulus(TONOTOPIC ORGANIZATION OF COCHLEA)
  • 9. Characteristic frequency at specific location depends on molecular structure/passive system & active system. Anatomical change from base to apex includes increase width of basilar memb. & size of O.H.C Base is tuned for frequency as high as 2oKHz & apex for as low as 20 Hz Sensitivity to noise/ototoxic insult is more at base
  • 10. Passive cochlear mechanism Active cochlear mechanism  MECHANO-ELECTRICAL Of I.H.C  Energy cosnuming(prestin)  Of O.H.C  Susceptible to hypoxia or noise induced insults.  Activation of it causes altered cochlear output
  • 11. INNER HAIR CELL  STUCTURES-  3500 flask-shaped inner hair cell lined up in single row.  have hair bundles of highly organised actin filled 3-4 stereocilia  Sterocilia graded in height-most lateral row being tallest & most medial row being shortest.  Sterocilia has dense rootlet that penetrate into apical cuticular plate.  Mechano-electric al transduction apparatus present at tip of sterocilium which contains mechanically gated cation channel.
  • 12. FUNCTIONS-A. MECHANO-ELECTRIC TRANSDUCTION> movement of stapes > displacement of cochlear fluid in scala vestibuli> incompressibility of perilymph causes movement of basilar memb. mechanical deflection of hair cell’s stereocilliay bundle towards tallest row of stereocilia Increase mechanical tension in transduction apparatus Confrontational change in the transduction potein Increase channel open & depolarzation of cell
  • 13.
  • 14. B. ADAPTATION  Rapid closure of transduction protein by ca⁺⁺ ion binding “Fast” adatation  Sliding of myosin based motor which associated with transduction protein “Slow” adaptation
  • 15. OUTER HAIR CELLS STUCTURES-  Three rows of outer hair cell  “v” shaped arrangement  Cylindrical shape  Contain steriocilia bundle like inner hair cell but it touches tectorial membrane.
  • 16.  FUNCTIONS-AMPLIFICATION > necessary for detection of sound at low sound pressure. It has two mechanism= A. Electromotility-electrical stimulus when depolarize ,then OHC contract & elongates (by Prestin motor protein) when hyperpolarised OHC exert mechanical force that feeds back into movement of basilar membrane further moves basilar membrane moves sterocilia in excitatory direction Amplification. B. Active hair bundle movement-
  • 17. SUPPORTING CELLS 1. Deiters cell-phalangeal supporting cell of OHC 2. Hensen’s cel(outer marginal cell) 3. Claudius cell 4. Border cell of held
  • 18. TECTORIAL MEMBRANE • Extracellular structure that overlies both IHC & OHC • But only tallest sterocilia of OHC embedded into it FUNCTION: Previously –thought as simple liver which helps in moves up & down of basilar memb. Recently _thought as resonant gel & helps to increase frequency selectivity of cochlea.
  • 19. STRIA VASCULARIS  Highly vascularised, multi-layered tissue that is a part of lateral wall of the scala media 3 layers- 1. Marginal (tight junction) 2. Intermediate 3. Basal layer(tight junction) Extracellular space b/w marginal & basal layer- intrastrial compartment
  • 21. COCHLEAR HOMEOSTASIS K> enter hair cell by M.E.T Ch >released through basolateral surface of H.C into extracellular perilymph> Type 2 & 1 fibrocyte of spiral ligament takes up K By KCN QN/E1 marginal cell release K in Scala media. By NKCCL Ch ,K enter basal layer of Stia vascularis. ByKCNJ10 ch released to intastrial space .From which it actively pumped and contraported to marginal layer
  • 22. FUNCTION Due to such cochlear homeostasis the endocochlear potential of endolymph formed(+85 mv) With resting membrane potencial of-45 mv creates 130 mv of K gradientwhich is one of the main driving force of K entry into cell.
  • 23. DISEASE DUE TO ALTERED COCHLEAR HOMEOSTASIS
  • 24. SPIRAL GANGLION & INNERVATION It located in Rosenthal’s canal within modulus of cochlea. CONTAINS Afferent fibres-upto cochler nucleus in brain stem- A. Type 1 ganglion neuron- (95%)-thick ,myelinated, innervate only single I.H.C B. type2 (5%)ganglionic neuron-thin ,unmyelinated, hae multiple branches to multiple O.H.C.  Efferent fibres- From superior olivary nucleus via brainstem to both I.H.C & O.H.C allow central nervous system to modulate the operations of cochlea.
  • 25. CENTRAL CONNECTIONS OF AUDITORY SYSTEM  Sound driven activity enters in brain by way of auditory nerve, it is transformed by no less than 12 types of projection in 7 major processing centers before converging in the auditory thalamus.
  • 26. COCHLEAR NUCLEUS  Prominent bulge in lateral surface of brainstem  PARTS- • Dorsalless prominent potential site for generation tinnitus tonotopically organised with low frequency ventrolateraly & high frequency dorsomedially. project directly to I.C.
  • 27.  VENTRAL...> a) Antero-ventral> Initial processor of auditory nerve inforation. Bushy cell- send large callibre axon to b/l olivary complex & helps in sound localisation. b) Post-ventral> Stellete neuron & Octopus & fusiform cell- send fine multiple axon to Inf. colliculus & help in encoding frequency , spectral & sound intensity.
  • 28. SUPERIOR OLIVAY COMPLEX • In caudal aspect of pons. • It is first central auditory center to receive binaural innervation. • Two part-MSO & LSO • Sound localisation by inter-aural time delay by MSO & inter-aural intensity difference by LSO. • Also helps in sound detection & compound sound processing.
  • 29. Projections of S.O.C ASCENDING DESCENDING lateral lemniscus nucleus of lateral lemnicus inferior colliculus OLIVO-COCHLEAR BUNDLE influence cochlear sensitivity & tunning through modulation of OHC Influence aspect of hearing in noise.
  • 30. LATERAL LEMNISCUS • By which medullary & pontine auditory nerve fibre reach to inferior colliculus. • Two part- ventral & dorsal • Helps in sound localisation & processing. • Component of acoustic startle reflex pathway( with ventral cochlear nucleus )> form 3 to 5 wave in ABR. receive differential innervation from ipsilateral & contralateral cochlear nucleus & S.O.C subdivisions.
  • 31. INFERIOR COLLICULUS • Present in midbrain • Helps in sound localisation, frequency determination, integration of auditory with non-auditory system. • 3 parts- 1. Central nucleus-projections come from directly/ indirectly , mon/binaural 2. Cortex- Projections to primary & secondary auditory cortex through M.G.B. 3. Paracentral nucleus
  • 32. Central nucleus is layered into isofrequency bands Along each band, the cells have same dendritic fields & respond best to approximately same frequency Higher frequency in midline & lower frequency towards outside Produce tonotopic map
  • 33. MEDIAL GENICULATE BODY  Present in thalamus  3 parts- A. Ventral-(3 subnuclei)- projection to auditory cortex.Helps in tonotopic organisation. B. Dorsal-(1o sub nuclei) C. Medial- Have both auditory & non-auditory connections.plays role in arousal & attending in auditory stimuli.
  • 34. AUDITORY CORTEX  Deep within sylvian fissure of superior surface of of the temporal lobe.  Consists of multi-layered tonotopically organised region 1. Primary(A1)-brodman area 41 2. secondary(A2)-broad area 42 3. Anterior auditory field area(AAF/A) 4. Ventral auditory field area(V) 5. Posterior auditory field area(P)
  • 35.  Numerous cortical association areas surround the primary auditory cortex- 1. Wernicke's area (left side)/ area 22-neural substrate for receptive language 2. Just posterior to area 22, in the inferior parietal lobe, are the angular gyrus and supramarginal gyrus (areas 39 and 40)-integrate auditory, somatosensory, and visual information 3. Broca's area/ area 44 and 45-expressive language, and the perception of musical syntax.
  • 36.  Functions- 1. Discrimation of sound source 2. Localisation of sound 3. Recognition of voice 4. Auditory memory