Thecochlea is the part of theinner ear involved inhearing. It is a spiral-shaped cavity in thebony labyrinth, in humans making 2.75 turns around its axis, themodiolus.[2][3] A core component of the cochlea is theorgan of Corti, the sensory organ of hearing, which is distributed along the partition separating the fluid chambers in the coiled tapered tube of the cochlea.
The name 'cochlea' is derived from the Latin word forsnail shell, which in turn is from theAncient Greek κοχλίαςkokhlias ("snail, screw"), and from κόχλοςkokhlos ("spiral shell")[4] in reference to its coiled shape; the cochlea is coiled in mammals with the exception ofmonotremes.
Structural diagram of the cochlea showing how fluid pushed in at the oval window moves, deflects the cochlear partition, and bulges back out at the round window.
thevestibular duct orscala vestibuli (containingperilymph), which lies superior to the cochlear duct and abuts the oval window
thetympanic duct orscala tympani (containing perilymph), which lies inferior to the cochlear duct and terminates at theround window
thecochlear duct orscala media (containingendolymph) a region of highpotassium ion concentration that the stereocilia of the hair cells project into
Thehelicotrema, the location where the tympanic duct and the vestibular duct merge, at the apex of the cochlea
Reissner's membrane, which separates the vestibular duct from the cochlear duct
Theosseous spiral lamina, a main structural element that separates the cochlear duct from the tympanic duct
Thebasilar membrane, a main structural element that separates the cochlear duct from the tympanic duct and determines the mechanical wave propagation properties of the cochlear partition
Theorgan of Corti, the sensory epithelium, a cellular layer on the basilar membrane, in which sensory hair cells are powered by the potential difference between the perilymph and the endolymph
Hair cells, sensory cells in the organ of Corti, topped with hair-like structures calledstereocilia
Thespiral ligament is a coiled thickening in the fibrous lining of the cochlear wall. It attaches the membranous cochlear duct to the bony spiral canal.
The cochlea is a portion of the inner ear that looks like a snail shell (cochlea is Greek for snail).[5] The cochlea receives sound in the form of vibrations, which cause the stereocilia to move. The stereocilia then convert these vibrations into nerve impulses which are taken up to the brain to be interpreted. Two of the three fluid sections are canals and the third is the 'organ of Corti' which detects pressure impulses that travel along the auditory nerve to the brain. The two canals are called the vestibular canal and the tympanic canal.
The walls of the hollow cochlea are made of bone, with a thin, delicate lining ofepithelial tissue. This coiled tube is divided through most of its length by an inner membranous partition. Two fluid-filled outer spaces (ducts orscalae) are formed by this dividing membrane. At the top of the snailshell-like coiling tubes, there is a reversal of the direction of the fluid, thus changing the vestibular duct to the tympanic duct. This area is called the helicotrema. This continuation at the helicotrema allows fluid being pushed into the vestibular duct by the oval window to move back out via movement in the tympanic duct and deflection of the round window; since the fluid is nearly incompressible and the bony walls are rigid, it is essential for the conserved fluid volume to exit somewhere.
The lengthwise partition that divides most of the cochlea is itself a fluid-filled tube, the third 'duct'. This central column is called the cochlear duct. Its fluid, endolymph, also contains electrolytes and proteins, but is chemically quite different from perilymph. Whereas the perilymph is rich in sodium ions, the endolymph is rich in potassium ions, which produces anionic, electrical potential.
The hair cells are arranged in four rows in the organ of Corti along the entire length of the cochlear coil. Three rows consist of outer hair cells (OHCs) and one row consists of inner hair cells (IHCs). The inner hair cells provide the main neural output of the cochlea. The outer hair cells, instead, mainly 'receive' neural input from the brain, which influences theirmotility as part of the cochlea's mechanical "pre-amplifier". The input to the OHC is from theolivary body via the medial olivocochlear bundle.
The cochlear duct is almost as complex on its own as the ear itself. The cochlear duct is bounded on three sides by thebasilar membrane, thestria vascularis, and Reissner's membrane. Thestria vascularis is a rich bed of capillaries and secretory cells; Reissner's membrane is a thin membrane that separates endolymph from perilymph; and the basilar membrane is a mechanically somewhat stiff membrane, supporting the receptor organ for hearing, the organ of Corti, and determines the mechanical wave propagation properties of the cochlear system.
Between males and females, there are differences in the shape of the human cochlea. The variation is in the twist at the end of the spiral. Because of this difference, and because the cochlea is one of the more durable bones in the skull, it is used in ascertaining the sexes of human remains found at archaeological sites.[6]
How sounds make their way from the source to the brain
The cochlea is filled with a watery liquid, theendolymph, which moves in response to the vibrations coming from the middle ear via the oval window. As the fluid moves, the cochlear partition (basilar membrane and organ of Corti) moves; thousands ofhair cells sense the motion via theirstereocilia, and convert that motion to electrical signals that are communicated via neurotransmitters to many thousands of nerve cells. These primary auditory neurons transform the signals into electrochemical impulses known asaction potentials, which travel along the auditory nerve to structures in the brainstem for further processing.
Thestapes (stirrup) ossicle bone of the middle ear transmits vibrations to thefenestra ovalis (oval window) on the outside of the cochlea, which vibrates the perilymph in thevestibular duct (upper chamber of the cochlea). The ossicles are essential for efficient coupling of sound waves into the cochlea, since the cochlea environment is a fluid–membrane system, and it takes more pressure to move sound through fluid–membrane waves than it does through air. A pressure increase is achieved by reducing the area ratio from the tympanic membrane (drum) to the oval window (stapes bone) by 20. As pressure = force/area, results in a pressure gain of about 20 times from the original sound wave pressure in air. This gain is a form ofimpedance matching – to match the soundwave travelling through air to that travelling in the fluid–membrane system.
At the base of the cochlea, each 'duct' ends in a membranous portal that faces the middle ear cavity: Thevestibular duct ends at theoval window, where the footplate of thestapes sits. The footplate vibrates when the pressure is transmitted via the ossicular chain. The wave in the perilymph moves away from the footplate and towards thehelicotrema. Since those fluid waves move the cochlear partition that separates the ducts up and down, the waves have a corresponding symmetric part in perilymph of the tympanic duct, which ends at the round window, bulging out when the oval window bulges in.
The perilymph in the vestibular duct and theendolymph in the cochlear duct act mechanically as a single duct, being kept apart only by the very thinReissner's membrane.The vibrations of the endolymph in the cochlear duct displace the basilar membrane in a pattern that peaks a distance from the oval window depending upon the soundwave frequency. Theorgan of Corti vibrates due toouter hair cells further amplifying these vibrations.Inner hair cells are then displaced by the vibrations in the fluid, and depolarise by an influx of K+ via theirtip-link-connected channels, and send their signals via neurotransmitter to the primary auditory neurons of thespiral ganglion.[7]
The hair cells in the organ of Corti are tuned to certain sound frequencies by way of their location in the cochlea, due to the degree of stiffness in the basilar membrane.[8] This stiffness is due to, among other things, the thickness and width of the basilar membrane,[9] which along the length of the cochlea is stiffest nearest its beginning at the oval window, where the stapes introduces the vibrations coming from the eardrum. Since its stiffness is high there, it allows only high-frequency vibrations to move the basilar membrane, and thus the hair cells. The farther a wave travels towards the cochlea's apex (thehelicotrema), the less stiff the basilar membrane is; thus lower frequencies travel down the tube, and the less-stiff membrane is moved most easily by them where the reduced stiffness allows: that is, as the basilar membrane gets less and less stiff, waves slow down and it responds better to lower frequencies. In addition, in mammals, the cochlea is coiled, which has been shown to enhance low-frequency vibrations as they travel through the fluid-filled coil.[10] This spatial arrangement of sound reception is referred to astonotopy.
For very low frequencies (below 20 Hz), the waves propagate along the complete route of the cochlea – differentially up vestibular duct and tympanic duct all the way to thehelicotrema. Frequencies this low still activate the organ of Corti to some extent but are too low to elicit the perception of apitch. Higher frequencies do not propagate to thehelicotrema, due to the stiffness-mediated tonotopy.
A very strong movement of the basilar membrane due to very loud noise may cause hair cells to die. This is a common cause of partial hearing loss and is the reason why users of firearms or heavy machinery often wearearmuffs orearplugs.
To transmit the sensation of sound to the brain, where it can be processed into the perception ofhearing, hair cells of the cochlea must convert their mechanical stimulation into the electrical signaling patterns of the nervous system. Hair cells are modifiedneurons, able to generate action potentials which can be transmitted to other nerve cells. These action potential signals travel through thevestibulocochlear nerve to eventually reach the anteriormedulla, where theysynapse and are initially processed in thecochlear nuclei.[11]
Not only does the cochlea "receive" sound, a healthy cochleagenerates and amplifies sound when necessary. Where the organism needs a mechanism to hear very faint sounds, the cochlea amplifies by the reversetransduction of the OHCs, converting electrical signals back to mechanical in a positive-feedback configuration. The OHCs have a protein motor calledprestin on their outer membranes; it generates additional movement that couples back to the fluid–membrane wave. This "active amplifier" is essential in the ear's ability to amplify weak sounds.[12][13]
The active amplifier also leads to the phenomenon of soundwave vibrations being emitted from the cochlea back into the ear canal through the middle ear (otoacoustic emissions).
Otoacoustic emissions are due to a wave exiting the cochlea via the oval window, and propagating back through the middle ear to the eardrum, and out the ear canal, where it can be picked up by a microphone. Otoacoustic emissions are important in some types of tests forhearing impairment, since they are present when the cochlea is working well, and less so when it is suffering from loss of OHC activity. Otoacoustic emissions also exhibit sex dimorphisms, since females tend to display higher magnitudes of otoacoustic emissions. Males tend to experience a reduction in otoacoustic emission magnitudes as they age. Women, on the other hand, do not experience a change in otoacoustic emission magnitudes with age.[14]
Gap-junction proteins, calledconnexins, expressed in the cochlea play an important role in auditory functioning.[15] Mutations in gap-junction genes have been found to cause syndromic and nonsyndromic deafness.[16] Certain connexins, includingconnexin 30 andconnexin 26, are prevalent in the two distinct gap-junction systems found in the cochlea. The epithelial-cell gap-junction network couples non-sensory epithelial cells, while the connective-tissue gap-junction network couples connective-tissue cells.[17] Gap-junction channels recycle potassium ions back to the endolymph aftermechanotransduction inhair cells.[18] Importantly, gap junction channels are found between cochlear supporting cells, but not auditoryhair cells.[19]
Damage to the cochlea can result from different incidents or conditions like a severe head injury, acholesteatoma, an infection, and/or exposure to loud noise which could kill hair cells in the cochlea.
Hearing loss associated with the cochlea is often a result of outer hair cells and inner hair cells damage or death. Outer hair cells are more susceptible to damage, which can result in less sensitivity to weak sounds. Frequency sensitivity is also affected by cochlear damage which can impair the patient's ability to distinguish between spectral differences of vowels. The effects of cochlear damage on different aspects of hearing loss like temporal integration, pitch perception, and frequency determination are still being studied, given that multiple factors must be taken into account in regard to cochlear research.[20]
The coiled form of cochlea is unique tomammals. In birds and in other non-mammalianvertebrates, the compartment containing the sensory cells for hearing is occasionally also called "cochlea," despite not being coiled up. Instead, it forms a blind-ended tube, also called the cochlear duct. This difference apparentlyevolved in parallel with the differences infrequency range of hearing between mammals and non-mammalian vertebrates. The superiorfrequency range in mammals is partly due to their unique mechanism of pre-amplification of sound by active cell-body vibrations of outerhair cells. Frequency resolution is, however, not better in mammals than in most lizards and birds, but the upper frequency limit is – sometimes much – higher. Most bird species do not hear above 4–5 kHz, the currently known maximum being ~ 11 kHz in the barn owl. Some marine mammals hear up to 200 kHz. A long coiled compartment, rather than a short and straight one, provides more space for additional octaves of hearing range, and has made possible some of the highly derived behaviors involving mammalian hearing.[23]
As the study of the cochlea should fundamentally be focused at the level of hair cells, it is important to note the anatomical and physiological differences between the hair cells of various species. In birds, for instance, instead of outer and inner hair cells, there are tall and short hair cells. There are several similarities of note in regard to this comparative data. For one, the tall hair cell is very similar in function to that of the inner hair cell, and the short hair cell, lacking afferent auditory-nerve fiber innervation, resembles the outer hair cell. One unavoidable difference, however, is that while all hair cells are attached to atectorial membrane in birds, only the outer hair cells are attached to the tectorial membrane in mammals.
^Mishra, Srikanta K.1,2; Zambrano, Samantha2,3; Rodrigo, Hansapani4. Sexual Dimorphism in the Functional Development of the Cochlear Amplifier in Humans. Ear and Hearing 42(4):p 860-869, July/August 2021. | DOI: 10.1097/AUD.0000000000000976
^Erbe, C. B.; Harris, K. C.; Runge-Samuelson, C. L.; Flanary, V. A.; Wackym, P. A. (2004). "Connexin 26 and Connexin 30 Mutations in Children with Nonsyndromic Hearing Loss".The Laryngoscope.114 (4):607–611.doi:10.1097/00005537-200404000-00003.PMID15064611.S2CID25847431.
^Kikuchi, T.; Kimura, R. S.; Paul, D. L.; Takasaka, T.; Adams, J. C. (2000). "Gap junction systems in the mammalian cochlea".Brain Research. Brain Research Reviews.32 (1):163–166.doi:10.1016/S0165-0173(99)00076-4.PMID10751665.S2CID11292387.
^Kikuchi, T.; Kimura, R. S.; Paul, D. L.; Adams, J. C. (1995). "Gap junctions in the rat cochlea: Immunohistochemical and ultrastructural analysis".Anatomy and Embryology.191 (2):101–118.doi:10.1007/BF00186783.PMID7726389.S2CID24900775.