This article is one of a series documenting the anatomy of the |
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The ossicles (also called auditory ossicles) are three irregular bones in the middle ear of humans and other mammals, and are among the smallest bones in the human body. Although the term "ossicle" literally means "tiny bone" (from Latin ossiculum) and may refer to any small bone throughout the body, it typically refers specifically to the malleus, incus and stapes ("hammer, anvil, and stirrup") of the middle ear.
The auditory ossicles serve as a kinematic chain to transmit and amplify (intensify) sound vibrations collected from the air by the ear drum to the fluid-filled labyrinth (cochlea). The absence or pathology of the auditory ossicles would constitute a moderate-to-severe conductive hearing loss.
The ossicles are, in order from the eardrum to the inner ear (from superficial to deep): the malleus, incus, and stapes, terms that in Latin are translated as "the hammer, anvil, and stirrup". [1]
Studies have shown that ear bones in mammal embryos are attached to the dentary, which is part of the lower jaw. These are ossified portions of cartilage—called Meckel's cartilage—that are attached to the jaw. As the embryo develops, the cartilage hardens to form bone. Later in development, the bone structure breaks loose from the jaw and migrates to the inner ear area. The structure is known as the middle ear, and is made up of the stapes, incus, malleus, and tympanic membrane. These correspond to the columella, quadrate, articular, and angular structures in the amphibian, bird or reptile jaw. [3]
As sound waves vibrate the tympanic membrane (eardrum), it in turn moves the nearest ossicle, the malleus, to which it is attached. The malleus then transmits the vibrations, via the incus, to the stapes, and so ultimately to the membrane of the fenestra ovalis (oval window), the opening to the vestibule of the inner ear.
Sound traveling through the air is mostly reflected when it comes into contact with a liquid medium; only about 1/30 of the sound energy moving through the air would be transferred into the liquid. [4] This is observed from the abrupt cessation of sound that occurs when the head is submerged underwater. This is because the relative incompressibility of a liquid presents resistance to the force of the sound waves traveling through the air. The ossicles give the eardrum a mechanical advantage via lever action and a reduction in the area of force distribution; the resulting vibrations are stronger but don't move as far. This allows more efficient coupling than if the sound waves were transmitted directly from the outer ear to the oval window. This reduction in the area of force application allows a large enough increase in pressure to transfer most of the sound energy into the liquid. The increased pressure will compress the fluid found in the cochlea and transmit the stimulus. Thus, the lever action of the ossicles changes the vibrations so as to improve the transfer and reception of sound, and is a form of impedance matching.
However, the extent of the movements of the ossicles is controlled (and constricted) by two muscles attached to them (the tensor tympani and the stapedius ). It is believed that these muscles can contract to dampen the vibration of the ossicles, in order to protect the inner ear from excessively loud noise (theory 1) and that they give better frequency resolution at higher frequencies by reducing the transmission of low frequencies (theory 2) (see acoustic reflex). These muscles are more highly developed in bats and serve to block outgoing cries of the bats during echolocation (SONAR).
Occasionally the joints between the ossicles become rigid. One condition, otosclerosis, results in the fusing of the stapes to the oval window. This reduces hearing and may be treated surgically using a passive middle ear implant.[ further explanation needed ]
There is some doubt as to the discoverers of the auditory ossicles and several anatomists from the early 16th century have the discovery attributed to them with the two earliest being Alessandro Achillini and Jacopo Berengario da Carpi. [5] Several sources, including Eustachi and Casseri, [6] attribute the discovery of the malleus and incus to the anatomist and philosopher Achillini. [7] The first written description of the malleus and incus was by Berengario da Carpi in his Commentaria super anatomia Mundini (1521), [8] although he only briefly described two bones and noted their theoretical association with the transmission of sound. [9] Niccolo Massa's Liber introductorius anatomiae [10] described the same bones in slightly more detail and likened them both to little hammers. [9] A much more detailed description of the first two ossicles followed in Andreas Vesalius' De humani corporis fabrica [11] in which he devoted a chapter to them. Vesalius was the first to compare the second element of the ossicles to an anvil although he offered the molar as an alternative comparison for its shape. [12] The first published description of the stapes came in Pedro Jimeno's Dialogus de re medica (1549) [13] although it had been previously described in public lectures by Giovanni Filippo Ingrassia at the University of Naples as early as 1546. [14]
The term ossicle derives from ossiculum, a diminutive of "bone" (Latin : os; genitive ossis). [15] The malleus gets its name from Latin malleus, meaning "hammer", [16] the incus gets its name from Latin incus meaning "anvil" from incudere meaning "to forge with a hammer", [17] and the stapes gets its name from Modern Latin "stirrup", probably an alteration of Late Latin stapia related to stare "to stand" and pedem, an accusative of pes "foot", so called because the bone is shaped like a stirrup – this was an invented Modern Latin word for "stirrup", for which there was no classical Latin word, as the ancients did not use stirrups. [18]
The inner ear 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 middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea.
The incus or anvil in the ear is one of three small bones (ossicles) in the middle ear. The incus receives vibrations from the malleus, to which it is connected laterally, and transmits these to the stapes medially. The incus is named for its resemblance to an anvil.
The stapes or stirrup is a bone in the middle ear of humans and other tetrapods which is involved in the conduction of sound vibrations to the inner ear. This bone is connected to the oval window by its annular ligament, which allows the footplate to transmit sound energy through the oval window into the inner ear. The stapes is the smallest and lightest bone in the human body, and is so-called because of its resemblance to a stirrup.
The oval window is a connective tissue membrane-covered opening from the middle ear to the cochlea of the inner ear.
In the anatomy of humans and various other tetrapods, the eardrum, also called the tympanic membrane or myringa, is a thin, cone-shaped membrane that separates the external ear from the middle ear. Its function is to transmit changes in pressure of sound from the air to the ossicles inside the middle ear, and thence to the oval window in the fluid-filled cochlea. The ear thereby converts and amplifies vibration in the air to vibration in cochlear fluid. The malleus bone bridges the gap between the eardrum and the other ossicles.
The cochlea is the part of the inner ear involved in hearing. It is a spiral-shaped cavity in the bony labyrinth, in humans making 2.75 turns around its axis, the modiolus. A core component of the cochlea is the organ 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 auditory system is the sensory system for the sense of hearing. It includes both the sensory organs and the auditory parts of the sensory system.
An ear is the organ that enables hearing and body balance using the vestibular system. In mammals, the ear is usually described as having three parts: the outer ear, the middle ear and the inner ear. The outer ear consists of the pinna and the ear canal. Since the outer ear is the only visible portion of the ear in most animals, the word "ear" often refers to the external part alone. The middle ear includes the tympanic cavity and the three ossicles. The inner ear sits in the bony labyrinth, and contains structures which are key to several senses: the semicircular canals, which enable balance and eye tracking when moving; the utricle and saccule, which enable balance when stationary; and the cochlea, which enables hearing. The ear canal is cleaned via earwax, which naturally migrates to the auricle. The ears of vertebrates are placed somewhat symmetrically on either side of the head, an arrangement that aids sound localization.
Tympanoplasty is the surgical operation performed to reconstruct hearing mechanism of middle ear.
The stapedius is the smallest skeletal muscle in the human body. At just over one millimeter in length, its purpose is to stabilize the smallest bone in the body, the stapes or stirrup bone of the middle ear.
The tensor tympani is a muscle within the middle ear, located in the bony canal above the bony part of the auditory tube, and connects to the malleus bone. Its role is to dampen loud sounds, such as those produced from chewing, shouting, or thunder. Because its reaction time is not fast enough, the muscle cannot protect against hearing damage caused by sudden loud sounds, like explosions or gunshots, however some individuals have voluntary control over the muscle, and may tense it pre-emptively.
The tympanic cavity is a small cavity surrounding the bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound.
The evolution of mammalian auditory ossicles was an evolutionary process that resulted in the formation of the mammalian middle ear, where the three middle ear bones or ossicles, namely the incus, malleus and stapes, are a defining characteristic of mammals. The event is well-documented and important academically as a demonstration of transitional forms and exaptation, the re-purposing of existing structures during evolution.
Hearing, or auditory perception, is the ability to perceive sounds through an organ, such as an ear, by detecting vibrations as periodic changes in the pressure of a surrounding medium. The academic field concerned with hearing is auditory science.
In the auditory system, the columella contributes to hearing in amphibians, reptiles and birds. The columella form thin, bony structures in the interior of the skull and serve the purpose of transmitting sounds from the eardrum. It is an evolutionary homolog of the stapes, one of the auditory ossicles in mammals.
The incudomalleolar joint or articulatio incudomallearis is a small synovial joint between the malleus (hammer) and the incus (anvil). The joint's function is to transfer vibrations between the ossicles in the middle ear, which is perceived as sound. Contrary to other synovial joints the movement is very limited. All of the ossicles move more or less as a unit, at least at low frequencies.
The incudostapedial joint is a small, synovial ball-and-socket joint between the incus (anvil) and the stapes (stirrup). The joint's function is to transfer vibrations between the two ossicles. The incudostapedial joint lies between the long leg of the incus and the head of the stapes. The long leg moves with the rest of the incus, and a small knob, the lenticular process, articulates with the head of the stapes.
The malleus, or hammer, is a hammer-shaped small bone or ossicle of the middle ear. It connects with the incus, and is attached to the inner surface of the eardrum. The word is Latin for 'hammer' or 'mallet'. It transmits the sound vibrations from the eardrum to the incus (anvil).
The ossicular chain is a crucial structure in the middle ear, responsible for transmitting sound vibrations from the tympanic membrane to the inner ear. This chain consists of three tiny bones: the malleus, incus, and stapes, which are connected by ligaments and joints that allow for the efficient conduction of sound waves. The ossicular chain is housed in a slender, air-filled cavity within the temporal bone and plays a pivotal role in hearing by amplifying and transmitting sound vibrations.