Round window

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Round window
Blausen 0330 EarAnatomy MiddleEar.png
Middle ear, with round window at right.
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Interior of right osseous labyrinth (label is cochlear fenestra, at bottom center)
Details
Identifiers
Latin fenestra cochleae, fenestra rotunda
MeSH D012405
TA98 A15.3.02.015
TA2 6904
FMA 56932
Anatomical terminology

The round window is one of the two openings from the middle ear into the inner ear. It is sealed by the secondary tympanic membrane (round window membrane), which vibrates with opposite phase to vibrations entering the inner ear through the oval window. It allows fluid in the cochlea to move, which in turn ensures that hair cells of the basilar membrane will be stimulated and that audition will occur.

Contents

Structure

The round window is situated below (inferior to) and a little behind (posterior to) the oval window, from which it is separated by a rounded elevation, the promontory.

It is located at the bottom of a funnel-shaped depression (the round window niche) and, in the macerated bone, opens into the cochlea of the internal ear; in the fresh state it is closed by a membrane, the secondary tympanic membrane (Latin : membrana tympani secundaria, or membrana fenestrae cochleae) or round window membrane, which is a complex saddle point shape. The visible central portion is concave (curved inwards) toward the tympanic cavity and convex (curved outwards) toward the cochlea; but towards the edges, where it is hidden in the round window niche, it curves the other way.

This membrane consists of three layers:

The membrane vibrates with opposite phase to vibrations entering the cochlea through the oval window as the fluid in the cochlea is displaced when pressed by the stapes at the oval window. This ensures that hair cells of the basilar membrane will be stimulated and that audition will occur.

Both the oval and round windows are about the same size, approximately 2.5 square millimetres (0.0039 sq in). The entrance to the round window niche is often much smaller than this.

Function

The stapes bone transmits movement to the oval window. As the stapes footplate moves into the oval window, the round window membrane moves out, and this allows movement of the fluid within the cochlea, leading to movement of the cochlear inner hair cells and thus hearing. If the round window were to be absent or rigidly fixed (as can happen in some congenital abnormalities), the stapes footplate would be pushing incompressible fluid against the unyielding walls of the cochlea. It would therefore not move to any useful degree leading to a hearing loss of about 60dB. This is, unsurprisingly, the same as for conditions where the stapes itself is fixed, such as otosclerosis.

Imaging

The round window is located within the mesotympanum, at the posterior extremity of the basal turn of the cochlea. The oval windows is also located within the mesotympanum, opening at the inferior and lateral part of the vestibule. [1] Both can be seen readily on CT.

Clinical significance

The round window sometimes fails to develop correctly and causes the hearing loss mentioned above. Unfortunately round window malformations are often associated with other ear malformations and the hearing loss can be much more severe. Some types of ear surgery (now generally abandoned) used to leave the round window open to the outside world and covered over the oval window. Sound pressure therefore hit the round window but was shielded from the oval window. It therefore travelled "backwards" around the cochlea but still gave useful hearing as the hair cells were still deflected in the same way. The round window is often used as an approach for cochlear implant surgery. It has also recently been used as a site to place middle ear implantable hearing aid transducers. This work has been publicised by Prof. Vittorio Colletti in Verona. [2]

Additional images

See also

Related Research Articles

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<span class="mw-page-title-main">Middle ear</span> Portion of the ear internal to the eardrum, and external to the oval window of the inner ear

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The ossicles are three bones in either middle ear that are among the smallest bones in the human body. They serve to transmit sounds from the air to the fluid-filled labyrinth (cochlea). The absence of the auditory ossicles would constitute a moderate-to-severe hearing loss. The term "ossicle" literally means "tiny bone". Though the term may refer to any small bone throughout the body, it typically refers to the malleus, incus, and stapes of the middle ear.

<span class="mw-page-title-main">Oval window</span> Membrane-covered opening in the ear

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<span class="mw-page-title-main">Cochlea</span> Snail-shaped part of inner ear involved in hearing

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<span class="mw-page-title-main">Basilar membrane</span> Stiff structural element within the cochlea of the inner ear which separates two liquid-filled tubes

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<span class="mw-page-title-main">Organ of Corti</span> Receptor organ for hearing

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<span class="mw-page-title-main">Ear</span> Organ of hearing and balance

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<span class="mw-page-title-main">Tympanic duct</span>

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<span class="mw-page-title-main">Cochlear duct</span> Cavity in the cochlea of the inner ear

The cochlear duct is an endolymph filled cavity inside the cochlea, located between the tympanic duct and the vestibular duct, separated by the basilar membrane and the vestibular membrane respectively. The cochlear duct houses the organ of Corti.

An analog ear or analog cochlea is a model of the ear or of the cochlea based on an electrical, electronic or mechanical analog. An analog ear is commonly described as an interconnection of electrical elements such as resistors, capacitors, and inductors; sometimes transformers and active amplifiers are included.

<span class="mw-page-title-main">Hearing</span> Sensory perception of sound by living organisms

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.

Electrocochleography is a technique of recording electrical potentials generated in the inner ear and auditory nerve in response to sound stimulation, using an electrode placed in the ear canal or tympanic membrane. The test is performed by an otologist or audiologist with specialized training, and is used for detection of elevated inner ear pressure or for the testing and monitoring of inner ear and auditory nerve function during surgery.

Cochlea is Latin for “snail, shell or screw” and originates from the Greek word κοχλίας kokhlias. The modern definition, the auditory portion of the inner ear, originated in the late 17th century. Within the mammalian cochlea exists the organ of Corti, which contains hair cells that are responsible for translating the vibrations it receives from surrounding fluid-filled ducts into electrical impulses that are sent to the brain to process sound.

A middle ear implant is a hearing device that is surgically implanted into the middle ear. They help people with conductive, sensorineural or mixed hearing loss to hear. 

References

PD-icon.svgThis article incorporates text in the public domain from page 1051 of the 20th edition of Gray's Anatomy (1918)

  1. Venkatasamy, Aina (2016-03-02). "How not to get lost in the darkness of the tympanic cavity in MR Imaging ?". posterng.netkey.at. Retrieved 2018-04-19.
  2. Colletti V, Soli SD, Carner M, Colletti L (2006). "Treatment of mixed hearing losses via implantation of a vibratory transducer on the round window". International Journal of Audiology. 45 (10): 600–8. doi:10.1080/14992020600840903. PMID   17062502. S2CID   285070.