Round window

Last updated
Round window
Blausen 0330 EarAnatomy MiddleEar.png
Middle ear, with round window at right.
Right osseous labyrinth interior svg hariadhi.svg
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 60 dB. 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

<span class="mw-page-title-main">Inner ear</span> Innermost part of the vertebrate ear

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:

<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

The middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea.

The ossicles are three bones in either middle ear that are among the smallest bones in the human body. They serve to transmit sound vibrations sent from the ear drum 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

The oval window is a connective tissue membrane-covered opening from the middle ear to the cochlea of the inner ear.

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

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.

<span class="mw-page-title-main">Otosclerosis</span> Condition characterized by an abnormal bone growth in the middle ear

Otosclerosis is a condition of the middle ear where portions of the dense enchondral layer of the bony labyrinth remodel into one or more lesions of irregularly-laid spongy bone. As the lesions reach the stapes the bone is resorbed, then hardened (sclerotized), which limits its movement and results in hearing loss, tinnitus, vertigo or a combination of these. The term otosclerosis is something of a misnomer: much of the clinical course is characterized by lucent rather than sclerotic bony changes, so the disease is also known as otospongiosis.

Stapedectomy is a surgical procedure in which the stapes bone is removed from the middle ear and replaced with a prosthesis.

<span class="mw-page-title-main">Basilar membrane</span> Inner ear structure

The basilar membrane is a stiff structural element within the cochlea of the inner ear which separates two liquid-filled tubes that run along the coil of the cochlea, the scala media and the scala tympani. The basilar membrane moves up and down in response to incoming sound waves, which are converted to traveling waves on the basilar membrane.

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

The organ of Corti, or spiral organ, is the receptor organ for hearing and is located in the mammalian cochlea. This highly varied strip of epithelial cells allows for transduction of auditory signals into nerve impulses' action potential. Transduction occurs through vibrations of structures in the inner ear causing displacement of cochlear fluid and movement of hair cells at the organ of Corti to produce electrochemical signals.

<span class="mw-page-title-main">Auditory system</span> Sensory system used for hearing

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.

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

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.

Presbycusis, or age-related hearing loss, is the cumulative effect of aging on hearing. It is a progressive and irreversible bilateral symmetrical age-related sensorineural hearing loss resulting from degeneration of the cochlea or associated structures of the inner ear or auditory nerves. The hearing loss is most marked at higher frequencies. Hearing loss that accumulates with age but is caused by factors other than normal aging is not presbycusis, although differentiating the individual effects of distinct causes of hearing loss can be difficult.

In audiology and psychoacoustics the concept of critical bands, introduced by Harvey Fletcher in 1933 and refined in 1940, describes the frequency bandwidth of the "auditory filter" created by the cochlea, the sense organ of hearing within the inner ear. Roughly, the critical band is the band of audio frequencies within which a second tone will interfere with the perception of the first tone by auditory masking.

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

The tympanic duct or scala tympani is one of the perilymph-filled cavities in the inner ear of humans. It is separated from the cochlear duct by the basilar membrane, and it extends from the round window to the helicotrema, where it continues as vestibular duct.

<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.