PHYSIOLOGY OF HEARING AND BALANCE
Hearing.
When sound waves cause the eardrum to vibrate, the chain of bones
in the middle ear ( the ossicles) transmits the vibrations to the
oval window of the vestibule in the inner ear.
The vibrations brought to the oval window by the footplate of the
stapes then move as fluid-pressure waves through the vestibular
canal to the tympanic canal and across the cochlear canal.
Because of its mechanically tuned structure, the basilar membrane
vibrates in patterns that depend on the incoming sound frequencies.
Thus, the activity induced in the various nerve fibers by the organ
of Corti encodes information that the brain uses to discriminate
different tones.
Balance.
Balance in Motion. When the head is rotated in any of the three
planes of semicircular canals, the fluid in the semicircular canal
corresponding to the plane moves toward the ampulla while the fluid
in the opposing canal moves away from the ampulla.
The effect is that the change in the fluid pressure in each ampulla
stimulates a sensitive group of cells connected with a nerve which,
in turn, carries the sensation of a change of position to the brain.
The vertical canals are stimulated by such actions as falling or
jumping and the horizontal canals by turning and spinning.
Static Balance.
While the semicircular canals are concerned with body balance when
in motion, the utriculus and the sacculus sense the stationary orientation
of the head in relation to gravity.
Within both the utriculus and the sacculus there is a small group
of cells with short, protruding hairs that support a gelatinous
layer containing crystals of calcium carbonate.
Since the gelatinous layer, called the otolithic membrane, is relatively
heavy and is supported only by hairs, whereas in another position
it will bend others.
The hair cells are connected through the vestibular nerve to the
brain.
Automatic Reflexes of Balance.
Everyday experience shows that it is not necessary for a person
to think about his balance in motion or a position in relation to
gravity.
This is because such adjustments are automatic.
The semicircular canals and the utriculus are connected to a set
of complicated reflexes governing the tension of all supporting
muscles of the body, but these reflexes act through the brain stem
and the spinal cord without participation of the thought areas of
the brain.
Another set of reflexes connects the semicircular canals to the
muscles of the eyes, so that when a person moves, his eyes automatically
are adjusted to retain the field of vision

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