cochlear treatment clinic in kolkata, mumbai, bhubneshwar - hearing plus | bengal speech &...

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The “Ear” is housed within the TEMPORAL BONE

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Page 1: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

The “Ear” is housed within the

TEMPORAL BONE

Page 2: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

The Outer Ear Consists of:

The Pinna - cartilaginous, highly variable in appearance, some landmarks.

External Auditory Canal (or external auditory meatus) - 2.5 cm tube.

Page 3: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Pinna LandmarksHelixAntihelixConchaTragus Intertragal NotchAntitragus

Page 4: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

External Auditory Canal

lateral portion-cartilagemedial portion-osseous lined with epidermal (skin)

tissuehairs in lateral partcerumen (ear wax) secreted

in lateral part.

Page 5: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Outer Ear FunctionsAmplification / FilteringProtection Localization

Page 6: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

The Middle Ear:A cleft within the temporal bone

Lining is mucous membraneTympanic Membrane separates it from EACEustachian tube connects it to nasopharynxAlso Connected to Mastoid Air Cells

Page 7: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Middle Ear Structures

1- Malleus

2- Incus --Ossicles

3- Stapes

4- Tympanic Membrane (Eardrum)

5- Round Window

6- Eustachian Tube

Page 8: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Middle Ear Muscles

1. The Stapedius Attaches to Stapes,Contracts in Response to Loud sounds, chewing, speaking; Facial (VIIth cranial) nerve

2. The Tensor Tympani Helps open Eustachian tube

Page 9: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Middle Ear Functions

Impedance Matching

Filtering

Acoustic Reflex

Page 10: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

These sounds get through the middle ear most

readily

Page 11: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing
Page 12: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Two Halves:Vestibular--transduces motion and pull of gravityCochlear--transduces sound energy

(Both use Hair Cells)

INNER EAR

Page 13: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing
Page 14: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing
Page 15: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Within S. Media is the Organ of Corti

Page 16: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

The Stereocilia on IHCs and OHCs

OHCs (at top) V or W shaped ranks

IHC (at bottom) straight line ranks

Page 17: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Cochlear Functions

Transduction- Converting acoustical-mechanical energy into electro-chemical energy.

Frequency Analysis-Breaking sound up into its component frequencies Bekesy’s Traveling Wave Active Tuning from OHCs

Page 18: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

AfferentAfferent & Efferent Neurons

Page 19: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

IHC activation alters firing rate

Page 20: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Afferent neurons have their cell bodies in the Spiral Ganglion (4)

Page 21: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Major Components of the Central Auditory Nervous System (CANS)

VIIIth cranial nerveCochlear NucleusSuperior Olivary ComplexLateral LemniscusInferior ColliculusMedial Geniculate BodyPrimary Auditory Cortex

Brainstem

Thalamus

Mid-brain

Temporal Lobe

<Trapezoid Body>

Page 22: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

COCHLEAR NUCLEUS

LATERAL LEMNISCUS

INFERIOR COLLICULUS

MEDIAL GENICULATE BODY

AUDITORY CORTEX

SUPERIOR OLIVARY COMPLEX

Page 23: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Mid-Saggital View of Brain

Pons

Cerebellum

4th Ventricle

Thalamus

Corpus Callosum

Page 24: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Cortical Processing

Pattern Recognition

Duration Discrimination

Localization of Sounds

Selective Attention

Page 25: Cochlear Treatment Clinic in kolkata, Mumbai, Bhubneshwar - Hearing Plus |  Bengal Speech & Hearing

Cerebral Dominance/Laterality

Language Processing in the left hemisphere.

(Remember the right ear has the strongest connections to the left hemisphere)

Most people show a right-ear advantage in processing linguistic stimuli