INNER EAR
The inner ear is the most complex part of the ear into which a lot of research is being done in order to grasp the exact functioning of this. The inner ear consists of the cochlea and the organ of balance (vestibulum).
The cochlea is a curled tube with a length of about 3.5 cm and a diameter of 1 cm. Three channels can be distinguished in this: the scala media, the scala vestibule and the scala tympani. The latter two are seamlessly interlinked. The scala media contains the basilar membrane with the organ of Corti. The organ of Corti includes hair cells, also called the cilia. The sound waves coming from the middle ear sets the fluid in the cochlea in motion and this makes the basilar membrane vibrate. The vibration of the membrane sets the hair cells in the cochlea in motion and they can pass on electrical currents to the auditory nerve.
AUDITORY NERVE
The ear picks up sounds and passes these on to the auditory nerve. It is the task of the auditory nerve to lead the sound signal to the hearing centres in the brain. If the auditory nerve sends an incomplete signal, the brain has to work harder to recognise the sounds or to convert these into words.
BRAIN
Our brain converts the sounds into sound recognition and into words, which enables us to understand each other.
“Hearing is done with the ears. Understanding is done with the brain!”
CILIA
The organ of Corti with the basilar membrane, which is found in the cochlea, contains the hair cells. There are internal and external hair cells. Usually, these hair cells are neatly arranged in a V-shape. The hair cells are surrounded by support cells. Someone with normal hearing has as many as 15,000 hair cells that pass on sound vibrations to the auditory nerve. The basilar membrane is wider at the end than it is at the basis. Also, it is more rigid at the beginning than at the end. Therefore the hair cells at the beginning of the basilar membrane will be more sensitive to higher frequencies than the hair cells positioned further away from the oval window. In other words, the higher tones are detected at the beginning of the cochlea and the low tones at the end.
With children who were born deaf because of Usher Syndrome, the cochlea and the vestibulum have not properly been developed. With children who are hard of hearing this has been built, but the hair bundles in the cochlea are not intact. Many cilia are missing and an increasing number of cilia can die in the course of the years.
The first figure below shows the nice and intact hair bundles of cilia, whereas in the second figure you see the weak hair bundles and cilia that have fallen down.