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Published on: July 28, 2022
Cochlear third window in the scala vestibuli: an animal model
Michal Preis1, Joseph Attias, Tuvia Hadar
1Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel. mickiep@bezeqint.net
Summary
Creating a cochlear third window in fat sand rats significantly reduced air-conducted sound sensitivity. This finding supports the theory that a third mobile होईलwindow in the cochlea impacts hearing thresholds.
Area of Science:
- Otolaryngology
- Auditory Neuroscience
- Inner Ear Physiology
Background:
- A pathologic third window, often involving the superior semicircular canal, is a known condition affecting hearing.
- Investigating a cochlear third window provides insights into auditory function and potential therapeutic targets.
Purpose of the Study:
- To investigate the impact of a surgically created cochlear third window in the scala vestibuli on auditory thresholds.
- To utilize the unique inner ear anatomy of fat sand rats for surgical accessibility.
Main Methods:
- A cohort of 7 healthy fat sand rats (10 ears) underwent surgical induction of a third window over the scala vestibuli.
- Auditory brainstem responses (ABRs) were measured using air and bone conduction before and after fenestration.
- Care was taken to preserve the membranous labyrinth during the procedure.
Main Results:
- Preoperative air-conduction thresholds (ACTs) were approximately 9-10 dB, with bone-conduction thresholds around 2.9-4.5 dB.
- Post-fenestration ACTs significantly increased to 41-42.2 dB (p < 0.01), while bone-conduction thresholds remained low (1.1-4.3 dB).
- The substantial elevation in ACTs indicates a significant decrease in hearing sensitivity to air-conducted sound.
Conclusions:
- A cochlear third window in the scala vestibuli demonstrably impairs hearing sensitivity to air-conducted sound.
- These experimental results align with theoretical models and clinical observations of third window conditions.
- The fat sand rat serves as a viable animal model for studying cochlear third window effects.
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Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
Hair Cells
Hair cells are the sensory receptors of the auditory system—they transduce mechanical sound waves into electrical energy that the nervous system can understand. Hair cells are located in the organ of Corti within the cochlea of the inner ear, between the basilar and tectorial membranes. The actual sensory receptors are called inner hair cells. The outer hair cells serve other functions, such as sound amplification in the cochlea, and are not discussed in detail here.
Auditory Pathway
Auditory pathways constitute the complex neural circuits responsible for transmitting and interpreting auditory information from the peripheral auditory system to the brain. Sound waves are initially captured by the outer ear, funneled through the ear canal, and reach the tympanic membrane (eardrum). These vibrations are transmitted via the middle ear's ossicles to the inner ear's cochlea.
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
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The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.

