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Related Concept Videos

Anatomy of the Ear01:16

Anatomy of the Ear

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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...
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Hearing01:31

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When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
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The Auditory Ossicles01:11

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The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
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The Cochlea01:13

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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.
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Auditory Pathway01:15

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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.
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The human brain perceives pitch through two primary mechanisms reflected in place theory and frequency theory. Each mechanism describes how sound waves are interpreted as specific pitches by the brain, offering insights into the intricate processes of auditory perception.
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Related Experiment Video

Updated: Oct 30, 2025

Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation
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Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation

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Cartilage Conduction Hearing and Its Clinical Application.

Tadashi Nishimura1, Hiroshi Hosoi2, Ryota Shimokura3

  • 1Department of Otolaryngology-Head and Neck Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.

Audiology Research
|July 2, 2021
PubMed
Summary

Cartilage conduction (CC) hearing aids use aural cartilage to transmit sound, offering a non-invasive option for hearing loss. This review clarifies the CC mechanism and its clinical benefits.

Keywords:
airborne soundaural atresiabone conductionbone-anchored hearing aidcartilage conductionconductive hearing losshearing aid

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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
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Area of Science:

  • Audiology
  • Biomedical Engineering
  • Otorhinolaryngology

Background:

  • Cartilage conduction (CC) is a sound transmission method utilizing the aural cartilage.
  • CC hearing aids (CC-HAs) are commercially available in Japan, but the underlying mechanism requires further elucidation.
  • Understanding CC is crucial for optimizing hearing aid technology.

Purpose of the Study:

  • To review and synthesize existing research on cartilage conduction.
  • To clarify the transmission mechanism of CC.
  • To discuss the clinical applications and advantages of CC hearing aids.

Main Methods:

  • Review of previous studies on cartilage conduction.
  • Analysis of sound transmission pathways and thresholds.
  • Evaluation of clinical outcomes and patient benefits.

Main Results:

  • Attaching a transducer to the aural cartilage increases sound pressure level in the ear canal.
  • Ear canal occlusion (earplug, water) alters CC thresholds, highlighting cartilage-air conduction influence.
  • The aural cartilage acts similarly to a vibration speaker's movable plate in CC transduction.
  • CC-HAs are suitable for aural atresia, offering comfort, stability, aesthetics, and non-invasiveness.

Conclusions:

  • Cartilage conduction involves a unique transduction mechanism via the aural cartilage.
  • CC-HAs provide a valuable, albeit less efficient than bone conduction, solution for specific hearing impairments.
  • The non-invasive nature and user comfort make CC-HAs clinically advantageous.