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Related Concept Videos

The Cochlea01:13

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.
Hearing01:31

Hearing

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.
Anatomy of the Ear01:16

Anatomy of the Ear

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...
Perceiving Loudness, Pitch, and Location01:21

Perceiving Loudness, Pitch, and Location

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.
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...
Auditory Pathway01:15

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...
Hair Cells01:22

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.

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Related Experiment Video

Updated: Jun 30, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
09:44

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss

Published on: January 25, 2016

Conductive hearing loss and normal CT: a clinical perspective.

Dinesh Rao1, Mallory J Raymond2, Joseph T Breen2

  • 1Mayo Clinic, Jacksonville, USA. rao.dinesh@mayo.edu.

Neuroradiology
|June 29, 2026
PubMed
Summary

Temporal bone CT scans may not always identify the cause of conductive hearing loss. Radiologists should consider conditions where CT findings are not sensitive to ensure accurate patient diagnosis.

Keywords:
Air bone gapConductive hearing lossHearing lossPhoton counting detector CTTemporal bone CT

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Area of Science:

  • Radiology
  • Otolaryngology
  • Medical Imaging

Background:

  • Conductive hearing loss (CHL) is often diagnosed with temporal bone CT.
  • Imaging is crucial for identifying anatomical causes of CHL.

Purpose of the Study:

  • To present clinical scenarios where CHL exists without clear temporal bone CT findings.
  • To highlight limitations of temporal bone CT in diagnosing CHL.

Main Methods:

  • Literature review of CHL cases with no attributable imaging findings.
  • Correlation of audiological exams with photon counting detector CT scans.
  • Review of common CHL etiologies like otosclerosis.

Main Results:

  • Temporal bone CT may not be sensitive to all pathophysiological conditions causing CHL.
  • No imaging study is 100% accurate for diagnosing CHL.
  • Illustrative examples demonstrate discrepancies between audiological findings and CT results.

Conclusions:

  • Radiologists must be aware of CHL causes not detectable by temporal bone CT.
  • Avoid over-interpreting CT findings when CHL is present.
  • Consider clinical context alongside imaging for CHL diagnosis.