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SOMAPL19

The General & Special Senses · 11 Objectives

The General and Special Senses

Martini, Ober, Bartholomew — Essentials of Anatomy & Physiology (Pearson, 2013) · Chapter 9

SOMAPL19OBJ 2652–266211 Lesson Steps
2652
Medical Vocabulary — General and Special Senses
Define the medical vocabulary components related to the general and special senses.

Word Roots & Meanings

Root / PrefixMeaningExample Term
akousishearingacoustic
baro-pressurebaroreceptors (pressure monitors)
circa / diesabout / daycircadian (tied to day-night cycle)
circum-aroundcircumvallate papillae (walled-around)
cochleasnail shellcochlea (spiral hearing structure)
emmetro-proper measureemmetropia (normal, properly focused vision)
incusanvilincus (middle auditory ossicle)
iriscolored circleiris (colored ring of the eye)
labyrinthosnetwork of canalslabyrinth (inner ear canal system)
lacrimatearlacrimal gland (tear gland)
lithos / oto-stone / earotolith (ear stone — calcium carbonate crystal)
maculaspotmacula (spot of sharpest retinal vision; also equilibrium patch)
malleushammermalleus (first auditory ossicle)
myein / opsto shut / eyemyopia (eye that "shuts out" distant objects — nearsightedness)
noceohurtnociceptor (pain receptor)
olfacereto smellolfaction (sense of smell)
presbysold manpresbyopia (farsightedness of aging); presbycusis (hearing loss of aging)
skleroshardsclera (tough white outer coat of eye)
stapesstirrupstapes (third auditory ossicle, at oval window)
tectumrooftectorial membrane (roof of the spiral organ)
tympanondrumtympanic membrane (eardrum)
vallumwallcircumvallate papillae (walled papillae on tongue)
vitreusglassyvitreous body (gel that fills posterior eye cavity)
2653
General vs Special Senses
Distinguish between the general senses and the special senses.

The Core Distinction

General Senses

Temperature, pain, touch, pressure, vibration, and proprioception (body position). Receptors are distributed throughout the body. Relatively simple receptor structure.

Special Senses

Smell (olfaction), taste (gustation), vision, balance (equilibrium), and hearing. Receptors are concentrated in specific sense organs. Complex accessory structures isolate receptors.

Key Concepts Shared by All Sensory Receptors

Receptive field: The area monitored by a single receptor cell. Smaller receptive fields = more precise localization. Fingertips and tongue have fields less than 1 mm in diameter. General body skin receptors may have fields 7 cm in diameter.

Sensation vs Perception: Sensory information arrives at the CNS as action potentials — this is a sensation. When the brain consciously interprets it, this is a perception. The CNS interprets the nature of information based entirely on which brain area is stimulated — not the stimulus itself. Rubbing your eyes produces "flashes" even though the stimulus is mechanical, because the optic pathway is activated.

Adaptation: A reduction in sensitivity in the presence of a constant stimulus. Involves changes in receptor sensitivity or inhibition along sensory pathways. Most sensory information is routed to spinal cord or brain stem; only about 1 percent of afferent fiber information reaches the cerebral cortex and conscious awareness.

⚠ Exam TrapStronger stimuli produce higher frequency action potentials — NOT stronger action potentials. The all-or-none principle applies here: the signal is either there or not; strength is coded by frequency and the number of fibers firing.
2654
General Sensory Receptors
Identify the receptors for the general senses, and describe how they function.
Classification Objective — 4 Receptor ClassesKnow which receptor type responds to each category of stimulus, where each is located, and the subdivisions within each class.

1. Nociceptors (Pain)

Free nerve endings. Most common in superficial skin, joint capsules, periostea of bones, and blood vessel walls. Most visceral organs have few nociceptors. Large receptive fields — difficult to localize source of pain.

Stimuli: extremes of temperature, mechanical damage, dissolved chemicals from injured cells. All produce a similar sensation ("burning") regardless of source.

Fast Pain (Prickling)

Carried by myelinated fibers. Well-localized. Reaches CNS rapidly — triggers somatic reflexes. Reaches primary sensory cortex → conscious attention.

Slow Pain (Burning/Aching)

Carried by unmyelinated fibers. Poorly localized — can only identify general area. Diffuse, long-lasting character.

Referred pain: Sensation of pain in a body surface region that is not actually stimulated — because visceral and somatic afferents share the same spinal nerves. Example: cardiac pain perceived as left arm and upper chest.

2. Thermoreceptors (Temperature)

Free nerve endings in the dermis, skeletal muscles, liver, and hypothalamus. Cold receptors are 3–4 times more common than warm receptors. No known structural differences between warm and cold receptors. Temperature sensations travel the same pathways as pain sensations. Adapt rapidly to stable temperatures.

3. Mechanoreceptors (Touch, Pressure, Position)

Respond to physical distortion (stretching, compression, twisting) — distortion opens mechanically regulated ion channels.

A — Tactile Receptors (Touch/Pressure/Vibration)

ReceptorTypeLocation / Key Feature
Free nerve endingsCrude touch and pressureBetween epidermal cells; structurally identical to pain/temperature endings
Root hair plexusHair movementFree nerve endings around hair follicles; monitor distortions across body surface
Tactile discs (Merkel discs)Fine touch and pressureMerkel cells in stratum basale; dendrite contacts group of Merkel cells; chemical release when compressed
Tactile corpuscles (Meissner)Fine touch, pressure, low-frequency vibrationAbundant in eyelids, lips, fingertips, nipples, external genitalia
Lamellated corpuscles (Pacinian)Deep pressure, high-frequency vibrationSkin of fingers, breasts, genitalia; also joint capsules, mesenteries, pancreas, urethra/bladder walls
Ruffini corpusclesPressure and skin distortionDeepest layer of dermis

B — Baroreceptors (Pressure) — free nerve endings branching in walls of distensible organs. Monitor blood pressure (carotid sinus, aortic sinus), lung expansion (sets respiratory pace), digestive and urinary tracts (trigger reflexes for urination, peristalsis, defecation). Adapt rapidly.

C — Proprioceptors (Position) — monitor joint position, tendon tension, and muscle length. Do NOT adapt. Most information processed subconsciously.

  • Free nerve endings in joint capsules — detect pressure, tension, movement
  • Golgi tendon organs — between skeletal muscle and tendon; monitor tension/strain during contraction
  • Muscle spindles — monitor skeletal muscle length; trigger stretch reflexes

4. Chemoreceptors (Chemical Stimuli)

Respond only to water-soluble and lipid-soluble substances dissolved in surrounding fluid. Adapt within seconds. Send information to brain stem centers controlling respiratory and cardiovascular function.

  • Respiratory centers (medulla oblongata): respond to pH and carbon dioxide concentration in cerebrospinal fluid
  • Carotid bodies: near origin of internal carotid arteries; monitor blood pH, carbon dioxide, and oxygen; afferents travel via N IX
  • Aortic bodies: between aortic arch branches; same monitoring role; afferents via N X
2655
Sense of Smell — Olfaction
Identify the receptors and processes involved in the sense of smell.

Olfactory Organ Structure

Paired olfactory organs located in the nasal cavity on either side of the nasal septum. Each organ contains an olfactory epithelium with three cell types:

  • Olfactory receptor cells: Modified neurons. Free surface provides base for cilia extending into mucus. Odorant-binding proteins on cilia surfaces are the actual receptors.
  • Supporting cells: Structural support and maintenance
  • Basal cells (stem cells): Divide to replace worn-out receptor cells — olfactory receptors are regularly replaced throughout life

Olfactory glands in underlying areolar tissue secrete a pigmented mucus that keeps the epithelium moist and prevents buildup of overpowering stimuli. Approximately 10–20 million olfactory receptor cells packed into roughly 5 cm² of epithelium.

Mechanism of Olfactory Reception

A normal relaxed inhalation carries about 2 percent of inhaled air to olfactory organs. Sniffing increases flow across the epithelium, intensifying stimulation.

1
Airborne odorant chemicals dissolve into the mucus covering the olfactory epithelium.
2
Dissolved odorants bind to odorant-binding proteins on the surfaces of the olfactory cilia.
3
Binding changes receptor membrane permeability → action potentials generated in olfactory receptor cell axons.
4
The CNS interprets the smell based on the pattern of receptor activity across the receptor population.

Olfactory Pathway

1
Axons from olfactory receptor cells collect into 20+ bundles → penetrate the cribriform plate of the ethmoid bone → reach olfactory bulbs (first synapse occurs here). These bundles = olfactory nerves (N I).
2
Axons leaving olfactory bulbs travel along the olfactory tract → olfactory cortex of cerebrum, hypothalamus, and portions of the limbic system.
Unique Feature — No Thalamic RelayOlfactory stimuli are the only type of sensory information that reaches the cerebral cortex WITHOUT first synapsing in the thalamus. All other senses relay through the thalamus first. This direct limbic and hypothalamic connection explains why smells produce powerful emotional and behavioral responses and are strongly linked to memory.
2656
Sense of Taste — Gustation
Identify the receptors and processes involved in the sense of taste.

Taste Receptor Anatomy

Gustatory receptors distributed over the tongue and adjacent portions of pharynx and larynx. Most important receptors are on the tongue. Adult pharyngeal/laryngeal receptors decrease in importance with age.

Papillae: Epithelial projections on the tongue surface. Taste buds lie along the sides of papillae — protected from mechanical stress of chewing. Circumvallate papillae (largest) form a V pointing toward the base of the tongue and contain the greatest number of taste buds.

Each taste bud contains:

  • Gustatory cells: Slender sensory receptors; extend microvilli called taste hairs through a narrow taste pore into the surrounding fluid
  • Supporting cells: Structural support

Mechanism of Gustatory Reception

Dissolved chemicals contact taste hairs → change membrane potential of gustatory cell → action potentials in sensory neuron. Parallels olfaction — chemical must be dissolved to activate receptor. If you dry the tongue completely, you cannot taste anything placed on it.

The Six Primary Taste Sensations

TasteNotes
SweetGreatest sensitivity anteriorly; sugars, some amino acids
SaltyGreatest sensitivity anteriorly
SourGreater sensitivity posteriorly; acids; can damage mucous membranes
BitterGreatest sensitivity posteriorly; most sensitive taste; many toxins are bitter — survival value
UmamiPleasant savory taste; corresponds to beef broth, chicken broth, Parmesan cheese
WaterWater receptors present especially in pharynx; processed in hypothalamus; affects water balance regulation
Taste Sensitivity OrderMost sensitive to bitter > sour > salty > sweet. There are no structural differences between taste buds in different tongue regions — all buds can detect all tastes. Regional sensitivity differences exist but are not due to bud type.

Gustatory Pathway

Taste buds monitored by three cranial nerves: N VII (facial) — anterior 2/3 of tongue; N IX (glossopharyngeal) — posterior 1/3; N X (vagus) — pharyngeal/laryngeal taste receptors.

Pathway: Afferent fibers → synapse in nucleus of medulla oblongata → thalamus → primary sensory cortex. Trigeminal nerve (N V) provides additional information about food texture and "peppery/spicy" sensations.

⚠ Olfaction Dominates Taste PerceptionYou are several thousand times more sensitive to "tastes" when olfactory organs are fully functional. Taste buds respond normally with a stuffy nose — but food tastes bland because airborne molecules cannot reach olfactory receptors. What you call "taste" is largely olfaction.
2657
Parts of the Eye and Their Functions
Identify the parts of the eye and explain their functions.
Classification Objective — 3 Layers + Accessory Structures + ChambersKnow each structure, its layer, and its specific function. Clinical: "What layer fails if…" type questions are common.

Accessory Structures

StructureFunction
Eyelids (palpebrae)Windshield-wiper action; keep eye lubricated and free of debris. Upper and lower connected at medial canthus and lateral canthus.
EyelashesPrevent foreign matter from reaching eye surface
ConjunctivaThin transparent mucous membrane covering inner eyelids and white eye surface; extends to edge of cornea. Very sensitive (many free nerve endings). Pinkeye = conjunctivitis.
Lacrimal apparatusProduces, distributes, and removes tears. Lacrimal gland (superior/lateral to eyeball) → lacrimal canals → lacrimal sac → nasolacrimal duct → nasal cavity. Lysozyme in tears attacks bacteria.
6 Extrinsic eye musclesControl eye position. Inferior, medial, superior, lateral rectus + inferior and superior oblique. Most (4 of 6) innervated by N III (oculomotor). Lateral rectus = N VI. Superior oblique = N IV.

Three Layers of the Eyeball

Layer 1 — Fibrous Layer (outermost):

StructureFunction
Sclera ("white of the eye")Dense fibrous connective tissue (collagen + elastic); mechanical support and protection; attachment for extrinsic eye muscles; thickest posteriorly
CorneaTransparent; continuous with sclera; collagen arranged in non-scattering layers; NO blood vessels (avascular); receives oxygen from tears; very limited repair capacity; provides greatest light refraction; covered by corneal epithelium

Layer 2 — Vascular Layer (middle):

StructureKey Function
IrisContains pupillary dilator muscles (sympathetic → dim light → dilate) and constrictor muscles (parasympathetic → bright light → constrict). Eye color = number of melanocytes in iris. Blue eyes = few melanocytes (light bounces off pigmented epithelium behind).
Ciliary bodyContains ciliary muscle (ring of smooth muscle). Suspensory ligaments from ciliary processes hold lens. Controls lens shape for accommodation.
ChoroidCapillary network; delivers oxygen and nutrients to the inner layer (retina)

Layer 3 — Inner Layer (retina):

ComponentDetail
Pigmented partAbsorbs light passing through neural part; prevents visual "echoes" from reflected light
Neural partContains photoreceptors, supporting neurons, blood vessels
Rods (~125 million)On periphery of retina; detect ANY photon regardless of wavelength; no color; function in dim light; very sensitive
Cones (~6 million)Concentrated at fovea/macula; three types: red, green, blue cones; require brighter light; provide sharp, colorful images
Fovea centralisCenter of macula; highest concentration of cones; center of color vision; site of SHARPEST vision; image falls here when you look directly at an object
Optic disc"Blind spot" — circular region just medial to fovea; origin of optic nerve (N II); NO photoreceptors; blood vessels enter/exit here
Bipolar cellsRods and cones synapse with ~6 million bipolar cells → synapse on ganglion cells
Ganglion cellsAxons converge at optic disc → form optic nerve → to brain

Chambers of the Eye

ChamberBoundariesContents
Anterior chamberCornea to irisAqueous humor
Posterior chamberIris to ciliary body/lensAqueous humor
Posterior cavity (vitreous chamber)Lens to retinaVitreous body (gelatinous) — maintains eye shape; holds retina against choroid

Aqueous humor: Secreted by epithelial cells of ciliary processes into posterior chamber → flows through pupil → anterior chamber → drains through scleral venous sinus (canal of Schlemm) into scleral veins. Blockage → elevated pressure → glaucoma → retinal and optic disc distortion → blindness.

The Lens and Accommodation

Held by suspensory ligaments from ciliary body. Primary function: focus image on photoreceptors by changing shape.

Close Vision

Ciliary muscle contracts → ciliary body moves toward lens → suspensory ligaments relax → elastic capsule pulls lens into a rounder shape → shorter focal distance

Distant Vision

Ciliary muscle relaxes → suspensory ligaments pull on lens → lens flattens → longer focal distance → image focused on fovea

Clinical — Glaucoma and CataractsGlaucoma: aqueous humor reabsorption fails → intraocular pressure rises → compresses retina and optic disc → blindness. Cataracts: lens loses transparency (most commonly from aging — senile cataracts) → increasingly opaque lens → functional blindness even with normal photoreceptors. Treatment: surgical removal and artificial lens replacement.
2658
Forming Visual Images and Distinguishing Colors
Communicate the ability to see objects and distinguish colors.

Light and Refraction

Visible light wavelength: 400–700 nm. ROY G BIV (Red, Orange, Yellow, Green, Blue, Indigo, Violet). Red = longest wavelength, least energy. Violet = shortest wavelength, most energy.

Light bends (refracts) when it passes from one medium to another of different density. In the eye: greatest refraction at the cornea (air to cornea density transition). The lens provides fine-tuning refraction to focus on the retina.

Focal point: where light rays converge. Focal distance: distance from center of lens to focal point. Closer object → longer focal distance needed → rounder lens. Rounder lens → shorter focal distance.

Accommodation and Vision Problems

ConditionCauseProblemCorrection
EmmetropiaNormalNone — distant image focused perfectly on relaxed, flat lensNone needed
Myopia (nearsightedness)Eyeball too deep OR resting lens curvature too greatDistant image focused IN FRONT of retina; blurry far visionDiverging (concave) lens
Hyperopia (farsightedness)Eyeball too shallow OR lens too flatImage focused BEHIND retina even for distant objects; ciliary must work even for distance; cannot focus closeConverging (convex) lens
PresbyopiaLens loses elasticity with ageCannot round sufficiently for close vision — a form of hyperopiaConverging (reading) glasses

Note: The eye focuses by changing lens shape — not by moving the lens toward or away from the retina. This distinguishes eye accommodation from camera focusing.

Image Formation on the Retina

The image projected onto the retina is inverted (upside down) and reversed (left-right mirror). Light from the top of an object hits the bottom of the retina; light from the left side hits the right side. The brain corrects both reversals without conscious awareness.

Rods and Cones — Photoreception

Each photoreceptor has an outer segment (hundreds of flattened membranous discs containing visual pigments) and an inner segment (organelles; releases neurotransmitters).

Visual pigments derive from rhodopsin = opsin (protein) + retinal (pigment synthesized from vitamin A). Retinal is identical in rods and cones; opsin differs between the two.

1
Photon strikes rhodopsin in outer segment → retinal changes shape → activates opsin.
2
Activated opsin triggers a chain of enzymatic events → alters membrane potential of photoreceptor → changes rate of neurotransmitter release.
3
Bleaching: rhodopsin breaks into retinal + opsin. Retinal must be converted back to original shape (requires ATP) before recombining with opsin. "Ghost" image remains until rhodopsin regenerates.

Color Vision and Color Blindness

Three cone types: blue, green, and red — each sensitive to different wavelengths. Color perception results from the combination of stimulation across all three cone types.

Color blindness: one or more cone types absent or nonfunctional. Most common: red-green color blindness (red cones absent). Prevalence: 10% of males, 0.67% of females. Total color blindness (no cone pigments): 1 in 300,000. X-linked inheritance explains sex-linked prevalence pattern.

Clinical — Night BlindnessVisual pigments synthesized from vitamin A. Dietary deficiency → reserves exhausted → visual pigment in photoreceptors declines. Daylight vision affected minimally (sufficient light to stimulate remaining cone pigments). First apparent at night — dim light cannot activate remaining rods. Treatment: administer vitamin A. Carrots are rich in carotene, which the body converts to vitamin A.
2659
CNS Processing of Visual Information
Communicate how the central nervous system processes information related to vision.

The Visual Pathway — Step by Step

1
Photoreceptors → bipolar cells → ganglion cells (two synapses within the retina before leaving the eye — unique among sensory pathways).
2
~1 million ganglion cell axons converge at the optic disc → penetrate the eye wall → travel as the optic nerve (N II) toward the diencephalon.
3
Both optic nerves meet at the optic chiasm. Partial crossover: fibers from the nasal half (medial retina) of each eye cross to the opposite side; fibers from the temporal half (lateral retina) stay ipsilateral.
4
Result: each hemisphere receives visual information from the contralateral visual field. Left hemisphere processes right visual field; right hemisphere processes left visual field.
5
Optic tracts → thalamic nuclei (relay and processing). Thalamic fibers → visual cortex of the occipital lobe → conscious visual perception.

Collateral Visual Processing Destinations

StructureFunction
Superior colliculi (midbrain)Receives visual information from thalamic nuclei; controls constriction/dilation of pupil; controls reflexive eye movements (turning head/eyes toward loud noise)
Hypothalamus and pineal glandVisual inputs establish daily pattern of visceral activity tied to day-night cycle — circadian rhythms; affects metabolic rate, endocrine function, blood pressure, digestion, sleep-wake cycle
Reticular formationReceives visual collaterals; involved in arousal and attention

Visual Cortex Map

The visual cortex of each occipital lobe contains a sensory map of the entire visual field. As with the motor/sensory homunculus, the map is not proportionally accurate: the area assigned to the fovea covers about 35 times the surface it would if the map were proportional — reflecting the dense cone packing of the fovea.

⚠ Retinal Crossover RuleAt the optic chiasm, fibers from the nasal (medial) half of each retina cross — NOT the temporal half. Each optic tract carries: temporal fibers from the SAME side + nasal fibers from the OPPOSITE side. A stroke in the left occipital lobe → visual deficits on the RIGHT side of the visual field (contralateral).
Clinical — Auditory Cortex Damage vs Association Area DamageAuditory cortex damage: person responds to sounds and has normal acoustic reflexes but cannot interpret sounds or recognize patterns. Adjacent association area damage: person CAN detect tones and patterns but cannot comprehend their meaning. This distinction maps directly to visual cortex vs visual association area — same principle applies.
2660
Sense of Equilibrium
Identify the receptors and processes involved in the sense of equilibrium.
Classification Objective — Two Types of Equilibrium, Two Receptor GroupsKnow which structure monitors which type of equilibrium, the exact stimulus for each, and the receptor mechanism (hair cells + cupula vs hair cells + otolithic membrane).

The Hair Cell — Universal Internal Ear Receptor

Hair cells are the basic receptor unit of the entire internal ear (both equilibrium and hearing). Each hair cell supports 80–100 stereocilia. Hair cells do not actively move; when external forces displace stereocilia, the cell surface distorts and neurotransmitter release changes.

Displacement in one direction → stimulates the hair cell → more neurotransmitter. Displacement in the opposite direction → inhibits the hair cell → less neurotransmitter.

Dynamic Equilibrium — Semicircular Ducts

Monitors rotational movements of the head. Three semicircular ducts (anterior, posterior, lateral) — each responds to rotation in one plane:

  • Lateral duct: horizontal rotation ("no" head shake)
  • Anterior duct: nodding ("yes" head movement)
  • Posterior duct: side-to-side tilt

Each duct contains a swollen region called the ampulla. Hair cells attached to the ampulla wall form a raised structure: the crista ampullaris. Stereocilia are embedded in a gelatinous mass called the cupula that nearly fills the ampulla.

Mechanism: Head rotates in the plane of a duct → endolymph flows along the axis of that duct → pushes against the cupula → cupula deflects → stereocilia bend → receptor stimulated. Endolymph must flow along the axis — only rotation in the duct's plane achieves this.

Static Equilibrium — Utricle and Saccule

Monitors gravity and linear acceleration. Located in the vestibule (paired membranous sacs).

  • Utricle: sensitive to horizontal acceleration
  • Saccule: sensitive to vertical acceleration

Hair cells cluster in oval regions called maculae. Stereocilia are embedded in a gelatinous otolithic membrane whose surface is covered by a thin layer of densely packed otoliths (calcium carbonate crystals — "ear stones").

Mechanism: Head tilts → gravity pulls the heavy otoliths to the side → distorts sensory hairs → CNS receives signal that head is no longer level. Otoliths are also responsible for sensing linear acceleration — they lag behind when the body suddenly moves, bending the stereocilia.

Equilibrium Pathway

Vestibular hair cells → sensory neurons → vestibular branch of N VIIIvestibular nuclei (boundary of pons and medulla oblongata).

The vestibular nuclei then: (1) integrate information from both sides; (2) relay to the cerebellum; (3) relay to cerebral cortex (conscious position sense); (4) send motor commands to nuclei for N III, N IV, N VI, N XI (eye, head, neck movements); (5) send descending commands via vestibulospinal tracts to adjust peripheral muscle tone.

2661
Parts of the Ear and the Process of Hearing
Identify the parts of the ear and their roles in the process of hearing.

Three Ear Regions — Overview

External Ear

Collects and directs sound waves toward the middle ear.

Middle Ear

Amplifies and conducts sound vibrations to the internal ear.

Internal Ear

Contains sensory organs for hearing AND equilibrium.

External Ear — Structures

StructureFunction
Auricle (pinna)Fleshy projection supported by elastic cartilage; protects canal opening; provides directional sensitivity (blocks sounds from behind; channels sounds from the side)
External acoustic meatusAuditory canal; ends at tympanic membrane
Ceruminous glandsProduce cerumen (wax); prevents foreign bodies and insects; slows microorganism growth
Tympanic membraneEardrum; thin semitransparent sheet; separates external from middle ear; vibrates to sound waves 20–20,000 Hz; converts sound energy to mechanical movement

Middle Ear — Structures

StructureFunction
Auditory tube (pharyngotympanic / Eustachian tube)Connects middle ear to nasopharynx; equalizes air pressure on both sides of eardrum; also a route for pathogens → otitis media (middle ear infection)
Malleus (hammer)First ossicle; attached at 3 points to interior of tympanic membrane
Incus (anvil)Middle ossicle; connects malleus to stapes
Stapes (stirrup)Third ossicle; base almost completely fills the oval window — transmits pressure to internal ear perilymph
Tensor tympani musclePulls on malleus → stiffens eardrum → reduces vibration amplitude from very loud sounds
Stapedius musclePulls on stapes → reduces movement at oval window from very loud sounds. Reflex contraction occurs in <0.1 sec — may not be fast enough for sudden impulse noises.
Oval windowOpening in bone enclosing internal ear; stapes base fills it; transmits pressure into perilymph of scala vestibuli
Round windowOpening in base of cochlea covered by a membrane; allows perilymph pressure to be relieved when stapes pushes inward — necessary for hearing; bulges out when oval window pushes in

Internal Ear — Cochlear Anatomy

The cochlea is spiral-shaped (snail shell). In cross-section, three fluid-filled chambers run its length:

ChamberFluidPosition
Scala vestibuli (vestibular duct)PerilymphAbove cochlear duct; base = oval window
Cochlear duct (scala media)EndolymphMiddle chamber; contains the spiral organ
Scala tympani (tympanic duct)PerilymphBelow cochlear duct; base = round window. Interconnects with scala vestibuli at apex of cochlear spiral.

The spiral organ (organ of Corti) sits on the basilar membrane (separates cochlear duct from scala tympani). Hair cells in the spiral organ have stereocilia in contact with the overlying tectorial membrane (firmly anchored to inner cochlear wall).

Basilar membrane properties: Narrow and stiff near oval window → wide and flexible at tip. High-frequency sounds vibrate the basilar membrane near the oval window. Low-frequency sounds cause maximum distortion far from the oval window (at the apex).

The 6 Steps of Hearing

1
Sound waves arrive at tympanic membrane. Enter external acoustic meatus; tympanic membrane vibrates at frequencies 20–20,000 Hz.
2
Tympanic membrane vibration → displaces auditory ossicles. Malleus → incus → stapes move as linked levers; amplify the sound.
3
Stapes movement at oval window → pressure waves in perilymph of scala vestibuli. Because cochlea is sheathed in bone, pressure can only be relieved at the round window — membrane bulges out when oval window is pushed in.
4
Pressure waves distort the basilar membrane on their way to the round window. Location of maximum distortion depends on sound frequency (high-frequency → near oval window; low-frequency → toward apex). Louder sounds = more basilar membrane movement.
5
Basilar membrane vibration → hair cells pushed against tectorial membrane. Stereocilia deflect → neurotransmitter released → sensory neurons stimulated. More hair cells stimulated = louder perceived sound (intensity coding by number of active hair cells).
6
Information relayed via cochlear branch of N VIII to CNS. Sensory neuron cell bodies in spiral ganglion → cochlear branch of N VIII → cochlear nuclei of medulla oblongata → inferior colliculi (midbrain; auditory reflexes) → thalamus → auditory cortex of temporal lobe.
Pitch vs VolumePitch (frequency) is coded by WHERE on the basilar membrane maximum vibration occurs. Volume (intensity) is coded by HOW MANY hair cells are active in that region. These are two entirely separate coding mechanisms on the same structure.
Clinical — Conductive vs Nerve DeafnessConductive deafness: problem in external or middle ear blocks vibration transfer to oval window. Causes: accumulated wax, tympanic membrane scarring or perforation, immobilized ossicle. More treatable. Nerve deafness: problem in cochlea or auditory pathway. Vibrations reach oval window normally but receptors fail or signal fails to reach CNS. Causes: stereocilia broken by intense sound (aminoglycoside antibiotics such as neomycin/gentamicin can kill hair cells). Less treatable — hair cells do not regenerate.
2662
Effects of Aging on the Special Senses
Communicate the effects of aging on smell, taste, vision, and hearing.

Smell and Aging

Unlike most neurons, olfactory receptor cells are regularly replaced by stem cell division in the olfactory epithelium throughout life. Despite this, the total number of receptors declines with age, and remaining receptors become less sensitive. Elderly individuals need higher concentrations to detect odors — explaining why elderly people tend to apply excessive perfume or aftershave (they need more to smell it themselves).

Taste and Aging

Tasting ability declines due to: (1) thinning of mucous membranes, (2) reduced number and sensitivity of taste buds. We begin life with more than 10,000 taste buds; numbers begin declining dramatically by age 50. Combined with declining olfactory receptor numbers, elderly individuals find food tastes bland and unappealing. Children find the same food too spicy — their higher receptor numbers mean greater sensitivity.

Vision and Aging

ChangeEffect
Lens loses elasticityPresbyopia — lens cannot round enough for close vision; progressive farsightedness. Near point of vision: 7–9 cm (children) → 15–20 cm (young adults) → 83 cm (by age 60).
Senile cataractsMost common cause of cataracts is advancing age; lens becomes yellowed then opaque; needs brighter reading light progressively; treatable surgically
Loss of rodsGradual rod loss with age; individuals over 60 need almost twice as much light for reading as at age 40
Macular degenerationLeading cause of blindness in persons over 50. Associated with abnormal blood vessel growth in the retina → leakage → retinal scarring → loss of photoreceptors starting at the macula (color vision affected as cones deteriorate)

Hearing and Aging

Hearing is generally affected less by aging than other senses. However, the tympanic membrane loses elasticity → more difficult to hear high-pitched sounds first.

Presbycusis (presbys = old man + akousis = hearing): the progressive hearing loss that occurs with aging. Loss of neuron axons conducting sensory action potentials cannot be easily compensated for.

⚠ Aging Pattern Summary for ExamSmell: fewer receptors, need higher concentration. Taste: fewer taste buds + fewer olfactory receptors = food tastes bland. Vision: presbyopia (lens stiffness) + rod loss (need more light) + macular degeneration + senile cataracts. Hearing: least affected; high-frequency sounds lost first; tympanic membrane loses elasticity.