The cochlea is a fundamental part of the human auditory system, playing a key role in the perception and processing of sounds. Knowing in depth what the cochlea is, what its parts are, its functions and associated pathologies is essential to understanding hearing and maintaining adequate hearing health.

What is the Cochlea?

The cochlea is a snail-shaped structure found in the inner ear. It is part of the peripheral auditory system and is responsible for transforming sound vibrations into nervous impulses that are interpreted by the brain as sounds. Its name comes from the Latin "cochlea", which means snail, due to its characteristic spiral shape.

Parts of the Cochlea

The cochlea is divided into three main compartments:

1. Vestibular Scale

It is the upper part of the cochlea and is separated by the vestibular membrane. In this region is the perilymphatic fluid, which collaborates in the transmission of sound vibrations.

2. Scala Media or Tympani

It is the middle part of the cochlea and is separated from the scala vestibuli by the basilar membrane. In the middle scala is the fluid endolymph, which plays a crucial role in stimulating the sensory cells of the inner ear.

3. Inferior or Medial Scala

It is the lower part of the cochlea and is also separated from the scala media by the basilar membrane. In this region, hair cells are located, which are responsible for transforming sound vibrations into electrical impulses.

Functions of the Cochlea

The main function of the cochlea is signal transduction sound into nerve impulses that can be interpreted by the brain. This process is carried out through a complex mechanism that involves the internal structures of the cochlea and the sensory cells present in it.

Sound Transduction Mechanism

The process of Sound transduction begins when sound waves reach the inner ear and cause the tympanic membrane to vibrate. These vibrations are transmitted through the ossicles of the middle ear and reach the cochlea, where they propagate along the scala vestibular and tympani.

The vibrations cause the fluid contained in the cochlea to move , which generates vibration of the basilar membrane. This vibration stimulates the hair cells present in the cochlea, which are responsible for transforming mechanical vibrations into electrical signals. These signals are transmitted to the auditory nerve and later to the brain, where they are interpreted as sounds.

Balance and Hearing

In addition to its auditory function, the cochlea plays a role in the balance of the brain. body. Being connected to the vestibular system of the inner ear, the cochlea contributes to the perception of balance and spatial orientation, allowing the individual to maintain adequate posture and perform coordinated movements.

Pathologies Associated with the Cochlea

The cochlea can be affected by various conditions that compromise its hearing function and can cause hearing loss. Some of the most common pathologies associated with the cochlea are:

1. Sensorineural Hearing Loss

Sensorineural hearing loss is a condition that affects the hair cells of the cochlea, preventing the correct transduction of sound signals. It can be caused by genetic factors, prolonged exposure to loud noise, infections or the natural aging process. This condition can be permanent and requires specialized audiological treatment.

2. Presbycusis

Presbycusis is age-related hearing loss and usually affects older people. It is characterized by a gradual decrease in hearing, especially at high frequencies, due to the wear and tear of the hair cells in the cochlea over the years. Although there is no cure, there are treatments that can help improve the quality of life of people with presbycusis.

3. Ménière's Disease

Ménière's disease is a disorder of the inner ear that affects the cochlea and vestibular system. It is characterized by episodes of vertigo, hearing loss, ringing in the ear (tinnitus) and a feeling of pressure in the ear. Although the exact cause of this disease is unclear, it is believed to be related to problems in the regulation of endolymph fluid in the cochlea. Treatment of Ménière's disease may include medications, vestibular therapy, and in severe cases, surgery.

4. Otosclerosis

Otosclerosis is a bone disease that affects the bones of the middle ear, but can have repercussions on the cochlea. It is characterized by abnormal growth of bone tissue in the middle ear, which can cause stiffness of the ear ossicles and affect the transmission of sound vibrations to the cochlea. If otosclerosis affects the cochlea, it can cause conductive hearing loss and in some cases surgery can be used to correct this condition.

5. Acoustic Trauma

Acoustic trauma is a hearing injury caused by exposure to loud noises, such as explosions, loud concerts, or heavy machinery. This type of trauma can damage the structures of the cochlea and cause hearing loss or ringing in the ear. Prevention is essential in the case of acoustic trauma, avoiding prolonged exposure to harmful noise levels and using hearing protectors in noisy environments.

Conclusion

The cochlea is a vital component of the human auditory system, which plays a fundamental role in the perception and processing of sounds. Knowing what the cochlea is, its parts, its functions and associated pathologies is essential to understanding hearing and promoting hearing health. Maintaining good hearing health, protecting the cochlea from possible damage and performing regular hearing checks, is essential to preserve our ability to listen and enjoy the world around us.