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The round window is one of the two openings from the middle ear into the
inner ear The inner ear (internal ear, auris interna) is the innermost part of the vertebrate ear. In vertebrates, the inner ear is mainly responsible for sound detection and balance. In mammals, it consists of the bony labyrinth, a hollow cavity in th ...
. It is sealed by the secondary tympanic membrane (round window membrane), which vibrates with opposite phase to vibrations entering the inner ear through the
oval window The oval window (or ''fenestra vestibuli'' or ''fenestra ovalis'') is a membrane-covered opening from the middle ear to the cochlea of the inner ear. Vibrations that contact the tympanic membrane travel through the three ossicles and into the in ...
. It allows fluid in the
cochlea The cochlea is the part of the inner ear involved in hearing. It is a spiral-shaped cavity in the bony labyrinth, in humans making 2.75 turns around its axis, the modiolus. A core component of the cochlea is the Organ of Corti, the sensory o ...
to move, which in turn ensures that hair cells of the basilar membrane will be stimulated and that audition will occur.


Structure

The round window is situated below (inferior to) and a little behind (posterior to) the oval window, from which it is separated by a rounded elevation, the
promontory A promontory is a raised mass of land that projects into a lowland or a body of water (in which case it is a peninsula). Most promontories either are formed from a hard ridge of rock that has resisted the erosive forces that have removed the ...
. It is located at the bottom of a funnel-shaped depression (the round window niche) and, in the macerated bone, opens into the
cochlea The cochlea is the part of the inner ear involved in hearing. It is a spiral-shaped cavity in the bony labyrinth, in humans making 2.75 turns around its axis, the modiolus. A core component of the cochlea is the Organ of Corti, the sensory o ...
of the internal ear; in the fresh state it is closed by a membrane, the secondary tympanic membrane (Latin: ''membrana tympani secundaria'', or ''membrana fenestrae cochleae'') or round window membrane, which is a complex
saddle point In mathematics, a saddle point or minimax point is a point on the surface of the graph of a function where the slopes (derivatives) in orthogonal directions are all zero (a critical point), but which is not a local extremum of the functi ...
shape. The visible central portion is concave (curved inwards) toward the tympanic cavity and convex (curved outwards) toward the cochlea; but towards the edges, where it is hidden in the round window niche, it curves the other way. This membrane consists of three layers: * an external, or mucous, derived from the mucous lining of the
tympanic cavity The tympanic cavity is a small cavity surrounding the bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound. Structure On its lateral surface, it abuts the external auditor ...
; * an internal, from the lining membrane of the cochlea; * and an intermediate, or
fibrous Fiber or fibre (from la, fibra, links=no) is a natural or artificial substance that is significantly longer than it is wide. Fibers are often used in the manufacture of other materials. The strongest engineering materials often incorporat ...
layer. The membrane vibrates with opposite phase to vibrations entering the cochlea through the
oval window The oval window (or ''fenestra vestibuli'' or ''fenestra ovalis'') is a membrane-covered opening from the middle ear to the cochlea of the inner ear. Vibrations that contact the tympanic membrane travel through the three ossicles and into the in ...
as the fluid in the cochlea is displaced when pressed by the
stapes The ''stapes'' or stirrup is a bone in the middle ear of humans and other animals which is involved in the conduction of sound vibrations to the inner ear. This bone is connected to the oval window by its annular ligament, which allows the foo ...
at the oval window. This ensures that hair cells of the basilar membrane will be stimulated and that audition will occur. Both the oval and round windows are about the same size, approximately . The entrance to the round window niche is often much smaller than this.


Function

The
stapes The ''stapes'' or stirrup is a bone in the middle ear of humans and other animals which is involved in the conduction of sound vibrations to the inner ear. This bone is connected to the oval window by its annular ligament, which allows the foo ...
bone transmits movement to the oval window. As the stapes footplate moves into the oval window, the round window membrane moves out, and this allows movement of the fluid within the cochlea, leading to movement of the cochlear inner hair cells and thus hearing. If the round window were to be absent or rigidly fixed (as can happen in some congenital abnormalities), the stapes footplate would be pushing incompressible fluid against the unyielding walls of the cochlea. It would therefore not move to any useful degree leading to a hearing loss of about 60 dB. This is, unsurprisingly, the same as for conditions where the stapes itself is fixed, such as otosclerosis.


Imaging

The round window is located within the mesotympanum, at the posterior extremity of the basal turn of the
cochlea The cochlea is the part of the inner ear involved in hearing. It is a spiral-shaped cavity in the bony labyrinth, in humans making 2.75 turns around its axis, the modiolus. A core component of the cochlea is the Organ of Corti, the sensory o ...
. The
oval window The oval window (or ''fenestra vestibuli'' or ''fenestra ovalis'') is a membrane-covered opening from the middle ear to the cochlea of the inner ear. Vibrations that contact the tympanic membrane travel through the three ossicles and into the in ...
s is also located within the mesotympanum, opening at the inferior and lateral part of the
vestibule Vestibule or Vestibulum can have the following meanings, each primarily based upon a common origin, from early 17th century French, derived from Latin ''vestibulum, -i n.'' "entrance court". Anatomy In general, vestibule is a small space or cavity ...
. Both can be seen readily on CT.


Clinical significance

The round window sometimes fails to develop correctly and causes the hearing loss mentioned above. Unfortunately round window malformations are often associated with other ear malformations and the hearing loss can be much more severe. Some types of ear surgery (now generally abandoned) used to leave the round window open to the outside world and covered over the oval window. Sound pressure therefore hit the round window but was shielded from the oval window. It therefore travelled "backwards" around the cochlea but still gave useful hearing as the hair cells were still deflected in the same way. The round window is often used as an approach for
cochlear implant A cochlear implant (CI) is a surgically implanted neuroprosthesis that provides a person who has moderate-to-profound sensorineural hearing loss with sound perception. With the help of therapy, cochlear implants may allow for improved speech unde ...
surgery. It has also recently been used as a site to place middle ear implantable hearing aid transducers. This work has been publicised by Prof. Vittorio Colletti in
Verona Verona ( , ; vec, Verona or ) is a city on the Adige River in Veneto, Italy, with 258,031 inhabitants. It is one of the seven provincial capitals of the region. It is the largest city municipality in the region and the second largest in nor ...
.


Additional images

File:Cochlea.svg, Cochlea


See also

*
Oval window The oval window (or ''fenestra vestibuli'' or ''fenestra ovalis'') is a membrane-covered opening from the middle ear to the cochlea of the inner ear. Vibrations that contact the tympanic membrane travel through the three ossicles and into the in ...


References


External links


Diagram (as 'round window')
at Southwest Tennessee Community College
Overview
at
University of Denver The University of Denver (DU) is a private research university in Denver, Colorado. Founded in 1864, it is the oldest independent private university in the Rocky Mountain Region of the United States. It is classified among "R1: Doctoral Univ ...
{{Authority control Auditory system Ear