2009 Lecture 17

From Embryology

Sensory Development - Hearing

Introduction

Hearing cartoon.jpg

We use the sense of balance and hearing to position ourselves in space, sense our surrounding environment, and to communicate. Portions of the ear appear very early in development as specialized region (otic placode) on the embryo surface that sinks into the mesenchyme to form a vesicle (otic vesicle = otocyst) that form the inner ear.

This region connects centrally to the nervous system and peripherally through specialized bones to the external ear (auricle). This organisation develops different sources forming the 3 ear parts: inner ear (otic placode, otocyst), middle ear (1st pharyngeal pouch and 1st and 2nd arch mesenchyme), and outer ear (1st pharyngeal cleft and 6 surface hillocks).

This complex origin, organisation, and timecourse means that abnormal development of any one system can impact upon the development of hearing.

Textbooks

  • Human Embryology (2nd ed.) Larson Chapter 12: p375-409
  • The Developing Human: Clinically Oriented Embryology (6th ed.) Moore and Persaud Chapter 19: p491-511

Objectives

  • Understanding of structures and functions of the auditory pathway
  • Understanding of inner, middle and external ear origins
  • Understanding of timecourse of auditory development
  • Understanding of abnormalities of auditory development
  • Brief understanding of central auditory pathway and molecular development

Development Timing

  • Week 3 - otic placode, otic vesicle
  • Week 5 - cochlear part of otic vesicle elongates (humans 2.5 turns)
  • Week 9 - Mesenchyme surrounding membranous labryinth (otic capsule) chondrifies
  • Week 12-16 - Capsule adjacent to membranous labryinth undegoes vacuolization to form a cavity (perilymphatic space) around membranous labrynth and fills with perilymph
  • Week 16-24 - Centres of ossification appear in remaining cartilage of otic capsule form petrous portion of temporal bone. Continues to ossify to form mastoid process of temporal bone.
  • 3rd Trimester - Vibration acoustically of maternal abdominal wall induces startle response in fetus.


3 Sources:

  • Inner ear - epidermal otic placode at level of hindbrain.
  • Middle ear - cavity: 1st pharyngeal pouch, ossicles: mesenchyme 1st and 2nd pharyngeal arches.
  • Outer ear - external auditory meatus: 1st pharyngeal cleft, auricle: 6 hillocks 1st and 2nd pharyngeal arches.

Inner Ear

  • The inner ear is derived from a pair of surface sensory placodes (otic placodes) in the head region.
  • These placodes fold inwards forming a depression, then pinch off entirely from the surface forming a fluid-filled sac or vesicle (otic vesicle, otocyst).
  • The vesicle sinks into the head mesenchyme some of which closely surrounds the otocyst forming the otic capsule.
  • The otocyst finally lies close to the early developing hindbrain (rhombencephalon) and the developing vestibulo-cochlear-facial ganglion complex.

Middle Ear

  • The middle ear ossicles (bones) are derived from 1st and 2nd arch mesenchyme.
  • The space in which these bones sit is derived from the 1st pharyngeal pouch.

Outer Ear

  • The external ear is derived from 6 surface hillocks, 3 on each of pharyngeal arch 1 and 2.
  • The external auditory meatus is derived from the 1st pharyngeal cleft.
  • The newborn external ear structure and position is an easily accessible diagnostic tool for potential abnormalities or further clinical screening.

Developmental Overview

Development of Hearing - 3 divisions of ear

outer

  • external auditory meatus (ear canal)
  • functions to collect sound and gude it to the tympanic membrane

middle

  • tympanic cavity
  • functions to convert sound pressure waves into mechanical waves of typanic membrane
  • ossicles reduce amplitude but increase force to drive fluid-filled inner ear
  • eustacian tube allows equalization of pressure (into oral cavity)

inner

  • duct system
  • functions to convert hair displacement into neural signals
  • cochlear (sound)
  • semicircular canals (balance)
  • vestibulocochlear nerve
  • Organ of Corti
  • Hair Cells

Pinna- Auricle

  • develops from six aural hillocks
  • 3 on first arch
  • 3 on second arch
  • originally on neck, moves cranially during mandible development
  • Outer- external auditory meatus
  • derived from first pharyngeal cleft
  • ectodermal diverticulum
  • week 5
  • extends inwards to pharynx
  • until week 18 has ectodermal plug
  • plug forms stratified squamous epithelia of canal and outer eardrum


Outer Ear Genes

  • controlled by genes that regulate arch 1 and 2 development
  • related to hindbrain segmentation (rhombomere 4)
  • Mouse - Hox a1/Hoxb1, goosecoid, Endothelin1, dHAND

Middle- tympanic cavity

  • derived from first pharyngeal pouch
  • extends as tubotympanic recess
  • during week 5 recess contacts outer ear canal
  • mesoderm between 2 canals forms tympanic membrane
  • expands to form tympanic recess
  • stalk of recess forms eustacian tube
  • pharyngotympanic tube

Middle- Ossicles

  • develop from first and second pharyngeal arches
  • tympanic cavity enlarges to incorporate
  • coats with epithelia
  • first arch mesoderm
  • tensor tympani muscle
  • malleus and incus
  • second arch mesoderm
  • stapedius muscle and stapes

Middle Ear Genes - gooscoid, RARs, Prx1, Otx2, Hoxa1, Hoxb1, endothelian related molecules


Inner- otocyst

  • week 3 otic placode forms on surface ectoderm
  • otic placode sinks into mesoderm
  • forms otocyst (otic vesicle)
  • Otic Vesicle to Labyrinth 1
  • Pig stage 13/14 Otocyst
  • Otocyst
  • branches form and generate endolymphatic duct and sac
  • forms vestibular and cochlear sac

Vestibular sac

  • generates 3 expansions
  • form semicircular ducts
  • remainder forms utricle
  • epithelia lining generates
  • hair cells
  • ampullary cristae
  • utricular macula

Otic Vesicle to Labyrinth

  • Human Stage 22
  • Vestibular- Otoconia
  • Otoconin- inner ear biominerals

Cochlear sac

  • generates coiled cochlear duct
  • humans 2 1/2 turns
  • remainder forms saccule
  • epithelia lining generates
  • hair cells
  • structures of organ of corti
  • saccular macula
  • Human Stage 22- cochlear
  • Human Stage 22- cochlear

Bony Labyrinth

  • formed from chrondified mesoderm
  • Periotic Capsule
  • mesenchyme within capsule degenerates to form space filled with perilymph

Vestibulocochlear Nerve

  • forms beside otocyst
  • from wall of otocyst and neural crest cells
  • bipolar neurons
  • vestibular neurons
    • outer end of internal acoustic meatus
    • innervate hair cells in membranous labyrinth
    • axons project to brain stem and synapse in vestibular nucleus
  • cochlear neurons
    • cell bodies lie in modiolus
    • central pillar of cochlear
    • innervate hair cells of spiral organ
    • axons project to cochlear nucleus

Inner Ear Genes

  • hindbrain segmentation occurs at same time placode arises
  • otocyst adjacent to rhombomere 5
  • may influence development
  • Hoxa1, kreisler, Fgf3
  • genes regulating neural crest cells (neural genes)
  • Pax2 Ko affects cochlear and spiral ganglion, but not vestibular apparatus
  • nerogenin 1 affects both ganglia

Semicircular canal

  • Otx1- cochlear and vestibular normal
  • Hmx3, Prx1, Prx2

Sensory Organs

  • thyroid hormone receptor beta
  • Zebrafish-mindbomb mutant
    • excess hair cells but not supporting cells, Notch-Delta signaling
  • Gene Expression-inner ear
  • Brn-3c and Hair cell development
  • Supporting Cells- p27kip
  • Thyroid Hormone
  • Ganglion neurons require growth factors
  • vestibular neurons- BDNF, NT3
    • survival not development

Congenital Deafness

Conductive - disease of outer and middle ear

Sensorineural - cochlear or central auditory pathway

  • Congenital malformations Statistics
  • Congenital sensorineural hereditary or acquired (see [#References recent reviews])
  • Hereditary
  • recessive- severe
  • dominant- mild
  • can be associated with abnormal pigmentation (hair and irises)
  • Acquired
  • rubella (German measles)
  • maternal infection during 2nd month of pregnancy
  • vaccination of young girls
  • streptomycin
  • antibiotic
  • thalidomide
  • Conductive Hearing Loss
  • produced by otitis media with effusion, is widespread in young children.
  • temporary blockage of outer or middle ear

Conductive Hearing Loss

  • Conductive Hearing Loss Produces a Reversible Binaural Hearing Impairment David R. Moore, Jemma E. Hine, Ze Dong Jiang, Hiroaki Matsuda, Carl H. Parsons, and Andrew J. King J. Neurosci. 1999;19 8704-8711 http://www.jneurosci.org/cgi/content/abstract/19/19/8704
    • tested ferrets by lon-term plugging of ear canal
    • Repeated testing during the 22 months after unplugging revealed a gradual return to normal levels of unmasking.
    • Results show that a unilateral conductive hearing loss, in either infancy or adulthood, impairs binaural hearing both during and after the hearing loss.
    • Show scant evidence for adaptation to the plug and demonstrate a recovery from the impairment that occurs over a period of several months after restoration of normal peripheral function.

References

Textbooks

  • Before We Are Born (5th ed.) Moore and Persaud Chapter 20: p460-479
  • Essentials of Human Embryology, Larson Chapter 12: p252-272

Online Textbooks

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Course Content 2009

Embryology Introduction | Cell Division/Fertilization | Cell Division/Fertilization | Week 1&2 Development | Week 3 Development | Lab 2 | Mesoderm Development | Ectoderm, Early Neural, Neural Crest | Lab 3 | Early Vascular Development | Placenta | Lab 4 | Endoderm, Early Gastrointestinal | Respiratory Development | Lab 5 | Head Development | Neural Crest Development | Lab 6 | Musculoskeletal Development | Limb Development | Lab 7 | Kidney | Genital | Lab 8 | Sensory - Ear | Integumentary | Lab 9 | Sensory - Eye | Endocrine | Lab 10 | Late Vascular Development | Fetal | Lab 11 | Birth, Postnatal | Revision | Lab 12 | Lecture Audio | Course Timetable


Cite this page: Hill, M.A. (2024, May 18) Embryology 2009 Lecture 17. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/2009_Lecture_17

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