The Acoustic Pathways to the Cochlea

Abstract
Measurements were made of the relative effectiveness of the round window as a route of entrance of sounds to the cochlea. When the ear is normal this route is of no importance, but when the middle ear apparatus is absent and its advantage is lost to the oval window route a sound will have nearly equal access by both windows. When the inner ear is reached by both pathways at once the cochlear potentials represent the vector sum of what would result from the 2 separate waves. As phase and intensity relations between the 2 pathways are altered the potentials pass through max. and min. values, which for equal intensities of the 2 waves vary from a 6 db gain to a complete loss. Evidence is produced to show that each pathway of stimulation excites the same sensory cells and in the same intensity pattern. Over the major portion of the frequency range a min. of response results when the waves are in phase as they enter the oval and round windows. Departures from this relation, which are most prominent at the highest frequencies, are explained as the result of reactance differences between the 2 windows. These results apply to the explanation of forms of deafness caused by interruption of the ossicular chain, and also the explanation of the treatment of otosclerosis by means of the fenestration operation.