||It has been suggested that Secondary tympanic membrane be merged into this article. (Discuss) Proposed since September 2014.|
Middle ear, with round window at right.
Interior of right osseous labyrinth (label is cochlear fenestra, at bottom center)
|Latin||Fenestra cochleae, fenestra rotunda|
The round window is one of the two openings from the middle ear into the inner ear. 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. It allows fluid in the cochlea to move, which in turn ensures that hair cells of the basilar membrane will be stimulated and that audition will occur.
The round window is situated below and a little behind the oval window, from which it is separated by a rounded elevation, the promontory.
It is placed at the bottom of a funnel-shaped depression (the round window niche) and, in the macerated bone, opens into the cochlea of the internal ear; in the fresh state it is closed by a membrane, the secondary tympanic membrane or round window membrane, which is a complex saddle point 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;
- an internal, from the lining membrane of the cochlea;
- and an intermediate, or fibrous layer.
Both the oval and round windows are about the same size, approximately 2.5 mm2. The entrance to the round window niche is often much smaller than this.
The stapes 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 60dB. This is, unsurprisingly, the same as for conditions where the stapes itself is fixed, such as otosclerosis.
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 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.