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How Does Hearing Work?

July 19, 2022

Sound travels in a wave from a sound source in our environment into our ear. There are a series of checkpoints the sound wave must pass through in order for our brains to hear a sound and correctly identify it as ‘a door closing’ or ‘a dog barking’. If there are problems at any of the checkpoints, temporary or permanent hearing loss may be experienced.

  1. The waves are collected by our pinna (what you think of as your ‘ear’) and travel into our external ear canal until they reach the ear drum, or tympanic membrane.
  2. From there the sound wave passes the vibrations through 3 small auditory bones, or ossicles, that are housed in the middle ear. In order, the bones are the Maleus, Incus, and Stapes.
  3. The physical vibrations move from the bones to the cochlea, causing a fluid in the cochlea to move, activating areas along the cochlea that correspond to different pitches or frequencies. Think of the snail shaped cochlea laid out flat like a piano, low pitches on one end, high pitches on the other.
  4. When a certain pitch place is activated, that section of the cochlea fires a signal up the auditory nerve and into the hearing part of our brain where it is processed.


About the Author

Founder/Director & Lead Audiologist, AudioSense Hearing | Website | + posts

Salima Jiwani is the Founder/Director and Lead Audiologist at AudioSense Hearing, Balance & Concussion, an audiology clinic in Yorkville, Toronto. Salima has a keen clinical and research interest in disorders of the external, middle and inner ear, including hearing loss, auditory processing difficulties, tinnitus, sound sensitivities and post-concussion auditory deficits. Salima is passionate about understanding how the brain responds to sound after injury and in post-surgical management of cochlear implants. Salima works with children and adults of all ages at AudioSense, and provides her patients with industry-leading audiological care by leveraging her clinical, research and industry experience. She firmly believes in a holistic cross-collaborative team approach to audiological care and is always looking for outside-the-box evidence-based innovative ways to offer care to her patients. Outside of work, Salima continues to be engaged in advocacy initiatives to elevate the profession of audiology, give audiologists a voice and promote optimal audiological care for her patients.