Cochlea to structures in the brainstem for further processing. The "stapes" (stirrup) ossicle bone of the middle ear transmits vibrations to the "fenestra ovalis" (oval window) on the outside of the cochlea, which vibrates the perilymph in the "vestibular duct" (upper chamber of the cochlea). The ossicles are essential for efficient coupling of sound waves into the cochlea, since the cochlea environment is a fluid–membrane system, and it takes more pressure to move sound through fluid–membrane waves than it does through air; a pressure increase is achieved by the area ratio of the tympanic membrane to the oval window, resulting in
Cochlea are important in some types of tests for hearing impairment, since they are present when the cochlea is working well, and less so when it is suffering from loss of OHC activity. Gap-junction proteins, called connexins, expressed in the cochlea play an important role in auditory functioning. Mutations in gap-junction genes have been found to cause syndromic and nonsyndromic deafness. Certain connexins, including connexin 30 and connexin 26, are prevalent in the two distinct gap-junction systems found in the cochlea. The epithelial-cell gap-junction network couples non-sensory epithelial cells, while the connective-tissue gap-junction network couples connective-tissue cells. Gap-junction channels recycle potassium