Article Type : Review Article
Authors : Myjkowski J
Keywords : Traveling wave theory; Middle ear amplification; Eardrum and the stapes plate; Sound wave pressure
The search for the truth about hearing is an attempt
to describe the facts about hearing, in accordance with the existing reality,
regardless of previous depictions. Objective reality cannot be changed by the
person describing it. Such a view was already presented by the great
philosophers of antiquity – regarding ancient philosophy. This problem was
already known and described: Plato (424-347 BC) claimed: "Someone tells
the truth when and only when they say something that is and as it is. To speak
as it is not is false." Aristotle (384-322 BC) drew attention to the
importance of separating faith from knowledge. Faith does not require proof, it
is unconditional, it does not require verification.
The
search for the truth about hearing is an attempt to describe the facts about
hearing, in accordance with the existing reality, regardless of previous
depictions. Objective reality cannot be changed by the person describing it.
Such
a view was already presented by the great philosophers of antiquity – regarding
ancient philosophy. This problem was already known and described: Plato
(424-347 BC) claimed: "Someone tells the truth when and only when they say
something that is and as it is. To speak as it is not is false." Aristotle
(384-322 BC) drew attention to the importance of separating faith from
knowledge. Faith does not require proof, it is unconditional, it does not
require verification. Knowledge is changeable, requires evidence; counter-evidence,
verification, and comparison are possible. Knowledge is not synonymous with
truth. The truth is more important than knowledge on a given topic. Belief in
knowledge at a given time can be an obstacle to learning the truth to which
this knowledge relates. Science is about seeking the truth about what is and
how it is, and rejecting falsehood when one says it is but it is not. These
principles have not changed for 26 centuries, they are universal.
With
regard to the issue of hearing, it is necessary to consider what is faith, what
is knowledge, what is true and what is false. Leaving aside the belief itself
(which mainly applies to people with no knowledge of hearing), there remains
the analysis of what constitutes knowledge consistent with the truth. What is
not true is false. Having searched for the truth about hearing for 30 years, I
can say with full responsibility that the current, accepted knowledge about
hearing is not true in some respects. The difference between the truth about
hearing and accepted knowledge is significant. Knowledge about
hearing, according to Bekesy's traveling wave theory, is based on assumptions
from the turn of the 19th and 20th centuries [1]. It contains erroneous theses,
has dubious calculations, and erroneous descriptions, which makes this
knowledge partly inconsistent with the truth, i.e. it also contains falsehood.
As a typical example of erroneous description and calculations, we can cite the
knowledge presented by Bekesy and contained in a 2005 textbook on
Audiology: Middle ear amplification - 3
mechanisms: Lever mechanism – 1.3-fold amplification. Amplification with the
difference in the surface of the eardrum and the stapes plate – 17-fold
amplification. Conical shape of the eardrum – 2-fold amplification. In total,
the amplification in the middle ear is 1.3 x 17 x 2 = 44-fold [2]. This is an
increase in the sound wave pressure on the stapes plate by 44 times, or 33 dB,
compared to the wave pressure exerted on the eardrum. According to the textbook
theory propagated by Bekesy, an input sound wave with, for example, 90 dB and
an amplitude of 500 nm increases 44-fold? Is this true? Or is it false? Another
example is straightening a spiral
cochlea into a straight tube to simplify calculations. In addition, Bekesy
changed the anatomy of the inner ear. He eliminated Reissner's membrane and
connected the atrial canal to the cochlear canal so that the sound wave could
travel on both sides of the basilar membrane, creating a traveling wave on the
basilar membrane. Changing the anatomy, changing the physiology of the inner
ear, affects the calculations. Using a very simple method, Bekesy calculated
the natural vibrations of the basilar membrane for a thin, dissected plate of
the basilar membrane, which is not an independent entity. It vibrates together
with the organ of Corti and the cochlear fluids. He assumed incorrect
dimensions of the basilar membrane for the calculations. A basilar membrane
measuring 0.1 mm wide cannot separate the cochlear canal from the tympanic
canal, with 4.3 mm in diameter [3]. There are many examples of fallacies in
Bekesy's traveling wave theory. There is no discussion about the currently
accepted knowledge, no analysis of what is true and what is false? This knowledge is still propagated at the
university level, reproduced in textbooks, and this is the knowledge received
by otolaryngologists during their specialization training. The most important
proof of the truth of the traveling wave theory is the belief in the perfection
of Bekesy's theory, supported by the Nobel Prize in 1961. The Nobel Committee
ruled that this theory explained all hearing-related problems. This theory did
not and still does not properly explain many of the problems of our hearing.
These
problems require analysis and evaluation: True or false?
The
traveling wave theory recognizes only that the signal reaches the receptor
through wave resonance, the basilar membrane, cochlear fluid flows, and the
tip-link mechanism. High frequencies are not transmitted through this
mechanism, as evidenced by stapedotomy surgery [4]. Humans can hear high
frequencies up to 20 kHz. Bekesy's theory does not take into account the
inertia in the wave motion in the middle and inner ear, which affects the
transmission of information to the receptor. The rocking movements of the
stapes hinder the transmission of high frequencies. The 100% transmission of
information, necessary for hearing, is impossible. The resonance of the
longitudinal wave in the cochlear fluid with the transverse wave of the basilar
membrane's natural vibrations does not transmit all information. The force
vectors of these waves act in directions perpendicular to each other. There is
no transmission of 100% information. If the energy of the forcing wave is less
than the attenuation energy of the forced wave – there will be no resonance.
Such a situation arises when listening to near-threshold tones, when the
amplitude of the forcing wave is 0.01-0.05 nm. This signal reaches the receptor
via a different path, via the sound wave traveling directly to the receptor
[5,6]. Is it true that in bone conduction, the signal from the bone is
transmitted to the cochlear fluids, creating a traveling wave, fluid
displacement, and the tip link mechanism works? Why can't the wave energy have
conducted by the bone act directly on the hearing receptor, through
sound-sensitive molecules? Sound wave energy is a specific stimulus for the
hearing organ. Hair cells have receptors sensitive to a given sound wave
frequency. They are located along the basilar membrane. How is information
encoded as it travels through the cochlear fluids and the traveling wave? How
does a traveling wave arise in the case of blockage of the oval window, or both
windows in the case of otosclerosis or other inner ear pathologies? How and
where does the maximum deflection on the basilar membrane occur for a 100 Hz
wave? When the wavelength in the fluid is 14.5 m? There is no analysis of the
difference in the speed of the sound wave in the cochlear fluid (1450 m/s) and
the traveling wave speed on the basilar membrane, which varies from 50 m/s at
the base of the cochlea to 2.9 m/s near the cap according to Bekesy). As a
result, the resonance of each wave frequency in the fluid with the basilar
membrane frequencies occurs at a different location on the basilar membrane and
at a different time. Transmission of such information to the cochlear fluids is
impossible. What information does the brain receive? How does the compression
of information caused by the difference in the speed of the wave in the fluid
and the traveling wave, varying from 29-fold to 500-fold, affect the
transmission of information from the traveling wave to the cochlear fluids? How
is it read by the receptor? Is it possible to view the traveling wave on the
basilar membrane through a hole in the cochlear wall? In which duct is the
hole? What do we see? Nature has placed
the organ of Corti, with its hair cells, on the basilar membrane. The basilar
membrane, tightly connected to the organ of Corti, cannot vibrate independently
and create waves solely on the basilar membrane. Together with the basilar
membrane, the organ of Corti, the hair cells with their hairs, the reticular
membrane, and the fluid of the cochlear duct vibrate. What fluid flows are
generated by the greatest deflection on the basilar membrane — vibrating in
conjunction with the organ of Corti, the receptor, and the fluids? Does the
vibrating basilar membrane with the greatest deflection transmit information to
the cochlear fluid rotating in line with the basilar membrane, which tilts the
rotating hairs of the hair cells in line with the rotating basilar
membrane? This mechanism is responsible
for the transmission of information and for the gating of mechano-dependent
potassium ion channels? The traveling wave on the basilar membrane is to encode
not only amplitude and frequency, but also harmonic components, phase shifts,
length of sound, and accent. This information is to be transmitted to the
cochlear fluid and the tip link mechanism. This mechanism is supposed to
transmit quantized energy, encoding the information contained in the sound wave
[7]. The problem is compounded by the transmission of polytones and the music
of great symphonic concerts, when at the same time we receive thousands of
different pieces of information encoded in sound waves. How many maximum
deflections can occur simultaneously on the basilar membrane? True or
false? If the ion channels in the hair
cell wall operate at a certain, limited, temporal rhythm, can they ensure the
frequency of depolarization and cell contraction in an unlimited manner? Up to
200/s? (bat).
Measuring
the frequency of OHC contractions with electric current is inappropriate. The
ion channels of the cell wall that determine the frequency of depolarization
and cell contractions are turned off. A
signal introduced into the external auditory canal is measured as a receptor
potential over a period of 1.5 ms. The signal's travel time through wave
resonance, slow traveling wave, fluid flows, and the tip link mechanism is
calculated and is approximately three times longer. This time depends on the
path length and the procedures associated with energy conversions along the
way. The decay of energy in a roundabout way should be taken into account –
which has been confirmed by experimental studies. The amplitude decay of a 90
dB wave from the auditory canal to the oval window is 1000-fold. Energy decays
a million-fold. Half of this path is the Bekesy path to the receptor, with a
large decay in the amplitude and energy of the wave carrying auditory
information [8]. It has not been explained how a traveling wave is formed for a
threshold tone when the amplitude of the wave, after being reduced in the
middle ear, is many times smaller than the diameter of the atoms that
constitute the structure of the basilar membrane. In addition, vibrations in
the fluid are attenuated. In the fluid of the spiral cochlea, there are three
types of attenuation, as well as wave dispersion in the fluid. The energy of
these waves, especially the high ones, reaches the receptor via a different
route. There is a regulated amplification of quiet sounds intracellularly at
the molecular level. The precise mechanism of quiet sound amplification,
mechanically, through traction on the basilar membrane by contracting OHCs, has
not been fully explained. Does every OHC contraction pull on the basilar
membrane, regardless of the sound intensity? There is no mechanism for
regulating the described procedure. Lack of clarity as to where the energy for
high-frequency amplification comes from while accounting for inertia in the
ear. Inertia in wave motion is directly proportional to the amplitude of the
wave and to the mass of the vibrating element, and proportional to the square
of the frequency. The vibrating mass in this case is the mass of the basilar
membrane with the connective tissue on the lower surface of the basilar
membrane, the mass of the organ of Corti, and the mass of the vibrating fluid
together with the basilar membrane. For each amplitude of the wave, a different
energy is required to cause vibrating mass constant vibration. On the other
hand, increasing the frequency from 50 Hz to 5,000 Hz requires an increase in
energy 10,000-fold. The electrochemical energy of the OHC cell membrane does
not provide external energy. There is no such energy in OHC. Minor disturbances
in the electrochemical potential of the excitable cell wall led to the death of
this cell. There is no explanation as to what wave the contraction of OHC
amplifies. During amplification – time-consuming, according to this theory – a
completely alien wave is present on the basilar membrane, which may not require
amplification. There are no calculations as to the energy required to pull on
the basilar membrane at high frequencies? How are polytones
amplified? Information about quiet sounds, amplified, delayed in time, is
received separately by IHC? Is it together with the current wave on the basilar
membrane? Are both waves transmitted to the brain together? There are many
questions to which there is no clear answer. There are also proofs and answers,
directly indicating what is true and what is false. There is no intermediate
situation in nature, between truth and falsehood, just as there is no
intermediate situation between one quantum of energy and another. Truth will
prevail in the future regardless of the strength of resistance from certain
elites interested in maintaining the status quo, with the acceptance of
Bekesy's 100-year-old traveling wave theory. The reasoning behind this approach
is difficult to understand. There is a view that a change of generation is
needed to change the paradigm of hearing theory. confirms this hypothesis.