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Within the labyrinth of the inner ear lie collections of calcium crystals known as otoconia or otoliths. In people with BPPV, the otoconia are dislodged from their usual position within the utricle, and over time, migrate into one of the three semicircular canals (the posterior canal is most commonly affected due to its anatomical position).
An otolith (Ancient Greek: ὠτο-, ōto-ear + λῐ́θος, líthos, a stone), also called otoconium, statolith, or statoconium, is a calcium carbonate structure in the saccule or utricle of the inner ear, specifically in the vestibular system of vertebrates. The saccule and utricle, in turn, together make the otolith organs.
The macula of utricle (macula acustica utriculi) is a small (2 by 3 mm) thickening lying horizontally on the floor of the utricle where the epithelium contains vestibular hair cells that allow a person to perceive changes in latitudinal acceleration as well as the effects of gravity; it receives the utricular filaments of the acoustic nerve.
The inner ear comprises three specialized regions of the membranous labyrinth: the vestibular sacs – the utricle and saccule, and the semicircular canals, which are the vestibular organs, as well as the cochlear duct, which is involved in the special sense of hearing.
Otoconia are crystals of calcium carbonate and make the otolithic membrane heavier than the structures and fluids surrounding it. [1] The otoconia are composite crystallites that overlie the macular sensory epithelium of the gravity receptors of most vertebrates and are required for optimal stimulus input of linear acceleration and gravity. [3]
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The cupula is the onion-shaped structure surrounded by endolymph in the ampulla. The ampullary cupula, or cupula, is a structure in the vestibular system, providing the sense of spatial orientation.
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