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An otolith (Ancient Greek: ὠτο-, ōto-ear + λῐ́θος, líthos, a stone), also called statoconium, otoconium or statolith, 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.
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).
The inner ear (internal ear, auris interna) is the innermost part of the vertebrate ear. In vertebrates , the inner ear is mainly responsible for sound detection and balance. [ 1 ] In mammals , it consists of the bony labyrinth , a hollow cavity in the temporal bone of the skull with a system of passages comprising two main functional parts: [ 2 ]
When the patient is passively positioned from an upright seated posture down to a supine (lying on the back) position, this momentum helps to dislodge the otoconia (crystal) embedded in the cupula. Steps 3–10 in the above-mentioned procedure are intended to cause the newly dislodged crystal to be brought back to the utricle through the ...
Computerised tomography (CT) can be used to determine if disease is present in the middle ear. [12] Whilst hearing loss is a common symptom in many diseases of the ear, for example in otosclerosis (abnormal bone growth in the ear), [ 3 ] the white, chalky patches on the tympanic membrane are fairly characteristic of tympanosclerosis.
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