---
title: "Organ of Corti – Anatomy, Structure and Clinical Relevance"
description: "Detailed anatomy of the Organ of Corti - basilar membrane, tectorial membrane, cochlear hair cells and supporting cells - for medical students and ENT residents."
source: "The ENT Resident"
canonical_url: "https://www.theentresident.com/ent-notes-lectures/organ-of-corti"
categories: ["Otology", "Short Questions in ENT"]
video: "https://www.youtube.com/watch?v=7wwj3DCIglw"
image: "https://media.theentresident.com/og-images/organ-of-corti.png"
---

# Organ of Corti – Anatomy, Structure and Clinical Relevance

Detailed anatomy of the Organ of Corti - basilar membrane, tectorial membrane, cochlear hair cells and supporting cells - for medical students and ENT residents. Watch the full video lecture on YouTube: https://www.youtube.com/watch?v=7wwj3DCIglw

In this post, we’ll explore the **Organ of Corti**, the **sensory organ of hearing**.

### 📍 Location and General Structure

- The **Organ of Corti** is located **on top of the basilar membrane** within the **scala media** of the cochlea.
- The **basilar membrane** forms the **floor of the scala media** and separates it from the scala tympani.
- The **basilar membrane and Organ of Corti** increase in **width and thickness from the base to the apex** of the cochlea.

---

### 🧱 1. Basilar Membrane

- It is a **sheet of extracellular matrix** composed of:

  - **Collagen (type IV – α1 to α5 chains)**
  - **Fibronectin**
  - **Laminin type 11**

- **Underside** of the basilar membrane faces the **perilymph of scala tympani** and is lined by **tympanic border cells**.

---

### 🧱 2. Tectorial Membrane

- Overlies the Organ of Corti.

- Attached **medially** to the **interdental cells of the spiral limbus**.

- **Not attached** laterally to the organ of Corti.

- Composed of:
  - **Collagen types II, V, and IX**
  - **Autogelin, α and β tectorin**
  - **CEACAM16**

- Contains:
  - **Henson’s stripe** on its underside
  - **Covenant fiber network** on its upper surface

- **Formed only during cochlear development** and **cannot regenerate** – damage leads to **permanent hearing loss**.

---

### 🎧 3. Cochlear Hair Cells

- Convert **sound energy into electrical impulses**.
- Two types:
  - **Inner Hair Cells (IHC)** – ~3,500 cells in 1 row  
  - **Outer Hair Cells (OHC)** – ~12,000 cells in 3–4 rows

>What are the **Differences Between Inner and Outer Hair Cells**?

- **Afferent fibers** mostly innervate **inner hair cells (95%)**.
- **Efferent fibers** originate from the **olivocochlear bundle** in the **superior olivary complex**.

---

### 🧱 4. Supporting Cells

**🔹 Deiters’ Cells**

- Intercalated between outer hair cells.

- Provide mechanical support and rest on the basilar membrane.

**🔹 Pillar Cells**

- **Inner and outer pillar cells** separate IHCs and OHCs.

- Form the **tunnel of Corti**, filled with **cortilymph**.

**🔹 Hensen’s Cells**

- Located **lateral to Deiters’ cells**.

- Contain **lipid droplets**, may add **mass**.

**🔹 Claudius and Boettcher Cells**

- Located on the **outer skirt** of the Organ of Corti.

- Functions:
  - **Mechanical support**
  - **Add mass**
  - **Cochlear homeostasis** – remove **extracellular K⁺** via **gap junctions**

>What is **Stria Vascularis**?
---

### 📌 Summary

- The **Organ of Corti** is essential for hearing and consists of **basilar and tectorial membranes**, **inner and outer hair cells**, and **supporting cells**.
- **Inner hair cells** are crucial for **sound transmission**, while **outer hair cells** help in **modulating** the function of IHCs.
- **Tectorial membrane damage** causes **irreversible hearing loss**.
- **Supporting cells** play both **structural and metabolic roles** in cochlear function.

---

## About This Note

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