How do otoliths stimulate hair cells involved in balance?
Otoliths, also known as otoconia or statoconia, are dense calcium carbonate crystals embedded in the gelatinous otolithic membrane that covers the sensory macula within the utricle and saccule.12
Because these crystals are significantly denser than the surrounding endolymph and membrane, they possess greater mass, which makes them highly sensitive to gravitational forces and linear acceleration. When the head tilts or moves, the inertia of the dense otoliths causes the otolithic membrane to shift relative to the underlying sensory epithelium.134
This movement creates a parallel, or shearing, force that deflects the hair bundles—consisting of stereocilia and a kinocilium—projecting from the hair cells. This mechanical deflection stimulates the hair cells to alter the rate of nerve impulses sent to the brain via the vestibulocochlear nerve, allowing the body to perceive its position relative to gravity and detect linear motion.1423