How do the malleus, incus, and stapes transmit sound through the middle ear?

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The malleus, incus, and stapes—collectively known as the ossicular chain—function as a mechanical transformer that transmits sound vibrations from the tympanic membrane to the inner ear.123

Because sound must travel from air into the fluid-filled inner ear, the middle ear must overcome a significant impedance mismatch. The ossicles achieve this through two primary mechanisms:

  • Area Concentration: The vibrations collected by the relatively large surface area of the tympanic membrane are concentrated onto the much smaller area of the stapes footplate, which increases pressure at least 13-fold.2
  • Leverage: The malleus and incus act as a lever system. Because the handle of the malleus is longer than the projection of the incus, it provides a mechanical advantage of approximately 1.3.2

Together, these actions increase the pressure applied to the oval window at least 17-fold, allowing sound energy to effectively enter the cochlear fluids. The stapes rocks back and forth against the oval window, converting these mechanical vibrations into waves within the perilymph.24