How does the ear form?
By week five, ear development begins. A small patch of surface tissue near the future brain called the otic placode starts to thicken and sink inward. This forms the inner ear, which will help with hearing and balance.18 19
In week 6, the otic placode forms a pouch called the otic vesicle.20 In week 7 the otic vesicle grows longer and by week 8, it twists and folds to make parts of the inner ear, including the early cochlea— which helps with hearing — and the semicircular canals —which help with balance.21 22 The early cochlea grows in a spiral fashion so that by week 12 it has completed 2 ½ turns.23 At the same time, inside the cochlea, the structures needed to turn sound waves into neural signals start forming.24 The inner ear reaches its adult size and shape around 22 weeks.25 26
Making the Middle Ear
Around week 8, a new part of the ear begins to form from a pouch in the neck.27 This turns into the middle ear, which includes the eardrum and three tiny bones — the smallest bones in the body — that amplify sound. The Eustachian tube, a narrow tube that connects the baby’s middle ear to the back of his nose and throat, also starts to grow.28
Forming the Outer Ear
Starting in week 6, little bumps on the side of the head start to develop into the outer ear, or the part visible on either side of the head. These bumps move towards their final position and establish their shell shape around week 24.29
Fine-Tuning and Connecting
Between 7 and 20 weeks, all these parts connect.30 31 Tiny hairs grow inside the cochlea to detect sound waves. Every hair cell in the cochlea is specially tuned for a specific pitch. Most of the tuning of hair cells occurs between 28 weeks gestation and the first few months outside the womb.32
In summary, the ears start forming when the baby is just a few weeks old in the womb—and by about 24 weeks gestation, the inner ear can detect sounds outside the womb!33 34