“…However, recent studies indicate importance of the spiral ligament in the immune reaction in the cochlea. Macrophages and/or microglia are constitutively present in the spiral ligament and accumulate in response to injury (Hirose et al, 2005;Okano et al, 2008;Sato et al, 2008). The spiral ligament fibrocytes produce cytokines in response to exposure to bacterial toxins (Moon et al, 2006(Moon et al, , 2007 and noise exposure (Fujioka et al, 2006).…”