The human vestibular sensory epithelia of macula utriculi in 3 cases o
f acoustic neurinoma were examined by conventional and intermediate vo
ltage electron microscopes. The apical part and the nerve terminals of
hair cells were studied by means of a computer-aided three-dimensiona
l (3-D) reconstruction technique. The sensory epithelia were fairly we
ll preserved. Most type I and all type II hair cells appeared as those
described in the other reports. However, some type I hair cells were
incompletely surrounded by nerve calyces and received direct contacts
from the efferent nerve endings. These type I hair cells were also inn
ervated by a few neighbouring afferent nerve calyces. The stereocilia
and the cuticular plate of type I hair cells differed from those of ty
pe II hair cells. The mean diameter of type I hair cell stereocilia wa
s 488 +/- 59 nm and that of type II hair cells was 373 +/- 21 nm. The
cuticular plate of type I hair cells resembled a cone and was about se
veral times as thick as that of type II hair cells which was similar t
o a flat disc.