Anatomy and Histology of the Ear Flashcards

1
Q

External ear is supplied by what artery

A

Posterior auricular from external carotid, as well as anterior auricular branches from superficial temporal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Innervation to the external ear

A

Auriculotemporal to anterior external ear
Posterior ear supplied by lesser occipital and greater auricular
Vagus and glossopharyngeal nerve supply the concha/inner bowl of ear
Facial nerve supplies skin over mastoid process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

External acoustic meatus innervation

A

Superior TM supplied by facial
Anterior TM auriculotemporal
Posterior TM great auricular nerve
Inferior/floor of TM Arnolds nerve from vagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cough reflex

A

Efferent- vagus and phrenic

Afferent- vagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Outer 2/3rds vs inner 2/3rds of EAC

A

Inner 1/3rd is only skin and bone (only place in body like that)
External 2/3rds have CT and cartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Epithelium of TM

A

Outside layer is stratified squamous

Inside layer is simple cuboidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where is the cone of light found in the TM

A

Inferior/2nd quadrant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tympanic cavity is located in what bone

A

In the petrous portion of temporal bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Chorda tympani runs over what in the middle ear

A

Runs over the tensor tympani

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Anterior, lateral walls and roof/floor of tympanic cavity

A

Anterior wall- Eustachian tube opening
Lateral wall- tympanic membrane
Floor- jugular wall
Roof- tegment tympani

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What sinus runs into tympanic cavity

A

Sigmoid sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Distal 2/3rds and proximal 1/3rd of eustachian tube

A

Distal 2/3 are cartilage

Proximal 1/3 is bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What bone is associated with oval window

A

Stapes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Membranous labyrinth

A

Made of small sacs and tubes within bony labyrinth
Contains cochlear duct and semicircular ducts with utricle and saccule
Contains sensory cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Bony labyrinth

A

Contains cochlea, vestibule and semicircular canals, separated from membranous labyrinth by perilymph

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Scala media

A

Middle compartment of cochlear duct, contains endolymph

Stria vascularis forms the lateral wall and creates endolymph

17
Q

Scala vestibuli

A

Contains perilymph, moved by stapes at oval window, continuous with scala tympani

18
Q

Scala tympani

A

Connected to round window

19
Q

Organ of corti composition

A

On floor of scala media resting on basilar membrane
Composed of hair cells, phalangeal cells (support for hair cells) and pillar cells (support b/w basilar membrane and tympanic lip)

20
Q

How does organ of corti function

A

Basilar membrane vibrates with sound causing deflection of stereocilia attached to tectorial membrane, opening K+ channels in hair cells

21
Q

Inner ear/middle functions

A

Inner-Responsible for balance, and takes external sound waves and transforms them into usable information for brain
Middle- takes sound waves and turns it into physical movement

22
Q

Path of sound waves in inner ear

A

Stapes moves oval window causing fluid pressure wave formation in perilymph
Wave distorts vestibular membrane causing pressure wave within endolymph of scala media
Basilar membrane is displaced, hair cells are distorted, pressure in perilymph is transferred to scala tympani and exits via round window

23
Q

Semicircular canals

A

Sense head rotations
Filled with endolymph
Connected to utricle
End of canals have ampulla with gelatinous-like cap called cupulla which has hair cells with stereocilia attached

24
Q

Utricle

A

Found inside vestibule
Contains a macula w/hair cells and stereocilia and an overlying otolithic membrane which is covered with calcium carbonate crystals called otoconia
Senses linear acceleration and head tilts in horizontal plane
Which way is forward? u trip forward

25
Saccule
Also found inside vestibule and has a macule like the utricles Senses acceleration and head tilts in vertical plane Which way is up? sack up
26
What causes depolarization of hair cells
K+ channels opening
27
Hair cells and kinocilia
Hair cells have stereocilia and the grow in length in a row Kinocilia is the longest one If other cilia are deflected towards kinocilium, K+ channels open
28
Perilymphatic space
Found between bony and membranous labyrinths Similar composition to CSF Drains via perilymphatic/cochlear duct into subarachnoid space Originates from periosteum
29
Endolymphatic space
High in K+, low in Na+ Originates from stria vascularis Drains via endolymphatic duct into venous sinuses of dura mater
30
What type of cartilage is in auricle, and what supplies it with nutrinets
Elastic cartilage, supplied by perichondrium
31
What happens if perichondrium is sheared off elastic cartilage
Hematoma, necrotic cartilage Necrotic cartilage results in chondrogenesis Creates cauliflower ear
32
What antibiotic should be avoided with TM injury
Gentamicin
33
Mastoiditis
Infection of mastoid cells Can spread into cranial fossa via petrosquamous cranial suture Treated with abx
34
Menieres syndrome
Associated with increased endolymph volume leading to abnormal signaling
35
Conductive hearing loss
Effects outer or middle ear- otitis media, excessive wax, otosclerosis
36
Sensorineural hearing loss
Reduction in sound level and/or fidelity due to damage to inner ear or auditory nerve Affects hearing at different frequencies and intensities Age related or noise induced
37
Central hearing loss
Problem in CNS