Anatomy of the Inner Ear Flashcards
What imaging modality is the best for assessing disease in middle ear?
CT
What are the 3 parts of the ear?
External, Middle, Inner
What’s the function of the external ear?
Collects sound waves at the eardrum
What’s the function of the middle ear?
Air filled space where vibrations of tympanic membrane are transmitted by 3 ossicles.
What’s the function of the inner ear?
Membranous filled sac containing receptor cells
What type of slices are required for imaging of the ear? And what 2 planes are used?
Thin
Axial & coronal
The petrous bone is positioned in an _____ orientation from posterolateral to ______
oblique
anteromedial
What direction would structures be sectioned on coronal images?
obliquely
What plane is useful to visualise the length of the ear canal?
Off coronal plane
What 2 structures does the external ear have?
Auricle & External auditory meatus (EAM)
Does the EAM extend inwards or outwards to the tympanic membrane?
Inwards
How long is the EAM and what shape course does it follow?
3.7cm long
S-shaped
The EAM outer lateral portion is ______
Cartilaginous
What 2 types of glands does the overlying skin of the EAM contain? (C__ & S__)
Ceruminous & sebaceous
What does the tympanic membrane do?
Separates middle ear from the EAM
Less than __mm in greatest diameter, the tympanic membrane faces laterally _____ & _____
12
downwards & forwards
What’s the name of the bony spur formed by the lateral wall of the tympanic cavity & superior wall of EAM.
Scutum
Cholesteatoma is formed by the ____ retraction of the pars _____ of the tympanic membrane into the epitympanum
medial
flaccida
What part of the temporal bone is the tympanic cavity/ middle ear located?
Petrous part
Whats the name of the 3 auditory ossicles the tympanic cavity contains?
Malleus, incus, stapes
The lateral wall of the tympanic cavity is formed by the ______ _____ and above this by the ____ part of temporal bone
tympanic membrane
squamous
What is the name of the part of the cavity above the tympanic membrane and what 2 ossicles does it contain?
epitympanic recess/ attic
incus & head of malleus
What is the medial wall of the middle ear?
Round window
The round window is closed by the second tympanic membrane: _____ ______ or ___ window occupied by the base of the _____, the _____ formed by the first part of the cochlea & the prominence caused by the underlying canal for the _____ nerve
fenestra vestibuli oval stapes promontory facial
What structure is attached to the base of the cochlea in the oval window?
Stapes footplate
What are the boundaries of the middle ear?
Lateral
Medial
Superior
Lateral: tympanic membrane
Medial: Round window
Superior: epitympanic recess/ attic
Which is the largest of the 3 ossicles?
Malleus
The malleus has a handle attached to the _____ membrane, a rounded head which articulates with the ___ & a lateral process
tympanic
incus
What 3 parts does the malleus have?
Head, neck & 3 processes
List the 3 processes of the malleus
- manubrium (handle)
- anterior process
- lateral process
Which 2 of the 3 processes of the malleus are attached to the tympanic membrane?
manubrium & lateral process
What appearance does the malleus give in axial CT?
Ball of ice cream on a cone
How many parts does the incus have?
3 - body & 2 processes
What does the base of the stapes do?
Seals the oval window and conducts vibrations to the cochlea.
The base of the stapes is attached to the neck via what 2 structures?
Anterior & posterior arches
What’s the name given to the concave head of the stapes?
Capitulum
The concave head of the stapes articulates with the ______ nodule of the incus
lentiform
The malleus articulates to what 2 structures?
Tympanic membrane & incus
The round window Is closed off from the middle ear by what?
The round window membrane
What’s the function of the round window?
It allows fluid from the cochlea to move so that hair cells of the basilar membrane are stimulated and audition can occur.
How does the round window serve as a release valve?
It dissipates the pressure generated by the fluid vibrations in the cochlea
Where is the round window situated?
Below and behind the oval window .
Whats another name for the attic/upper portion of tympanic cavity?
Epitympanum
What does the epitympanum contain?
Head of malleus & body of incus
Whats the best plane to view the epitympanum?
Coronal CT
What do you call the portion of the middle ear cavity below the floor of the EAM?
Hypotympanum
Where do the mastoid air cells lie and open into?
Within the mastoid processes & open into mastoid anthrum
What does the inner ear consist of?
vestibule, cochlea, semicircular ducts
The vestibule and semicircular canals are responsible for what?
Balance
What’s the cochlea responsible for?
Hearing
Where is the vestibule located?
Medial to the oval window
What 2 structures is the vestibule composed of?
Utricle (posterosuperiorly) & Saccule (inferiorly)
What does the utricle communicate with?
Semicircular canals
What does the saccule communicate with? and via what? (D____ R____)
Cochlear duct
via ductus reuniones
What shape is the cochlea?
Snail-shaped
The base corresponds with the bottom of the _____ _____ meatus & is perforated by a number apertures for the passage of the cochlear division of the ______ nerve.
Internal acoustic
Acoustic
What’s the central axis of the cochlea called?
modiolus
The o_____ s_____ l____ subdivides the canal into 2 passages.
osseous spiral lamina
What’s another name for cochlear aqueduct?
Cochlea canaliculus
What lymphatic duct does the cochlear aqueduct contain?
Perilymphatic duct
The perilymphatic duct connects with what part of the cochlea with the subarachnoid space? (S____ T____)
Scala tympani
Where does the cochlear aqueduct open into the subarachnoid space? (something of the jugular foramen? (p__ n____)
Beside the pars nervosa of the jugular foramen
Where does the cochlear nerve lie In the internal acoustic canal?
Anteroinferior portion
Where does the cochlear nerve enter prior the spiral ganglia? (m____)
Modiolus
The upper portion of the posterior semicircular canal forms a common canal ( c____ c___) with the s____ s____ c____ before opening into vestibule
Common crus
Superior semicircular canal
The eustachian cavity is a communication between what 2 structures?
Middle ear cavity & nasopharynx
What’s the purpose of the eustachian canal?
Allows for aeration & drainage
What’s the purpose of the Eustachian tube?
Allows the middle ear to normalise with atmospheric pressure
What directions does the eustachian canal extend from the tympanic cavity?
Downwards, forwards & medially
The carotid canal is a passageway in the ____ bone through which the ____ ___ ___ enters the middle cranial fossa from the neck.
Temporal
Internal carotid artery
Whats the facial nerve responsible for?
Motor function of muscles of facial expression
Stapedius muscle
sensation of the skin of ear
taste for ant. 2/3 tongue
What are the contents of the Internal auditory canal/ meatus
Facial nerve (CN VII|) Segments of vestibulocochlear nerve (CN VIII)
What canal does the facial nerve leave the IAM?
Fallopian canal