Auditory Flashcards
Contains vestibulocochlear organ
EAR
Consists of 3 main parts which are
External Middle Interana
collects sounds
Auricle
conducts sounds
to tympanic memb
External acoustic meatus
Shell like part
Consists of single elastic cartilage which is continuous w/ cartilage of ext acoustic meatus
Auricle
True or false: The Auricle Contains hair,sweat/sebaceous glands
Shape varies
True
no cartilage, can be pierced for earring
Lobule`
Auditory passage
Extends fr concha to tympanic membr[TM]
External Acoustic Meatus
S shaped, 2.5 cm long
External Acoustic Meatus
Composition of external meatus
Lateral/3 = cartilage -Medial 2/3 = bony
True or fasle
Infants= pure cartilage
True
COmposiion of Lateralpart of Meatus
Hair follicles
Sebaceous gl
Ceruminous gl
Lined w/ thin skin and Isthmus
Medial parts
Consricted part of medial external meatus
Isthmus
Arterial supply of ear
1] Post auricular branch of external carotid artery
2] Deep auricular branch of
maxillary artery
3] Auricular br of superficial temporal artery
Venous drainage ofe Aer
1] External jugular vein
2] Maxillary vein
3] Pterygoid plexus
NErveSupply
1] Auriculotempral n fr CN V
2] Tympanic plexus fr CN VII
3] Auricular branch fr CN X
How is Meatus directed?
Directed anteriorly and medially
When doing otoscopy, how do you examine the ear?
Pull the ear
Superiorly
Posteriorly
Laterally
Thin, semitransparent,oval membrane
Medial end of EAM
Tympanic Membrane
Separates external from middle ear
Oblique and slopes inferomedially
Pearly gray and shiny
Tympanic Membrane
Central depression of meatus formed by handleof Malleus
, umbo
What is the bright are that emanates in umbo?
cone of light
True or false:
The Tympanic Membrane does not move in response to air vibrations that pass to it
Vibrations are transmitted from TM by auditory ossicles through the middle ear to internal ear
false
Moves in response to air vibrations that pass to it
Vibrations are transmitted from TM by auditory ossicles through the middle ear to internal ear
Arterial Supply of Tympanic Membrane
Maxillary artery
Deep auricular a
Posterior auricular a
Tympanic branch
Venous Drainage of tympanic
External jugular vein
Nerve supplyof tympanic
Auriculotemporal n [CN V3]
Possible etiology of Perforation of Tympanic Membrane leadinf to deafness
Foreign Bodies
> Infection
> Excessive Pressure as in scuba diving
Middle ear
Narrow cavity in petrous part of temporal bone
Contents of middle ear
Auditory ossiscles
Stapedius
Tensor tympani
Chorda tympani
Anterior and Posterior connection of middle ear
Anterior: Nasopharynx
Posterosuperior: mastoid antrum
What are the walls of middle ear
- Roof or Tegmental
- Floor or Jugular
- Lateral or Membranous
- Medial or Labyrinthine
- Posterior or Mastoid
- Interior or Carotid wall
Roof or Tegmental is formed by?
- formed by tegmen tympani
- separates ME fr dura
Floor or Jugular is fromed by?
- formed by bone
- sep ME fr int jugular vein
wall of mid ear formed by tymp membr
Lateral or Membranous
where Semicircular ducts and cochlea are found
-sep ME from inner ear
Medial or Labyrinthine
2 small window of labyrinthe
Fenestra vestibuli
Fenestra cochlea
window closed by base of stapes
-through this window, vibrations of stapes are transmitted to inner ear
Fenestra vestibuli
- closed by a secondary TM
- allows perilymph to move in response to impulses
Fenestra cochlea
2 openings w/c connects which connect carotid with;;
1] w/ canal occupied by tensor tympani
2] w/ nasopharynx thru auditory tube
leads to mastoid antrum via an opening, aditus
-pyramidal eminence
MAstoid wall or posterior wall of Tm
Funnel shaped
Connects NP to middle ear
Auditory Tube
Size and composition of auditory tube
3.5 to 4.0 cm long
1/3 bone, 2/3 cartilage
Functions to Equalize pressure in middle ear w/ ATM pressure
Audiroty Tube
Arterrial Supple of Auditory tube
1]Ascending pharyngeal a
2]middle meningeal art
3] artery of pterygoid canal
Venous drainage of Auditory tube
Pterygoid plexus
innervated by Tympanic plexus[CN VII and IX]
Auditory tube
Ear bones
Form a chain across middle ear
From TM to oval window
Auditory ossicle
True or F of Auditory Tube:
Function:Decrease the force but increaseamplitude of vibrations transmitted fr TM
False
Function: Increase the force but decrease amplitude of vibrations transmitted fr TM
The ossicles
1] MALLEUS
2] INCUS
3] STAPES
rounded superior part
lies in epitympanic recess
articulates w/ incus
Head of Malleus
lies vs flaccid part of TM
where chorda tympani nerve crosses
Neck of Malleues
What is the characteristic of handle of malleus?
embedded in TM
where tendon of tensor tympani inserts
3 parts of Malleus
Head,Neck, Handle
3 parts of Incus
1]Body
2]Long process
3]Short process
4]Lenticular process
Artic w/ head of malleus
Body of incus
Artic w/ stapes
Lonfg process
Connected to tympanic cavity by a ligament
Short process
Artic w/ head of stapes
Lenticular proceess
Smallest ear bone
Stapes
Parts of Stapes
Base and HEad
fits into oval window
Base of stapes
artic w/ lenticular proc of incus
head of stapes
Muscles Moving the Ossicles and Tympanic Membrane
Tensor tympani
Stapedius
- 2 cm long muscle
Tensor tympani
Originates from:
- cartilaginous part of auditory tube
- greater wing of sphenoid bone
- petrous part of temp bone
Tensor tynpani
FUnction of Tensor tympanu
pulls handle of malleus thus tenses TM
reduces amplitude of oscillation
prevents damage to int ear when exposed to loud sounds
Insertion of tensor tympani
Handle of Malleus
Innervation of T.tympani
Mandibular nerve CN V3
Muscle that:
Reduces oscillatory range
Prevents excessive movement of stapes
Stapedius
Inserts to Neck of stapes
Stapedius
NS of stapedius
Nerve to stapedius [CN VII]
-pyramidal eminence origin
Stapedius
Contains the vestibulocochlear organ
Conc w/ reception of sound and maintenance of balance
Inner ear
Compositiion of inner ear
Consists of sacs and ducts of membranous labyrinth
Location of inner ear
petrous part of temporalbone
What does the membranous system contain
endolymph and end organs for hearing and balance
What structure is:
surrounded by perilymph
- suspended within bony labyrinth
Membranous labyrinth
Coposirion of BONY LABYRINTH
Composed of:
- Cochlea
- Vestibule
- Semicircular canals
Shell like
Contains the cochlear duct
cochlea
Parts of cochlea
Parts:
- Cupula
- Osseous spiral lamina
- Basilar membr
- Spiral ganglion-
- Organ of Corti
- Scala vestibuli-
- Scala tympani –
What is the CUPULA
apex of cochlea
shelf of bone of cochlea
Osseous spirallamina
att to osl
Basilar membrane
conc w/ auditory perception
Organ of Corti
Scala vestibuli
conc w/ auditory perception
Scala tympani of cochlea is related to?
related to tympanic cavity at fenestra cochlea
Oval bony chamber
About 5 mm
Vestibule
Contains utricle and saccule , w/c are parts of balancing apparatus
Vestibule
The vestibule is continuous with
Continuous:
- Anteriorly w/ cochlea
- Posteriorly w/ SCC
Bony canals w/c open into vestibule
Set at right angles to each other
Semicircular canals
How many semicircular canals are there
3
Anterior
Posterior
Lateral
True or false of the Semicirclar Canals
Forms 2/3 of a circle
About 1.5 mm diam except at swelling called ampulla
TRUE
Sacs and ducts in cavities of bony labyrinth
Follows the form of bony labyrinth but smaller
Membranous Labyrinth
Contains watery fluid, endolymph
Membranous Labyrinth
3 parts of membranous labyrinth
1] utricle and saccule
2] 3 semicircular ducts
3] cochlear duct
Dilatations
With a specialized area of sensory epithelium,macula
Utricle and Saccule
static organs for signaling position of the head in space
Macula
2 types of macula
Macula utriculi – in utricle
Macula sacculi – in saccule
extensions of semicircular ducts which is a sensory area
crista ampullaris
True or false:
Hairs of cristae are supplied by primary sensory neurons whose cell bodies are in audiory ganglion
false
Hairs of cristae are supplied by primary sensory neurons whose cell bodies are in vestibular ganglion
Spiral, blind tube firmly fixed to cochlear canal by spiral ligament
Cochlear Duct
Parts of cochlear duct
Vestibular memb = roof
Basilar memb = floor
Spiral organ [of Corti] = receptor of auditory stimuli
= contains hair cells that respond to vibrations induced in the endolymph by sound waves
Spiral organ or corti
Trace the counterparts of cochlea, SC canal and Vestibule which is bony membranous and sensory organ
Bony Memb Sense organ
Cochlea Cochlear duct Organ of Corti
SC canal SC duct Crista terminalis
Vestibule Utricle/Saccule Macula
Narrow canal
Runs laterally for about 1 cm
Within petrous part of temporal bone
Internal Acoustic Meatus
True or false:
The Interan Acoustic MEatuis is open laterally by a thin, perforated plate of bone that separates it from internal ear
Through his plate pass CN 6, and 7
False:
Closed laterally by a thin, perforated plate of bone that separates it from internal ear
Through his plate pass CN VII, VIII
What divides near lateral end of IAM into anterior cochlear portion and posterior vestibular portion
Vestibulocochlear n
Trace Pathway of Sound Conduction
1Auricle 2 External acoustic meatus 3 Tympanic membrane 4 Ossicles [malleus,incus,stapes] 5 Perilymph vibrations 6Cochlea 7 CN VIII 8 Brain
Conditio where there is Formation of spongy bone around stapes and fenestra vestibuli
Otosclerosis
T or F
Otosclerosis may stop movement of base of stapes
and can cause deafness
TRUE
Inflammation of middle ear
-May spread to tegmen tympani
Otitis Media
True or False:
doesnt cause inflammation of meninges
Fasle:
-Causes inflammation of meninges
Inflammation of external acoustic meatus
Otitis externa
Does otitis externa cause pain?
YES
Movement of tragus causes pain bec cartilage in it is continuous w/ EAM
Forms a route through which infections pass from nasopharynx to middle ear and is blocked by swelling of its mucous membrane
Auditory tuve
In auditory tube,
There is Elevation of pressure in t.c., and retraction of t.m.hence Hearing is reduced
False
Lowering of pressure in t.c., retraction of t.m.
Hearing reduced
Tympanic muscles have protective action
Dampen large vibrations of t.m. from loud noises
Hyperacusia
What is paralyzed in hyperacusis
stapedius [lesion of CN VII results in excessive hearing
Results from uninhibited movement of stapes
hyperacusis
Spherical sinus
At temporal bone
Connected to tymp cavity by aditus
Mastoid antrum and cells
What separates mastoid antrum and cells fromMIDDLE cranial foosaa
Separated from middle cranial fossa by tegmen tympani
Result fr infection of middle ear
During surgery, ENT shld not injure facial nerve, Drill handlers, machine operators, tractor drivers
Mastoiditis
Persistent exposure to loud sounds
Causes degenerative changes in spiral organ at base of cochlea
High tone deafness
Injury to ear by an imbalance in pressure between surrounding air and air in middle ear
In fliers, divers, parachuters,
ototic barotrauma