Ear Flashcards

1
Q

what bone in the skull is the ear associated with

A

petrous temporal bone

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2
Q

what are the 3 parts of the ear?

A

external, middle and internal

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3
Q

what do the middle and external ear do

A

transfer sound to the internal ear

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4
Q

what separates the external and middle ear

A

tympanic membrane

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5
Q

what does the pharyngotympanic tube join

A

middle ear to nasopharynx

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6
Q

what is the auricle made of

A

elastic cartilage

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7
Q

what is the main function of the auricle

A

support the ear, catch and funnel sound to external acoustic meatus

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8
Q

what are the main parts of the auricle

A

helix, lobule, tragus, concha

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9
Q

what is the sensory innervation of the auricle

A

great auricular (for medial surface, back of ear) and auriculotemporal (for anterior ear, tragus)

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10
Q

what is the external acoustic meatus made of

A

cartilage and bone

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11
Q

what epithelium is in the external acoustic meatus and what does it contain

A

stratified squamous
hair follicles, glands, ceruminous glands secreting ear war, blood vessels, nerves

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12
Q

how is the tympanic membrane held within the temporal bone

A

by a fibrocartilaginous ring

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13
Q

what is the tympanic membrane covered in

A

skin externally and mucous membranes internally

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14
Q

why does the tympanic membrane move

A

in response to air vibrations passed to it through the EAM

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15
Q

once the tympanic membrane moves, where does this movement go to

A

transmitted by ossicles through middle ear and to the internal ear

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16
Q

how can the tympanic membrane be examined

A

by an otoscope

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17
Q

what does the cone of light mean when it is seen on an otoscope

A

that the tympanic membrane is healthy and there is no fluid accumulation

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18
Q

what is the middle ear called

A

tympanic cavity

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19
Q

what does the middle ear contain

A

ossicles and muscles, pharyngotympanic tube

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20
Q

what are the ossicles

A

malleus, incus and stapes

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21
Q

what are the 2 muscles in the middle ear

A

tensor tympani and stapedius

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22
Q

what attaches to the tympanic membrane

A

handle of malleus

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23
Q

what attaches to the oval window

A

base of stapes

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24
Q

what do the ossicles do with sound

A

increase the force and decrease the amplitude

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25
why do the ossicles increase force and decrease amplitude of sound
because the inner ear is fluid filled and it needs to change the sound to match the fluid waves
26
what do the small muscles in the middle ear do
dampen/resist movement of ossicles and have protective function over the ear and tympanic membrane
27
where does the tensor tympani insert into
handle of malleus
28
what does the tensor tympani do
pulls handle of malleus medially which tenses the tympanic membrane reducing the amplitude of oscillations (prevent damage)
29
what does the stapedius do
pulls stapes posteriorly reducing range of oscillations and excessive movement of stapes
30
what is the stapedius innervated by
nerve to stapedius
31
what is the tensor tympani innervated by
mandibular division of trigeminal nerve
32
what is the pharyngotympanic tube made of
initially bone and then cartilages
33
what is the function of the pharyngotympanic tube
pressure equalisation between middle ear and atmospheric pressure and replenishes air of middle ear
34
what can occur as a result of the pharyngotympanic tube
middle ear infections
35
what nerves enter the internal acoustic meatus
facial nerve and vestibulocochlear
36
what is the course of the facial nerve
internal acoustic meatus - facial canal (greater petrosal given off) - chorda tympani and nerve to stapedius given off
37
what blood vessels run close to the middle ear
ICA and IJV
38
the roof of the ear is very thin between middle cranial fossa and ear, what does this mean
infection spread to cranial cavity severe infection erodes the bone towards vascular and can affect ICA and IJV meaning systemic spread of infection
39
what are middle ear infections called
otitis media
40
what can chronic infection in the middle ear cause
damage to the ossicles - conductive deafness infection spread to mastoid cells (mastoiditis)
41
how is mastoiditis treated and what do you need to be aware of
antibiotics but mainly surgery so be aware of facial nerve
42
how is the ear connected to the mastoid
through mastoid antrum
43
what is conductive hearing loss
condition of sound production through ossicles causing deafness
44
what is otitis media with effusion
build up of fluid behind tympanic membrane which restricts movement of ossicles
45
how do you fix otitis media
grommets
46
what is contained in the bony labyrinth of the inner ear
vestibule, cochlea, semi-circular canals
47
what fluid does the bony labyrinth contain
perilymph
48
what is the structure of the inner ear
bony labyrinth containing membranous labyrinth
49
what fluid does the membranous labyrinth of inner ear contain
endolymph
50
what does endolymph do
stimulate organs for balance and hearing
51
what bone contains the inner ear
otic capsule
52
what is the function of the cochlea
hearing
53
what is the function of the vestibule
balance
54
what is the function of the semi-circular canals
balance (communicate with vestibule)
55
what signal does the vestibulocochlear nerve convey
motion and hearing
56
where does CNVIII divide
lateral end of internal acoustic meatus
57
what are the 2 divisions of CNVIII
vestibular and cochlear
58
what does the cochlear nerve supply
cochlea
59
what does the vestibular nerve supply
semi-circular canals, saccule and utricle (vestibule)
60
what can damage to the cochlear nerve result in
hearing loss (either neural or conductive)
61
what does the cochlear nerve do
receptor of auditory stimuli
62
what does the vestibular nerve do
balance and equilibrium
63
what can damage to the vestibular nerve do
ataxia, vertigo and nausea