Ear Flashcards
Parts of the incus
Body of incus, long and short limbs
Parts of the malleus
Head of, neck of , anterior and lateral process, handle of malleus
Most medial bone of the osseus chain
Stapes
Largest ossicle
Malleus
Parts of the stapes
Head of, anterior and posterior limbs, base of stapes
What does the head if stapes articulate with
Long limb of incus
2 muscles associated with the ossicles
Stapedius and tensor tympani
Location of tensor tympani
Lies in bony canal above the pharyngotympanic tube, g w of shpenoid, own body canal and inserts into the handle of malleus
Innervation of tensor tympani
Branch from the mandibular nerve
Contraction of tensor tympani
Pulls handle of m medially and so tensing the tympanic membrane
Location if Stapedius
Inside the pyramidal eminence in mastoid wall
Innervation of Stapedius
Branch from the facial nerve
Contraction of Stapedius
Pulls stapes posteriorly and prevents excessive oscillation
Supply to middle ear
1) tympanic branch of the maxillary artery
2) mastoid branch from the occipital and posterior auricular arteries
3) middle meaning earl a,
4) artery of the pterygpid canal and
5) tympanic branch of the internal carotid artery
Venous drainage of middle ear
Pterygpid plexus of veins
Superior petrosal sinus
Innervation of middle ear
1) tympanic plexus by tympanic nerve from glossopharyngeal n and branches of the internal carotid plexus
Location of tympanic plexus
Promontory
Another name for the plexus of nerves surrounding the internal carotid artery
Catoticotympanic plexus
What does the tympanic plexus innervatate
Pharyngotympanic tube , mucous membranes of the middle ear, mastoid area
What major branch does the tympanic plexus give off
Lesser petrosal nerve into the preganglionic parasympathetic fibers to the otic ganglion (exits through foremen ovale)
Location of inner ear
In the petrous part of the temporal bone and between the labyrinthine wall and internal acoustic meatus
3 parts of the bony labyrinth
1) vestibule
2) semicircular canals
3) cochlea
Bony labyrinth lined by
Periosteum
B.L contains
Perilymph
6 parts of the membranous labyrinth
Cochlear DUCT
Lateral anterior and posterior semicircular DUCTS
Utricle
Saccule
Organs of balance
SC DUCTS
utricle
Saccule
Innervation of ML
Vestibulocochlear nerve and divides after entering the internal acoustic meatus
Central part of the bony labyrinth
Vestibule
Narrow canal leaving vestibule into the posterior surface of petrous part of temporal bone
Vestibular aqueduct
Dilated end of semicircular canals
Ampulla
Each canal is in ____ angles to the other two
Right
How many twists does the cochlea turn
2 1/2 or 2 3/4 times around the central column off bone
The central column of bone in cochlea
Modiolus
Thin lamina of bone entering laterally throughout the length of Modiolus
Lamina of Modiolus / spiral lamina
Attachéd to the lamina and held on central position circling around Modiolus
Cochlear duct
2 canals of the cochlear duct
1) scala vestibuli
2) scala tympani
Narrow slit where canals are continuous with each other in cochlea
Helicotrema
Scala tympani is continuous with
The secondary tympanic membrane covering round window
Small channel near round window that opens into the posterior cranial fossa and is a connection between peri lymph and subarachnoid space
Cochlear canaliculus
5 structures that form the vestibular apparatus (organ of balance )
Utricle, saccule and 3 SC DUCTS
Organ of hearing
Cochlear duct
Larger sac
Utricle
Oval,
Elongated and irregular in shape in post sup part of vestibule
Utricle
3 SC DUCTS empty into
Utricle
Smaller rounded sac lying in the antinf part vestibule of BL
Saccule
Cochlear duct empties into
Saccule
Connects utricle and saccule
Atriculosaccular duct
Branches from the atriculosaccular duct and enters vestibular aqueduct
Endolymphatic duct
Channel through the temporal bone
Vestibular aqueduct
An extradural pouch in the posterior aspect f the petrous part of the temporal bone
Endolymphatic sac
Sense organ of utricle and saccule
Macula of utricle and saccule
Sense organ in the ampulla of the SC Ducts
Crista
Utricle responds to
Centrifugal and vertical acceleration
Saccule responds to
Linear acceleration
Receptors in 3 SC ducts respond to
Movement in any direction
Central bony core of the cochlea
Modiolus
Shape of cochlear duct
Triangular
Outer wall against the bony cochlea consisting of thickened epithelial lined periosteum
Spiral ligament
Roof of the cochlear duct which separates endolymph in the cochlear duct from the peri lymph in the scala vestibuli
Vestibular surface membrane
Floor of the cochlear duct which separates endolymph from peri lymph in scala tympani which contains lamina and a ____ to the spiral ligament
Basilar membrane
Organ of hearing that rests on the basilar membrane and projects into cochlear duct
Spiral organ / organ of corti
Arterial supply of the internal ear : BL
1) anterior tympanic branch from the maxillary artery
2) stylomastoid branch from posterior auricular artery
3) petrosal branch from middle memo heal artery
Arterial supply of the internal ear : ML
Labyrinthine artery from anterior inferior cerebellar artery or direct branch from basilar artery
Labyrinthine enters through
Internal acoustic meatus and divides cochlear branch to CD and vestibular branches VA
Venous drainage of ML
Vestibular veins and cochlear veins and come together to form labyrinthine artery which empties into the IPS or SS
Innervation of Inner ear
Vestibular nerve
Cochlear nerve
Vestibular nerve does what in the vestibule
Enlarges to form vestibular ganglion and divides into superior and inferior parts to supply utricle saccule and 3 SCD
Cochlear nerve innervates
Spiral organ
What structures pass through the internal acoustic meatus
Facial nerve
Labyrinthine artery
Vestibulocochlear nerve
Enlargement of the facial nerve,
Geniculate ganglion
Facial nerve exists the skull through
Stylomastoid foremen
Branches of the facial nerve
Greater petrosal nerve
Nerve to Stapedius and
chorda tympani
Chords tympani passes through which 2 osscicles
Malleus and incus
How does the chords tympani nerve exit the skull
Petrotympanic fissure
How does the tympanic membrane move when sound strikes
Medially
Handle of malleus moves
Medially
Head of malleus moves
Laterally
Head of incus moves
Laterally
Long process of incus moves
Medially
Head of stapes moves
Medially
Oval window moves
Medially
Characteristic of the sound wave
Large amplitude
Low force
Airborne
Characteristic of the wave after it enters the tympanic membrane
Small amplitude
High force
Vibrations
What happens after the wave causes the 2ndary TM of the round window to bulge
Basilar membrane vibrates which leads to the stimulation of receptor cells in the spiral organ
What does the contraction of the muscles do
Dampen vibration
Decrease the force of vibrations reaching oval window
Projects on the side of head
Auricle
Outside rim
Helix
Only part attached to helix not supported by cartilage
Lobule
Hollow center
Concha of auricle
Elevation ant to opening
Trafus
Opposite to elevation
Anti tragus
Smaller curved rim parallel to helix
Antihelix
Changes shape f auricle
Intrinsic muscle
Length of EAM
2.5 cm or 1”
How to examine the EAM
Pull pos sup slightly lateral
Layers of the tympanic membrane
Skin, connective tissue core and mucous membrane
Attaches TM to tympanic part of temporal bone
Fibrocartilaginous ring
Tympanic membrane position.
At an angle sloping medially from top to bottom and posteriorly tonanteriorly inf ant
Cartilaginous part of EAM
Lateral 1/3
Wat produces cerumen
Modified sweat glands
Where is the cone of light found
Anteroonferior to the unbo of tympanic membrane
Most superior part to umbo
Lateral process of malleus
Folds found in the internal surface of membrane
Posterior and anterior malleolar folds
Superior to fold on TM
Pars flaccida
Rest of he taut TM
Pars tensa
Characteristic appearance of TM
Gray reddish tinge and translucent
Three illnesses of the ear
Otitis media , externa, interna
Trauma infection
Mastoiditis
Osteomyelitis
Where does the chorda tympani nerve pass in TM
Upper 1/3 of TM
Air filled mucous membrane lines in temporal bone
Middle ear
Two parts of the middle ear
Tympanic cavity and epitymPanic recess
Middle ear communicates with
Mastoid area pos and nasopharynx ant
Roof of middle ear
Tegmental wall
Tegmen tympani separates
Middle ear from middle cranial fossa
Floor of middle ear
Jugular wall
Thin layer of bone than separates the ME from the internal jugular vein
Mastoid air cells
Opening in floor
Tympanic branch from the glossopharyngeal nerve
Lateral wall
Membranous wall
Posterior wall
Mastoid wall
Lower part of the mastoid wall has a bony partition that separates the
Mastoid air cells from tympanic cavity
Three openings on the mastoid wall
Aditus to the mastoid Antrum
Pyramidal eminence
Entrance of chorda tympani nerve to ME
Small elevation of tendon of Stapedius muscle
Pyramidal eminence
Thin layer of bone that separates Tcavity from I J V found in
Anterior wall
Three openings on anterior wall
Large entrance of the pharyngotympanic tube
Smaller canal for tensor tympani muscle
Fora men for Chorda tympani nerve exit
Lateral wall of ME
Labyrinthine wall
Rounded bulge
Promontory
What forms the promontory
Basal coil of cochlea
Nerves on promontory
Tympanic plexus
Contribute to tympanic plexus
Tympanic nerve from the glossopharyngeal nerve and internal carotid plexus
Tympanic plexus innervates
Pharyngotympanic tube
Mucous membranes of the ME
Mastoid area
Tympanic plexus gives rise to
Lesser petrosal nerve
Postsup to promontory and point of attachment to footplate
Oval window
Postinf to promontory
Round window
Ridge of bone produced by facial nerve
Prominence of facial canal
Post and sup to oval window
Prominence of facial canal
Above and posterior prominence of facial canal
Prominence of LATERAL semicircular canal - broader ridge of bone
Air filled spaces
Mastoid cells
Tegmen tympani separates the middle cranial fossa from
Mastoid Antrum
Middle ear
Nerves for the outer auriCle
Great auricular nerve from cervical plexus
Lesser occipital nerve from cervical plexus
Auriculotemporal branch of the mandibular nerve
Innervation of deep auricle
Facial nerve
Vagus nerve
Arterial supply of auricle
External carotid a gives posterior auricular a
Superficial temporal artery gives ant auricular branches
Occipital artery supplies a branch
Lymph drainage of auricle
Mastoid nodes
Parotid nodes
Upper deep cervical nodes
Innervation of external acoustic meatus- 3
Branches of Auriculotemporal N from mandibular nerve
Auricular branch of vagus nerve
Branches from facial nerve
Innervation of tympanic membrane
Skin - Auriculotemporal n from v3 Auricular branch of vagus nerve Small contribution to auricular branch from facial n Glossopharyngeal n Mm- glossopharyngeal n
Innervation of the pharyngotympanic tube
Tympanic plexus from tympanic nerve which is a branch of the glossopharyngeal n
supply to pharyngotympanic tube
1) Ascending pharyngeal artery from external carotid a
2) 2 branches of the maxillary artery - middle meningeal artery and artery of the pterygoid canal
Venous drainage of pharyngotympanic tube
Pterygoid plexus of veins
Tensor tympani innervates by
Branch of mandibular nerve
Stapedius innervates by
Branch of facial nerve
Middle ear Innervation
Tympanic plexus- tump n - g n + internal carotid plexus
Supply to mE
Tympanic branch of Maxillary artery
Mastoid branch of occipital A or post auricular artery
Mma, a of pterygpid can, tymp branches from internal carotid arteries
Venous drainage of me
Ppv and sps