Ear Flashcards

1
Q

What is the location and shape of the middle ear?

A

The middle ear is an air-filled cavity in the petrous part of the temporal bone, shaped like a biconcave disc.

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2
Q

What are the boundaries of the middle ear?

A

Roof: Tegmen tympani; Floor: Jugular wall; Lateral: Tympanic membrane; Medial: Inner ear wall; Anterior: Eustachian tube opening; Posterior: Mastoid antrum.

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3
Q

What are the contents of the middle ear?

A

Ear ossicles (malleus, incus, stapes), muscles (tensor tympani, stapedius), chorda tympani nerve, and the tympanic plexus.

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4
Q

What is the nerve supply of the middle ear?

A

Innervated by the tympanic plexus, derived from the glossopharyngeal nerve (CN IX) and sympathetic fibers.

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5
Q

What is the applied anatomy of the middle ear?

A

Otitis media, conductive hearing loss, perforation of the tympanic membrane, and mastoiditis.

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6
Q

What is the tympanic membrane?

A

A thin, oval, semi-transparent membrane that separates the external ear from the middle ear.

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7
Q

What are the layers of the tympanic membrane?

A

Outer: Skin; Middle: Fibrous layer; Inner: Mucous membrane.

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8
Q

What is the external auditory meatus?

A

A canal extending from the auricle to the tympanic membrane, conducting sound waves.

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9
Q

What are the parts of the internal ear?

A

Bony labyrinth (vestibule, semicircular canals, cochlea) and membranous labyrinth (utricle, saccule, semicircular ducts, cochlear duct).

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10
Q

What are the ear ossicles?

A

Malleus, incus, and stapes—tiny bones that transmit sound vibrations from the tympanic membrane to the inner ear.

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11
Q

What is the nerve supply of the pinna?

A

Auriculotemporal nerve (V3), great auricular nerve (C2, C3), lesser occipital nerve (C2), and auricular branch of vagus (CN X).

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12
Q

What are the contents of the middle ear?

A

Ear ossicles, muscles (tensor tympani, stapedius), chorda tympani nerve, and tympanic plexus.

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13
Q

What are the parts of the internal ear?

A

Cochlea, vestibule, semicircular canals, utricle, saccule, and endolymphatic duct.

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14
Q

Which diagrams should be drawn for the ear?

A

External tympanic membrane (otoscope view), lateral auricle surface, and medial wall of the middle ear.

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15
Q

What is the tympanic membrane?

A

A thin, oval, semi-transparent membrane that separates the external ear from the middle ear and transmits sound vibrations.

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16
Q

What are the parts of the tympanic membrane?

A

Pars tensa (main tense portion) and pars flaccida (small, lax portion near the anterior-superior quadrant).

17
Q

What are the surfaces of the tympanic membrane?

A

Outer (lateral) surface facing the external auditory canal and inner (medial) surface facing the middle ear.

18
Q

What is the arterial supply of the tympanic membrane?

A

Branches of the deep auricular artery (from maxillary artery) and anterior tympanic artery (from external carotid system).

19
Q

What is the venous drainage of the tympanic membrane?

A

Drains into the pterygoid venous plexus and external jugular vein.

20
Q

What is the nerve supply of the tympanic membrane?

A

Outer surface: Auriculotemporal nerve (V3) and auricular branch of vagus (CN X). Inner surface: Glossopharyngeal nerve (CN IX).

21
Q

What are the layers of the tympanic membrane?

A

Outer epidermal layer (continuous with external auditory canal), middle fibrous layer, inner mucosal layer (continuous with middle ear).

22
Q

How is the tympanic membrane examined?

A

Using an otoscope to assess color, position, light reflex, and presence of perforations or fluid behind the membrane.

23
Q

What are common findings in tympanic membrane examination?

A

Normal: Pearly gray with a visible light reflex. Abnormal: Bulging (infection), retraction (Eustachian tube dysfunction), perforation, or fluid accumulation.

24
Q

How does the tympanic membrane develop embryologically?

A

Develops from all three germ layers: Ectoderm (external layer), mesoderm (fibrous layer), and endoderm (inner mucosal layer). Forms from the first pharyngeal membrane.

25
Q

What is the clinical importance of tympanic membrane development?

A

Congenital anomalies can lead to hearing defects. Perforations or scarring can affect sound conduction.