Ear (stephens) Flashcards
3 divisions of the ear
external ear
middle ear
internal ear
external ear structures and function
auricle (pinna) and external auditory meatus
-collect and conduct sound, and protect eardrum
blood supply to the auricle
superficial temporal and posterior auricular artery
sound conduction
sound vibrations are conveyed to the inner ear via vibrations of ossicles and fenestra vestibuli
- air conduction and fenestra cochlea
- bone conduction through petrous temporal bone
hearing receptors in inner ear are protected from trauma by 3 mechanisms
1) sudden, loud sounds cause footplate of stapes to rock side to side rather than depress directly into fenestra vestibuli
2) continuous loud sound cause contraction of stapedius and tensor tympani muscles and attenuation of vibrations
3) cochlear pathway in CNS is capable of filtering, focusing and attenuating sound
auricular hematoma
trauma to pinna may cause hemorrhaging in subcutaneous tissue
-if not evacuated and bandaged scar tissue may grossly deform auricle into cauliflower ear
(superficial temporal and posterior auricular arteries)
external auditory meatus shape and length
2.5 cm, curves slightly anteriorly as it ends blindly at tympanic membrane
how to examine external auditory meatus during otoscopic examine
pull upward, outward and backward on auricle
tympanic membrane location and size
located at medial end of external auditory meatus
- 1 cm in diameter
- tilted forward, lateral and downward in canal
3 layers of tympanic membrane
outer epidermis innervated by GSA fibers from trigeminal and vaugs nerves
middle fibrous layer forms pars tensa
-absence of this in antero-superior quadrant forms pars flaccida
inner mucous membrnae innervated by GVA fibers of IX near tympanic plexus
where does the chorda tympani nerve course through in tympanic membrane
through anterior and posteior mallear folds
what is superior-anterior to tympanic membrnae
auditory tube
what is superior-posterior to the tympanic membrane
long process of incus, stapes, fenestra vestibuli
what is inferio-posterior to tympanic membrane
-clinical sig
fenestra cochlea
-electronic ray for cochlear implants here
what is inferio-anterior to tympanic membrane
carotid canal
malleus articulates with ___ and what nerve crosses its neck
articulates with incus
-chorda tympani crosses its neck