Ears nose and throat lecture Powerpoint Flashcards
sdfl
Auricular hematoma
Collection of blood underneath perichondrium of ear often leading to deformity known as cauliflower ear
Otitis externa
Infection of the external ear, also known as swimmer’s ear
distal 1/3rd of external ear is ____, proximal 2/3rd is ____ and is painful when touched
cartilage with ceruminous glands and hair follicles, temporal bone painful when touched
Umbo
Where the malleus bone attaches to the tympanic membrane
Cone of light
Reflected light on the anterior inferior quadrant of the tympanic membrane when viewed via otoscope, points at the umbo and if distorted could indicate ottitis media
Pars flaccida and pars tensa
- Pars flaccida is the flaccid upper portion of the tympanic membrane that has the pars flaccida pass deep to it.
- Pars tensa is the inferior majority portion of the eardrum, more likely to undergo perforation
Myringotomy tube
A surgical implant onto the tympanic membrane to allow for fluid to continually exit the middle ear preventing infection from occurring, especially if the eustachian tube cannot drain
Ossicles order
- Tympanic membrane
- Malleus
- Incus
- stapes
- oval window
Example of how children are more likely to have otitis media from fluid buildup
The eustachian tube angle increases as children grow allowing for easier equilization of pressure/release of fluid in adults and thus fewer infections
Tympanic reflex
Protect the cochlea in response to loud noises via the tensor tympani and stapedius muscles, does not protect against prolonged loud noises only building noise like thunder
Tensor tympani and stapedius muscle functions
Tensor tympani - pull eardrum inward tightening it
Stapedius - reduces mobility of stapes
Tympanosclerosis
White plaque scar tissue buildup on the tympanic membrane
The inner ear is a membranous labyrinth within a….
…bony labyrinth
3 parts of the inner ear
Vestibuble
Cochlea
semicircular canals
Unlike the outer and middle ears, the inner ear is filled with…
fluid
Vestibule
Central cavity of bony labrynth containing the utricle and saccule
Utricle and Saccule
Hold equilibrium receptor regions within the vestibule that respond to the pull of gravity and the changes in head position in a straight line
Semicircular canals
Part of the bony labyrinth that have an ampula on one end that respond to movements of the head in rotational movement
Otolith
Free moving ear stone that moves linearly in the utricle and saccule to stimulate hair cells to detect linear acceleration
Ampulla
Located on the end of a semicircular canal and houses a cupula
Cupula
Cap where hair cells are located within an ampula within a semicircular canal that contains endolymph and hair cells stimulated to detect rotational acceleration
Cochlea
Part of the bony labrynth that houses the organ of corti and extends in a spiral shape from the oval window to the round window, with a varying basalr membrane on the floor throughout that is stimulated by different frequencies
Hearing mechanism
- Sound hits tympanic membrane
- tympanic membrane vibrates ossicles
- Ossicles fibrate oval window
- fluid wave stretches the basilar membrane at a certain frequency
- Basilar membrane oscillates
- Organ of corti hair cells at that frequency locus bend
- Hair cells send an ap down cochlear nerve
Organ of corti
Sensory organ of hearing, spans width of the cochlea, is vibrated by the basilar membrane at varying frequency loci to send an AP interpreted as sound to the brain
Ala nasi
Wing like protrusions at the base/entrance of the nose
Nasal conchae/turbinates
Scroll shaped bony elements that increase the surface area of the nose and allow for humidifaction and cleansing of bacteria
Length of the nasal cavity
Nostrils to posterior naris (choana)
Olfactory mucosa
Lines the roof of the nasal fossa at the cribiform plate of the ethmoid bone to allow for olfaction
Frenulum
Small ridges of tissue that support the motion of where it is attached, for example the lingual frenulum underneath the tongue
Wharton’s duct
Opening of the submandibular salivary gland under the tongue near the frenulum
Stenson’s duct
Opening of the parotid duct on the inner cheek near the 2nd molar
3 intrinsic salivary glands of the mouth
Parotid
Submandibular
Sublingual
Facial nerve provides taste on the…
…anterior 2/3 of the tongue
Glossopharyngeal nerve provides taste on the….
…posterior 1/3 of the tongue
Different chemical receptors responsible for the 5 sensations of taste
- sodium
- potassium
- chloride
- adenosine
- inosine
- sweet
- bitter
- glutamate
- H+ ion (acidic)