Final Flashcards
Tragus
Goats beard. Small triangular protrusion which points slightly backwards and forms the anterior portion of the auricle
External auditory canal
Same at external auditory meatus
Cerumen
Earwax. From sebum secretions from sebaceous glands
Condyle
Protrusion of the mandible, comes to rest where inner and outer ear canals meet when jaw is at rest (osseocartilagenous junction)
Temporomandibular joint syndrome
Whe mandible overrides normal position and condyle presses into (osseocartilagenous) junction causing pain
Otalgia
Ear pain
Auricle
Same is Pinna
Myofacial pain dysfunction syndrome (mpd)
Sometimes used to describe pain in the temporomandibular joint, along with headaches;grating sounds; dizziness; and back, neck, and shoulder pain. Can be related to emotional stress
Crepitus
Hearing grating sounds
Tympanic membrane
Ear drum, At end of ear canal, protected from trauma and kept at constant temp and humidity. Ear canal filters frequencies and is a resonator for frequencies 2000-7000hz
Three layers of tympanic membrane from eac
1) skin
2) tough,fibrous, connective tissue-ability to vibrate with sound waves
3) mucous membrane that lines middle ear space
Malleus
Largest bone of the middle ear. Imbedded in fibrous portion of Tympanic membrane
Umbo
The point of greatest retraction of the ear drum caused by the malleus pulling it inward
Annulus
Ring of tissue that holds the tympanic membrane in position
Pars tensa
The greatest surface area of the tympanic membrane. It is taut and thus the name
Pars flaccid a
Aka shrapnell’s membrane. At the top of the tympanic membrane above the malleus where the tissues are looser because they contain only the epidermal and mucous membrane layers
Pharyngeal arches
Bulges that begin to appear on either side of the human embryo 28 days after conception which will become the head and neck (first three: mandibular, hyoid, and glossopharyngeal arches)
Three layers of pharyngeal arches
Ectoderm-outer layer
Entoderm - inner surface
Mesoderm- inner core
Each arch has artery, muscle, and cartilage from mesoderm and nerve from ectoderm
Development of ear from pharyngeal arches
First two arches-auricle
First arch-Tragus
Helix and antitragus- second arch
Mesenchyme
A network of embryonic tissue that later forms the connective tissues of the body and blood vessels and lymphatic vessels. This forms middle layer of tympanum
Microtia
Very small ears (Pinna)
Anotia
Entirely absent Pinna
Atresia
When ear canal never forms (otic atresia)
CHARGE syndrome
Genetic disorder C- coloboma H- heart disorders A- atresia choanae R- retarded growth and development G- genitourinary abnormalities E- ear abnormalities
External otitis
Infection of skin of the external auditory canal (swimmers ear)
Otomycosis
Fungal ear infections, rare
Furunculosis
Infection of hair follicles, may begin with infection of a single hair in the lateral third of the external auditory canal and spread to involve the entire area
Myringitis
Inflammations of the tympanic membrane
Osteitis and osteomyelitis
Caused by routine infections of skin of EAC, can be massive bone destruction of ears. These are when it has spread to the tymporal bone though and are often fatal
Exostoses
Outward projections for the surfaces of bone. Can be confused with osteomas which are bony tumors. Neither of which cause hearing loss typically
Pressure-equalizing tubes (PE tubes)
Aka tympanostomy tube, inserted through an incision in the tympanic membrane to keep the middle ear patent
Cerumenolytic
A chemical substance known to soften earwax safely
Myringoplasty
Surgical repair of a perforated tympanic membrane
Tympanosclerosis
Calcium plaques which add mass to the tympanic membrane and interfere with its vibration but sometimes cause no noticeable hearing loss
Don’t respond well to surgical treatment
Jugular bulb location
Below the floor of the middle ear
Carotid artery location
Behind the anterior wall of the middle ear
Mastoid process location
Behind the posterior wall of the middle ear
Epitympanic recess
The space in the middle ear above the tympanic membrane
Nasopharynx
The area where the back of the throat and the nose communicate. Middle ear is connected to this by Eustachian tube
Two other names for Eustachian tube
Auditory tube and pharyngotympanic tube
Middle ear cleft
Formed by the Eustachian tube and the middle ear
Lined by musous membrane
Mucous membrane
Same lining found in the nose and paranasal sinuses. Lines the middle ear cleft including the surface of the tympanic membrane
Cilia
Small hairlike projections that provide a motion similar to that of a wheat field in the wind. Cilia in middle ear create a wiping action that helps to cleanse the middle ear by moving particles down and out of the Eustachian tube
Pneumatic mastoid
Formed by the cells of the skull bones which surround the ear. These cells are not solid but honeycombed with air cells. Theses cells are lined with non ciliated mucous membrane. Part of temporal bone
Aditus ad Antrum
The middle ear opens up, back, and outward in an this area to communicate with the mastoid
Promontory
Protrusion of the bony portion of the inner ear which extends into the middle-ear space. Caused by the basal turn of the cochlea.
Separates two connections between the middle and inner ear
Oval window
Above the promontory, filled by a membrane that supports the base of the stapes, the tiniest bone in the human body
Round window
Below the promontory, covered by a very thin, but tough and elastic, membrane
Ossicles
The three small bones of the middle ear
Malleus, incus, and stapes
Manubrium of the malleus
Is embedded in the middle (fibrous) layer of the tympanic membrane. Extends from the upper portion of the t.m. to its approximate center (the Umbo)
Parts of the incus
Head of malleus is connected to body of incus. Incus has long process (crus) which turns abruptly to a very short crus, the lenticular process. The end of the lenticular process sits squarely on the head of the stapes
Parts of the stapes
Head, neck, and two crura. Posterior crus is longer and thinner than anterior to aid in its rocking motion. The base or footplate of the stapes occupies the space in the oval window
Fallopian canal
A bony channel covered with mucous membrane. Passes through the middle ear as a protrusion on its medial wall. Contains a portion of the facial nerve (CN VII)
Facial nerve
Runs beside the auditory nerve (CN VIII) as the two travel to the brainstem
Chorda tympani
A branch of the facial nerve that passes through the middle eat space. This nerve carries info about the sensation of taste from the anterior 2/3 of the tongue. Can act as an obstruction during middle ear surgery
Stapedius muscle
Originates in the posterior (mastoid) wall of the middle ear. When contracted the stapes moves to the side and tenses the membrane in the oval window, reducing the amplitude of vibration. Innervates by facial nerve.
Length 7 mm, cross section 5 mm squared
Responds to loud sounds
Tensor tympani muscle
Encased in a small bony cavity. Inserts in manubrium of malleus, contracts to move the malleus so that the tympanic membrane becomes tense. Innervates by the trigeminal nerve (CN V)
Length 25 mm, cross section 5 mm squared
Air to eye =contraction
Politzerization
One way to pressurize middle ear when tympanum is retracted and no fluid is present.
One nostril is closed while an olive tip, connected to a tube or nebulizer, is held tightly in the other nostril. The patient elevated the soft palate by saying “k,k,k” and then swallows
Valsalva
Maneuver where patient auto inflates the Eustachian tube by increasing pressure via forced expiration with the nostrils held shut
Toynbee maneuver
Accomplishes Eustachian tube opening when the patient closes the jaw, holds the nose, and swallows
Otitis media
Infection of the middle ear space. Most common disorders of the middle ear causing conductive hearing loss. 70% us. Holden before age 2
Barotrauma
Sudden changes in air pressure as when flying or diving