Final Review Q&A Flashcards
- What are the 2 main functional purposes of the pinna?
- Filters acoustic input (amplifies and dampens various sounds)
- Vertical plane sound localization
- What are the major audiological consequences of pinna damage?
none; only minor damages.
trouble wearing a BTE HA
- The children the ear canal is roughly what direction? In adults?
Children: mostly perpendicular to
Adults: roughly perpendicular, but slightly downward at the end (helps avoid water collection)
- What is the general shape of the ear canal? What is it shaped like this?
“lazy S-shaped”;
-pars externa= inward, forward, and upward
-pars media= inward and backward
-pars interna= inward, forward, and downward
curvy nature of EC provides protection against puncturing the TM.
- What portion of the ear canal is surrounded by cartilage? Bone?
Cartilage: lateral 1/3 of EC (dynamic glands and hairs)
Bone: other 2/3 of EC (fixed size and skin tight lining)
-bony portion not fully formed in kids until 3 so be careful, can affect immittance measurements
- Cerumen is produced in what part of the ear canal?
the lateral 1/3 of the EC
-cerumen: subacious glands (oily-lubrication) + ceruminous glands (waxy)
- What is the function of cerumen?
lubrication
protection (antibacterial, anti-fungal, and anti-insectual properties)
- The ear canal primarily acts like what kind of resonator?
an open-closed pipe resonator. The closed end is not completely reflective, causing the peaks in the output response to be broadly tuned.
- At what frequency is the primary resonance of the ear canal and meatus?
2.5 kHz
- What parts of the body contribute to the resonances by the time one reaches the tympanic membrane?
- head
- neck, torso, etc.
- concha
- pinna
- EC and TM
generally, there is a boost from 2-7kHz
- What portion of the Eustachian tube is surrounded by cartilage? bone?
Bone: superior 1/3 portion
Cartilage: inferior 2/3 portion
*at rest, cartilage portion is closed and during action opens b/c of 2 muscles, levator veli palatini and tensor veli palatini.
- What nerve runs next to the middle ear cavity?
The facial nerve (CN VII)
- What is the promontory? What is its function?
“big bump” that is the basal turn of the cochlea.
Function: protects both windows by being the first contact point of objects through the middle ear.
- What vein runs next to the inferior wall of the middle ear cavity? What type of tumor is common to destroy this wall?
jugular vein
glomus jugulare tumor
- The children the Eustachian tube is roughly at what angle? In adults?
Children: almost horizontal
Adults: downwards at a 45 degree angel
- What are the names of the ossicles?
Malleus (hammer), Incus (anvil), and Stapes (stirrup)
- The middle ear bones solves what major problem in the transduction of sound?
The impedance mismatch of going from the large surface area of the TM to the small surface area of the oval window.
- What are the three mechanisms that the ossicles improve sound transduction?
- change in surface area
- lever action- acting like a tetter totter (2 arms; one longer than other)
- buckling of the TM
- The tympanic membrane moves in what direction?
Inward toward the ME in a buckling motion.
- Which of the ossicles is the weakest and most likely to break?
Incus- at its long process specifically.
- The cochlea is house where?
In the temporal bone
- What boney element surrounds the cochlea?
The otic capsule, the skeletal element enclosing the inner ear mechanism
- What are the types of temporal bone fractures? How often do they each occur? Which is worse?
Types: longitudinal (70%) and transverse (30%).
How: Longitudinal TB fractures occur because of severe head injuries. Cause: SN, C HL, Balance problems, and facial nerve damage/paralysis (20%). Transverse fractures occur because of fractures through the otic capsule and internal auditory meatus (IAM). Cause: profound SNHL, severe vertigo, and facial nerve damage/paralysis (50%).
Transverse fractures are worse.
- The cochlear has how many turns?
2.5 (2.2-2.9) turns— turns are smaller at apex than at base