middle ear Flashcards
Describe the tympanic membrane in 4 ways
Thin, Semi-Transparent, Disc-like, Concave
The tympanic membrane separates the ___ from the ___
Middle ear cavity; Outer ear
How many layers is the tympanic membrane composed of?
3
What are the 3 layers of the Tympanic Membrane?
Lateral Surface, Middle Layer, Medial Surface
The epithelial layer of the Tympanic Membrane. Composed of skin that is continuous with the External Auditory Canal
Lateral Surface
Layer of TM composed of fibrous connective tissue
Middle Layer
Layer of TM that helps the TM vibrate in response to acoustic stimuli.
Middle Layer
Layer of TM formed by the mucus membrane which lines the middle ear
Medial Surface
Edges of the TM end in fibrocartilagenous ring called the
Tympanic annulus
What is the bony groove that the tympanic annulus fits into?
Tympanic sulcus
What quadrant is the cone of light in on the TM?
Anterior inferior
Behind the Anterior Superior quadrant of the TM is the…
Eustation tube
How should the TM appear in an otoscopic examination?
Smooth, pearly gray, concave.
TM may appear red or pink due to
infection
What are the 5 otoscopic landmarks of the TM?
Cone of light, umbo, manubrium of malleus, pars tensa, pars flaccida
What are 2 pathologies of the Tympanic membrane?
Perforation and Tympanosclerosis
When the TM thickens up so much that it becomes calcified
tympanisclerosis
What is the opening in the roof of the middle ear called?
The aditus
What are the 3 bones of the middle ear?
The malleus, Incus and stapes
What are the 6 walls of the middle ear called?
Superior wall, Inferior Wall, Lateral Wall, Medial Wall, Posterior Wall, & Anterior Wall
Also known as the auditory tube
Eustachian tube
Allows air to enter Middle Ear & provides pressure equalization with atmospheric pressure to maximize Tympanic Membrane mobility
Eustachian tube
Is the eustachian tube open or closed in adults?
closed but can be opened
Largest of the 3 middle ear bones
Malleus
This is imbedded in the oval window
The footplate of the stapes
The 3 middle ear bones make up the
Ossicular chain
What are the 2 middle ear muscles
Stapedius and tensor tympani
The middle ear impedance matcher changes ___ energy into ___ energy
acoustic; mechanical
What 2 things help intensify the energy to get it through to the fluid filled cochlea
Vibrating area of the TM and lever action of the ossicles
Can be caused by swelling with estuation tube opening. Caused by infection, allergies, adenoids swelling.
Negative middle ear pressure
Any infection of the mucus membrane lining of the middle ear cavity.
Suppurative otitis media
When fluid thickens and bacteria multiplies and accumulates in the middle ear cavity.
Mucous Otitis Media/Glue Ear
What can Otitis media be treated with?
Antibiotics or surgery (tubes)
a cystic mass in the middle ear that is composed of blood protein and cholesterol inside, outer lining is skin
Cholesteatoma
The most frequent cause of chronic progressive hearing loss during early and middle adulthood. Etiology is unknown. It occurs in otherwise healthy individuals
Otosclerosis