Special Senses hearing Flashcards
conducts soundsto tympanic memb
External acoustic meatus
collects sounds
Auricle
Consists of single elastic cartilage which is continuous w/ cartilage of ext acoustic meatusContains hair,sweat/sebaceous glands
Auricle
no cartilage, can be pierced for earring
Lobule
External acoustic meatus extend from concha to
Tympanic membrane
External Acoustic Meatus
S shape 2.5 cm long
External Acoustic Meatus
Composition
Lateral/3 = cartilage
-Medial 2/3 = bony
Infants
Pure cartilage
External Acoustic MeatusLateral partLined w/ skinContents
Hair follicles
Sebaceous gl
Ceruminous gl
•prod cerumen
External medial part
Lined w/ thin skin
Isthmus= constricted part
External Acoustic Meatus>Arterial supply
1] Post auricular branch of external carotid artery
2] Deep auricular branch ofmaxillary artery
3] Auricular br of superficial temporal artery
External acoustic meatus venous drainage
1] External jugular vein
2] Maxillary vein
3] Pterygoid plexus
External Acoustic MeatusNerve supply
1] Auriculotempral n fr CN V
2] Tympanic plexus fr CN VII
3] Auricular branch fr CN X
When doing otoscopic exam, know the
Anatomy of external acoustic meatus
Pull the ear
Superiorly
Posteriorly
Laterally
Thin, semitransparent,oval membrane
Medial end of EAM
Separates external from middle ear
Tymphanic membrane
Tympanic membrane
Oblique and slopes inferomedially
Pearly gray and shiny
Fr umbo, bright area emanates called
Cone of light
Vibrations are transmitted from TM by auditory ossicles through the
Middle ear to internal ear
Concavity toward the meatus w/ a central depression, umbo, formed by handle of malleus
Tympanic membrane
Tympanic MembraneArterial Supply
Maxillary artery
Deep auricular a -Posterior auricular a-Tympanic branch
Tympanic membrane venous drainage
External jugular vein
Tympanic membrane nerve supply
Auriculotemporal n [CN V3
Deafness-Etiology:> Foreign Bodies> Infection> Excessive Pressure as in scuba diving
Perforation of TM
During PE of tympanic membrane pull the auricle
Superiorly
Posteriorly
Laterally
Narrow cavity in petrous part of temporal bone
Middle ear
Middle ear contents
Auditory ossiscles
Stapedius
Tensor tympani
Chorda tympani n
Middle ear connections anterior
Nasopharynx
Middle ear connections, postero superior
Mastoid antrum
formed by tegmen tympani
-separates ME fr dura
Roof or tegmental
formed by bone
-sep ME fr int jugular vein
Floor or jugular
formed by tymp membr
Lateral or membranous
Semicircular ducts and cochlea
-sep ME from inner ear-2 small windows
Medial or labirynthine
closed by base of stapes
-through this window, vibrations of stapes are transmitted to inner ear
Fenestra vestibuli
closed by a secondary TM
-allows perilymph to move in response to impulses
Fenestra cochlea
leads to mastoid antrum via an opening, aditus
Posterior or mastoid
pyramidal eminence contains the stapedius mm
Posterior or mastoid
Interior or Carotid wall2 openings w/c connects
1] w/ canal occupied by tensor tympani
2] w/ nasopharynx thru auditory tube
Funnel shaped
Connects NP to middle ear
Auditory tube
Auditory tube measurement
3.5 to 4.0 cm long
1/3 bone, 2/3 cartilage
Auditory tube Equalize pressure in middle ear w/
ATM pressure
Auditory tube arterial supply
1]Ascending pharyngeal a
2]middle meningeal art
3] artery of pterygoid canal
Auditory tube venous drainage
Pterygoid plexus
Auditory tube nerve supply
Tympanic plexus[CN VII and IX
Ear bones
Form a chain across middle ear
From TM to oval window
Function: Increase the force but decrease amplitude of vibrations transmitted fr TM
Auditory ossicles
Auditory ossicles consist of
1] MALLEUS
2] INCUS
3] STAPES
Part of malleus
rounded superior partlies in epitympanic recessarticulates w/ incus
Head
Part of malleus
lies vs flaccid part of TMwhere chorda tympani nerve crosses
Neck
Part of malleus
embedded in TMwhere tendon of tensor tympani inserts
Handle
Part of incus
Artic w/ head of malleus
Body
Part of incus
Artic w/ stapes
Long process
Part of incus
Connected to tympanic cavity by a ligament
Short process
Part of incus
Artic w/ head of stapes
Lenticular process
Part of stapes
fits into oval window
Base
Part of stapes
artic w/ lenticular proc of incus
Head
2 cm longOrigins
-cartilaginous part of auditory tube-greater wing of sphenoid bone-petrous part of tempbone
Tensor tympani
Insertion of tensor tympani
Handle of malleus
Nerve supply of tensor tympani
Mandibular n [CN V3
Action of tensor tympani
pulls handle of malleus thus tenses TM
reduces amplitude of oscillations
prevents damage to int ear when exposed to loud sounds
STAPEDIUSOrigin
Pyramidal eminence
Insertion of stapedius
Neck of stapes
Nerve supply of stapedius
Nerve to stapedius [CN VII
Action of stapedius
Reduces oscillatory range
-Prevents excessive movement of stapes
Contains the vestibulocochlear organConc w/ reception of sound and maintenance of balance
Internal ear
In petrous part of temporal boneConsists of sacs and ducts of membranous labyrinth
Internal ear
Membranous sys contains endolymph and end organs for hearing and balance
Internal ear
surrounded by perilymph
-suspended within bony labyrinth
Membranous labirynth
Bony labirynth consist of
- Cochlea
- Vestibule
- Semicircular canals
Shell like
Contains the cochlear duct
Cochlea
apex
Cupula
Shelf of bone
Osseous spiral lamina
att to osl
Basilar membrane
conc w/ auditory perception
Organ of corti
opens into vestibule
Scala vestibuli
related to tympanic cavity at fenestra cochlea
Scala tympani
Oval bony chamberAbout 5 mmContains utricle and saccule, w/c are parts of balancing apparatus
Vestibule
Vestibule continuous
- Anteriorly w/ cochlea
2. Posteriorly w/ SCC
Bony canals w/c open into vestibuleSet at right angles to each other
Semicircular canals
Semi circular canal
About 1.5 mm diam except at swelling called
Ampulla
Semicircular canals three
AnteriorPosteriorLateral
Sacs and ducts in cavities of bony labyrinthFollows the form of bony labyrinth but smallerContains watery fluid, endolymph
Membranous labirynth
Membranous labirynth consist of
1] utricle and saccule2] 3 semicircular ducts3] cochlear duct
Dilatations
With a specialized area of sensory epithelium,macula
Utricle
Saccule
static organs for signaling position of the head in space
Macula
in utricle
Macula utriculi
in saccule
Macula sacculi
Semicircular Ducts Each duct has an extension containing sensory area
Crista ampullaris
Hairs of cristae are supplied by primary sensory neurons whose cell bodies are in
Vestibular ganglion
Sensors of movement
Crista ampullaris
Spiral, blind tube firmly fixed to cochlear canal by spiral ligament
Cochlear duct
receptor of auditory stimuli= contains hair cells that respond to vibrations induced in the endolymph by sound waves
Spiral organ of corti
Cochlear duct roof
Vestibular membrane
Cohclear duct floor
Basilar membrane
Bony Memb Sense organ
Cochlea Cochlear ductOrgan of Corti
SC canalSC duct Crista terminalis
VestibuleUtricle/SacculeMacula
Narrow canal
Runs laterally for about 1 cm
Within petrous part of temporal bone
Closed laterally by a thin, perforated plate of bone that separates it from internal ear
Internal acoustic meatus
Internal acoustic meatus through his plate pass
CN VII, VIII
divides near lateral end of IAM into anterior cochlear portion and posterior vestibular portion
Vestibulocochlear nerve
Pathway of sound conduction
Auricle External acoustic meatus Tympanic membrane Ossicles [malleus,incus,stapes]Perilymph vibrations Cochlea CN VIII Brain
Formation of spongy bone around stapes and fenestra vestibuli-May stop movement of base of stapes -Causes deafness
Otosclerosis
Inflammation of middle ear -May spread to tegmen tympani -Causes inflammation of meninges
Otitis media
Inflammation of external acoustic meatus-Movement of traguscauses pain bec cartilage in it is continuous w/ EAM
Otitis externa
Forms a route through which infections pass from nasopharynx to middle ear
This tube is blocked by swelling of its mucous membrane Residual air in the tympanic cavity is absorbed into the mucosal blood vessels
Lowering of pressure in t.c., retraction of t.m.
Hearing reduced
Auditory tube
Tympanic muscles have protective action
Dampen large vibrations of t.m. from loud noises
Paralysis of stapedius[lesion of CN VII] results in excessive hearing
Results from uninhibited movement of stapes
Hyperacusia
Result fr infection of middle ear
During surgery, ENT shld not injure facial nerve
Mastoiditis
Persistent exposure to loud sounds
Causes degenerative changes in spiral organat base of cochlea
Drill handlers, machine operators, tractor drivers
High tone deafness
Injury to ear by an imbalance in pressure between surrounding air and air in middle ear
In fliers, divers, parachuters
Otic barotrauma