The Ear Flashcards

1
Q

3 main sections of the ear

A

outer
middle
inner

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2
Q

outer ear

A

pinna
external auditory meatus (EAM - ear canal)
tympanic membrane (ear drum)

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3
Q

function of outer ear

A

collect and funnal sound into skull towards inner ear

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4
Q

role of tympanic membrane

A

boundary between external and middle ear
○ Collection vibrations and pressure waves down the EAM and the TM vibrates and transfers them to middle ear

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5
Q

shape of EAM

A

sigmoid shaped and not straight

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6
Q

division of tympanic membrane

A
  • Subdivided into anterior and posterior or superior and inferior
    • Quarters:
      ○ ASQ - anterior superior
      ○ AIQ - anterior inferior
      ○ PSQ - posterior superior
      ○ PIQ - posterior inferior
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7
Q

parts of the tympanic membrane

A

handle of malleous (short process of malleous at top)

pars flaccida at top of membrane

pars tensa is around the handle of malleous

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8
Q

middle ear

A

empty cavity sitting in the temporal bone

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9
Q

middle ear connection to outside world

A

via a small Eustachian tube that enters the nasal canal cavity

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10
Q

ossicles (bones) in the inner ear

A

malleus
incus
stapes

descending size from lateral to medial

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11
Q

role of ossicles

A

transmit vibration from the tympanic membrane to the sensitive inner ear via an oval window

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12
Q

role of middle ear

A

amplifying vibrations of tympanic membrane

impedance matching the vibration of air and liquid (from the outside world to fluid inside the inner ear)

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13
Q

nerve transversing middle ear

A

facial nerve

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14
Q

Tensor tympani

A

attaches to malleus and dampens very loud sounds

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15
Q

Stapedius muscle

A

(1mm long)
○ Dampens and limits the vibrations/movements of stapes
○ Nerve to stapedius is literally called ‘nerve to stapedius’
○ Branch of facial nerve (7)
○ If nerve to stapedius is damaged e.g. in Bell’s palsy and the stapedius muslce doesn’t work then normal sounds will seem so loud

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16
Q

where is the inner ear

A

petrous part of temporal bone

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17
Q

role of inner ear

A

transduce vibration/sound into electrical activity or AP and to provide balance

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18
Q

2 parts/layers of labyrinth

A

bony and membranous labyrinth

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19
Q

fluid in the membranous labyrinth and its function

A

endolymph fluid - bathes the whole of the sensory epithelium inside the inner ear

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20
Q

fluid between the bony and membranous labyrinth

A

perilymph

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21
Q

where are endolymph and perilymph fluids

A

endolymph - in membranous labyrinth

perilymph - between bony and membranous labyrinth

22
Q

2 functional parts of the inner ear

A

cochlear - hearing
vestibular system - balance

23
Q

nerve wired to the special sensory organs of hearing and balance

A

vestibulocochlear nerve (CNVIII)

24
Q

vestibular system is responsible for…

25
Q

vestibular system consists of…

A

2 sacs called the utricle and sacculle

3 semi-circular canals (horizontal, posterior, superior)

26
Q

what is at the end of the semicircular canals

A

swellings called ampulla

27
Q

where is the oval window

A

under stapes

28
Q

flow around the cochlear

A
  • Scala vestibular (vestibular duct)
    ○ Carries vibrations to tip of cochlea
    • Scala tympani (deep to the bone)
      ○ Carries vibrations back to the round window
29
Q

role of endolymph in cochlear duct

A

in the cochlea duct
- Lots of potassium ions so AP triggered well
- If mixed with perilymph then the concentration of potassium ions lost and hearing effected.

30
Q

role of utricle

A

(detects horizontal movements)
§ Contains a macula

31
Q

role of sacculle

A

(detect vertical movements)
§ Contains a macula

32
Q

sensory organ of vestibular system

33
Q

clusters of hair cells form…

A

modified sensory epithelium floating in the endolymph

34
Q

structure of hair cells in the vestibular system

A

clusters of hair cells form modified sensory epithelium floating in the endolymph

each hair cell is connected to vestibular neuron consisting of a body and stereocilia projecting outwards (longest one is kinocilium) (encased in gel)

35
Q

hair cells are constantly doing what?

A

firing AP down their vestibular neurons towards the brain

36
Q

hair cells are found where?

A

in macula in utricle and sacculle

37
Q

what is special about the hair cells in the macula?

A

otoconia (crystals) on top of the gel layer that add inertia to the system and emphasise movements.

38
Q

direction of macula in utricle

A

dangle from roof

39
Q

role of macula in utricle

A

detect linear or horizontal acceleration

40
Q

direction of macula in sacculle

A

hang from wall

41
Q

role of macula in sacculle

A

detect vertical acceleration

42
Q

hair cells in the semicircular canals

A

cup shaped layer called cupula

sensory epithelium called crista

no otoconia

43
Q

role of crista

A

detect angular acceleration but only in the same plane as the movement

44
Q

when is horizontal canal stimulated

A

when you look left or right

45
Q

when is superior canal stimulated

A

when you look up or down

46
Q

when is posterior canal stimulated

A

lookup as laid down

47
Q

majority of info provided by semicircular canals is destined to go where?

A

extraocular eye muscles

48
Q

how does the majority of info provided by semicircular canals is destined to go to the extraocular eye muscles?

A

achieved in the brainstem by relays from the vestibular nuclei to the nuclei of CN3, 4 and 6.

49
Q

vestibulo-ocular reflex (VOR)

A

keep the vision and gaze fixed on the object despite the head, body or object moving.

50
Q

transduction of sound is conducted by what?

A

hair cells in the cochlear

51
Q

blood supply to the ear

A

○ Posterior and anterior to the EAM
○ Posterior auricular artery supplies posterior part of the ear
○ Anterior part (anterior to EAM) is supplied by superficial temporal artery
○ Both branches of external carotid artery
○ Posterior part of ear is innervated by branches from spinal level c2 and c3 and cervical plexus
○ Anterior ear is innervated by trigeminal nerve (3rd branch - mandibular branch), vagus and facial nerve