the normal ear Flashcards

1
Q

what structures encompas the external ear

A

pinna, external ear canal (external auditory meatus) down to the tympanic membrane

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2
Q

what structures encompass the middle ear

A
  • tympanic cavity in tympanic bulla
  • contains auditory ossicles
  • connects to nasopharynx
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3
Q

the inner ear holds which structures

A

structures within petrous temporal bone

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4
Q

describe the cartilagenous structures of the external ear

A
  • auricular cartilage of the ear flap is flattened distally, ridged to form anthelix medially and tragus laterally and forms a cone shaped tube proximally (choncha)
  • annular cartilage fits within the base of the conchal tube of the auricular cartilage and has ligamentous attachments to bony acoustic brocess (internal auditory meatus) of temporal bone of skull
  • scutiform cartilage within muscles rostromedial to canal to provide support (not part of ear canal)
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5
Q

discuss vascular supply and innervation of the external ear

A

vascular supply: auricular arteries (from internal carotid) and drains to internal maxillary vein
innervation: motor nerves to auricular muscles by auriculopalpebral branch of facial nerve and sensory from branch of trigeminal AND cervical degments of C2

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6
Q

what structures will you find adjacent to the external ear?

A
  • parotid salivary gland
  • blood vessels
  • nerves
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7
Q

label

A
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8
Q

what makes up secretions of the ear canal

A

secretion of the ear canal comprised of:
- exfoliated cells
- sebaceous secretions (high lipid content of various classes)
- ceruminous gland secretions (more aqueous)
- immunoglobulins (predominently IgG)

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9
Q

what is the purpose of the cerumen (ear wax)

A

provides protective and antimicrobial layer to the ear

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10
Q

describe how exudate in the ear is carried to the surface

A

epithelial cell migration:
- epithelial cells move laterally from the centre of the tympanic membrane to the periphery, then desquamate to contribute to production of cerumen
- epithelial migration helps transport cerumen to superficial portion of ear canal and therefore removes cerumen and debris from the ear canal

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11
Q

describe the microscopic structure of the tympanic membrane

A
  • epithelial structure
  • stratified squamous keratinising epithelium laterally
  • thin lmaina propria
  • simple squamous/cuboidal mucosal epithelium medially (includes scattered secretory goblet cells)
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12
Q

decrbe the gross description of the tympanic membrane

A
  • visible otoscopically from the external cana in dg and cat (limited in horse)
  • thicker pars flaccida dorsoventrally (adjacent to edge of malleus)
  • thinner pars tensa ventrally (larger than pars flaccida and should be translucent in a healthy animal)
  • manubrium of malleus visible as a C shaped structure pointing rostrally
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13
Q

label green arrows

A
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14
Q

name the 3 compartments of the middle ear

A
  • epitympanum dorsally containing auditory ossicles (malleus and incus)
  • mesotympanum (lateral to tympanic membrane) includes stapes attached to oval window and round window and opening of auditory tube
  • hypotympanum or fundus
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15
Q

describe the epithelium of the middle ear and associated structures

A
  • simple squamous to cuboidal lining
  • pharyngeal mucosal origin
  • contains secretory goblet cells
  • in the eustachian tube, pseudostratified, ciliated columnar epithelium with density increasing towards nasopharynx
  • scattered goblet cells more prominent at tympanic cavity end
  • surfactant keeps tube patent
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16
Q

what structures are adjacent to the middle ear

A
  • facial nerve: in facial canal in petrous temporal bone, exposed in dorsal cavity then exits stylomastoid foramen)
  • branches of facial and vagus nerve (forms tympanic nerve)
  • post ganglionic fibres of cervical sympathetic trunk
17
Q

describe the topographical course of facial nerve as it relates to the middle ear

A
  • enters petrous temporal bone through internal acoustic meatus with vestibulocochlear
  • runs inside the facial canal
  • intermediate component enters tympanic cavity near oval window
  • 3 fibres then branch off (greater petrosal nerve, stapedial nerve and chroda tympani nerve)
  • emerges through stylomastoid foramen
18
Q

what are some normal microflora of the external ear

A
  • staphylococcus
  • malassezia pachydermatis