Group 2 Medsurg ppt on Anatomy and physiology of ear-1.pptxIjeomaNwokoro
油
The document summarizes the anatomy and physiology of the human ear. It describes the three main parts of the ear as the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the external auditory canal. The middle ear contains the tympanic membrane, auditory ossicles, and transmits vibrations. The inner ear contains the cochlea for hearing and semicircular canals for balance. It detects vibrations and converts them into nerve signals for audition and equilibrium.
Provides a detailed description of the gross anatomy of the ear for undergraduate medical students; i.e. parts of the ear, structures found, their blood supply, their innervation, developmental origins & their functions. It also includes examples of common disorders associated with those parts.
The document provides an overview of the nose, paranasal sinuses, and ear. It describes the external nose, nasal cavity, and paranasal sinuses which include the maxillary, frontal, sphenoid, and ethmoid sinuses. It then discusses the external, middle, and inner ear. The middle ear contains the auditory ossicles and tympanic membrane, while the inner ear houses the organs of hearing and balance within the bony labyrinth.
EAR BASICS SEMINAR.pptx for ENT Pgt in IndiaPrem Nath
油
Introduction to the Ear
The ear is a complex organ responsible for two essential functions: hearing and balance. It receives sound waves from the environment and converts them into electrical signals that the brain interprets. Additionally, the ear plays a crucial role in maintaining equilibrium and spatial orientation. Structurally and functionally, the ear is divided into three major sections: the outer ear, middle ear, and inner ear, each performing distinct roles in the auditory and vestibular systems.
Anatomy of the Ear
1. Outer Ear
The outer ear collects sound waves and directs them toward the middle ear. It consists of:
Pinna (Auricle): The visible part of the ear, composed of cartilage and skin. It captures sound waves and funnels them into the ear canal.
External Auditory Canal: A curved tube that extends from the pinna to the tympanic membrane (eardrum). It amplifies sound and produces cerumen (earwax) to protect the ear from dust and microorganisms.
Tympanic Membrane (Eardrum): A thin, cone-shaped membrane that separates the outer ear from the middle ear. It vibrates in response to sound waves, initiating the process of mechanical sound transmission.
2. Middle Ear
The middle ear is an air-filled cavity that transfers sound vibrations from the eardrum to the inner ear through a series of small bones, collectively called ossicles.
Ossicles: The three tiny bones that amplify sound:
1. Malleus (Hammer): Attached to the eardrum.
2. Incus (Anvil): Connects the malleus and stapes.
3. Stapes (Stirrup): Transmits vibrations to the oval window of the cochlea.
Eustachian Tube: A canal connecting the middle ear to the nasopharynx, which helps equalize pressure between the ear and the atmosphere.
Oval Window and Round Window: Openings in the cochlea that facilitate sound wave transmission to the fluid-filled inner ear.
3. Inner Ear
The inner ear consists of the cochlea (responsible for hearing) and the vestibular system (responsible for balance).
Cochlea: A spiral-shaped, fluid-filled structure that converts mechanical vibrations into electrical signals. It contains:
Organ of Corti: The sensory organ of hearing, lined with hair cells that detect sound vibrations.
Hair Cells: Specialized cells that convert sound vibrations into electrical impulses.
Vestibular Apparatus: A system of three semicircular canals and the utricle and saccule, which detect rotational and linear movements for balance and spatial orientation.
Physiology of Hearing
The process of hearing involves a sequence of steps that convert sound waves into electrical signals understood by the brain.
1. Sound Wave Collection: Sound waves enter the ear through the pinna and travel down the external auditory canal.
2. Vibration of the Eardrum: The tympanic membrane vibrates in response to these sound waves, transmitting the vibrations to the ossicles.
3. Ossicular Chain Amplification: The malleus, incus, and stapes amplify the vibrations and
The ear has three main parts - the external, middle, and inner ear. The external ear consists of the auricle and external acoustic meatus. The middle ear contains the auditory ossicles and connects to the inner ear and nasopharynx. The inner ear houses the vestibulocochlear organ including the cochlea for hearing and semicircular canals and vestibule for balance. Sound waves cause the tympanic membrane and ossicles to vibrate, transmitting the signal through fluid-filled ducts to hair cells which convert it to neural impulses in the cochlear and vestibular nerves.
The ear can be divided into three main sections:
1. The outer ear collects sound waves and directs them to the eardrum.
2. The middle ear contains three small bones that amplify vibrations and transmit them to the inner ear. It also contains two muscles and two nerves.
3. The inner ear contains the cochlea for hearing and semicircular canals for balance. Within the cochlea is the organ of Corti which contains hair cells that transduce sound vibrations into nerve signals.
This document discusses the anatomy and functions of the ear. It describes the external, middle, and inner ear in detail. The external ear includes the pinna, external auditory canal, and eardrum. The middle ear contains three small bones called ossicles that transmit sound from the eardrum to the inner ear. The inner ear includes the cochlea for hearing and semicircular canals for balance. The eustachian tube connects the middle ear to the throat and helps equalize pressure. The ear has important functions of hearing sound waves and maintaining balance.
The middle ear is a six-walled air-filled cavity located in the petrous part of the temporal bone between the inner and outer ear. It has three divisions - the epitympanum above the eardrum, the mesotympanum opposite the eardrum, and the hypotympanum below the eardrum. The middle ear contains the three ossicles (malleus, incus, stapes) that transmit sound vibrations from the eardrum to the inner ear. It is lined by epithelium and contains the tensor tympani and stapedius muscles that help dampen loud sounds. Blood supply comes from branches of the maxillary and posterior auricular arteries.
The ear consists of three main parts - the outer, middle, and inner ear. The outer ear includes the auricle and external auditory meatus. The middle ear, or tympanic cavity, contains the auditory ossicles (malleus, incus, stapes) which transmit sound vibrations to the inner ear. The auditory tube connects the middle ear to the nasal pharynx to equalize pressure. The inner ear contains the organs of hearing and balance. Sound waves cause the ossicles and oval window to vibrate, transmitting the vibrations to the fluid-filled inner ear.
The ear is divided into three parts - external, middle, and internal. The external ear consists of the pinna and external auditory meatus. The pinna has elevations like the helix and depressions like the concha. The middle ear contains the auditory ossicles and transmits sound from the tympanic membrane to the inner ear. The internal ear contains the membranous labyrinth within the bony labyrinth, and is responsible for hearing and balance. It includes the cochlea, saccule, utricle and semicircular canals.
This document provides an overview of the anatomy of the middle ear, including its structures, boundaries, contents, and clinical significance. It describes the middle ear's location in the temporal bone and its connections to the external ear and inner ear. The main structures discussed are the three ossicles (malleus, incus, stapes), their ligaments and joints, the two muscles (tensor tympani and stapedius), blood supply, nerves, and air space. Clinical points covered include fractures that can cause bleeding in the ear, inflammation of the auditory tube from colds, otosclerosis where the stapes fuses, and hyperacusis from paralysis of the stapedius muscle.
The document describes the anatomy of the ear, including:
1. The ear is made up of 3 regions - external ear, middle ear, and inner ear. The middle ear contains the ossicles (malleus, incus, stapes) and converts acoustic to kinetic energy.
2. The middle ear cleft includes the tympanic cavity lined by mucosa, containing the ossicles. It is connected to the nasopharynx by the Eustachian tube and mastoid air cells by the mastoid antrum.
3. The tympanic membrane separates the middle ear from the external ear canal. It transmits vibrations to the ossicles and has a fibrous and mucos
The document provides an overview of the nose, paranasal sinuses, and ear. It describes the external nose, nasal cavity, and paranasal sinuses which include the maxillary, frontal, sphenoid, and ethmoid sinuses. It then discusses the external, middle, and inner ear. The middle ear contains the auditory ossicles and tympanic membrane, while the inner ear houses the organs of hearing and balance within the bony labyrinth.
EAR BASICS SEMINAR.pptx for ENT Pgt in IndiaPrem Nath
油
Introduction to the Ear
The ear is a complex organ responsible for two essential functions: hearing and balance. It receives sound waves from the environment and converts them into electrical signals that the brain interprets. Additionally, the ear plays a crucial role in maintaining equilibrium and spatial orientation. Structurally and functionally, the ear is divided into three major sections: the outer ear, middle ear, and inner ear, each performing distinct roles in the auditory and vestibular systems.
Anatomy of the Ear
1. Outer Ear
The outer ear collects sound waves and directs them toward the middle ear. It consists of:
Pinna (Auricle): The visible part of the ear, composed of cartilage and skin. It captures sound waves and funnels them into the ear canal.
External Auditory Canal: A curved tube that extends from the pinna to the tympanic membrane (eardrum). It amplifies sound and produces cerumen (earwax) to protect the ear from dust and microorganisms.
Tympanic Membrane (Eardrum): A thin, cone-shaped membrane that separates the outer ear from the middle ear. It vibrates in response to sound waves, initiating the process of mechanical sound transmission.
2. Middle Ear
The middle ear is an air-filled cavity that transfers sound vibrations from the eardrum to the inner ear through a series of small bones, collectively called ossicles.
Ossicles: The three tiny bones that amplify sound:
1. Malleus (Hammer): Attached to the eardrum.
2. Incus (Anvil): Connects the malleus and stapes.
3. Stapes (Stirrup): Transmits vibrations to the oval window of the cochlea.
Eustachian Tube: A canal connecting the middle ear to the nasopharynx, which helps equalize pressure between the ear and the atmosphere.
Oval Window and Round Window: Openings in the cochlea that facilitate sound wave transmission to the fluid-filled inner ear.
3. Inner Ear
The inner ear consists of the cochlea (responsible for hearing) and the vestibular system (responsible for balance).
Cochlea: A spiral-shaped, fluid-filled structure that converts mechanical vibrations into electrical signals. It contains:
Organ of Corti: The sensory organ of hearing, lined with hair cells that detect sound vibrations.
Hair Cells: Specialized cells that convert sound vibrations into electrical impulses.
Vestibular Apparatus: A system of three semicircular canals and the utricle and saccule, which detect rotational and linear movements for balance and spatial orientation.
Physiology of Hearing
The process of hearing involves a sequence of steps that convert sound waves into electrical signals understood by the brain.
1. Sound Wave Collection: Sound waves enter the ear through the pinna and travel down the external auditory canal.
2. Vibration of the Eardrum: The tympanic membrane vibrates in response to these sound waves, transmitting the vibrations to the ossicles.
3. Ossicular Chain Amplification: The malleus, incus, and stapes amplify the vibrations and
The ear has three main parts - the external, middle, and inner ear. The external ear consists of the auricle and external acoustic meatus. The middle ear contains the auditory ossicles and connects to the inner ear and nasopharynx. The inner ear houses the vestibulocochlear organ including the cochlea for hearing and semicircular canals and vestibule for balance. Sound waves cause the tympanic membrane and ossicles to vibrate, transmitting the signal through fluid-filled ducts to hair cells which convert it to neural impulses in the cochlear and vestibular nerves.
The ear can be divided into three main sections:
1. The outer ear collects sound waves and directs them to the eardrum.
2. The middle ear contains three small bones that amplify vibrations and transmit them to the inner ear. It also contains two muscles and two nerves.
3. The inner ear contains the cochlea for hearing and semicircular canals for balance. Within the cochlea is the organ of Corti which contains hair cells that transduce sound vibrations into nerve signals.
This document discusses the anatomy and functions of the ear. It describes the external, middle, and inner ear in detail. The external ear includes the pinna, external auditory canal, and eardrum. The middle ear contains three small bones called ossicles that transmit sound from the eardrum to the inner ear. The inner ear includes the cochlea for hearing and semicircular canals for balance. The eustachian tube connects the middle ear to the throat and helps equalize pressure. The ear has important functions of hearing sound waves and maintaining balance.
The middle ear is a six-walled air-filled cavity located in the petrous part of the temporal bone between the inner and outer ear. It has three divisions - the epitympanum above the eardrum, the mesotympanum opposite the eardrum, and the hypotympanum below the eardrum. The middle ear contains the three ossicles (malleus, incus, stapes) that transmit sound vibrations from the eardrum to the inner ear. It is lined by epithelium and contains the tensor tympani and stapedius muscles that help dampen loud sounds. Blood supply comes from branches of the maxillary and posterior auricular arteries.
The ear consists of three main parts - the outer, middle, and inner ear. The outer ear includes the auricle and external auditory meatus. The middle ear, or tympanic cavity, contains the auditory ossicles (malleus, incus, stapes) which transmit sound vibrations to the inner ear. The auditory tube connects the middle ear to the nasal pharynx to equalize pressure. The inner ear contains the organs of hearing and balance. Sound waves cause the ossicles and oval window to vibrate, transmitting the vibrations to the fluid-filled inner ear.
The ear is divided into three parts - external, middle, and internal. The external ear consists of the pinna and external auditory meatus. The pinna has elevations like the helix and depressions like the concha. The middle ear contains the auditory ossicles and transmits sound from the tympanic membrane to the inner ear. The internal ear contains the membranous labyrinth within the bony labyrinth, and is responsible for hearing and balance. It includes the cochlea, saccule, utricle and semicircular canals.
This document provides an overview of the anatomy of the middle ear, including its structures, boundaries, contents, and clinical significance. It describes the middle ear's location in the temporal bone and its connections to the external ear and inner ear. The main structures discussed are the three ossicles (malleus, incus, stapes), their ligaments and joints, the two muscles (tensor tympani and stapedius), blood supply, nerves, and air space. Clinical points covered include fractures that can cause bleeding in the ear, inflammation of the auditory tube from colds, otosclerosis where the stapes fuses, and hyperacusis from paralysis of the stapedius muscle.
The document describes the anatomy of the ear, including:
1. The ear is made up of 3 regions - external ear, middle ear, and inner ear. The middle ear contains the ossicles (malleus, incus, stapes) and converts acoustic to kinetic energy.
2. The middle ear cleft includes the tympanic cavity lined by mucosa, containing the ossicles. It is connected to the nasopharynx by the Eustachian tube and mastoid air cells by the mastoid antrum.
3. The tympanic membrane separates the middle ear from the external ear canal. It transmits vibrations to the ossicles and has a fibrous and mucos
Non-Invasive ICP Monitoring for NeurosurgeonsDhaval Shukla
油
This presentation delves into the latest advancements in non-invasive intracranial pressure (ICP) monitoring techniques, specifically tailored for neurosurgeons. It covers the importance of ICP monitoring in clinical practice, explores various non-invasive methods, and discusses their accuracy, reliability, and clinical applications. Attendees will gain insights into the benefits of non-invasive approaches over traditional invasive methods, including reduced risk of complications and improved patient outcomes. This comprehensive overview is designed to enhance the knowledge and skills of neurosurgeons in managing patients with neurological conditions.
Invasive systems are commonly used for monitoring intracranial pressure (ICP) in traumatic brain injury (TBI) and are considered the gold standard. The availability of invasive ICP monitoring is heterogeneous, and in low- and middle-income settings, these systems are not routinely employed due to high cost or limited accessibility. The aim of this presentation is to develop recommendations to guide monitoring and ICP-driven therapies in TBI using non-invasive ICP (nICP) systems.
Here discussing various cases of Obstructive jaundice namely Choledocholithiassis, Biliary atresia, Carcinoma Pancreas, Periampullary Carcinoma and Cholangiocarcinoma.
ECZEMA 3rd year notes with images .pptxAyesha Fatima
油
If its not Itch Its not Eczema
Eczema is a group of medical conditions which causes inflammation and irritation to skin.
It is also called as Dermatitis
Eczema is an itchy consisting of ill defined erythremotous patches. The skin surface is usually scaly and As time progress, constant scratching leads to thickened lichenified skin.
Several classifications of eczemas are available based on Etiology, Pattern and chronicity.
According to aetiology Eczema are classified as:
Endogenous eczema: Where constitutional factors predispose the patient to developing an eczema.
Family history (maternal h/o eczema) is often present
Strong genetic predisposition (Filaggrin gene mutations are often present).
Filaggrin is responsible for maintaining moisture in skin (hence all AD patients have dry skin.
Immunilogical factor-Th-2 disease, Type I hypersensitivity (hence serum IgE high)
e.g., Seborrheic dermatitis, Statis dermatitis, Nummular dermatitis, Dyshidrotic Eczema
Exogenous eczema: Where external stimuli trigger development of eczema,
e.g., Irritant dermatitis, Allergic Dermatitis, Neurodermatitis,
Combined eczema: When a combination of constitutional factors and extrinsic triggers are responsible for the development of eczema
e.g., Atopic dermatitis
Extremes of Temperature
Irritants : Soaps, Detergents, Shower gels, Bubble baths and water
Stress
Infection either bacterial or viral,
Bacterial infections caused by Staphylococcus aureus and Streptococcus species.
Viral infections such as Herpes Simplex, Molluscum Contagiosum
Contact allergens
Inhaled allergens
Airborne allergens
Allergens include
Metals eg. Nickle, Cobalt
Neomycin, Topical ointment
Fragrance ingredients such as Balsam of Peru
Rubber compounds
Hair dyes for example p-Phenylediamine
Plants eg. Poison ivy .
Atopic Dermatitis : AD is a chronic, pruritic inflammatory skin disease characterized by itchy inflamed skin.
Allergic Dermatitis: A red itchy weepy reaction where the skin has come in contact with a substance That immune system recognizes as foreign substances.
Ex: Poison envy, Preservatives from creams and lotions.
Contact Irritant Dermatitis: A Localized reaction that include redness, itching and burning where the skin has come In contact with an allergen or with irritant such as acid, cleaning agent or chemical.
Dyshidrotic Eczema: Irritation of skin on the palms and soles by
clear deep blisters that itch and burn.
Clinical Features; Acute Eczema:- Acute eczema is characterized by an erythematous and edematous plaque, which is ill-defined and is surmounted by papules, vesicles, pustules and exudate that dries to form crusts. A subsiding eczematous plaque may be covered with scales.
Chronic Eczema:- Chronic eczema is characterized by lichenification, which is a triad of hyperpigmentation, thickening markings. The lesions are less exudative and more scaly. Flexural lesions may develop fissures.
Pruritus
Characteristic Rash
Chronic or repeatedly occurring symptoms.
Local Anesthetic Use in the Vulnerable PatientsReza Aminnejad
油
Local anesthetics are a cornerstone of pain management, but their use requires special consideration in vulnerable groups such as pediatric, elderly, diabetic, or obese patients. In this presentation, well explore how factors like age and physiology influence local anesthetics' selection, dosing, and safety. By understanding these differences, we can optimize patient care and minimize risks.
Chair and Presenters Sara A. Hurvitz, MD, FACP, Carey K. Anders, MD, FASCO, and Vyshak Venur, MD, discuss metastatic HER2-positive breast cancer in this CME/NCPD/CPE/AAPA/IPCE activity titled Fine-Tuning the Selection and Sequencing of HER2-Targeting Therapies in HER2-Positive MBC With and Without CNS Metastases: Expert Guidance on How to Individualize Therapy Based on Latest Evidence, Disease Features, Treatment Characteristics, and Patient Needs and Preferences. For the full presentation, downloadable Practice Aids, and complete CME/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/4f8sUs7. CME/NCPD/CPE/AAPA/IPCE credit will be available until March 2, 2026.
Title: Regulation of Tubular Reabsorption A Comprehensive Overview
Description:
This lecture provides a detailed and structured explanation of the mechanisms regulating tubular reabsorption in the kidneys. It explores how different physiological and hormonal factors influence glomerular filtration and reabsorption rates, ensuring fluid and electrolyte balance in the body.
Who Should Read This?
This presentation is designed for:
鏝 Medical Students (MBBS, BDS, Nursing, Allied Health Sciences) preparing for physiology exams.
鏝 Medical Educators & Professors looking for structured teaching material.
鏝 Healthcare Professionals (doctors, nephrologists, and physiologists) seeking a refresher on renal physiology.
鏝 Postgraduate Students & Researchers in the field of medical sciences and physiology.
What Youll Learn:
Local Regulation of Tubular Reabsorption
鏝 Glomerulo-Tubular Balance its mechanism and clinical significance
鏝 Net reabsorptive forces affecting peritubular capillaries
鏝 Role of peritubular hydrostatic and colloid osmotic pressures
Hormonal Regulation of Tubular Reabsorption
鏝 Effects of Aldosterone, Angiotensin II, ADH, and Natriuretic Peptides
鏝 Clinical conditions like Addisons disease & Conn Syndrome
鏝 Mechanisms of pressure natriuresis and diuresis
Nervous System Regulation
鏝 Sympathetic Nervous System activation and its effects on sodium reabsorption
Clinical Correlations & Case Discussions
鏝 How renal regulation is altered in hypertension, hypotension, and proteinuria
鏝 Comparison of Glomerulo-Tubular Balance vs. Tubulo-Glomerular Feedback
This presentation provides detailed diagrams, flowcharts, and calculations to enhance understanding and retention. Whether you are studying, teaching, or practicing medicine, this lecture will serve as a valuable resource for mastering renal physiology.
Keywords for Easy Search:
#Physiology #RenalPhysiology #TubularReabsorption #GlomeruloTubularBalance #HormonalRegulation #MedicalEducation #Nephrology
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...KHUSHAL CHAVAN
油
This presentation provides an in-depth understanding of solubilization and its critical role in pharmaceutical formulations. It covers:
Definition & Mechanisms of Solubilization
Role of surfactants, micelles, and bile salts in drug solubility
Factors affecting solubilization (pH, polarity, particle size, temperature, etc.)
Methods to enhance drug solubility (Buffers, Co-solvents, Surfactants, Complexation, Solid Dispersions)
Advanced approaches (Polymorphism, Salt Formation, Co-crystallization, Prodrugs)
This resource is valuable for pharmaceutical scientists, formulation experts, regulatory professionals, and students interested in improving drug solubility and bioavailability.
Flag Screening in Physiotherapy Examination.pptxBALAJI SOMA
油
Flag screening is a crucial part of physiotherapy assessment that helps in identifying medical, psychological, occupational, and social barriers to recovery. Recognizing these flags ensures that physiotherapists make informed decisions, provide holistic care, and refer patients appropriately when necessary. By integrating flag screening into practice, physiotherapists can optimize patient outcomes and prevent chronicity of conditions.
An X-ray generator is a crucial device used in medical imaging, industry, and research to produce X-rays. It operates by accelerating electrons toward a metal target, generating X-ray radiation. Key components include the X-ray tube, transformer assembly, rectifier system, and high-tension circuits. Various types, such as single-phase, three-phase, constant potential, and high-frequency generators, offer different efficiency levels. High-frequency generators are the most advanced, providing stable, high-quality imaging with minimal radiation exposure. X-ray generators play a vital role in diagnostics, security screening, and industrial testing while requiring strict radiation safety measures.
2. Objectives
By the end of the lecture the student should
be able to:
List the parts of the ear: External, Middle (tympanic
cavity) and Internal (labyrinth).
Describe the parts of the external ear: auricle and
external auditory meatus.
Identify the boundaries of the middle ear : roof,
floor and four walls (anterior, posterior, medial and
lateral).
2
3. Objectives
Define the contents of the tympanic cavity:
I. Ear ossicles,: (malleus, incus and stapes)
II. Muscles, (tensor tympani and stapedius).
III. Nerves (branches of facial and glossopharyngeal).
List the parts of the inner ear, bony part filled with
perilymph (Cochlea, vestibule and semicircular canals),
in which is suspended the membranous part that filled
with endolymph).
List the organs of hearing and equilibrium.
3
4. 4
It is formed of the auricle, &
the external auditory meatus.
The Auricle has a
characteristic shape and
collects air vibrations.
It consists of a thin plate of
elastic cartilage covered by
a double layer of skin.
It receives the insertion of
extrinsic muscles, which are
supplied by the facial
nerve. Sensation is carried
by great auricular &
auriculotemporal nerves.
EXTERNAL EAR
5. 5
The external auditory canal is a curved S-shaped tube about 2.5 cm, that
conducts & collects sound waves from the auricle to the tympanic
membrane. Its outer 1/3rd is elastic cartilage, while its inner 2/3rds are
boney.
It is lined by skin, and its outer 1/3rd is provided with hairs, sebaceous and
Ceruminous Glands: (modified sweat glands that secrete a yellowish
brownish substance called the ear wax).
6. 6
Middle ear is a narrow, oblique, slit- like cavity (air-filled) in the
petrous temporal bone & lined with mucous membrane.
It contains the auditory ossicles, which transmit the vibrations
of the tympanic membrane (eardrum) to the internal ear.
MIDDLE EAR (TYMPANIC CAVITY)
7. 7
Communicates
Anteriorly
with the Nasopharynx
through the Auditory
Tube, which extends
from the anterior wall
downward, forward, and
medially to the
nasopharynx).
The posterior 1/3rd of
the canal is bony, and
its anterior 2/3rds are
cartilaginous.
Its function is to
equalize the pressure
on both sides of the ear
drum.
MIDDLE EAR (TYMPANIC CAVITY)
8. 8
The middle
ear has:
Roof,
Floor,
and 4
walls:
Anterior,
Posterior,
Lateral,
and
Medial.
Anterior
Posterior
ROOF
FLOOR
MEDIAL
9. 9
It separates
the tympanic
cavity from
the temporal
lobe of the
brain.
The Roof is formed by a
thin plate of bone, called
tegmen tympani, which is
part of the petrous
temporal bone.
The Floor is
formed by a
thin plate of
bone, which
separates the
middle ear
from the
bulb of the
internal
jugular vein.
10. Anterior wall
The anterior wall is
formed below by a
thin plate of bone
that separates
tympanic cavity
from the internal
carotid artery.
There are 2 canals at
the upper part of
the anterior wall.
The upper smaller is
the canal for the
tensor tympani
muscle.
The lower larger is
for the auditory
tube. 10
11. The posterior wall
has in its Upper
part a large,
irregular opening,
the aditus to the
mastoid antrum.
Below : a small,
hollow, conical
projection, the
pyramid, which
houses the
stapedius muscle
and its tendon.
The tendon
emerges from the
apex of the
pyramid.
Posterior wall
11
P
O
S
T
E
R
I
O
R
A
N
T
E
R
I
O
R
12. 12
The lateral wall :
Is largely formed by the
tympanic membrane.
The membrane is
obliquely placed, facing
downward, forward, &
laterally.
It is extremely sensitive to
pain.
Nerve supply of ear drum:
Outer surface:
1- Auriculotemporal nerve.
2- Auricular branch of
vagus.
Inner surface:
Tympanic branch of the
glossopharyngeal nerve.
13. 13
It is concave laterally, and
at the depth of its
concavity there is a small
depression, the Umbo
produced by the tip of the
handle of the malleus.
When the membrane is
illuminated through an
otoscope, the concavity
produces a Cone of
Light," which radiates
anteriorly and inferiorly
from the umbo.
Most of the of the
membrane is tense and is
called the Pars Tensa.
A small triangular area on
its upper part is slack and
called the Pars Flaccida
TYMPANIC MEBRANE
14. Greater part of the
medial wall shows a
rounded projection,
called promontory,
that results from the
underlying 1st turn of
the cochlea.
Above and behind the
promontory lies the
oval window (Fenestra
Vestibuli), which is
closed by the base of
the stapes. Below and
behind the promontory
lies the round window
(Fenestra Cochleae),
which is closed by the
secondary tympanic
membrane.
Medial wall
It is formed by the lateral wall of
the inner ear.
14
15. 15
The auditory ossicles are (3) malleus, incus, and stapes.
They transmit sound waves from tympanic membrane to the perilymph
of the internal ear.
They are covered by mucous membrane & articulated by synovial joints.
Auditory Ossicles
16. 16
Origin: Cartilage of the auditory tube and the bony walls of its own canal.
Insertion: into the handle of the malleus.
Nerve supply: Mandibular nerve.
Action: Contracts reflexly in response to loud sounds to limit the
excursion of the tympanic membrane.
TENSOR
TYMPANI
Muscles of the
Ossicles
17. 17
Origin: Internal walls of the hollow pyramid.
Insertion: The tendon emerges from the apex of the
pyramid and is inserted into the neck of the stapes.
Nerve supply: Facial nerve.
Action: Reflexly damps down the vibrations of the
stapes by pulling on the neck of that bone.
Stapedius
(the smallest
voluntary muscle)
18. NERVES IN MIDDLE EAR Tympanic nerve
It is a branch of
the
glossopharyngeal
nerve.
It gives:
Tympanic plexus
on the promontory
The tympanic
plexus gives the,
Lesser petrosal
nerve which relays
in the otic
ganglion.
It gives
secretomotor
supply to the
parotid gland
18
19. FACIAL NERVE
Enters through
the
Internal
acoustic meatus
with the 8th
nerve.
It expands to
form Geniculate
ganglion.
It passes
vertical behind
the pyramid.
It leaves the
middle ear
through the
stylomastoid
foramen.
Prof.Makarem 19
20. 1. Greater Petrosal
nerve.
Arises from Geniculate
Ganglion.
Carries preganglionic
parasympathetic to
supply:
Lacrimal,
Nasal
Palatine glands.
2. Nerve to
Stapedius.
3. Chorda Tympani:
Arises just before the
facial nerve exits.
BRANCHES
OF
FACIAL NERVE
21. 21
Labyrinth is
situated in the
petrous part of
the temporal
bone, medial to
the middle ear.
INTERNAL EAR,
OR LABYRINTH
22. Prof.Makarem/ Prof. Jamila 22
It consists of:
Bony labyrinth: a series of bony chambers lined by endosteum.
They contain a clear fluid, the perilymph, in which is suspended the
membranous labyrinth.
Membranous labyrinth: consists of a series of membranous sacs and
ducts within the bony labyrinth, It is filled with endolymph.
Labyrinth
24. Cochlea
Its first turn
produces the
promontory
on the medial
wall of the
tympanic
cavity.
It contains
the cochlear
duct (part of
the
membranous
labyrinth).
24
25. 25
Vestibule,
Is the central part of
the bony labyrinth.
Contains the utricle &
saccule (parts of the
membranous labyrinth)
26. Prof.Makarem/ Prof. Jamila 26
In the lateral wall of the vestibule are the fenestra vestibuli, which is
closed by the base of the stapes, and the fenestra cochleae, which
is closed by the secondary tympanic membrane.
27. 27
Semicircular
canals: superior
(anterior),
posterior &
lateral.
Each canal has a
swelling at one end
called the ampulla.
The canals open
into the vestibule by
five orifices, one of
which is common to
two of the canals.
Lodged within the
canals are the
semicircular ducts.
Semicircular Canals
28. Prof. Makarem 28
The Membranous Labyrinth consists of (Four ducts & Two sacs) Which
are freely communicate with one another :
Sacs: Utricle & Saccule (lodged in the bony vestibule).
Ducts: Three semicircular Ducts ,(lie within the bony semicircular
canals),
Cochlear Duct: (lies within the bony cochlea). The cochlear duct
divides the bony cavity into Scala Vestibuli and Scala tympani.
29. 29
The perilymph within the scala vestibuli is separated from the
middle ear by the base of the stapes at the fenestra vestibuli.
The perilymph in the scala tympani is separated from the middle
ear by the secondary tympanic membrane at the fenestra cochleae.
30. 30
Located on the walls of the utricle and saccule are specialized sensory receptors,
which are sensitive to the orientation of the head to gravity or other acceleration forces.
The utricle, saccule and semicircular ducts are concerned with maintenance of
Equilibrium
31. 31
The highly specialized
epithelium on the floor
of cochlear duct forms
the Spiral organ of
Corti that
contains the sensory
receptors for
Hearing.