際際滷

際際滷Share a Scribd company logo
T
H
E
E
A
R
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
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
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
 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
 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
 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
The middle
ear has:
 Roof,
 Floor,
 and 4
walls:
 Anterior,
 Posterior,
 Lateral,
and
 Medial.
Anterior
Posterior
ROOF
FLOOR
MEDIAL
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.
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
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
 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
 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
 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
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
 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
 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)
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
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
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
Labyrinth is
situated in the
petrous part of
the temporal
bone, medial to
the middle ear.
INTERNAL EAR,
OR LABYRINTH
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
23
The bony labyrinth
consists of:
 Vestibule,
 Semicircular
canals, and
 Cochlea. Bony Labyrinth
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
Vestibule,
Is the central part of
the bony labyrinth.
Contains the utricle &
saccule (parts of the
membranous labyrinth)
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
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
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
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
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
 The highly specialized
epithelium on the floor
of cochlear duct forms
the Spiral organ of
Corti that
 contains the sensory
receptors for
Hearing.
Prof.Makarem/ Prof. Jamila 32
THANK YOU

More Related Content

Similar to 10- Ear.pdfmmmmmmmmmmmmmnnjjjnnnkmmmmmnj (20)

Nose, paranasal sinuses and ear
Nose, paranasal sinuses and earNose, paranasal sinuses and ear
Nose, paranasal sinuses and ear
Dr. Haydar Muneer Salih
EAR BASICS SEMINAR.pptx for ENT Pgt in India
EAR BASICS SEMINAR.pptx for ENT Pgt in IndiaEAR BASICS SEMINAR.pptx for ENT Pgt in India
EAR BASICS SEMINAR.pptx for ENT Pgt in India
Prem Nath
Anatomy Of Ear.pdf
Anatomy Of Ear.pdfAnatomy Of Ear.pdf
Anatomy Of Ear.pdf
DhammikaBandara7
HUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptx
HUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptxHUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptx
HUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptx
PunamSahoo3
ANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptx
ANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptxANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptx
ANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptx
SaidSaid626030
ANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into it
ANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into itANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into it
ANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into it
Anderson939966
Anatomy of the auditory sysyem and physiology _1.pptx
Anatomy of the auditory sysyem and physiology _1.pptxAnatomy of the auditory sysyem and physiology _1.pptx
Anatomy of the auditory sysyem and physiology _1.pptx
chiemekabob1
EAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptx
EAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptxEAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptx
EAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptx
chiemekabob1
ear anatomy.pptx
ear anatomy.pptxear anatomy.pptx
ear anatomy.pptx
Baksantino123
ANATOMY OF EAR.pptx
ANATOMY OF EAR.pptxANATOMY OF EAR.pptx
ANATOMY OF EAR.pptx
Niraj83
Anatomy of the ear (ecture 2) by dr, noura 2018
Anatomy of the ear (ecture 2) by dr, noura 2018Anatomy of the ear (ecture 2) by dr, noura 2018
Anatomy of the ear (ecture 2) by dr, noura 2018
Dr. Noura El Tahawy
middle ear anatomy
middle ear anatomymiddle ear anatomy
middle ear anatomy
Shafiq38
The Ear
The EarThe Ear
The Ear
Hadi Munib
Anatomy of the Ear:Middle ear anatomy new.pptx
Anatomy of the Ear:Middle ear anatomy new.pptxAnatomy of the Ear:Middle ear anatomy new.pptx
Anatomy of the Ear:Middle ear anatomy new.pptx
shaikhaaaalmarzooqi
Anatomy of face:Middle ear anatomy new.pptx
Anatomy of face:Middle ear anatomy new.pptxAnatomy of face:Middle ear anatomy new.pptx
Anatomy of face:Middle ear anatomy new.pptx
shaikhaaaalmarzooqi
Anatomy of Ear
Anatomy of EarAnatomy of Ear
Anatomy of Ear
Dr. Vibhash Kumar Vaidya
Middle ear
Middle earMiddle ear
Middle ear
GANESH DOI
The ear,nose and paranasal sinus
The ear,nose and paranasal sinusThe ear,nose and paranasal sinus
The ear,nose and paranasal sinus
NITISH SHAH
EAR-ANATOMY.pdf
EAR-ANATOMY.pdfEAR-ANATOMY.pdf
EAR-ANATOMY.pdf
sdgaf
EAR-ANATOMY , anatomy of ear in human notes by Rahul
EAR-ANATOMY , anatomy of ear in human notes by RahulEAR-ANATOMY , anatomy of ear in human notes by Rahul
EAR-ANATOMY , anatomy of ear in human notes by Rahul
jabdoliyarahul052
EAR BASICS SEMINAR.pptx for ENT Pgt in India
EAR BASICS SEMINAR.pptx for ENT Pgt in IndiaEAR BASICS SEMINAR.pptx for ENT Pgt in India
EAR BASICS SEMINAR.pptx for ENT Pgt in India
Prem Nath
HUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptx
HUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptxHUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptx
HUMAN EAR. THE EAR PERFORMS THE FUNCTIONS OF HEARING AND EQUILIBRIUM.pptx
PunamSahoo3
ANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptx
ANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptxANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptx
ANATOMY+OF+THE+EAR,+NOSE+AND+THROAT.pptx
SaidSaid626030
ANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into it
ANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into itANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into it
ANATOMY OF MIDDLE EAR-Sibi.pptx a brief look into it
Anderson939966
Anatomy of the auditory sysyem and physiology _1.pptx
Anatomy of the auditory sysyem and physiology _1.pptxAnatomy of the auditory sysyem and physiology _1.pptx
Anatomy of the auditory sysyem and physiology _1.pptx
chiemekabob1
EAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptx
EAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptxEAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptx
EAR ANATOMY and PHYSIOLOGY -WPS Office_1.pptx
chiemekabob1
ANATOMY OF EAR.pptx
ANATOMY OF EAR.pptxANATOMY OF EAR.pptx
ANATOMY OF EAR.pptx
Niraj83
Anatomy of the ear (ecture 2) by dr, noura 2018
Anatomy of the ear (ecture 2) by dr, noura 2018Anatomy of the ear (ecture 2) by dr, noura 2018
Anatomy of the ear (ecture 2) by dr, noura 2018
Dr. Noura El Tahawy
middle ear anatomy
middle ear anatomymiddle ear anatomy
middle ear anatomy
Shafiq38
Anatomy of the Ear:Middle ear anatomy new.pptx
Anatomy of the Ear:Middle ear anatomy new.pptxAnatomy of the Ear:Middle ear anatomy new.pptx
Anatomy of the Ear:Middle ear anatomy new.pptx
shaikhaaaalmarzooqi
Anatomy of face:Middle ear anatomy new.pptx
Anatomy of face:Middle ear anatomy new.pptxAnatomy of face:Middle ear anatomy new.pptx
Anatomy of face:Middle ear anatomy new.pptx
shaikhaaaalmarzooqi
The ear,nose and paranasal sinus
The ear,nose and paranasal sinusThe ear,nose and paranasal sinus
The ear,nose and paranasal sinus
NITISH SHAH
EAR-ANATOMY.pdf
EAR-ANATOMY.pdfEAR-ANATOMY.pdf
EAR-ANATOMY.pdf
sdgaf
EAR-ANATOMY , anatomy of ear in human notes by Rahul
EAR-ANATOMY , anatomy of ear in human notes by RahulEAR-ANATOMY , anatomy of ear in human notes by Rahul
EAR-ANATOMY , anatomy of ear in human notes by Rahul
jabdoliyarahul052

More from amalokwumarvelous9 (11)

7-Internal Structures of Brainstem.pdfpp
7-Internal Structures of Brainstem.pdfpp7-Internal Structures of Brainstem.pdfpp
7-Internal Structures of Brainstem.pdfpp
amalokwumarvelous9
8- V-VII cranial nerves .pdfppppppppppppp
8- V-VII cranial nerves .pdfppppppppppppp8- V-VII cranial nerves .pdfppppppppppppp
8- V-VII cranial nerves .pdfppppppppppppp
amalokwumarvelous9
17- Thalamus & Limbic System.pdffffffffffff
17- Thalamus & Limbic System.pdffffffffffff17- Thalamus & Limbic System.pdffffffffffff
17- Thalamus & Limbic System.pdffffffffffff
amalokwumarvelous9
18-BASAL GANGLIA.pptxffffffffffffffffffffff
18-BASAL GANGLIA.pptxffffffffffffffffffffff18-BASAL GANGLIA.pptxffffffffffffffffffffff
18-BASAL GANGLIA.pptxffffffffffffffffffffff
amalokwumarvelous9
15-Cerebral Crculation.pdf666666666666666666
15-Cerebral Crculation.pdf66666666666666666615-Cerebral Crculation.pdf666666666666666666
15-Cerebral Crculation.pdf666666666666666666
amalokwumarvelous9
16-Cerebral Hemisphere .pdf6666666666666666
16-Cerebral Hemisphere .pdf666666666666666616-Cerebral Hemisphere .pdf6666666666666666
16-Cerebral Hemisphere .pdf6666666666666666
amalokwumarvelous9
11- vestibulocochlear pathways.pdfmmmmmmmm
11- vestibulocochlear pathways.pdfmmmmmmmm11- vestibulocochlear pathways.pdfmmmmmmmm
11- vestibulocochlear pathways.pdfmmmmmmmm
amalokwumarvelous9
12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm
12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm
12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm
amalokwumarvelous9
1-Organization of the nervous system .pdf
1-Organization of the nervous system .pdf1-Organization of the nervous system .pdf
1-Organization of the nervous system .pdf
amalokwumarvelous9
Chap 8 Special Senses (eye, ear).pdftttt
Chap 8 Special Senses (eye, ear).pdfttttChap 8 Special Senses (eye, ear).pdftttt
Chap 8 Special Senses (eye, ear).pdftttt
amalokwumarvelous9
12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh
12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh
12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh
amalokwumarvelous9
7-Internal Structures of Brainstem.pdfpp
7-Internal Structures of Brainstem.pdfpp7-Internal Structures of Brainstem.pdfpp
7-Internal Structures of Brainstem.pdfpp
amalokwumarvelous9
8- V-VII cranial nerves .pdfppppppppppppp
8- V-VII cranial nerves .pdfppppppppppppp8- V-VII cranial nerves .pdfppppppppppppp
8- V-VII cranial nerves .pdfppppppppppppp
amalokwumarvelous9
17- Thalamus & Limbic System.pdffffffffffff
17- Thalamus & Limbic System.pdffffffffffff17- Thalamus & Limbic System.pdffffffffffff
17- Thalamus & Limbic System.pdffffffffffff
amalokwumarvelous9
18-BASAL GANGLIA.pptxffffffffffffffffffffff
18-BASAL GANGLIA.pptxffffffffffffffffffffff18-BASAL GANGLIA.pptxffffffffffffffffffffff
18-BASAL GANGLIA.pptxffffffffffffffffffffff
amalokwumarvelous9
15-Cerebral Crculation.pdf666666666666666666
15-Cerebral Crculation.pdf66666666666666666615-Cerebral Crculation.pdf666666666666666666
15-Cerebral Crculation.pdf666666666666666666
amalokwumarvelous9
16-Cerebral Hemisphere .pdf6666666666666666
16-Cerebral Hemisphere .pdf666666666666666616-Cerebral Hemisphere .pdf6666666666666666
16-Cerebral Hemisphere .pdf6666666666666666
amalokwumarvelous9
11- vestibulocochlear pathways.pdfmmmmmmmm
11- vestibulocochlear pathways.pdfmmmmmmmm11- vestibulocochlear pathways.pdfmmmmmmmm
11- vestibulocochlear pathways.pdfmmmmmmmm
amalokwumarvelous9
12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm
12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm
12-Nose and Nasal Pathway.pdfmmmmmmmmmmmmm
amalokwumarvelous9
1-Organization of the nervous system .pdf
1-Organization of the nervous system .pdf1-Organization of the nervous system .pdf
1-Organization of the nervous system .pdf
amalokwumarvelous9
Chap 8 Special Senses (eye, ear).pdftttt
Chap 8 Special Senses (eye, ear).pdfttttChap 8 Special Senses (eye, ear).pdftttt
Chap 8 Special Senses (eye, ear).pdftttt
amalokwumarvelous9
12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh
12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh
12_lecture_eye_and_ear.pdfhhhhhhhhhhhhhh
amalokwumarvelous9

Recently uploaded (20)

surgical notes for new houseman.very good explanation
surgical notes for new houseman.very good explanationsurgical notes for new houseman.very good explanation
surgical notes for new houseman.very good explanation
musaAlRashid
Non-Invasive ICP Monitoring for Neurosurgeons
Non-Invasive ICP Monitoring for NeurosurgeonsNon-Invasive ICP Monitoring for Neurosurgeons
Non-Invasive ICP Monitoring for Neurosurgeons
Dhaval Shukla
Description of Beta thalassemia its cause and management.
Description of Beta thalassemia its cause and management.Description of Beta thalassemia its cause and management.
Description of Beta thalassemia its cause and management.
KIMS
DIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTER
DIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTERDIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTER
DIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTER
daminipatel37
PARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptx
PARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptxPARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptx
PARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptx
DrDivitasaxena1
Hemoblastosis lecture by pathological anatomy
Hemoblastosis lecture by pathological anatomyHemoblastosis lecture by pathological anatomy
Hemoblastosis lecture by pathological anatomy
26d78y5bwr
OBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptx
OBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptxOBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptx
OBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptx
Selvaraj Balasubramani
SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025
SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025
SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025
Dr. Anindya
ECZEMA 3rd year notes with images .pptx
ECZEMA 3rd year notes with images   .pptxECZEMA 3rd year notes with images   .pptx
ECZEMA 3rd year notes with images .pptx
Ayesha Fatima
Local Anesthetic Use in the Vulnerable Patients
Local Anesthetic Use in the Vulnerable PatientsLocal Anesthetic Use in the Vulnerable Patients
Local Anesthetic Use in the Vulnerable Patients
Reza Aminnejad
male reproductive.ppt male reproductive system
male reproductive.ppt male reproductive systemmale reproductive.ppt male reproductive system
male reproductive.ppt male reproductive system
Pooja Rani
HER2-Targeting Therapy in HER2+ MBC With and Without CNS Metastases: Selectio...
HER2-Targeting Therapy in HER2+ MBC With and Without CNS Metastases: Selectio...HER2-Targeting Therapy in HER2+ MBC With and Without CNS Metastases: Selectio...
HER2-Targeting Therapy in HER2+ MBC With and Without CNS Metastases: Selectio...
PVI, PeerView Institute for Medical Education
Regulation of tubular reabsorption _AntiCopy.pdf
Regulation of tubular reabsorption _AntiCopy.pdfRegulation of tubular reabsorption _AntiCopy.pdf
Regulation of tubular reabsorption _AntiCopy.pdf
MedicoseAcademics
Details Study of Haemorrhage Modern & Ayurveda
Details Study of Haemorrhage Modern & AyurvedaDetails Study of Haemorrhage Modern & Ayurveda
Details Study of Haemorrhage Modern & Ayurveda
RaviAnand201252
Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...
Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...
Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...
zilkerapurbo
physiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptx
physiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptxphysiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptx
physiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptx
amralmohammady27
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
KHUSHAL CHAVAN
Flag Screening in Physiotherapy Examination.pptx
Flag Screening in Physiotherapy Examination.pptxFlag Screening in Physiotherapy Examination.pptx
Flag Screening in Physiotherapy Examination.pptx
BALAJI SOMA
X-Ray-Generators-and-Transformers final.pdf
X-Ray-Generators-and-Transformers  final.pdfX-Ray-Generators-and-Transformers  final.pdf
X-Ray-Generators-and-Transformers final.pdf
Mohd Faraz
Endocarditis.pptx
Endocarditis.pptxEndocarditis.pptx
Endocarditis.pptx
Nandish Sannaiah
surgical notes for new houseman.very good explanation
surgical notes for new houseman.very good explanationsurgical notes for new houseman.very good explanation
surgical notes for new houseman.very good explanation
musaAlRashid
Non-Invasive ICP Monitoring for Neurosurgeons
Non-Invasive ICP Monitoring for NeurosurgeonsNon-Invasive ICP Monitoring for Neurosurgeons
Non-Invasive ICP Monitoring for Neurosurgeons
Dhaval Shukla
Description of Beta thalassemia its cause and management.
Description of Beta thalassemia its cause and management.Description of Beta thalassemia its cause and management.
Description of Beta thalassemia its cause and management.
KIMS
DIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTER
DIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTERDIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTER
DIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTER
daminipatel37
PARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptx
PARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptxPARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptx
PARIS SYSTEM FOR URINE CYTOLOGY paris system of reporting urine slidespptx
DrDivitasaxena1
Hemoblastosis lecture by pathological anatomy
Hemoblastosis lecture by pathological anatomyHemoblastosis lecture by pathological anatomy
Hemoblastosis lecture by pathological anatomy
26d78y5bwr
OBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptx
OBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptxOBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptx
OBSTRUCTIVE JAUNDICE- Problem Oriented Approach.pptx
Selvaraj Balasubramani
SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025
SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025
SAPIENT Medi-trivia Quiz (FINALS) | TRI-ORTA 2025
Dr. Anindya
ECZEMA 3rd year notes with images .pptx
ECZEMA 3rd year notes with images   .pptxECZEMA 3rd year notes with images   .pptx
ECZEMA 3rd year notes with images .pptx
Ayesha Fatima
Local Anesthetic Use in the Vulnerable Patients
Local Anesthetic Use in the Vulnerable PatientsLocal Anesthetic Use in the Vulnerable Patients
Local Anesthetic Use in the Vulnerable Patients
Reza Aminnejad
male reproductive.ppt male reproductive system
male reproductive.ppt male reproductive systemmale reproductive.ppt male reproductive system
male reproductive.ppt male reproductive system
Pooja Rani
Regulation of tubular reabsorption _AntiCopy.pdf
Regulation of tubular reabsorption _AntiCopy.pdfRegulation of tubular reabsorption _AntiCopy.pdf
Regulation of tubular reabsorption _AntiCopy.pdf
MedicoseAcademics
Details Study of Haemorrhage Modern & Ayurveda
Details Study of Haemorrhage Modern & AyurvedaDetails Study of Haemorrhage Modern & Ayurveda
Details Study of Haemorrhage Modern & Ayurveda
RaviAnand201252
Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...
Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...
Correlation of vitamin D level with prediabetes status_Dr Ahmed Al Montasir_f...
zilkerapurbo
physiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptx
physiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptxphysiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptx
physiology 1 T3T4 & Jaundice & capillary circulation 愕悗悋.pptx
amralmohammady27
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
KHUSHAL CHAVAN
Flag Screening in Physiotherapy Examination.pptx
Flag Screening in Physiotherapy Examination.pptxFlag Screening in Physiotherapy Examination.pptx
Flag Screening in Physiotherapy Examination.pptx
BALAJI SOMA
X-Ray-Generators-and-Transformers final.pdf
X-Ray-Generators-and-Transformers  final.pdfX-Ray-Generators-and-Transformers  final.pdf
X-Ray-Generators-and-Transformers final.pdf
Mohd Faraz

10- Ear.pdfmmmmmmmmmmmmmnnjjjnnnkmmmmmnj

  • 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
  • 23. 23 The bony labyrinth consists of: Vestibule, Semicircular canals, and Cochlea. Bony 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.