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Anatomy of Middle ear
Dr. Suresh Managutti
Ear
Middle ear (Tympanic cavity)
 Location- petrous part of temporal bone
 Filled with air
 Lined by mucous membrane
 Full adult size at birth
 Communications- in front with lateral wall of
nasopharynx  auditory tube
 Behind with mastoid antrum through aditus to
antrum
Pistol
Measurements
 Vertical diameter- 15 mm
 AP diameter- 15 mm
 TD- 6mm at roof, 2 mm middle, 4mm at floor
Subdivisions of middle ear
 Epitympanum (head of malleus, body & short
process of incus)
 Mesotympanum (handle of malleus, long
process of incus and stapes)
 Hypotympanum
The Gross Anatomy of external and Middle ear Middle Ear
Boundaries of tympanic cavity  (cuboidal- 6
walls)
 Roof tegmen tympani , greater & lesser petrosal nerves
 Floor- jugular fossa IJV , tympanic branch of IX N
 Anterior wall- lower part- ICA & sympathetic plexus- carotico
tympanic nerves; upper part- canal for tensor tympani &
auditory tube
 Posterior wall- aditus to mastoid antrum, fossa incudis ,
vertical bony canal for facial nerve , pyramid- stapedius tendon
 Medial wall- promontory, fenestra vestibuli( oval window)-
stapes, fenestra cochleae (round window) -scala tympani, sinus
tympani- ampulla of P semicircular canal, oblique part of facial
nerve canal, processus trochleariformis
 Lateral wall  tympanic membrane  umbo, pars tensa, pars
flaccida anterior canaliculus for chorda tympani N
The Gross Anatomy of external and Middle ear Middle Ear
The Gross Anatomy of external and Middle ear Middle Ear
The Gross Anatomy of external and Middle ear Middle Ear
The Gross Anatomy of external and Middle ear Middle Ear
Lateral wall
The Gross Anatomy of external and Middle ear Middle Ear
The Gross Anatomy of external and Middle ear Middle Ear
Tympanic membrane
The Gross Anatomy of external and Middle ear Middle Ear
Ear ossicles
The Gross Anatomy of external and Middle ear Middle Ear
Otoscopy
Syringing
The Gross Anatomy of external and Middle ear Middle Ear
Applied anatomy
 Otitis media- ASOM, CSOM- complications
 Otosclerosis
 Hyperacusis
 Tympanic membrane perforation
 Myringotomy, Myringoplasty, Tympanoplasty
 Facial nerve & chorda tympani injury
 Eustachian catarrh

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The Gross Anatomy of external and Middle ear Middle Ear

  • 1. Anatomy of Middle ear Dr. Suresh Managutti
  • 2. Ear
  • 3. Middle ear (Tympanic cavity) Location- petrous part of temporal bone Filled with air Lined by mucous membrane Full adult size at birth Communications- in front with lateral wall of nasopharynx auditory tube Behind with mastoid antrum through aditus to antrum
  • 5. Measurements Vertical diameter- 15 mm AP diameter- 15 mm TD- 6mm at roof, 2 mm middle, 4mm at floor
  • 6. Subdivisions of middle ear Epitympanum (head of malleus, body & short process of incus) Mesotympanum (handle of malleus, long process of incus and stapes) Hypotympanum
  • 8. Boundaries of tympanic cavity (cuboidal- 6 walls) Roof tegmen tympani , greater & lesser petrosal nerves Floor- jugular fossa IJV , tympanic branch of IX N Anterior wall- lower part- ICA & sympathetic plexus- carotico tympanic nerves; upper part- canal for tensor tympani & auditory tube Posterior wall- aditus to mastoid antrum, fossa incudis , vertical bony canal for facial nerve , pyramid- stapedius tendon Medial wall- promontory, fenestra vestibuli( oval window)- stapes, fenestra cochleae (round window) -scala tympani, sinus tympani- ampulla of P semicircular canal, oblique part of facial nerve canal, processus trochleariformis Lateral wall tympanic membrane umbo, pars tensa, pars flaccida anterior canaliculus for chorda tympani N
  • 23. Applied anatomy Otitis media- ASOM, CSOM- complications Otosclerosis Hyperacusis Tympanic membrane perforation Myringotomy, Myringoplasty, Tympanoplasty Facial nerve & chorda tympani injury Eustachian catarrh