Hearing and Equilibrium 2. Middle Ear - Hearing3

Total Page:16

File Type:pdf, Size:1020Kb

Hearing and Equilibrium 2. Middle Ear - Hearing�3 Three Parts of Ear 1. Inner ear - hearing and equilibrium 2. Middle ear - hearing!3. Outer ear - hearing Outer Ear Auricle and External acoustic meatus Auricle: • Composed of elastic cartilage covered in thin skin ! • Helix (rim) ! • Lobule (earlobe) (no cartilage) ! • Directs sound wave into external acoustic meatus External auditory canal: ! • Short, curved tube - 2.5cm long ! • Extends from auricle to ear drum ! • Near auricle framework is elastic cartilage ! • Remainder inside temp bone ! • Lines skin with ceruminous glands (secrete ear wax, sticky trap for foreign bodies) Tymphanic Membrane (Eardrum) ! • Thin CT membrane, vibrates in response to sound ! • Transfers sound energy to middle ear ossicles ! • Boundary between outer and middle ears ! • Connects with pharynx !Middle Ear (Tympanic Cavity) !Small, air filled, mucosa lined cavity.!Petrous portion of temporal bone (laterally by eardrum, flanked medially by bony wall that containts oval (superior) + round (inferior) windows.Epitympanic! recess:!• Roofofmiddleear!Pharyngotympanic Tube ! • Connects middle ear to nasopharynx ! • Equalises pressure in the middle ear cavity with external air pressure ! • Eardrum vibrates freely only if pressure on both sides is equal !Ear Ossicles !Tympanic cavity contains three of the smallest bones in the body 1. Malleus (hammer) - secured to eardrum!2. Incus!3. Stapes (stirrup) Base fits into oval window -! Ligaments suspend the ossicles and synovial joints link them to span the middle ear. - Transmit vibratory motion of eardrum to oval window. !Two muscles associated!1. Tensor tympani and stapedius (inserts on malleus) 2. Stapedius (inserts on staples) ! Dampen sound by tensing ear drum and limiting movement of stapes in oval window. Inner Ear Deep in temporal bone behind eye socket. Bony labyrinth Three regions: Vestibule, cochlear, semicurcular canals Filled with perilymph (very similar to cerebrospinal fluid) Membranous labyrinth Series of membranous sacs within bony labyrinth!Suspended in perilymph and contains endolymph (potassium rich) Fluid of inner ear conduct sound vibrations involved in hearing and respond to mechanical forces during changes in body position and acceleration. V estibule Central-egg shaped cavity of bony labyrinth-! Posterior to cochlear, anterior to semicurcular canals. - Lateral wall is oval window Suspended in the perilymph are two membranous labyrinth sacs Saccule - extends into the cochlear!Utricle - Extends into semicircular canal!Saccule and utricle house equilibrium receptor regions - Maculae!- Respond to gravity and position of the head Semicircular Canals Three canals that define 2/3 of a circle and lie in three places of a space - Anterior - Right angles to Posterior in vertical plane-! Lateral - lies horizontally-! Posterior - Right angles to Anterior in vertical plane Membranous semicircular ducts line each canal and communicate with utricle Ampulla is swollen end of canal. Houses equilibrium receptors in a region called crista ampullaris. Responds to angular movements of the head. Cochlea Spinal, conical bony chamber!Extends from anterior vestibule!Coils around bony pillar called modiolus!Contains cochlear duct (membranous) - ends at cochlear apex. Contains hearing receptor (Corti). Divided into three chambers:!1. Scala Vestibuli: superior to cochlear duct, continuous with vestibule. Contains .
Recommended publications
  • Ear, Page 1 Lecture Outline
    Ear - Hearing perspective Dr. Darren Hoffmann Lecture Objectives: After this lecture, you should be able to: -Describe the surface anatomy of the external ear in anatomical language -Recognize key anatomy in an otoscopic view of the tympanic membrane -Describe the anatomy and function of the ossicles and their associated muscles -Relate the anatomical structures of the middle ear to the anterior, posterior, lateral or medial walls -Explain the anatomy of middle ear infection and which regions have potential to spread to ear -Describe the anatomical structures of the inner ear -Discriminate between endolymph and perilymph in terms of their origin, composition and reabsorption mechanisms -Identify the structures of the Cochlea and Vestibular system histologically -Explain how hair cells function to transform fluid movement into electrical activity -Discriminate the location of cochlear activation for different frequencies of sound -Relate the hair cells of the cochlea to the hair cells of the vestibular system -Contrast the vestibular structures of macula and crista terminalis Let’s look at the following regions: Hoffmann – Ear, Page 1 Lecture Outline: C1. External Ear Function: Amplification of Sound waves Parts Auricle Visible part of external ear (pinna) Helix – large outer rim Tragus – tab anterior to external auditory meatus External auditory meatus Auditory Canal/External Auditory Meatus Leads from Auricle to Tympanic membrane Starts cartilaginous, becomes bony as it enters petrous part of temporal bone Earwax (Cerumen) Complex mixture
    [Show full text]
  • Mathematical Model of the Cupula-Endolymph System with Morphological Parameters for the Axolotl (Ambystoma Tigrinum) Semicircular Canals
    138 The Open Medical Informatics Journal, 2008, 2, 138-148 Open Access Mathematical Model of the Cupula-Endolymph System with Morphological Parameters for the Axolotl (Ambystoma tigrinum) Semicircular Canals Rosario Vega1, Vladimir V. Alexandrov2,3, Tamara B. Alexandrova1,3 and Enrique Soto*,1 1Instituto de Fisiología, Universidad Autónoma de Puebla, 2Facultad de Ciencias Físico Matemáticas, Universidad Autónoma de Puebla, 3 Lomonosov Moscow State University, Mexico Abstract: By combining mathematical methods with the morphological analysis of the semicircular canals of the axolotl (Ambystoma tigrinum), a system of differential equations describing the mechanical coupling in the semicircular canals was obtained. The coefficients of this system have an explicit physiological meaning that allows for the introduction of morphological and dynamical parameters directly into the differential equations. The cupula of the semicircular canals was modeled both as a piston and as a membrane (diaphragm like), and the duct canals as toroids with two main regions: i) the semicircular canal duct and, ii) a larger diameter region corresponding to the ampulla and the utricle. The endolymph motion was described by the Navier-Stokes equations. The analysis of the model demonstrated that cupular behavior dynamics under periodic stimulation is equivalent in both the piston and the membrane cupular models, thus a general model in which the detailed cupular structure is not relevant was derived. Keywords: Inner ear, vestibular, hair cell, transduction, sensory coding, physiology. 1. INTRODUCTION linear acceleration detectors, and the SCs as angular accel- eration detectors, notwithstanding that both sensory organs The processing of sensory information in the semicircular are based on a very similar sensory cell type.
    [Show full text]
  • ANATOMY of EAR Basic Ear Anatomy
    ANATOMY OF EAR Basic Ear Anatomy • Expected outcomes • To understand the hearing mechanism • To be able to identify the structures of the ear Development of Ear 1. Pinna develops from 1st & 2nd Branchial arch (Hillocks of His). Starts at 6 Weeks & is complete by 20 weeks. 2. E.A.M. develops from dorsal end of 1st branchial arch starting at 6-8 weeks and is complete by 28 weeks. 3. Middle Ear development —Malleus & Incus develop between 6-8 weeks from 1st & 2nd branchial arch. Branchial arches & Development of Ear Dev. contd---- • T.M at 28 weeks from all 3 germinal layers . • Foot plate of stapes develops from otic capsule b/w 6- 8 weeks. • Inner ear develops from otic capsule starting at 5 weeks & is complete by 25 weeks. • Development of external/middle/inner ear is independent of each other. Development of ear External Ear • It consists of - Pinna and External auditory meatus. Pinna • It is made up of fibro elastic cartilage covered by skin and connected to the surrounding parts by ligaments and muscles. • Various landmarks on the pinna are helix, antihelix, lobule, tragus, concha, scaphoid fossa and triangular fossa • Pinna has two surfaces i.e. medial or cranial surface and a lateral surface . • Cymba concha lies between crus helix and crus antihelix. It is an important landmark for mastoid antrum. Anatomy of external ear • Landmarks of pinna Anatomy of external ear • Bat-Ear is the most common congenital anomaly of pinna in which antihelix has not developed and excessive conchal cartilage is present. • Corrections of Pinna defects are done at 6 years of age.
    [Show full text]
  • Organum Vestibulocochleare INTERNAL EAR MIDDLE EAR EXTERNAL EAR PETROSAL BONE- Eq EXTERNAL EAR AURICLE
    EAR organum vestibulocochleare INTERNAL EAR MIDDLE EAR EXTERNAL EAR PETROSAL BONE- Eq EXTERNAL EAR AURICLE The external ear plays the role of an acoustic antenna: auricle the auricle (together with the head) collects and focuses sound waves, the ear canal act as a resonator. tympanic membrane anular cartilage meatus acusticus externus EXTERNAL EAR EXTERNAL EAR AURICLE scutiform cartilage Auricular muscles: -Dorsal -Ventral -Rostral -Caudal EXTERNAL EAR MEATUS ACUSTICUS EXTERNUS auricular cartilage vertical canal auditory ossicles horizontal cochlea canal auditory tube tympanic tympanic eardrum bulla cavity tympanic membrane MIDDLE EAR Auditory ossicles STAPES INCUS Tympanic cavity: (anvil) (stirrup) - epitympanium - mesotympanium - hypotympanium MALLEUS (hammer) auditory vestibular window- ossicles or oval window through which mechanical stimuli (transmitted by the auditory ossicles) enter the epitympanic internal ear for translation recess into nerve impulses auditory tube (Eustachian tube) cochlear window- or round window tympanic cavity bulla tympanica through which the vibration of the perilympha is absorbed MIDDLE EAR MIDDLE EAR GUTTURAL POUCH- Eq MIDDLE EAR AUDITORY OSSICLES head INCUS processus rostralis (stirrup) STAPES processus muscularis (anvil) manubrium short crus body MALLEUS (hammer) Two muscles of the ossicles: long crus m. tensor tympani- n. tensoris tympani ex. n. base mandibularis (footplate) m. stapedius- n. stapedius ex. n. facialis crus The muscles fix the bones and protect the cochlea crus against the harmful effects
    [Show full text]
  • Macroscopic Description of the External and Middle Ear of Paca (Cuniculus Paca Linnaeus, 1766)1
    Pesq. Vet. Bras. 35(6):583-589, junho 2015 DOI: 10.1590/S0100-736X2015000600017 Macroscopic description of the external and middle ear of paca (Cuniculus paca Linnaeus, 1766)1 Leandro L. Martins2*, Ijanete Almeida-Silva3, Maria Rossato3, Adriana A.B. Murashima3, Miguel A. Hyppolito3 and Marcia R.F. Machado4 ABSTRACT.- Martins L.L., Almeida-Silva I., Rossato M., Murashima A.A.B., Hyppolito M.A. & Machado M.R.F. 2015. Macroscopic description of the external and middle ear of paca (Cuniculus paca Linnaeus, 1766). Pesquisa Veterinária Brasileira 35(6):583-589. Depar- tamento de Anatomia Animal, Escola de Veterinária, Universidade de Ingá, Rodovia PR-317 nº 6114, Maringá, PR 87035-510, Brazil. E-mail: [email protected] Paca (Cuniculus paca), one of the largest rodents of the Brazilian fauna, has inherent characteristics of its species which can conribute as a new option for animal experiman- tation. As there is a growing demand for suitable experimental models in audiologic and otologic surgical research, the gross anatomy and ultrastructural ear of this rodent have been analyzed and described in detail. Fifteen adult pacas from the Wild Animals Sector herd of Faculdade de Ciências Agrárias e Veterinárias, Unesp-Jaboticabal, were used in this study. After anesthesia and euthanasia, we evaluated the entire composition of the exter- nal ear, registering and ddescribing the details; the temporal region was often dissected for a better view and detailing of the tympanic bulla which was removed and opened to expose the ear structures analyzed mascroscopically and ultrastructurally. The ear pinna has a triangular and concave shape with irregular ridges and sharp apex.
    [Show full text]
  • Temporal Bone, Normal Anatomy, Computed Tomography/Histology
    Temporal Bone Normal Anatomy Computed Tomography /Histology Correlation Otopathology Laboratory Department of Radiology Massachusetts Eye and Ear Eric F. Curtin Barbara J. Burgess Dianne D. Jones Jennifer T. O’Malley Hugh D. Curtin MD Otopathologylaboratory.org Facial nerve Malleus Incus Cochlea Lateral canal Oval Window Axial CT Red Arrow -Facial nerve VII Attic IAC Vest LSCC Red Arrow -Facial nerve VII M I M-Malleus I-Incus Vest Cochlea S-Stapes VII S Interscalar septum M M-Modiolus Interscalar septum M M-Modiolus Anterior epitympanic recess Cog Cochleariform process Cochlea Facial recess S-Stapes Pyramidal process S Sinus Tympani ME ME-middle ear RW-round window Cochlea RW Stapedius M Carotid TMJ plate Jugular plate Coronal CT FN 2 FN 1 Cochlea Carotid Malleus Tegmen Incus FN 2 Oval window Scutum Lateral Semicircular Canal Pyramidal process Round Window Jugular Facial Nerve Key image lateral canal facial nerve oval window .. Poschl CT Carotid Tensor tympani Eustachian tube VII1 IAC Basilar turn cochlea Apical turn cochlea Turn 2 cochlea VII1 VII2 Tensor tympani VII2 Jugular vein Tensor tympani Jugular vein Cochleariform process Superior SCC M M-malleus VII2 Oval W Round W Lateral canal Common crus TMJ Lateral SCC VII2 I S I –Incus S- Stapes Tegmen Vestibular aqueduct VII2 VII3 EAC Stenvers CT SSCC VII1 Carotid VII1 is separated from nerve to lateral canal by Bill’s bar Canal for nerve to lateral SCC VII VII1 Basilar turn cochlea LSCC SSCC VII3 Round window Styloid process Vestibule VII3 PSCC Common Crus IAC Axial CT Histology correlation Utricle Lateral Semicircular Canal Vestibule Vestibule Saccule Utricle Vestibule Saccule Utricle Vestibule Saccule Utricle Anterior Crus of the Stapes Carotid Tympanic Carotid plate membrane Middle Ear Jugular Jugular plate Coronal CT Histology correlation Saccule Otopathology Laboratory Department of Radiology Massachusetts Eye and Ear Otopathologylaboratory.org Eric F.
    [Show full text]
  • Microtia Repair
    Microtia Repair Teri Junge, cst, csfa, med, fast The term microtia actually means small ear and the term anotia means lack of the ear. Microtia has become a “catch-all” term that includes any type of deformity of the external ear. Microtia occurs in approximately 1:6,000 births, is more common in males (approximately 63% of the patients are male and 37% are female), and is more likely to occur on the right side (approximately 58% of deformities occur on the right side) however the defect may be bilateral (approximately 9% of patients are affect- ed bilaterally). Microtia can occur as an isolated deformity or can occur in conjunction with other birth defects (related or not) which can include middle and inner ear prob- lems resulting in reduced or absence of hearing on the affected side. Possible C auses icrotia is thought to be a random event; although it has LEARNING O bJECTIVES been linked to increased maternal age. Other possible ▲ Examine the possible causes of causes are intrauterine tissue ischemia (possibly from an microtia Martery that was compressed in the womb), maternal medication use ▲ identify the grades of severity (such as the drug thalidomide/Thalomid® which is an immunomodu- related to this condition latory agent used to treat multiple myeloma and erythema nodosum ▲ Review the anatomy of the external leprosum and/or the drug isotretinoin/Accutane® which is a retinoid that is used to treat acne), evidence of a first trimester of pregnancy ear, middle ear and inner ear rubella (German measles) episode, and genetic factors. Microtia has ▲ Evaluate the steps taken during an been associated with several syndromes such as Goldenhar Syndrome autologous rib graft procedure and Treacher-Collins Syndrome.
    [Show full text]
  • Hair Cells Are Bent Against the Tectorial Membrane , Causing Them to Depolarize and Release Neurotransmitter That Stimulates Sensory Neurons
    EAR EAR - PARTS EXTERNAL EAR INTERNAL EAR MIDDLE EAR EXTERNAL EAR CONSISTS OF : 1. AURICLE OR PINNA 2. EXTERNAL AUDITORY CANAL 3. EARDRUM AURICLE OR PINNA IS A FLAP OF ELASTIC CARTILAGE SHAPED LIKE TRUMPET. COVERED BY SKIN RIM OF AURICLE IS HELIX LOWER PORTION IS LOBULE LIGAMENTS AND MUSCLES ATTACH THE AURICLE TO THE HEAD EXTERNAL AUDITORY CANAL Is a curved tube 2.5 cm long EXTERNAL AUDITORY CANAL BONY PART CARTILAGINOUS PART Collects sound waves and channels them inward TYMPANIC MEMBRANE OR EARDRUM Thin , transparent partition between the external auditory canal and middle ear. It is composed of connective tissues and has 3 layers….. 1.Outer surface of tympanic membrane is covered by epidermis ( stratified Squamous keratinised epithelium ) 2.Inner surface is lined by simple cuboidal epithelium. 3.Middle layer is composed of collagen, elastic fibers and fibroblasts Tympanic membrane is the only structure made from all the 3 germ layers ectoderm, endoderm and mesoderm. 3 LAYERS OF TYMPANIC MEMBRANE ARE: 1. CUTICLE LAYER 2. FIBROUS LAYER 3. MUCOUS LAYER CUTICLE FIBROUS MUCOUS LAYER LAYER LAYER TYMPANIC MEMBRANE LATERAL PROCESS PARS FLACCIDA OF MALLEUS Tympanic membrane UMBO EXTERNAL EAR MIDDLE EAR PARS TENSA Handle of malleus is attached to inner surface of tympanic membrane Point of maximum convexity of tympanic membrane is UMBO Tearing of tympanic membrane is called as PERFORATED EARDRUM Tympanic membrane may be examined directly by an OTOSCOPE. External auditory canal contains a few hairs and specialized sweat glands called CERUMINOUS GLANDS ( MODIFIED APOCRINE GLAND ) that secrete earwax or cerumen. The combination of hairs and cerumen helps prevent dust and foreign objects from entering the ear.
    [Show full text]
  • A Place Principle for Vertigo
    Auris Nasus Larynx 35 (2008) 1–10 www.elsevier.com/locate/anl A place principle for vertigo Richard R. Gacek * Department of Otolaryngology, Head and Neck Surgery, University of Massachusetts Medical School, Worcester, MA 01655, USA Received 16 March 2007; accepted 13 April 2007 Available online 24 October 2007 Abstract Objective: To provide a road map of the vestibular labyrinth and its innervation leading to a place principle for different forms of vertigo. Method: The literature describing the anatomy and physiology of the vestibular system was reviewed. Results: Different forms of vertigo may be determined by the type of sense organ, type of ganglion cell and location in the vestibular nerve. Conclusion: Partial lesions (viral) of the vestibular ganglion are manifested as various forms of vertigo. # 2007 Elsevier Ireland Ltd. All rights reserved. Keywords: Vertigo; Vestibular nerve; Pathology Contents 1. Introduction . ............................................................................... 1 2. Sense organ. ............................................................................... 2 3. Ganglion cells ............................................................................... 4 4. Hair cells . ............................................................................... 5 5. Hair cell polarization . ....................................................................... 5 6. Efferent vestibular system ....................................................................... 8 7. A place principle for vertigo . .................................................................
    [Show full text]
  • MASTOIDECTOMY & EPITYMPANECTOMY Tashneem Harris & Thomas Linder
    OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY MASTOIDECTOMY & EPITYMPANECTOMY Tashneem Harris & Thomas Linder Chronic otitis media, with or without cho- to describe the different types of mastoid- lesteatoma, is one of the more common ectomy as summarized in Table 1. indications for performing a mastoidecto- my. Mastoidectomy permits access to re- Table 1: Types of mastoidectomy move cholesteatoma matrix or diseased air cells in chronic otitis media. Mastoidec- Canal wall up Canal wall down tomy is one of the key steps in placing a mastoidectomy mastoidectomy cochlear implant. Here a mastoidectomy Combined approach Radical mastoidectomy allows the surgeon access to the middle ear Intact canal wall Modified radical through the facial recess. A complete mastoidectomy mastoidectomy mastoidectomy is not necessary; therefore, Closed technique Open technique the term anterior mastoidectomy is often Front-to-back mastoidectomy used (anterior to the sigmoid sinus). A Atticoantrostomy mastoidectomy is often an initial step in Open mastoidoepitympanec- lateral skull base surgery for tumours tomy involving the lateral skull base, including vestibular schwannomas, meningiomas, One of the problems is that the termino- temporal bone paragangliomas (glomus logy does not in fact entail specific infor- tumours), and epidermoids or repair of mation about what was done either to the CSF leaks arising from the temporal bone. middle ear or the mastoid. It is the authors’ preference to use the terms open/closed Definition of Cholesteatoma mastoidoepitympanectomy and to state separately whether a tympanoplasty or Cholesteatoma is a chronic middle ear in- ossiculoplasty was done e.g. left open fection with squamous epithelium and mastoidoepitympanectomy and tympano- retention of keratin in the middle ear and/ plasty type III.
    [Show full text]
  • Topographical Anatomy and Measurements of Selected Parameters of the Rat Temporal Bone
    Folia Morphol. Vol. 67, No. 2, pp. 111–119 Copyright © 2008 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl Topographical anatomy and measurements of selected parameters of the rat temporal bone J. Wysocki Clinic of Otolaryngology, Medical Faculty No. 2, Medical University of Warsaw, Kajetany, Poland Institute of Physiology and Pathology of Hearing, Warsaw, Poland [Received 22 October 2008; Accepted 22 November 2008] On the basis of dissection of 24 bones of 12 black rats a systematic anatomical description was made and measurements of selected size parameters of the tem- poral bone were taken. Besides the main air space in the middle ear, the tym- panic bulla, there are also additional air cells, namely the anterior and posterior epitympanic recesses, containing the head of the malleus and the body of the incus. On the side of the epitympanic recesses the following are easily accessi- ble: the malleus head and the core of the incus, the superior and lateral semicir- cular canals and the facial nerve. On the side of the ventral tympanic bulla it is easy access to both windows and the cochlea. The semicircular canals are rela- tively large, the lateral canal being the largest and the posterior the smallest. The length of the spiral canal of the cochlea does not exceed 11 mm. It is worth mentioning that both the vertical and horizontal dimensions of the scala vestibuli and scala tympani do not even exceed 0.7 mm in the basal turn, and are signif- icantly decreased to tenths of a millimetre in further turns.
    [Show full text]
  • Defects in Vestibular Sensory Epithelia and Innervation in Mice with Loss of Chd7 Function: Implications for Human CHARGE Syndrome
    THE JOURNAL OF COMPARATIVE NEUROLOGY 504:519–532 (2007) Defects in Vestibular Sensory Epithelia and Innervation in Mice with Loss of Chd7 Function: Implications for Human CHARGE Syndrome MEREDITH E. ADAMS,1 ELIZABETH A. HURD,2 LISA A. BEYER,1 DONALD L. SWIDERSKI,1 YEHOASH RAPHAEL,1 AND DONNA M. MARTIN2,3* 1Department of Otolaryngology, The University of Michigan, Ann Arbor, Michigan, 48109 2Department of Human Genetics, The University of Michigan, Ann Arbor, Michigan, 48109 3Department of Pediatrics, The University of Michigan, Ann Arbor, Michigan, 48109 ABSTRACT CHD7 is a chromodomain gene mutated in CHARGE syndrome, a multiple anomaly condition characterized by ocular coloboma, heart defects, atresia of the choanae, retarded growth and development, genital hypoplasia, and ear defects including deafness and semi- circular canal dysgenesis. Mice with heterozygous Chd7 deficiency have circling behavior and semicircular canal defects and are an excellent animal model for exploring the pathogenesis of CHARGE features. Inner ear vestibular defects have been characterized in heterozygous Chd7-deficient embryos and early postnatal mice, but it is not known whether vestibular defects persist throughout adulthood in Chd7-deficient mice or whether the vestibular sen- sory epithelia and their associated innervation and function are intact. Here we describe a detailed analysis of inner ear vestibular structures in mature mice that are heterozygous for a Chd7-deficient, gene-trapped allele ( Chd7Gt/ϩ). Chd7Gt/ϩ mice display variable asymmet- ric lateral and posterior semicircular canal malformations, as well as defects in vestibular sensory epithelial innervation despite the presence of intact hair cells in the target organs. These observations have important functional implications for understanding the clinical manifestations of CHD7 mutations in humans and for designing therapies to treat inner ear vestibular dysfunction.
    [Show full text]