The Biophysical Function of the Human Eardrum
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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. -
Research Reports
ARAŞTIRMALAR (ResearchUnur, Ülger, Reports) Ekinci MORPHOMETRICAL AND MORPHOLOGICAL VARIATIONS OF MIDDLE EAR OSSICLES IN THE NEWBORN* Yeni doğanlarda orta kulak kemikciklerinin morfometrik ve morfolojik varyasyonları Erdoğan UNUR 1, Harun ÜLGER 1, Nihat EKİNCİ 2 Abstract Özet Purpose: Aim of this study was to investigate the Amaç: Yeni doğanlarda orta kulak kemikciklerinin morphometric and morphologic variations of middle ear morfometrik ve morfolojik varyasyonlarını ortaya ossicles. koymak. Materials and Methods: Middle ear of 20 newborn Gereç ve yöntem: Her iki cinse ait 20 yeni doğan cadavers from both sexes were dissected bilaterally and kadavrasının orta kulak boşluğuna girilerek elde edilen the ossicles were obtained to investigate their orta kulak kemikcikleri üzerinde morfometrik ve morphometric and morphologic characteristics. morfolojik inceleme yapıldı. Results: The average of morphometric parameters Bulgular: Morfometrik sonuçlar; malleus’un toplam showed that the malleus was 7.69 mm in total length with uzunluğu 7.69 mm, manibrium mallei’nin uzunluğu 4.70 an angle of 137 o; the manibrium mallei was 4.70 mm, mm, caput mallei ve processus lateralis arasındaki and the total length of head and neck was 4.85 mm; the uzaklık 4.85 mm, manibrium mallei’nin ekseni ve caput incus had a total length of 6.47 mm, total width of 4.88 mallei arasındaki açı 137 o, incus’un toplam uzunluğu mm , and a maximal distance of 6.12 mm between the 6.47 mm, toplam genişliği 4.88 mm, crus longum ve tops of the processes, with an angle of 99.9 o; the stapes breve’nin uçları arasındaki uzaklık 6.12 mm, cruslar had a total height of 3.22 mm, with stapedial base being arasındaki açı 99.9 o, stapesin toplam uzunluğu 2.57 mm in length and 1.29 mm in width. -
Topographical Anatomy and Morphometry of the Temporal Bone of the Macaque
Folia Morphol. Vol. 68, No. 1, pp. 13–22 Copyright © 2009 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 morphometry of the temporal bone of the macaque J. Wysocki 1Clinic of Otolaryngology and Rehabilitation, II Medical Faculty, Warsaw Medical University, Poland, Kajetany, Nadarzyn, Poland 2Laboratory of Clinical Anatomy of the Head and Neck, Institute of Physiology and Pathology of Hearing, Poland, Kajetany, Nadarzyn, Poland [Received 7 July 2008; Accepted 10 October 2008] Based on the dissections of 24 bones of 12 macaques (Macaca mulatta), a systematic anatomical description was made and measurements of the cho- sen size parameters of the temporal bone as well as the skull were taken. Although there is a small mastoid process, the general arrangement of the macaque’s temporal bone structures is very close to that which is observed in humans. The main differences are a different model of pneumatisation and the presence of subarcuate fossa, which possesses considerable dimensions. The main air space in the middle ear is the mesotympanum, but there are also additional air cells: the epitympanic recess containing the head of malleus and body of incus, the mastoid cavity, and several air spaces on the floor of the tympanic cavity. The vicinity of the carotid canal is also very well pneuma- tised and the walls of the canal are very thin. The semicircular canals are relatively small, very regular in shape, and characterized by almost the same dimensions. The bony walls of the labyrinth are relatively thin. -
Download PDF Intratemporal Course of the Facial Nerve
Romanian Journal of Morphology and Embryology 2010, 51(2):243–248 ORIGINAL PAPER Intratemporal course of the facial nerve: morphological, topographic and morphometric features NICOLETA MĂRU1), A. C. CHEIŢĂ2), CARMEN AURELIA MOGOANTĂ3), B. PREJOIANU4) 1)Department of Anatomy, Faculty of Dental Medicine 2)PhD candidate, ENT specialist “Carol Davila” University of Medicine and Pharmacy, Bucharest 3)ENT resident, Emergency County Hospital, Craiova University of Medicine and Pharmacy of Craiova 4)Tehno Electro Medical Company, Bucharest Abstract The purpose of this study is to present some morphological and morphometric aspects of the facial nerve and especially of the tympanic and mastoid segments of this nerve. The authors follow up a mesoscopic study concerning the tract (length, angulation, width) of these segments and the anatomic relations with the important structures of the middle ear. At the same time, some anatomical variations which involve the canal of the facial nerve (dehiscences, tract deviation or other anatomical deviations) are presented. To evaluate the risk of the facial nerve injury during operations for chronic otitis media with or without cholesteatoma, stapedectomy in otosclerosis, exploratory tympanotomy, tympanoplasty, canaloplasty, osteomas surgery or other otologic surgery that involve facial nerve area. The intricate course of the facial nerve through the temporal bone is of vital concern to all otologic surgeons, since it often traverses the surgical field. Therefore, authors will review the course of the facial canal through the petrosal portion of the temporal bone from the internal auditory meatus to the stylomastoid foramen, paying particular attention to its relations to adjacent structures. Keywords: intratemporal part, facial nerve. -
1 Surgical Anatomy Alexander Rauchfuss
Chapter 1 1 1 Surgical Anatomy Alexander Rauchfuss The temporal bone presents a very complex anatomy. Therefore this overview is restricted to some major points from the viewpoint of surgical anatomy. For more detailed information see “Suggested Reading”. Thetemporalboneaccordingtoitsdevelopmentalanatomyisdivisibleinto four parts: the squamous, mastoid, petrous, and tympanic portions. Points of topographical reference on the lateral surface are the external acoustic meatus with its suprameatal spine, the temporal line, and the mastoid process. Thebaseofthezygomaextendsasacrestposteriorlyandslightlyupward, forming the supramastoid crest or temporal line. The temporal line as a land- mark corresponds to the base of the medial cranial fossa/tegmen tympani, which in most cases of surgery can easily be identified. In combination with the radiological anatomy in a Schüller view it allows adequate planning of the surgical approach to the antrum via the mastoid. All figures show the anatomy of a left ear. 2 1 Surgical Anatomy Figs. 1.1–1.5. Temporal bone and sigmoid sinus Fig. 1.1. Temporal bone. The degree of pneumatization is inconstant. The extent and arrangement of air cells varies considerably from a minimal air cell system in the surroundings of the antrum to involvement of most of the tempo- ral bone. Pneumatization usually begins in late fetal life, progressing until the end of childhood. The pneumatization process starts from the antrum. In most cases one can describe the topography of the cells as follows: periantral, sino- dural, perisinual, perifacial and mastoid tip cells. According to the extension of the cells, there is only one rule: the further from the antrum, the bigger the cells Fig. -
The Nervous System: General and Special Senses
18 The Nervous System: General and Special Senses PowerPoint® Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska © 2012 Pearson Education, Inc. Introduction • Sensory information arrives at the CNS • Information is “picked up” by sensory receptors • Sensory receptors are the interface between the nervous system and the internal and external environment • General senses • Refers to temperature, pain, touch, pressure, vibration, and proprioception • Special senses • Refers to smell, taste, balance, hearing, and vision © 2012 Pearson Education, Inc. Receptors • Receptors and Receptive Fields • Free nerve endings are the simplest receptors • These respond to a variety of stimuli • Receptors of the retina (for example) are very specific and only respond to light • Receptive fields • Large receptive fields have receptors spread far apart, which makes it difficult to localize a stimulus • Small receptive fields have receptors close together, which makes it easy to localize a stimulus. © 2012 Pearson Education, Inc. Figure 18.1 Receptors and Receptive Fields Receptive Receptive field 1 field 2 Receptive fields © 2012 Pearson Education, Inc. Receptors • Interpretation of Sensory Information • Information is relayed from the receptor to a specific neuron in the CNS • The connection between a receptor and a neuron is called a labeled line • Each labeled line transmits its own specific sensation © 2012 Pearson Education, Inc. Interpretation of Sensory Information • Classification of Receptors • Tonic receptors -
INVITED REVIEW Insights in the Physiology of the Human Mastoid
Int. Adv. Otol. 2012; 8:(2) 296-310 INVITED REVIEW Insights in the Physiology of the Human Mastoid: Message to the Surgeon Bernard Ars, Joris Dirckx, Nicole Ars-Piret, Jan Buytaert ENT Department – University Hospital Antwerp and Temporal Bone Foundation, Brussels Avenue du Polo 68 B-1150 Brussel Belgium (BA, NCP) Laboratory of BioMedical Physics – University of Antwerp Groenenborgerlaan 171 B-2020 Antwerpen Belgium (JD, JB) Abstract To reach the temporal bone, surgeons often consider making access through the mastoid. It is, however, imperative that the surgeon is aware of the mastoid’s morphology, physiology, its functional parameters and the implications of damaging or altering this structure. We review established findings on the developmental and functional morphology, and the delicate pressure balance variations in the middle ear cleft. Then, an overview is given of the possible surgical access methods for the temporal bone through the mastoid. We look for implications of each procedure, which can only be understood through the knowledge of the preceding outline, so that surgeons can justify a certain surgical approach. Introduction functional aspects of the middle ear cleft. The middle ear cleft includes the tympanic cavity and the mastoid Ear surgeons should be aware of the embryological, gas cell system, cf. Figure 1. anatomical and not to forget physiological aspects of the mastoid cavity when considering this structure as a surgical approach to the temporal bone. Different anatomical ways of access have been described that allow reaching the targeted structures (cf. section 5), trying to avoid fundamental constitutive elements susceptible to injury. In our opinion, an initial better understanding of the developmental and functional aspects of the mastoid gas cells system is essential for the surgeon to justify a certain surgical approach. -
Anatomy of the Ear
Anatomy of the Ear Neuroanatomy block-Anatomy-Lecture 10 Editing file Objectives At the end of the lecture, students 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). ● 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 is filled with Color guide endolymph ● Only in boys slides in Green ● List the organs of hearing and equilibrium ● Only in girls slides in Purple ● important in Red ● Notes in Grey The External Ear Formed By The External Auditory The Auricle Canal ● It has a characteristic shape ● is a curved S-shaped tube about and it collects air vibrations 2.5 cm, that conducts & collects ● It consists of a thin plate of sound waves from the auricle to elastic cartilage covered by a the tympanic membrane. Its double layer of skin outer 1/3rd is elastic cartilage, ● It receives the insertion of Tympanic while its inner 2/3rds are bony extrinsic muscles which are membrane ● Its lined by skin, and its outer supplied by the facial nerve. External 1/3rd is provided with hairs, Sensation is carried by acoustic meatus sebaceous and ceruminous greater auricular & glands (modified sweat glands auriculotemporal nerves that secrete a yellowish brownish substance called ear wax) * The auricle is also called pinna * The external auditory canal is also called the external auditory (acoustic) meatus 3 Middle Ear (Tympanic Cavity) ● The middle ear is a narrow, oblique slit-like cavity (air-filled) in the petrous temporal bone & lined with mucous membrane. -
Ossicles (Malleus, Incus Stapes) Semicircular Canals Viiith Cranial Nerve Tympanic Membrane Pinna Outer Ear Middle Ear Inner
Outer ear Middle ear Inner ear Ossicles (Malleus, Incus Semicircular Stapes) Canals Pinna VIIIth Cranial Nerve External Auditory Canal Tympanic Membrane Vestibule Eustachian Tube Cochlea The ear is the organ of hearing and balance. The parts of the ear include: External or outer ear, consisting of: o Pinna or auricle. This is the outside part of the ear. o External auditory canal or tube. This is the tube that connects the outer ear to the inside or middle ear. Tympanic membrane (eardrum). The tympanic membrane divides the external ear from the middle ear. Middle ear (tympanic cavity), consisting of: o Ossicles. Three small bones that are connected and transmit the sound waves to the inner ear. The bones are called: . Malleus . Incus . Stapes o Eustachian tube. A canal that links the middle ear with the back of the nose. The eustachian tube helps to equalize the pressure in the middle ear. Equalized pressure is needed for the proper transfer of sound waves. The eustachian tube is lined with mucous, just like the inside of the nose and throat. Inner ear, consisting of: o Cochlea. This contains the nerves for hearing. o Vestibule. This contains receptors for balance. o Semicircular canals. This contains receptors for balance. How do you hear? Hearing starts with the outer ear. When a sound is made outside the outer ear, the sound waves, or vibrations, travel down the external auditory canal and strike the eardrum (tympanic membrane). The eardrum vibrates. The vibrations are then passed to 3 tiny bones in the middle ear called the ossicles. -
Analysis of Eardrum Pathologies Using the Finite Element Method
ANALYSIS OF EARDRUM PATHOLOGIES USING THE FINITE ELEMENT METHOD ¶ || FERNANDA GENTIL*,†,§, CAROLINA GARBE*, , MARCO PARENTE*, , |||| PEDRO MARTINS*,**, ANTÓNIO FERREIRA*,††, , RENATO NATAL JORGE*,‡‡, ¶¶ CARLA SANTOS*,§§ and JOA~OPACO‡, *IDMEC, Faculdade de Engenharia da Universidade do Porto, Portugal †Cl{nica ORL-Dr. Eurico Almeida, Widex, ESTSP ‡Hospital CUF, Faculdade de Medicina da Universidade de Lisboa, Portugal §[email protected] ¶[email protected] ||[email protected] **[email protected] ††[email protected] ‡‡[email protected] §§[email protected] ¶¶[email protected] †† Corresponding author. |||| Department of Mathematics, Faculty of Science, King Abdulaziz University, Saudi Arabia. This work investigates the effect of eardrum perforations and myringosclerosis in the mech- anical behavior of the tympano-ossicular chain. A 3D model for the tympano-ossicular chain was created and different numerical simulations were made, using the finite element method. For the eardrum perforations, three different calibers of perforated eardrums were simulated. For the micro perforation (0.6 mm of diameter) no differences were observed between the perforated and normal eardrum. For the numerical simulation of the eardrum with the largest perforation caliber, small displacements were obtained in the stapes footplate, when compared with the model representative of normal ossicular-chain, at low frequencies, which is related with major hearing loss in this frequency range. For the numerical simulations of myringo- sclerosis, the larger differences in the displacement field between the normal and modified model were obtained in the umbo. When observing the results in the stapes footplate, there were no significant differences between the two models, which is in accordance to the clinical data. -
Tympanic Membrane (Membrana Tympanica, Myrinx)
Auditory and vestibular system Auris, is = Us, oton Auditory and vestibular system • external ear (auris externa) • middle ear (auris media) • internal ear (auris interna) = organum vestibulo- cochleare External ear (Auris externa) • auricle (auricula, pinna) – elastic cartilage • external acoustic meatus (meatus acusticus externus) • tympanic membrane (membrana tympanica, myrinx) • helix Auricle – crus, spina, cauda – (tuberculum auriculare Darwini, apex auriculae) • antihelix – crura, fossa triangularis • scapha • concha auriculae – cymba, cavitas • tragus • antitragus • incisura intertragica • lobulus auriculae posterior surface = negative image of the anterior one ligaments: lig. auriculare ant., sup., post. muscles – innervation: n. facialis • extrinsic muscles = facial muscles – mm. auriculares (ant., sup., post.) – m. temporoparietalis • intrinsic muscles: rudimentary – m. tragicus + antitragicus – m. helicis major+minor – m. obliquus + transversus auriculae, m. pyramidalis auriculae cartilage: cartilago auriculae - elastic skin: dorsally more loosen, ventrally firmly fixed to perichondrium - othematoma Auricle – supply • arteries: a. temporalis superficialis → rr. auriculares ant. a. carotis externa → a. auricularis post. • veins: v. jugularis ext. • lymph: nn.ll. parotidei, mastoidei • nerves: sensory – nn. auriculares ant. from n. auriculotemporalis (ventrocranial 2/3) – r. auricularis n. X. (concha) – n. occipitalis minor (dosrocranial) – n. auricularis magnus (cudal) motor: n. VII. External acoustic meatus (meatus acusticus -
Some Anatomical Studies on the Tympanic Cavity of the Goat (Capra Aegagrus Hircus) with Special Reference to Their Ossicles
Advances in Biological Research 10 (6): 398-403, 2016 ISSN 1992-0067 © IDOSI Publications, 2016 DOI: 10.5829/idosi.abr.2016.398.403 Some Anatomical Studies on the Tympanic Cavity of the Goat (Capra Aegagrus Hircus) with Special Reference to Their Ossicles Ayman Tolba Department of Anatomy and Embryology, Faculty of Veterinary, Medicine Cairo University, Giza, Egypt Abstract: The present study was applied on six heads cadavers and four dried skulls of goat. The examined specimens showed that, the tympanic cavity was consisted of 3 parts; epitympanic recess, tympanic cavity proper and hypotympanicum. The lateral wall of the tympanic cavity was oriented by tympanic membrane while the medial wall was supported by promontory, fenestra vestibule and fenestra cochlea. The bony structures of the middle ear were achieved by 3 ear ossicles; Malleus, incus and stapes. The former one was the longest and drum stick in shape and consisted of head and neck that carried rostral and lateral processes in addition to handle. The incus was short wide tooth-shaped and it consisted of body and two; long and short diverging roots. The stapes was the most medial one of ear ossicles and constricted from head, two crus and foot plate. Stapes structures were excavated internally forming the obturator foramen. Average measurements of length, width and diameter for each ossicle were applied. The results obtained were discussed with the literatures in the same scope. In conclusion, the anatomy of the structures within the middle ear of goat can help the surgeons for easy approaches in the cavity of the middle ear.