Biology Papers Were Read by Title and Are Included Either in of the Seal Was Held at the University of Guelph, On Full Or Abstract Form in This Volume
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A Pictorial Review of Round Window Pathologies
REVIEW ARTICLE The Forgotten Second Window: A Pictorial Review of Round Window Pathologies J.C. Benson, F. Diehn, T. Passe, J. Guerin, V.M. Silvera, M.L. Carlson, and J. Lane ABSTRACT SUMMARY: The round window serves to decompress acoustic energy that enters the cochlea via stapes movement against the oval window. Any inward motion of the oval window via stapes vibration leads to outward motion of the round window. Occlusion of the round window is a cause of conductive hearing loss because it increases the resistance to sound energy and con- sequently dampens energy propagation. Because the round window niche is not adequately evaluated by otoscopy and may be incompletely exposed during an operation, otologic surgeons may not always correctly identify associated pathology. Thus, radiol- ogists play an essential role in the identification and classification of diseases affecting the round window. The purpose of this review is to highlight the developmental, acquired, neoplastic, and iatrogenic range of pathologies that can be encountered in round window dysfunction. ABBREVIATIONS: LO 4 labyrinthitis ossificans; RW 4 round window he round window (RW) serves as a boundary between the considerations of the round window that can be encoun- Tbasal turn of the cochlea anteriorly and the round win- tered on imaging are reviewed. dow niche posteriorly.1 It, along with the oval window, is 1 of 2 natural openings between the inner and middle ear. The Physiology and Functionality “ ” round window is often overshadowed by the first window The inner ear “windows” refer to openings in the otic capsule “ ” (the oval window) and pathologic third windows (eg, that connect the fluid in the inner ear to either the middle ear or superior semicircular canal dehiscence). -
The Round Window Region and Contiguous Areas: Endoscopic Anatomy and Surgical Implications
Eur Arch Otorhinolaryngol DOI 10.1007/s00405-014-2923-8 OTOLOGY The round window region and contiguous areas: endoscopic anatomy and surgical implications Daniele Marchioni · Matteo Alicandri-Ciufelli · David D. Pothier · Alessia Rubini · Livio Presutti Received: 16 October 2013 / Accepted: 28 January 2014 © Springer-Verlag Berlin Heidelberg 2014 Abstract The round window region is a critical area of window region. Exact anatomical knowledge of this region the middle ear; the aim of this paper is to describe its anat- can have important advantages during surgery, since some omy from an endoscopic perspective, emphasizing some pathology can invade inside cavities or tunnels otherwise structures, the knowledge of which could have important not seen by instrumentation that produces a straight-line implications during surgery, as well as to evaluate what view (e.g. microscope). involvement cholesteatoma may have with these structures. Retrospective review of video recordings of endoscopic Keywords Retrotympanum · Endoscopic ear surgery · ear surgeries and retrospective database review were con- Cholesteatoma · Middle ear anatomy · Round window ducted in Tertiary university referral center. Videos from endoscopic middle ear procedures carried out between June 2010 and September 2012 and stored in a shared data- Introduction base were reviewed retrospectively. Surgeries in which an endoscopic magnification of the round window region and The surgical management of cholesteatoma is still a contro- the inferior retrotympanum area was performed intraop- versial issue. Endoscopic instrumentation, techniques and eratively were included in the study. Involvement by cho- knowledge have improved considerably over the last few lesteatoma of those regions was also documented based years, and we believe that, in the future, endoscopic surgi- on information obtained from the surgical database. -
Instruction Sheet: Otitis Externa
University of North Carolina Wilmington Abrons Student Health Center INSTRUCTION SHEET: OTITIS EXTERNA The Student Health Provider has diagnosed otitis externa, also known as external ear infection, or swimmer's ear. Otitis externa is a bacterial/fungal infection in the ear canal (the ear canal goes from the outside opening of the ear to the eardrum). Water in the ear, from swimming or bathing, makes the ear canal prone to infection. Hot and humid weather also predisposes to infection. Symptoms of otitis externa include: ear pain, fullness or itching in the ear, ear drainage, and temporary loss of hearing. These symptoms are similar to those caused by otitis media (middle ear infection). To differentiate between external ear infection and middle ear infection, the provider looks in the ear with an instrument called an otoscope. It is important to distinguish between the two infections, as they are treated differently: External otitis is treated with drops in the ear canal, while middle ear infection is sometimes treated with an antibiotic by mouth. MEASURES YOU SHOULD TAKE TO HELP TREAT EXTERNAL EAR INFECTION: 1. Use the ear drops regularly, as directed on the prescription. 2. The key to treatment is getting the drops down into the canal and keeping the medicine there. To accomplish this: Lie on your side, with the unaffected ear down. Put three to four drops in the infected ear canal, then gently pull the outer ear back and forth several times, working the medicine deeper into the ear canal. Remain still, good-ear-side-down for about 15 minutes. -
Round Window Chamber and Fustis: Endoscopic Anatomy and Surgical Implications
Round window chamber and fustis: endoscopic anatomy and surgical implications Daniele Marchioni, Davide Soloperto, Elena Colleselli, Maria Fatima Tatti, Nirmal Patel & Nicholas Jufas Surgical and Radiologic Anatomy ISSN 0930-1038 Surg Radiol Anat DOI 10.1007/s00276-016-1662-5 1 23 Your article is protected by copyright and all rights are held exclusively by Springer- Verlag France. This e-offprint is for personal use only and shall not be self-archived in electronic repositories. If you wish to self-archive your article, please use the accepted manuscript version for posting on your own website. You may further deposit the accepted manuscript version in any repository, provided it is only made publicly available 12 months after official publication or later and provided acknowledgement is given to the original source of publication and a link is inserted to the published article on Springer's website. The link must be accompanied by the following text: "The final publication is available at link.springer.com”. 1 23 Author's personal copy Surg Radiol Anat DOI 10.1007/s00276-016-1662-5 ORIGINAL ARTICLE Round window chamber and fustis: endoscopic anatomy and surgical implications 1 1 1 1 Daniele Marchioni • Davide Soloperto • Elena Colleselli • Maria Fatima Tatti • 2,3,4 2,3,4 Nirmal Patel • Nicholas Jufas Received: 14 September 2015 / Accepted: 29 February 2016 Ó Springer-Verlag France 2016 Abstract The round window region is of critical which enables a comprehensive exploration of the round importance in the anatomy of the middle ear. The aim of window region. Accurate knowledge of the anatomical this paper is to describe its anatomy from an endoscopic relationships of this region has important advantages point of view, emphasizing structures that have important during middle ear surgery. -
Status and Strategies Analysis on International Standardization of Auricular Acupuncture Points
Online Submissions:http://www.journaltcm.com J Tradit Chin Med 2013 June 15; 33(3): 408-412 [email protected] ISSN 0255-2922 © 2013 JTCM. All rights reserved. REVIEWTOPIC Status and strategies analysis on international standardization of auricular acupuncture points Lei Wang, Baixiao Zhao, Liqun Zhou aa Lei Wang, Baixiao Zhao, School of Acupuncture-Moxibus- Germany. Clinical AAP research was done in Italy, tion and Tuina, Beijing University of Chinese Medicine, Bei- Austria, Switzerland, Spain, the UK, Holland, Japan, jing 100029, China Russia, and Africa. However, AAP research was not Liqun Zhou, Department of Humanities of Traditional Chi- communicated internationally. The World Federa- nese Medicine, School of Basic Medical Sciences, Beijing Uni- tion of Acupuncture-Moxibustion Societies recom- versity of Chinese Medicine, Beijing 100029, China Supported by a Grant of Key Technology Standard Promo- mended international standard of auricular acu- tion Project (No. 2006BAK04A20) from the Ministry of Sci- puncture points (ISAAPs). Standardized nomencla- ence and Technology of China, and a Grant (No. 2009B26) ture and locations of AAPs would provide a solid from the World Federation of Acupuncture and Moxibustion basis to draft an international standard organiza- Societies tion. Correspondence to: Prof. Baixiao Zhao, School of Acu- puncture-Moxibustion and Tuina, Beijing University of Chi- CONCLUSION: Experts need to find common nese Medicine, Beijing 100029, China. baixiao100@gmail. points from different countries or regions, provide com evidence of different ideas, and list the proposal as Telephone: +86-10-64286737; +86-13911040781 a recommendation for an international standard. Accepted: January 27, 2013 © 2013 JTCM. All rights reserved. Abstract Key words: Acupuncture, ear; Reference standards; Information storage and retrieval OBJECTIVE: To supply literature for developing an international standard of auricular acupuncture points. -
Ear Infections
EAR INFECTIONS How common are ear infections in cats? Infections of the external ear canal (outer ear) by bacteria or yeast are common in dogs but not as common in cats. Outer ear infections are called otitis externa. The most common cause of feline otitis externa is ear mite infestation. What are the symptoms of an ear infection? Ear infection cause pain and discomfort and the ear canals are sensitive. Many cats will shake their head and scratch their ears attempting to remove the debris and fluid from the ear canal. The ears often become red and inflamed and develop an offensive odor. A black or yellow discharge is commonly observed. Don't these symptoms usually suggest ear mites? Ear mites can cause several of these symptoms including a black discharge, scratching and head shaking. However, ear mite infections generally occur in kittens. Ear mites in adult cats occur most frequently after a kitten carrying mites is introduced into the household. Sometimes ear mites will create an environment within the ear canal which leads to a secondary infection with bacteria or yeast. By the time the cat is presented to the veterinarian the mites may be gone but a significant ear infection remains. Since these symptoms are similar can I just buy some ear drops? No, careful diagnosis of the exact cause of the problem is necessary to enable selection of appropriate treatment. There are several kinds of bacteria and fungi that might cause an ear infection. Without knowing the kind of infection present, we do not know which drug to use. -
Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond
Published August 25, 2016 as 10.3174/ajnr.A4922 REVIEW ARTICLE Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond X M.-L. Ho, X G. Moonis, X C.F. Halpin, and X H.D. Curtin ABSTRACT SUMMARY: Third window abnormalities are defects in the integrity of the bony structure of the inner ear, classically producing sound-/ pressure-induced vertigo (Tullio and Hennebert signs) and/or a low-frequency air-bone gap by audiometry. Specific anatomic defects include semicircular canal dehiscence, perilabyrinthine fistula, enlarged vestibular aqueduct, dehiscence of the scala vestibuli side of the cochlea, X-linked stapes gusher, and bone dyscrasias. We discuss these various entities and provide key examples from our institutional teaching file with a discussion of symptomatology, temporal bone CT, audiometry, and vestibular-evoked myogenic potentials. ABBREVIATIONS: EVAS ϭ enlarged vestibular aqueduct syndrome; SSCCD ϭ superior semicircular canal dehiscence hird window abnormalities are defects in the integrity of the ing effects decrease air conduction. The 2 physiologic windows Tbony structure of the inner ear, first described by Minor et al between the middle and inner ear are the oval window, which in 1998.1 In 2008, Merchant and Rosowski2 proposed a universal transmits vibrations from the auditory ossicles, and the round theory for the underlying mechanism of hearing loss accompany- window of the cochlea. With air conduction, there is physiologic ing these defects. Normal sound conduction is transmitted entrainment of the oval and round windows due to coupling by through the oval and round windows, which serve as fluid inter- incompressible perilymph. Pressure differences between the co- faces between air in the middle ear and perilymphatic fluid spaces chlear perilymphatic spaces activate hair cells and create the per- of the inner ear. -
Cochlear Partition Anatomy and Motion in Humans Differ from The
Cochlear partition anatomy and motion in humans differ from the classic view of mammals Stefan Raufera,b,1, John J. Guinan Jra,b,c, and Hideko Heidi Nakajimaa,b,c aEaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA 02114; bSpeech and Hearing Bioscience and Technology Program, Harvard University, Cambridge, MA 02138; and cDepartment of Otolaryngology, Harvard Medical School, Boston, MA 02115 Edited by Christopher A. Shera, University of Southern California, Los Angeles, CA, and accepted by Editorial Board Member Thomas D. Albright June 6, 2019 (received for review January 16, 2019) Mammals detect sound through mechanosensitive cells of the assume there is no OSL motion (10–13). Additionally, the attach- cochlear organ of Corti that rest on the basilar membrane (BM). ment of the OSL to the BM and the attachment of the TM to Motions of the BM and organ of Corti have been studied at the spiral limbus (which sits above the OSL) are also consid- the cochlear base in various laboratory animals, and the assump- ered stationary. In contrast to this view, there have been reports tion has been that the cochleas of all mammals work similarly. of sound-induced OSL movement, but these reports have been In the classic view, the BM attaches to a stationary osseous spi- largely ignored in overviews of cochlear mechanics and the for- ral lamina (OSL), the tectorial membrane (TM) attaches to the mation of cochlear models (10–13). Von B´ek´esy (14), using static limbus above the stationary OSL, and the BM is the major mov- pressure, found that the CP “bent like an elastic rod that was free ing element, with a peak displacement near its center. -
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. -
Special Ear Problem (Worksheet)
Special Ear Problem (Worksheet) anvil hammer oval window Extenal auditory canal Cochlea Ear drum stirrip organ of corti Round window Basilar membrane A) Label on the drawing above: 1. External auditory canal 2. ear drum (tympanic membrane) 3. hammer (maleus) 4. anvil (incus) 5. stirrup (stapes) 6. cochlea 7. oval window 8. round window 9. basilar membrane 10. organ of Corti B) In one or two sentences, what is the function of the outer ear The outer ear collects sound and guides it to the eardrum. C) The external auditory canal functions like a 2.5 cm closed pipe. What are the first two resonances of this pipe and how do these explain features of Figure 12-7 on page 354 of your book (Giancoli)? The first two resonances are about 3500 Hz --- the frequency where your ear is most sensitive --- and 10,5000 --- which corresponds to kinks in the curves of Fig. 12-7. D)What is the boundary between the outer ear and the middle ear? The Eardrum E) In one or two sentences, what is the function of the middle ear? The middle ear takes the pressure wave coming from the (large area) eardrum and “amplifies” the pressure by about 40 to generate a wave in the fluid of the cochlea through the (small area) oval window. F) What is the boundary between the middle ear and the inner ear? The oval window. G) In one or two sentences, what is the function of the inner ear? The inner ear generates electrical signals from the (liquid) pressure waves generated at the oval window. -
Eustachian Tube Catheterization. J Otolaryngol ENT Res
Journal of Otolaryngology-ENT Research Editorial Open Access Eustachian tube catheterization Volume 3 Issue 2 - 2015 Hee-Young Kim Introduction Otorhinolaryngology, Kim ENT clinic, Republic of Korea Although Eustachian tube obstruction (ETO) as one of the principal Correspondence: Hee-Young Kim, Otorhinolaryngology, Kim causes of ‘hearing loss’, and/or ‘ear fullness’, and/or ‘tinnitus’, and/ ENT Clinic, 2nd fl. 119, Jangseungbaegi-ro, Dongjak-gu, Seoul, 06935, Republic of Korea, Tel +82-02-855-7541, or ‘headache (including otalgia)’, and/or ‘vertigo’, has already been Email recognized by many well-respected senior doctors for a long time, it has still received only scant attention both in the literature and in Received: September 02, 2015 | Published: September 14, practice.1,2 2015 Pressure differences between the middle ear and the atmosphere cause temporary conductive hearing loss by decreased motion of the tympanic membrane and ossicles of the ear.3 This point includes clue for explaining the mechanism of tinnitus due to Eustachian tube obstruction.1 Improvement of tinnitus after Eustachian tube catheterization, can mean that the tinnitus is from the hypersensitivity of cochlear nucleus following decrease of afferent nerve stimuli owing to air-bone gap.1,4 The middle ear is very much like a specialized paranasal sinus, with normal balance as maintained by the labyrinthine mechanism.7 called the tympanic cavity; it, like the paranasal sinuses, is a hollow There are many other conditions which may cause vertigo, but since mucosa-lined cavity in the skull that is ventilated through the nose.5 Eustachian tube obstruction is one of the most obvious, and also the Tympanic cavity and mastoid cavity are named on the basis of most easily corrected, every patient with symptoms of vertigo, and/or anatomy. -
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.