27 - Ear Flashcards

1
Q

Where is the internal meatus located?

A

Petrous part of the temporal bone

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2
Q

Where is the external acoustic meatus located?

A

Lateral to the carotid canal

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3
Q

What makes up the external ear?

A
  • auricle
  • external acoustic meatus
  • tympanic membrane
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4
Q

What makes up the middle ear?

A
  • tympanic cavity
  • malleus, incus and stapes
  • tensor tympani, stapedius
  • auditory tube
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5
Q

What makes up the inner ear?

A
  • vestibule
  • semicircular canals
  • cochlea
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6
Q

How do the ossicles transmit sound?

A

Mechanically by vibrations

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7
Q

Describe the auricle.

A
  • elastic cartilage
  • funnels sound into the external acoustic meatus
  • helix, tragus and lobule are notable cartilaginous structures
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8
Q

What is the sensory innervation of the auricle?

A
  • great auricular
  • auriculotemporal
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9
Q

Describe the external acoustic meatus.

A
  • 2.5cm in length
  • cartilaginous lateral 1/3, bony medial 2/3
  • stratified squamous epithelium that contains ceruminous glands that secrete ear wax
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10
Q

Describe the tympanic membrane.

A
  • held by a fibrocartilaginous ring
  • at an angle facing downwards and anteriorly
  • 1cm in diameter
  • attached to the handle of the malleus, this forms the umbo
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11
Q

What is the cone of light?

A

Reflection of the otoscope indicating a healthy middle ear

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12
Q

What is the function of the middle ear muscles?

A
  • dampen vibrations (protective)
  • reduce movement of the ossicles
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13
Q

What is the attachment and action of the tensor tympani?

A
  • attaches to malleus and pulls the tympanic membrane taught
  • this reduces amplification of loud sounds
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14
Q

What is the innervation of tensor tympani?

A

CN V3

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15
Q

What is the innervation of stapedius?

A

CN VII

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16
Q

What is the attachment and action of stapedius?

A
  • attaches to the stapes
  • pulls stapes posteriorly to prevent excessive movement
17
Q

What are the muscles of the middle ear?

A
  • tensor tympani
  • stapedius
18
Q

Describe the auditory tube.

A
  • also known as the pharyngotympanic tube
  • connects middle ear with nasopharynx
  • bony canal that becomes cartilaginous between the temporal and the greater wing of sphenoid
  • pressure equalisation between middle ear and atmospheric pressure
  • route for infection spread
19
Q

What nerves enter the temporal bone at the the internal acoustic meatus?

A
  • CN VII
  • CN VIII
20
Q

What is the clinical name for a middle ear infection?

A

Otitis media

21
Q

How does infection affect the middle ear?

A
  • often caused by obstruction
  • chronic infection can affect the ossicles causing conductive deafness
  • infection can spread to the mastoid air cells laterally
22
Q

What is conductive hearing loss?

A

Hearing loss caused by damage to the mechanical structures rather than nerve damage

23
Q

What is the function of the cochlea?

A

Hearing

24
Q

What is the function of the vestibule?

A

Balancing

25
Q

What is the otic capsule?

A

The bone surrounding the labyrinth

26
Q

What is the labyrinth?

A
  • the fluid filled spaces within the capsule
  • contains the cochlea, vestibule and semicircular canals
27
Q

What fluid is within the bony labyrinth?

A
  • perilymph
  • the membranous labyrinth is suspended in the perilymph
28
Q

What fluid is within the membranous labyrinth?

A

Endolymph

29
Q

What is the innervation of the inner ear?

A

Vestibulocochlear nerve

30
Q

What does the cochlear part of CN VIII innervate?

A

Cochlea

31
Q

What does the vestibular part of CN VIII innervate?

A
  • saccule
  • utricle
  • semicircular canals
32
Q

What does damage to the cochlear part of CN VIII cause?

A

Neural hearing loss

33
Q

What does damage to the vestibular part of CN VIII cause?

A
  • ataxia
  • vertigo
  • nausea