8. Clinical: Middle Ear- Part 2 Flashcards

(12 cards)

1
Q

What forms the anterior wall of middle ear?

A

Carotid wall — separates middle ear from internal carotid artery.

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2
Q

What is the length and orientation of the adult Eustachian tube?

A

~36 mm; 45° angle with horizontal.

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3
Q

What is the most narrow part of the Eustachian tube?

A

Isthmus — junction of bony and cartilaginous parts.

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4
Q

Which muscle opens the Eustachian tube?

A

Tensor veli palatini.

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5
Q

What is the function of the Eustachian tube?

A

Pressure equalization between middle ear and nasopharynx.

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6
Q

What is the role of Ostmann’s pad of fat?

A

Helps in closing the Eustachian tube.

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7
Q

What is the significance of the cog?

A

Bony ridge separating supratubal recess and epitympanum; landmark in surgery.

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8
Q

What is Jacobson’s nerve?

A

Tympanic branch of CN IX — forms tympanic plexus on promontory.

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9
Q

What is the retrotympanum and its significance?

A

Posterior part of middle ear; important for cholesteatoma clearance.

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10
Q

What is the clinical use of MacEwen’s triangle?

A

Landmark for drilling mastoid antrum in cortical mastoidectomy.

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11
Q

What is Donaldson’s line?

A

Line drawn along LSC to identify endolymphatic sac location.

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12
Q

What is Trautmann’s triangle and its importance?

A

Access point for posterior cranial fossa surgeries.

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