SlideShare a Scribd company logo
1 of 150
Download to read offline
Dr. Trilok Guleria
JR ENT-HNS
EAR
3 Parts
 1st part ……………external ear
2nd part….................middle ear
3rd part……………..inner ear
EXTERNAL EAR
AURICLE (PINNA)
 Projects at a variable
angle from the side of the
head
 Functions in collecting the
sound.
 The lateral surface of the
pinna is dominated by
concavities, in particular
the concha.
 Helix
 Antihelix.
 Triangular fossa.
 The scaphoid fossa
 Concha.
 Cymba conchae - smaller superior
portion, is the direct lateral relation
to the suprameatal triangle.
 Cavum concae-Larger inferior
portion
 Tragus
 Antitragus.
 Lobule– fibrous and
adipose tissue.
 Medial (cranial) surface –
has elevations
corresponding to the
depressions on the lateral
surface.
 Possesses corresponding
names, eg. Eminentia
conchae
CARTILAGE
 Body of auricle formed by elastic cartilage
 Site of endaural incision – will not damage
cartilage or its perichondrium, allows wide
exposure of deeper parts.
 Cartilage extends around 8 mm to form lateral
1/3rd of EAC.
 Cartilage is covered by perichondrium, from which
it derives its blood supply, cartilage itself is
avascular.
LIGAMENTS
Cartilage of auricle is connected to the temporal bone
by two extrinsic ligaments.
 Anterior ligament – runs from tragus and crus of helix
to the root of zygomatic arch.
 Posterior ligament – runs from medial surface of the
concha to the lateral surface of the mastoid prominence.
Intrinsic ligaments connect various parts of the
cartilaginous auricle, between helix and tragus and
another from the antihelix to the posteroinferior portion
of the helix
MUSCLES
Extrinsic muscles :- functionally unimportant.
• Anterior auricular muscle
•Superior auricular muscle
•Posterior auricular muscle
 Insert into the epicranial aponeurosis.
 Temporal and posterior auricular branches of the facial nerve
supply the extrinsic muscles.
Intrinsic muscles :- Six in number – are small, inconsistent
and without useful function
•Helicis major
•Helicis minor
•Tragicus
•Antitragicus
•Transverse muscle
•Oblique muscle
ARTERIAL SUPPLY
External carotid artery
 Posterior auricular artery (dominant artery)
 Anterior auricular branches of the superficial temporal
 Superior auricular artery
 A small auricular branch from the occipital artery
NERVE SUPPLY
 Both cranial branchial nerves and somatic cervical nerves
supply the auricle. Their distribution is heterogeneous with
extensive overlap.
 Greater auricular nerve ( C2-3 )
 Auriculotemporal nerve (branch of V3)
Lesser occipital nerve ( C2 )
 Auricular branch of vagus nerve (Arnold nerve)
 Facial N. - Probably supplies small region in the root of
concha
LYMPHATIC DRAINAGE
Postauricular / Mastoid tip lymph nodes
Preauricular lymph nodes
Upper deep cervical lymph nodes
EXTERNAL AUDITORY CANAL
Approximately 2.4 cm long.
Cartilage in the lateral one-third and bone in the medial two-thirds.
 The diameter of the canal varies greatly between individuals and
between different races.
 In adults, the cartilaginous portion runs inwards, upwards and
backwards.
lateral cartilaginous portion is about 8 mm long and is continuous
with the auricular cartilage.
It has two deficiencies – the "fissures of Santorini" in this part of
the cartilage and through them the parotid or superficial mastoid
infections can appear in the canal, or vice versa.
 The bony canal wall, about 16 mm long, and is narrower than the
cartilaginous portion.
 Anteroinferior part of the bony canal may present a deficiency
(foramen of Huschke) in children up to the age of four or
sometimes in adults, permitting infections to and from the
parotid.
 The medial end of the bony canal is marked by a groove, the
tympanic sulcus, which is absent superiorly.
 The tympanic bone forms the greater part of the canal, and also
carries the tympanic sulcus. The squamous bone forms the roof.
 There are two suture lines–
the tympanosquamous anteriorly and
tympanomastoid posteriorly.
 There are two constrictions in the canal:
 At the junction of the cartilaginous and bony
portions and
 The isthmus, 5 mm from the tympanic membrane
where a prominence of the anterior canal wall
reduces the diameter.
 Deep to the isthmus, the anteroinferior portion of
the canal dips forward forming a wedge-shaped
anterior recess between the tympanic membrane
and the canal.
 The external canal is lined with skin.
 Instead of skin maturation taking place directly
towards the surface, there is outward, oblique
growth of the epidermis of the canal skin and pars
flaccida so that the surface layers effectively
migrate towards the external opening of the canal.
 The normal rate of migration is about 0.1 mm/day
 The absence of hair serves to distinguish the bony and
cartilaginous canals.
 At the outer limits of the ear canal are some short
hairs that project towards the opening of the canal.
 In this region are clusters of ceruminous and
sebaceous glands. The ceruminous glands produce a
watery, white secretion that slowly darkens, turning
semi-solid and sticky as it dries.
 The sebaceous glands produce an oily material
(sebum) from the breakdown of their fat-containing
cells which is usually excreted into the root canals of
the hair follicles.
 The mixture of desquamated cells, cerumen and sebum
forms wax.
Blood Supply
 Derived from branches of the external carotid artery.
 Auricular branches of the superficial temporal artery
 Deep auricular branch of the first part of the maxillary A.
 Auricular branches of the posterior auricular artery
The veins drain into
 External jugular vein,
 Maxillary veins
 The pterygoid plexus
 NERVE SUPPLY
 Auriculotemporal nerve (branch of V3)
 Auricular branch of vagus nerve (Arnold nerve)
 Facial nerve ( VII )
Lymphatic Drainage
Follows that of the auricle
Postauricular lymph nodes
Preauricular nodes
Upper deep cervical nodes
Relationships of the external auditory canal
TYMPANIC MEMBRANE
 Medial end of the EAC and forms majority of lateral wall of the
tympanic cavity.
 Separates EAC from tympanic cavity of middle ear
 It is slightly oval in shape
 Forming an angle of about 55° with the floor.
 9-10 mm tall ,8-9 mm wide & thickness 0.1 mm
 Most of the circumference is thickened to form a
fibrocartilaginous ring, the tympanic annulus,
which sits in a groove tympanic sulcus.
 The sulcus does not extend into the notch of
Rivinus at the roof of the canal, which is formed by
part of the squama of the temporal bone.
 From the superior limits of the sulcus, the annulus becomes
a fibrous band which runs centrally as anterior & posterior
malleolar folds to the lateral process of the malleus
 The handle of malleus is clearly visible within the tympanic
membrane.
 This leaves a small, triangular region of tympanic
membrane above the malleolar folds within the notch of
Rivinus, called the pars flaccida, which does not have a
tympanic annulus at its margins.
 The pars tensa forms the rest of the tympanic membrane
Landmarks
Cone of Light
Umbo
Handle of Malleus
Lat Process of Malleus
A & P Malleolar Fold
+/- Incus shadow
Annulus
LAYERS OF TYMPANIC
MEMBRANE
 Outer epithelial layer
 Middle, mainly fibrous layer, the
lamina propria; has radially
oriented fibres in the outer layers
and circular, parabolic and
transverse fibres in the deeper layer.
 Inner mucosal layer
 In the pars flaccida, the lamina
propria is less marked and the
orientation of the collagen fibres
seems random.
Tympanic Membrane - Quadrants
ARTERIAL SUPPLY OF THE TYMPANIC MEMBRANE
 Arises from branches supplying
both the EAC and the middle ear.
 These two sources interconnect
through extensive anastomoses
 The epidermal vessels from the
deep auricular branch of the
maxillary artery
 The mucosal vessels arise from
the
 Anterior tympanic branches of
the Maxillary A.
 Stylomastoid branch of the post.
auricular A.
 Middle meningeal artery.
NERVE SUPPLY
 Outer surface
- Auriculotemporal branch
of trigeminal nerve
- Auricular branch of vagus
nerve
 Inner surface
Tympanic branch of CN IX
( Jacobson’s nerve )
ANATOMY OF THE MIDDLE EAR CLEFT
THE MIDDLE EAR CLEFT
 The middle ear cleft consists of the
 tympanic cavity,
 Eustachian tube and
 mastoid air cell system.
THE TYMPANIC CAVITY
 Divided into three compartments
 the epitympanum (upper)
 the mesotympanum (middle)
 hypotympanum (lower)
 The epitympanum or attic, lies above the level of the
malleolar folds
 The mesotympanum lies opposite the tympanic
membrane.
 The hypotympanum lies below the level of the inferior
part of the tympanic sulcus
Walls of the Tympanic Cavity
 Middle ear is shaped like a narrow box with concave sides
 It has 6 walls, which include;
I. Membranous wall (lateral wall)
II. Tegmental wall (roof)
III. Jugular wall (floor)
IV. Carotid wall (anterior wall)
V. Labyrinthine wall (medial wall)
VI. Mastoid wall (posterior wall)
THE LATERAL WALL
 The lateral wall of the tympanic cavity is formed by the
 bony lateral wall of the epitympanum superiorly,
 tympanic membrane centrally and
 bony lateral wall of the hypotympanum inferiorly.
 The lateral epitympanic wall is wedge-shaped in section
and its sharp inferior portion is also called the outer attic
wall or scutum (Latin: 'shield').
 It is thin and easily eroded by cholesteatoma, leaving a
telltale sign on a high resolution coronal CT scan.
Three holes in the bone of the medial surface of
the lateral wall of the tympanic cavity
 The petrotympanic fissure is 2 mm long receives the
anterior malleolar ligament and transmits the anterior
tympanic branch of the maxillary artery to the
tympanic cavity.
 The chorda tympani nerve enters through anterior
canaliculus (canal of Huguier)
 Posterior canaliculus at the junction of lateral and
posterior wall
THE ROOF
 The roof of the epitympanum is the tegmen tympani
 It is a thin bony plate that separates the middle ear space
from the middle cranial fossa.
 It is formed by both the petrous and squamous portions of
the temporal bone .
 The petrosquamous suture line, which does not close
until adult life, can provide a route of access for infection
into the extradural space in children.
 Veins from the tympanic cavity running to the superior
petrosal sinus pass through this suture line.
THE FLOOR
 The floor of the tympanic cavity separates the
hypotympanum from the dome of the jugular bulb.
 Its thickness varies according to the height of the jugular
fossa.
 Occasionally, the floor is deficient and the jugular bulb is
then covered only by fibrous tissue and a mucous
membrane.
 At the junction of the floor and the medial wall of the
cavity there is a small opening that allows the entry of the
tympanic branch of the glossopharyngeal nerve into
the middle ear.
THE ANTERIOR WALL
 Narrow as the medial and lateral walls converge.
 The lower-third thin plate of bone covering the carotid
artery.
 This plate is perforated by the
– superior and inferior caroticotympanic nerves
– tympanic branches of the internal carotid artery.
 The middle-third-tympanic orifice of the Eustachian tube.
 Just above this is a canal containing the tensor tympani
muscle.
 Upper-third is usually pneumatized and may house the
anterior epitympanic sinus, a small niche anterior to the
ossicular heads, which can hide residual cholesteatoma in
canal wall up surgery.
THE MEDIAL WALL
 Separates the tympanic cavity from the inner ear.
 The promontory is a rounded elevation in central
portion of the medial wall.
 Covers basal coil of the cochlea and usually has
small grooves on its surface containing the nerves
which form the tympanic plexus.
 The promontory gently inclines forwards to merge
with the anterior wall of the tympanic cavity.
 Behind and above the promontory is the oval window
– kidney shaped opening that connects the tympanic
cavity with the vestibule, which is closed by the
footplate of the stapes and its surrounding annular
ligament.
 Its size 3.25 mm long and 1.75 mm wide.
 The oval window niche can be of varying width
depending on the position of the facial nerve
superiorly, and the prominence of the promontory
inferiorly.
 The round window niche lies below and a little
behind the oval window niche from which it is
separated by a posterior extension of the
promontory called the subiculum.
 Another ridge of bone, the ponticulus, leaves the
promontory above the subiculum and runs to the
pyramid on the posterior wall of the cavity.
 Triangular in shape, with anterior, posterosuperior
and posteroinferior walls.
 The latter two meet posteriorly and lead to the
sinus tympani.
 The round window membrane
 Oval in shape, about 2.3 x 1.9 mm in dimension and
lies in a plane at right angles to the plane of the
stapes footplate.
 Curve towards the scala tympani of the basal coil of
the cochlea, concave when viewed from the middle
ear.
 Landmark for singular nerve [use full in
neuractomy done for interactable vertigo]
 The facial nerve canal (or Fallopian canal) runs above the promontory
and oval window in an anteroposterior direction.
 It has a smooth rounded lateral surface that often has microdehiscences
 When the bone is thin or the nerve exposed by disease, there are two or
three straight blood vessels clearly visible along this line of nerve.
 These are the only straight blood vessels in the middle ear and indicate
that the facial nerve is very close by.
 The facial nerve canal is marked anteriorly by the processus
cochleariformis, a curved projection of bone, concave anteriorly, which
houses the tendon of the tensor tympani muscle.
 Behind the oval window, the facial canal starts to turn inferiorly as it
begins its descent in the posterior wall of the tympanic cavity.
THE POSTERIOR WALL
 Upper part a large irregular opening - the aditus
ad antrum.
 Fossa incudis, below the aditus is a small
depression, houses short process of incus & its
suspensory ligament.
 Pyramid, a small hollow conical projection with
its apex pointing anteriorly houses the stapedius
muscle and tendon.
 The facial recess is a groove lies b/w pyramid with facial
nerve, and the annulus of the tympanic membrane .
 The facial recess is, therefore, bounded
– medially by the facial nerve and
– laterally by the tympanic annulus,
– with the chorda tympani nerve running obliquely
through the wall between the two.
 The chorda always runs medial to the tympanic membrane.
 Angle between the facial nerve and the chorda allows a
posterior tympanotomy, allowing access to the middle ear
from the mastoid without disruptiong the tympanic
membrane.
The Sinus tympani
located at the junction of the lateral and posterior
walls of the tympanic cavity.
lies between ponticulus superiorly and subiculum
inferiorly.
bounded by pyramidal ridge externally and
promontory internally.
Posterior extension of the mesotympanum
 deep to both the promontory and the facial nerve.
 The sinus can extend as far into the mastoid bone
 The medial wall ; continuous with the posterior portion of
the medial wall of the tympanic cavity.
 where it is related to the oval and round window niches and
the subiculum of the promontory.
Most inaccessible site
THE CONTENTS OF THE TYMPANIC CAVITY
 The tympanic cavity contains the
– ossicles,
– two muscles,
– the chorda tympani and
– the tympanic plexus.
 The ossicles malleus, incus and stapes
 The Muscles tensor tympani & stapedius
THE MALLEUS (the hammer)
 Largest, 9 mm in length.
 Head, neck and handle or manubrium.
 The head lies in the epitympanum
 The head of the malleus articulate with the body of
the incus by a synovial joint.
 Below the neck lateral process, the anterior
process and the handle.
 The lateral process prominent landmark on the
tympanic membrane and receives the anterior and
posterior malleolar folds from the tympanic
annulus.
 The chorda tympani crosses the upper part of the
malleus handle on its medial surface above the
insertion of the tendon of tensor tympani, but below
the neck of the malleus itself.
 The neck of the malleus connects the handle with
the head and amputation of the head by cutting
through the neck leaves both chorda tympani and
tensor tympani intact.
 A slender anterior ligament arises from the
anterior process to insert into the petrotympanic
fissure.
THE INCUS (the anvil)
 Articulates with the malleus
 Has a body and two processes.
 The body lies in the epitympanum and suspended by the
superior incudal ligament
 The short process lie in the fossa incudis attached by a
short suspensory ligament.
 The long process descends into the mesotympanum and
at its tip is a lentiular process called the fourth ossicle.
 Lenticular process articulates with the head of the stapes.
THE STAPES (the stirrup)
 Shaped like a stirrup
 Consists of a head, neck, the anterior and posterior crura
and a footplate.
 The head has synovial articulation with the lenticular
process of the incus.
 The stapedius tendon inserts into neck and upper portion
of the posterior crus.
 The two crura arise from lower part of the neck .
 Footplate are 3 mm long-and 1.4 mm wide, and it lies in the
oval window where it is attached to the bony margins by
the annular ligament
THE STAPEDIUS MUSCLE
- Arises from wall of conical
cavity within pyramid
- Attaches to neck of stapes
- Helps to dampen loud sound,
preventing noise trauma
- supplied by branch of Facial N
TENSOR TYMPANI MUSCLE
● Arises from
a)bony canal above ET
b)cartilagenous part of ET
c) greater wing of sphenoid
● Attaches to neck of malleus
● Tenses tympanic membrane
● Supplied by branch of
Mandibular N
THE CHORDA TYMPANI NERVE
 It enters the tympanic cavity from the posterior
canaliculus at the junction of the lateral and posterior
walls.
 It runs across the medial surface of the tympanic membrane
between the mucosal and fibrous layers.
 Then passes medial to the upper portion of the handle of the
malleus above the tendon of tensor tympani.
 Continues forwards and leaves by way of the anterior
canaliculus, which subsequently joins the petrotympanic
fissure.
THE TYMPANIC PLEXUS
 Formed by
– tympanic branch of the glossopharyngeal nerve
(Jacobson's nerve)
– caroticotympanic nerves, arise from the
sympathetic plexus around the internal carotid
artery.
 The nerves form a plexus on the promontory
 Branches -mucous membrane lining the tympanic
cavity, Eustachian tube and mastoid antrum & air cells.
 Branches to join the greater superficial petrosal nerve
and the lesser superficial petrosal nerve .
THE MUCOSA OF THE TYMPANIC CAVITY
 Mucus-secreting respiratory mucosa bearing cilia.
 Three distinct mucocilary pathways can be identified
– epitympanic,
– promontorial and
– hypotympanic, (largest).
 Each of these pathways coalesces at the tympanic orifice of
the Eustachian tube.
 The mucous membrane lines the bony walls of the tympanic
cavity, and extends to cover the ossicles and their supporting
ligaments.
 It also covers the tendons of the two middle ear muscles
and carry their blood supply.
 These folds separate the middle ear space into
compartments.
 The only route for ventilation of the epitympanic space
from the mesotympanum is via two small openings
between the various mucosal folds - the anterior and
posterior isthmus tympani.
 Prussak's space ;between the pars flaccida and the neck
of the malleus, bounded by the lateral malleolar fold
 This space can play an important role in the retention of
keratin and subsequent development of cholesteatoma.
MUCOSAL FOLDS
 Lateral incudal fold
 Anterior malleolar fold
 Superior malleolar fold
 Superior incudal fold
 Medial incudal fold
 Lateral malleolar fold
 Interossicular fold
 Anterior malleolar ligament
 Tensor tympani fold
THE LATERAL
INCUDAL FOLD
Connects the lateral
attic wall and the
body of the incus it
extends posteriorly
to the posterior
incudal ligament
THE ANTERIOR
MALLEOLAR FOLD
 It is located between
the anterior surface of
the malleus head,the
anterolateral bony
wall of the attic and
the anterior malleolar
ligament
THE SUPERIOR
MALLEOLAR FOLD
Extends between the
superior surface of the
malleus head and
superior attic wall
THE SUPERIOR
INCUDAL FOLD
extends between the
superior aspect of the
incus body and the
superior attic wall
THE MEDIAL
INCUDAL FOLD
It is located between
the long process of the
incus and the tendon of
the stapedius muscle
The lateral
malleolar fold
 Goes from the
neck of the
malleus upto
scutum forms the
superior border of
the prussaks
space
The anterior
malleolar ligament
 Extends from the
long process of the
malleus toward the
anterior attic wall
The interossicular
fold
 It extends
between the
malleus handle
and long process
of the incus
The tensor
tympani fold
 Occupies the window
between the tensor
tympani tendon,the
anterior bony plate
of the attic wall the
tensor tympani
eminence and the
anterior malleolar
ligament
The anterior
malleolar ligament
 Extends from the
long process of
the malleus
toward the
anterior attic
wall
THE BLOOD SUPPLY OF THE TYMPANIC CAVITY
 Arise from both the internal and external carotid system.
 The overlap is extensive and great variability is present.
 Anterior tympanic
 Stylomastoid
 Maxillary
 Posterior auricular
 Middle meningeal
 Ascending pharyngeal
 Artery of pterygoid canal and internal carotid arteries.
 The anterior tympanic and stylomastoid arteries are
the biggest.
Venous drainage
 Ptergoid plexus
 Superior petrosal sinus
Lymphatic
 Retropharyngeal
 Parotid lymph node
THE EUSTACHIAN TUBE
 Links the middle ear with the nasopharynx.
 Length = 36 mm (reached by the age of 7).
 It runs downwards from the middle ear at 45° and is turned
forwards and medially.
 The lateral third is bony and arises from the anterior wall of
the tympanic cavity.
 Medial two-thirds cartilaginous part.
 Its narrowest portion is called the isthmus, where the
diameter is only 0.5 mm or less.
 It is lined with respiratory mucosa containing goblet cells
and mucous glands, having ciliated epithelium on its floor.
 A thin plate of bone forms the roof, separating the tube from
the tensor tympani muscle above.
 The carotid canal lies medially and can impinge on the bony
Eustachian tube.
 In the nasopharynx, the tube opens 1-1.25 cm behind and
below the posterior end of the interior turbinate.
 The opening is triangular in shape and is surrounded above
and behind by the torus.
 The salpingopharyngeal fold stretches from the lower
part of the torus downwards to the wall of the pharynx.
 The levator palati, as it enters the soft palate, results in a
small swelling immediately below the opening of the tube.
 Behind the torus is the pharyngeal recess or fossa of
Rosenmuller.
 Lymphoid tissue is present around the tubal orifice and in
the fossa of Rosenmuller, and may be prominent in
childhood.
MUSCLES ATTACHED TO THE EUSTACHIAN TUBE
 Tensor palati ; arises from the bony wall and the upper
portion of the front wall of the cartilaginous tube.
 The muscle converges to a short tendon that turns medially
around the pterygoid hamulus and then spreads out within
the soft palate to meet fibres from the other side in a midline
raphe.
 Separates the tube from the otic ganglion, the mandibular
nerve and its branches, the chorda tympani nerve and the
middle meningeal artery.
 It is supplied by the Mandibular Nerve.
 Salpingopharyngeus is attached to the inferior part of the
cartilage of the tube near its pharyngeal opening, and it
descends to blend with the palatopharyngeus.
 Levator palati arises from the lower surface of the
cartilaginous tube and from the lower surface of the petrous
bone, and from fascia forming the upper part of the carotid
sheath.
 It first lies inferior to the tube, then crosses to the medial
side and spreads out into the soft palate.
 Salpingopharyngeus and the levator palati are supplied from
the pharyngeal plexus.
 The ascending pharyngeal and middle meningeal
arteries supply the Eustachian tube.
 The veins drain into the pharyngeal plexus and the
lymphatics pass to the retropharyngeal nodes.
 The nerve supply arises from the pharyngeal branch of
the sphenopalatine ganglion (Vb) for the ostium,
the nervus spinosus (Vc) for the cartilaginous
portion and from the tympanic plexus (IX) for the
bony part.
THE MASTOID AIR CELL SYSTEM
 There are five recognized regions of pneumatization: the
middle ear, mastoid, perilabyrinthine, petrous apex,
and accessory.
 The middle ear :- epitympanic, hypotympanic,
mesotympanic, protympanic & posterior tympanic area
 The mastoid region :- mastoid antrum, central mastoid, and
peripheral mastoid.
 Perilabyrinthine :- supralabyrinthine and infralabyrinthine
areas.
 Petrous apex region :- The apical area and the peritubal area
 Accessory region :- zygomatic, squamous, occipital, and
styloid areas.
 There are five recognized air cell tracts.
 The posterosuperior tract runs at the juncture of the
posterior and middle fossa aspects of the temporal bone.
 The posteromedial cell tract parallels and runs inferior to
the posterosuperior tract.
 The subarcuate tract passes through the arch of the
superior semicircular canal.
 The perilabyrinthine tracts run superior and inferior to
the bony labyrinth.
 The anterior petrous apex is pneumatized in only 10 to 15%
of specimens. Most often, it is diploic; in a small percentage
of cases, it is sclerotic.
 The mastoid antrum air-filled sinus in the petrous part of
temporal bone.
 It communicates with the middle ear by the aditus.
 Antrum is well developed at birth.
 Volume = 2 ml (adult).
 The medial wall relates to the posterior semicircular canal.
 More deeply and inferiorly is the dura of the posterior cranial
fossa and the endolymphatic sac.
 The roof of the mastoid antrum and mastoid air cell space
form the floor of the middle cranial fossa.
SIGMOID SINUS
 posterior limit of mastiod cavity.
 passes deep part of mastoid process under facial nerve
toward jugular
SINODURAL ANGLE
 Angle between middle fossa and posterior fossa dura
plate and superior part of the sigmoid sinus
 Laterally in angle with in mastoid cortex –emissarium
mastoidum –bleeding during drilling of corticle bone
MacEwen's triangle
– Temporal line
– Posterosuperior segment of bony EAC
– a tangent through the posterior border of EAC
 Normally lining of the mastoid is a flattened, nonciliated
epithelium without goblet cells or mucus glands.
 The inner ear is called as
labyrinth, from the complexity of
its shape.
 It consists of two parts:
1. The osseous labyrinth: A
series of cavities within the
petrous part of the temporal
bone.
2. The membranous labyrinth:
A series of communicating
membranous sacs and ducts,
contained within the bony
cavities.
9/29/2015 111
The Osseous Labyrinth (labyrinthus osseous)
 Consists of three parts:
The vestibule,
semicircular
canals and cochlea.
 These are cavities hollowed
out of the substance of the
bone, and lined by periosteum.
 Contain a clear fluid,
perilymph, in which the
membranous labyrinth is
situated.
9/29/2015 112
The Vestibule (vestibulum)
 Central part of the osseous
labyrinth, medial to tympanic
cavity, behind cochlea, and in
front of semicircular canals.
 Ovoid in shape, but flattened
transversely.
 About 5 mm. from before
backward, the same from above
downward, and about 3 mm.
across.
 In its lateral or tympanic wall is
the fenestra vestibuli, closed by
the base of the stapes and
annular ligament.
9/29/2015 113
 On medial wall, forepart, small circular depression,
the recessus sphaericus, which is perforated, at its anterior
and inferior part, by several minute holes (macula cribrosa
media) for the passage of filaments of the acoustic nerve to the
saccule.
 Behind this depression is an oblique ridge, the crista
vestibuli, the anterior end of which is named the pyramid of the
vestibule.
 This ridge bifurcates below to enclose a small depression,
the fossa cochlearis, which is perforated by a number of holes
for the passage of filaments of the acoustic nerve which supply
the vestibular end of the ductus cochlearis.
9/29/2015 114
9/29/2015 115
 Hinder part of the medial wall is the orifice of the aqueductus
vestibuli, which extends to the posterior surface of the petrous
portion of the temporal bone.
 On the upper wall or roof is a transversely oval depression,
the recessus ellipticus, separated from the recessus sphaericus
by the crista vestibuli.
 The pyramid and adjoining part of the recessus ellipticus are
perforated by a number of holes (macula cribrosa superior).
 The apertures in the pyramid transmit the nerves to the utricle.
9/29/2015 116
The Bony Semicircular Canals
 3 in number
superior, posterior, and lateral,
 Above and behind the vestibule.
 Unequal in length
 Each measures about 0.8 mm. in
diameter, and presents a dilatation
at one end, called the ampulla
 They open into the vestibule by five
orifices, one of the apertures being
common to two of the canals
9/29/2015 117
The superior semicircular canal
 15 to 20 mm. in length.
 vertical in direction, and
placed transversely to long
axis of petrous portion of
temporal bone.
 Its lateral extremity is
ampullated, and opens into
the upper part of the
vestibule; the opposite end
joins with the upper part of
the posterior canal to form
the crus commune
9/29/2015 118
The posterior semicircular canal
 Vertical, is directed backward,
nearly parallel to the
posterior surface of the
petrous bone.
 Longest 18 to 22 mm.
 It’s lower or ampullated end
opens into the lower and back
part of the vestibule, its upper
into the crus commune.
9/29/2015 119
The lateral or horizontal canal
 Shortest
 12 to 15 mm.
 Its ampullated end corresponds
to the upper and lateral angle of
the vestibule, just above the
fenestra vestibuli
 It’s opposite end opens at the
upper and back part of the
vestibule.
9/29/2015 120
THE COCHLEA
 Resemblance to a common snail-shell
 Anterior part of the labyrinth.
 It is conical in form, and placed almost horizontally in front of the vestibule.
 Apex (cupula) is directed forwards and lateral toward the upper and front part
of the labyrinthic wall of the tympanic cavity.
 Base bottom of the internal acoustic meatus, and is perforated by numerous
apertures for the passage of the cochlear division of the acoustic nerve. It
measures about 5 mm. from base to apex, and its breadt is about 9 mm
9/29/2015 121
The modiolus
 Conical central axis of the cochlea.
 Base is broad at the bottom of the
IAM.
 Perforated by numerous orifices,
transmit filaments of the cochlear
division of acoustic nerve.
 The nerves for the first turn and a
half, pass through the foramina of
the tractus spiralis foraminosus.
 Those for the apical turn,pass
through the foramen centrale.
9/29/2015 122
 The bony canal of the cochlea
takes two turns and three-
quarters around the modiolus.
 It is about 30 mm. in length,
and diminishes gradually in
diameter from the base to the
summit, where it terminates in
the cupula
 The beginning of this canal is
about 3 mm. in diameter
9/29/2015 123
 1st the fenestra
cochlea, communicates with the
tympanic cavity closed by
the secondary tympanic
membrane.
 2nd of an elliptical form, opens into
the vestibule.
 3rd is the aperture of the
aquaeductus cochleae, opens on
the inferior surface of the petrous
part of the temporal bone and
forms a communication between
the subarachnoid cavity and the
scala tympani.
9/29/2015 124
The osseous spiral lamina
 Bony shelf projects from
modiolus into interior of canal,
like canal takes two and three-
quarter turns around
modiolus.
 It reaches about half-way
toward the outer wall of the
tube, and partially divides its
cavity into two passages or
scalae, upper scala vestibuli,
lower scala tympani.
 Helicotrema:through which
the two scalae communicate
with each other.
9/29/2015 125
 The osseous labyrinth is lined
by an exceedingly thin fibro-
serous membrane.
 It’s attached surface is rough
and fibrous, and closely
adherent to the bone.
 It’s free surface is smooth and
pale, covered with a layer of
epithelium, and secretes a thin,
limpid fluid, the perilymph.
9/29/2015 126
The Membranous Labyrinth
 The membranous labyrinth is
lodged within the bony cavity,
separated from the bony walls by a
quantity of fluid, perilymph.
 In certain places it is fixed to the
walls of the cavity.
 The membranous labyrinth
contains fluid, the endolymph, and
on it’s walls the ramifications of
the acoustic nerve are
distributed.
9/29/2015 127
PERILYMPH
 Resembles extracellular
fluid.
 Rich in Na+ ions.
 SOURCE:2 theories
1)filtrate of blood serum
from capillaries of spiral
ligament.
2)CSF reaching labyrinth
via aqueduct of cochlea.
ENDOLYMPH:
 Resembles intracellular
fluid.
 Rich in K+ ions.
 SOURCE:
1) Stria vascularis
2) Dark cells of utricle &
ampullated ends of
semicircular canals.
9/29/2015 128
Membranous labyrinth
consists of
 Cochlear duct,
 Two sacs, utricle and saccule
 Three semicircular ducts
 Endolymphatic duct & sac
9/29/2015 129
Cochlear duct
Cochlear duct
Also called membranous cochlea/scala
media
Blind coiled tube
Triangular on cross section
3 walls are formed by
Basilar membrane which support organ
of corti
Reissner membrane which separates it
from scala vestibuli
Stria vascularis – secretion of
endolymph.
Cochlear duct connected to saccule by
ductus reuniens
The stria vascularis is composed of 3 cell types:
1.Marginal cells, which line the endolymphatic
canal and have an essential role in ion exchange
2. Intermediate cells, which are rich in the
pigment melatonin
3. Basal cells.
THE UTRICLE
 Larger of the two, is of an oblong
form, and occupies the upper and
back part of vestibule.
 The portion which is lodged in the
recess forms a sort of pouch or cul-
de-sac, the floor and anterior wall of
which are thickened, and form
the macula, which receives the
utricular filaments of the acoustic
nerve.
 The cavity of it communicates with
the semicircular ducts orifices.
The Saccule
 Globular in form and lies in the recessus sphaericus.
 Its anterior part exhibits an oval thickening, macula, to which
are distributed the saccular filaments of the acoustic nerve.
 Its cavity does not directly communicate with that of the
utricle.
 Posterior wall a canal, the ductus endolymphaticus, is given off;
this duct is joined by the ductus utriculosaccularis, and then
passes along the aquaeductus vestibuli and ends in a blind
pouch (saccus endolymphaticus) on the posterior surface of the
petrous portion of the temporal bone, where it is in contact with
the dura mater
 From the lower part of the saccule a short tube, the canalis
reuniens of Hensen, passes downward and opens into the
ductus cochlearis near its vestibular extremity9/29/2015 134
SEMICIRCULAR DUCTS
 3 in no.
 Correspond exactly to bony canals
 Open in utricle
 Ampullated end of each duct contains neuroepithelium
called crista ampullaris.
 The walls of the utricle, saccule, and semicircular ducts consist of
three layers
 The outer layer is a loose composed of ordinary fibrous tissue
containing blood vessels and some pigment-cells.
 The middle layer, thicker more transparent, forms a
homogeneous membrana propria, and presents on its internal
surface, especially in the semicircular ducts, numerous
papilliform projections.
 The inner layer is formed of polygonal nucleated epithelial cells.
 In the maculae of the utricle and saccule, and in the transverse
septa of the ampullae of the semicircular ducts, the middle coat is
thickened and the epithelium is columnar, and consists
of supporting cells and hair cells.
9/29/2015 136
 There are two types of hair
cells in the semicircular
canals and the vestibule.
 Type I hair cells are flask-
shaped cells while type II hair
cells are cylinder-shaped cells.
 Type I and type II hair cells
are very similar in their
structure and innervation to
the inner hair cells and the
outer hair cells of the organ of
Corti, respectively.
9/29/2015 137
 The organ of Corti converts the mechanical vibrations into
neural impulses.
 The fibers of the auditory nerves travel from the organ of Corti
through a system of small perforations in the spiral lamina
collectively called habenula perforata.
 From habenula perforata, nerve fibers travel through a channel
in the center of the modiolus (Rosenthal's canal), exit the base
of the cochlea, and join vestibular nerve fibers to form the
vestibulocochlear nerve.
9/29/2015 138
 There are two types of hair cells in the organ of
Corti: the inner hair cells (IHCs) and the outer
hair cells (OHCs).
9/29/2015 139
• The groups of IHCs and OHCs are separated by
two rods (pillars) of Corti, which structurally
support the organ of Corti.
 The rods are attached at their
tips and more widely
separated at the base,
forming a triangular shape
called the tunnel of Corti.
 The tunnel is filled with the
cortilymph fluid that has
similar properties to the
perilymph fluid found in the
bony labyrinth.
9/29/2015 140
 The tops of the hair cells and
supporting cells of the organ
of Corti are tightly connected
together at their tips to form a
continuous layer called the
reticular lamina.
 The reticular lamina isolates
all of the organ of Corti from
the endolymph of the scala
media except for stereocilia
which project through the
reticular lamina into the
endolymph.
9/29/2015 141
 The OHCs are held in position
by the outer rod of Corti on one
side and by Deiters cells on
the other side.
 Each Deiters cell holds an
OHC at the bottom and
through long projections called
phalangeal processes from
above.
 The middle part of an OHC is
not firmly supported and is
surrounded by a perilymph-
filled space called the space of
Nuel
9/29/2015 142
 Next to the Deiters cells,
towards outer end of cochlea,
there are several groups of
supporting cells, called Hensen
cells, Claudius cells, outer spiral
sulcus cells, and Boettcher cells.
 Lateral to these support cells is
Stria vascularis, highly vascular
organ attached to the outer
surface of the scala media.
 Stria vascularis recycles K+ and
produces endolymph for scala
media, thus maintaining
endocochlear potential of inner
ear.
9/29/2015 143
ENDOLYMPHATIC DUCT & SAC
 Duct formed by union of 2
ducts each from utricle &
saccule
 Passes through vestibular
aqueduct
 Terminal part dilated to
form sac lies b/w 2 layers
of dura posterior surface
of tympanic bone
Nerve supply
 The vestibular nerve supplies utricle, saccule and ampullae of
the semicircular ducts.
 On the trunk of the nerve, within the IAM, is a ganglion,
the vestibular ganglion (ganglion of Scarpa); the fibers of the
nerve arise from the cells of this ganglion.
 On distal side of ganglion nerve splits into a superior, an
inferior and a posterior branch.
 The filaments of the superior branchmacula of the utricle and
in the ampullae of the superior and lateral semicircular ducts
 inferior branchmacula of the saccule.
 The posterior branch runs through the foramen singulare at the
postero-inferior part of the bottom of the meatus and divides
into filaments for the supply of the ampulla of the posterior
semicircular duct.9/29/2015 145
9/29/2015 146
Blood supply of labyrinth
 Mainly by internal auditory a. (branch of AICA - branch of
basilar a.)
 Internal auditory artery divides into
1. Anterior vestibular artery
 Supplies utricle ,superior & lateral SCC
2. Common cochlear artery
 Main cochlear artery(80%)-supplies cochlea
 Vestibulocochlear artery
1. Post vestibular A.-supplies saccule & post SCC
2. Cochlear branch –supplies to cochlea9/29/2015 147
9/29/2015 148
Venous drainage
 Mainly by:
 Internal auditory vein
 Vein of cochlear aqueduct
 Vein of vestibular aqueduct
These Drain into inferior
petrosal and sigmoid
sinuses.
9/29/2015 149
THANK YOU

More Related Content

What's hot

Anatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinusesAnatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinusesVinay Bhat
 
Infra temporal fossa
Infra temporal fossaInfra temporal fossa
Infra temporal fossamgmcri1234
 
Mucosal folds and ventilation of middle ear
Mucosal folds and ventilation of middle ear  Mucosal folds and ventilation of middle ear
Mucosal folds and ventilation of middle ear AlkaKapil
 
Pterygopalatine fossa and approaches by Dr.Ashwin Menon
Pterygopalatine fossa and approaches by Dr.Ashwin MenonPterygopalatine fossa and approaches by Dr.Ashwin Menon
Pterygopalatine fossa and approaches by Dr.Ashwin MenonDr.Ashwin Menon
 
Anatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle EarAnatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle EarDiptiman Baliarsingh
 
Nasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus AnatomyNasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus AnatomyFarrukh Javeed
 
Embryology & anatomy of external ear
Embryology &  anatomy of external earEmbryology &  anatomy of external ear
Embryology & anatomy of external earDr. Pruthvi Raj S
 
Anatomy of inner ear
Anatomy of inner earAnatomy of inner ear
Anatomy of inner earRazal M
 
Embryology and anatomy of external and middle ear
Embryology and anatomy of external and middle earEmbryology and anatomy of external and middle ear
Embryology and anatomy of external and middle earAyesha Ather
 
Anatomy of temporal bone and it’s surgical importance
Anatomy of temporal bone and it’s surgical importanceAnatomy of temporal bone and it’s surgical importance
Anatomy of temporal bone and it’s surgical importancesritama1988
 
Physiology of nose and pns
Physiology of nose and pnsPhysiology of nose and pns
Physiology of nose and pnsManpreet Nanda
 
External ear,tympanic membrane and auditory tube Dr.N.Mugunthan.M.S.,
External ear,tympanic membrane and auditory tube  Dr.N.Mugunthan.M.S.,External ear,tympanic membrane and auditory tube  Dr.N.Mugunthan.M.S.,
External ear,tympanic membrane and auditory tube Dr.N.Mugunthan.M.S.,mgmcri1234
 
Anatomy of Larynx.pptx
Anatomy of Larynx.pptxAnatomy of Larynx.pptx
Anatomy of Larynx.pptxMathew Joseph
 
Special Senses - Organ of Corti
Special Senses - Organ of CortiSpecial Senses - Organ of Corti
Special Senses - Organ of CortiDr. Suhail Ahmad
 
Endoscopic anatomy of ethmoid bone
Endoscopic anatomy of ethmoid boneEndoscopic anatomy of ethmoid bone
Endoscopic anatomy of ethmoid boneSaaketh Boddupalli
 

What's hot (20)

Anatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinusesAnatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinuses
 
Eustachian tube
Eustachian tubeEustachian tube
Eustachian tube
 
Infra temporal fossa
Infra temporal fossaInfra temporal fossa
Infra temporal fossa
 
Mucosal folds of the middle ear
Mucosal folds of the middle earMucosal folds of the middle ear
Mucosal folds of the middle ear
 
Mucosal folds and ventilation of middle ear
Mucosal folds and ventilation of middle ear  Mucosal folds and ventilation of middle ear
Mucosal folds and ventilation of middle ear
 
Pterygopalatine fossa and approaches by Dr.Ashwin Menon
Pterygopalatine fossa and approaches by Dr.Ashwin MenonPterygopalatine fossa and approaches by Dr.Ashwin Menon
Pterygopalatine fossa and approaches by Dr.Ashwin Menon
 
Anatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle EarAnatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle Ear
 
Nasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus AnatomyNasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus Anatomy
 
Embryology & anatomy of external ear
Embryology &  anatomy of external earEmbryology &  anatomy of external ear
Embryology & anatomy of external ear
 
Anatomy of inner ear
Anatomy of inner earAnatomy of inner ear
Anatomy of inner ear
 
Embryology and anatomy of external and middle ear
Embryology and anatomy of external and middle earEmbryology and anatomy of external and middle ear
Embryology and anatomy of external and middle ear
 
Anatomy of temporal bone and it’s surgical importance
Anatomy of temporal bone and it’s surgical importanceAnatomy of temporal bone and it’s surgical importance
Anatomy of temporal bone and it’s surgical importance
 
Physiology of nose and pns
Physiology of nose and pnsPhysiology of nose and pns
Physiology of nose and pns
 
External ear,tympanic membrane and auditory tube Dr.N.Mugunthan.M.S.,
External ear,tympanic membrane and auditory tube  Dr.N.Mugunthan.M.S.,External ear,tympanic membrane and auditory tube  Dr.N.Mugunthan.M.S.,
External ear,tympanic membrane and auditory tube Dr.N.Mugunthan.M.S.,
 
Middle ear
Middle earMiddle ear
Middle ear
 
Anatomy of Larynx.pptx
Anatomy of Larynx.pptxAnatomy of Larynx.pptx
Anatomy of Larynx.pptx
 
Special Senses - Organ of Corti
Special Senses - Organ of CortiSpecial Senses - Organ of Corti
Special Senses - Organ of Corti
 
Auditory physiology of Inner Ear
Auditory physiology of Inner EarAuditory physiology of Inner Ear
Auditory physiology of Inner Ear
 
Endoscopic anatomy of ethmoid bone
Endoscopic anatomy of ethmoid boneEndoscopic anatomy of ethmoid bone
Endoscopic anatomy of ethmoid bone
 
Larynx Anatomy
Larynx AnatomyLarynx Anatomy
Larynx Anatomy
 

Similar to Ear Anatomy Guide - External, Middle & Inner Ear Parts

Anatomy of ear by dr. bomkar bam (MS) ent
Anatomy of ear by dr. bomkar bam (MS) entAnatomy of ear by dr. bomkar bam (MS) ent
Anatomy of ear by dr. bomkar bam (MS) entBomkar Bam
 
Anatomy of the external and middle ear
Anatomy of the external and middle earAnatomy of the external and middle ear
Anatomy of the external and middle earSalman Syed
 
Ear discharge and otalgia
Ear discharge and otalgiaEar discharge and otalgia
Ear discharge and otalgiaDennis Lee
 
Anatomy of the middle ear
Anatomy of the middle earAnatomy of the middle ear
Anatomy of the middle earSalman Syed
 
ANATOMY OF EXTERNAL AUDITORY CANAL
ANATOMY OF EXTERNAL AUDITORY CANALANATOMY OF EXTERNAL AUDITORY CANAL
ANATOMY OF EXTERNAL AUDITORY CANALKanu Saha
 
Anatomy & embryology of external & middle ear
Anatomy & embryology of external & middle earAnatomy & embryology of external & middle ear
Anatomy & embryology of external & middle earArul Lakshmanaperumal
 
External &;middle ear anatomy
External &;middle ear anatomyExternal &;middle ear anatomy
External &;middle ear anatomyDr Lovely Jain
 
Anatomy of ear
Anatomy of ear Anatomy of ear
Anatomy of ear amit jha
 
EXTERNAL ACOUSTIC MEATUS, MIDDLE EAR
EXTERNAL ACOUSTIC MEATUS, MIDDLE EAREXTERNAL ACOUSTIC MEATUS, MIDDLE EAR
EXTERNAL ACOUSTIC MEATUS, MIDDLE EARDHABHAI
 
Middle and inner ear 15416
Middle and inner ear 15416Middle and inner ear 15416
Middle and inner ear 15416mgmcri1234
 
Anatomy of external and middle ear by dr. faisal rahman
Anatomy of external and middle ear by dr. faisal rahmanAnatomy of external and middle ear by dr. faisal rahman
Anatomy of external and middle ear by dr. faisal rahmanFaisalRahman153
 
middle ear anatomy
middle ear anatomymiddle ear anatomy
middle ear anatomyShafiq38
 
anatomy and embrology of middle and inner ear
anatomy and embrology of middle and inner earanatomy and embrology of middle and inner ear
anatomy and embrology of middle and inner earaayushi402162
 

Similar to Ear Anatomy Guide - External, Middle & Inner Ear Parts (20)

Anatomy of ear by dr. bomkar bam (MS) ent
Anatomy of ear by dr. bomkar bam (MS) entAnatomy of ear by dr. bomkar bam (MS) ent
Anatomy of ear by dr. bomkar bam (MS) ent
 
Anatomy of the external and middle ear
Anatomy of the external and middle earAnatomy of the external and middle ear
Anatomy of the external and middle ear
 
Ear discharge and otalgia
Ear discharge and otalgiaEar discharge and otalgia
Ear discharge and otalgia
 
Anatomy of middle ear
Anatomy of middle earAnatomy of middle ear
Anatomy of middle ear
 
Anatomy of the middle ear
Anatomy of the middle earAnatomy of the middle ear
Anatomy of the middle ear
 
Anatomy of human ear
Anatomy of human earAnatomy of human ear
Anatomy of human ear
 
ANATOMY OF EXTERNAL AUDITORY CANAL
ANATOMY OF EXTERNAL AUDITORY CANALANATOMY OF EXTERNAL AUDITORY CANAL
ANATOMY OF EXTERNAL AUDITORY CANAL
 
Anatomy of temporal bone final
Anatomy of temporal bone finalAnatomy of temporal bone final
Anatomy of temporal bone final
 
Tympanic membrane.pptx
Tympanic membrane.pptxTympanic membrane.pptx
Tympanic membrane.pptx
 
Anatomy & embryology of external & middle ear
Anatomy & embryology of external & middle earAnatomy & embryology of external & middle ear
Anatomy & embryology of external & middle ear
 
External &;middle ear anatomy
External &;middle ear anatomyExternal &;middle ear anatomy
External &;middle ear anatomy
 
Anatomy of ear
Anatomy of ear Anatomy of ear
Anatomy of ear
 
EXTERNAL ACOUSTIC MEATUS, MIDDLE EAR
EXTERNAL ACOUSTIC MEATUS, MIDDLE EAREXTERNAL ACOUSTIC MEATUS, MIDDLE EAR
EXTERNAL ACOUSTIC MEATUS, MIDDLE EAR
 
Middle and inner ear 15416
Middle and inner ear 15416Middle and inner ear 15416
Middle and inner ear 15416
 
Middle and inner ear 15416
Middle and inner ear 15416Middle and inner ear 15416
Middle and inner ear 15416
 
Anatomy of external and middle ear by dr. faisal rahman
Anatomy of external and middle ear by dr. faisal rahmanAnatomy of external and middle ear by dr. faisal rahman
Anatomy of external and middle ear by dr. faisal rahman
 
Anatomy of ear
Anatomy of earAnatomy of ear
Anatomy of ear
 
middle ear anatomy
middle ear anatomymiddle ear anatomy
middle ear anatomy
 
Ear.pptx
Ear.pptxEar.pptx
Ear.pptx
 
anatomy and embrology of middle and inner ear
anatomy and embrology of middle and inner earanatomy and embrology of middle and inner ear
anatomy and embrology of middle and inner ear
 

Recently uploaded

Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Dr. Dheeraj Kumar
 
Discover how you can instantly prevent acne flare-ups with natural remedies
Discover how you can instantly prevent acne flare-ups with natural remediesDiscover how you can instantly prevent acne flare-ups with natural remedies
Discover how you can instantly prevent acne flare-ups with natural remediesAffiliate
 
Dissociative and Conversion Disorder and its associated types
Dissociative and Conversion Disorder and its associated typesDissociative and Conversion Disorder and its associated types
Dissociative and Conversion Disorder and its associated typesProf. (Dr.) Rahul Sharma
 
Vata-Rakta vyadhi nidana
Vata-Rakta vyadhi nidana Vata-Rakta vyadhi nidana
Vata-Rakta vyadhi nidana Jay Gondaliya
 
Blood Grouping and Transfusion Reactions.pdf
Blood Grouping and Transfusion Reactions.pdfBlood Grouping and Transfusion Reactions.pdf
Blood Grouping and Transfusion Reactions.pdfMedicoseAcademics
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSapna Thakur
 
Systemic Lupus Erythematosus -SLE PT2.ppt
Systemic  Lupus  Erythematosus -SLE PT2.pptSystemic  Lupus  Erythematosus -SLE PT2.ppt
Systemic Lupus Erythematosus -SLE PT2.pptraviapr7
 
Screening for colorectal cancer AAU.pptx
Screening for colorectal cancer AAU.pptxScreening for colorectal cancer AAU.pptx
Screening for colorectal cancer AAU.pptxtadehabte
 
Exploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKExploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKPrivate GP London
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfDivya Kanojiya
 
How to Choose the Right IV Catheter Needle
How to Choose the Right IV Catheter NeedleHow to Choose the Right IV Catheter Needle
How to Choose the Right IV Catheter NeedleNanchang Kindly Meditech
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxEx WHO/USAID
 
Bone Marrow Biopsy Needle in Hematology Diagnostics
Bone Marrow Biopsy Needle in Hematology DiagnosticsBone Marrow Biopsy Needle in Hematology Diagnostics
Bone Marrow Biopsy Needle in Hematology DiagnosticsNanchang Kindly Meditech
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..AneriPatwari
 
FATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAI
FATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAIFATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAI
FATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAIGoogle
 
Hip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and KinematicsHip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and KinematicsRishiRajgude
 
Breast Cancer and its types, signs and symptoms
Breast Cancer and its types, signs and symptomsBreast Cancer and its types, signs and symptoms
Breast Cancer and its types, signs and symptomsnthanuja0331
 
Abnormal uterine bleeding- Prof.HHY.pptx
Abnormal uterine bleeding- Prof.HHY.pptxAbnormal uterine bleeding- Prof.HHY.pptx
Abnormal uterine bleeding- Prof.HHY.pptxKyawMyoHtet10
 

Recently uploaded (20)

Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
 
Discover how you can instantly prevent acne flare-ups with natural remedies
Discover how you can instantly prevent acne flare-ups with natural remediesDiscover how you can instantly prevent acne flare-ups with natural remedies
Discover how you can instantly prevent acne flare-ups with natural remedies
 
Dissociative and Conversion Disorder and its associated types
Dissociative and Conversion Disorder and its associated typesDissociative and Conversion Disorder and its associated types
Dissociative and Conversion Disorder and its associated types
 
Vata-Rakta vyadhi nidana
Vata-Rakta vyadhi nidana Vata-Rakta vyadhi nidana
Vata-Rakta vyadhi nidana
 
Blood Grouping and Transfusion Reactions.pdf
Blood Grouping and Transfusion Reactions.pdfBlood Grouping and Transfusion Reactions.pdf
Blood Grouping and Transfusion Reactions.pdf
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
 
Systemic Lupus Erythematosus -SLE PT2.ppt
Systemic  Lupus  Erythematosus -SLE PT2.pptSystemic  Lupus  Erythematosus -SLE PT2.ppt
Systemic Lupus Erythematosus -SLE PT2.ppt
 
Screening for colorectal cancer AAU.pptx
Screening for colorectal cancer AAU.pptxScreening for colorectal cancer AAU.pptx
Screening for colorectal cancer AAU.pptx
 
Exploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKExploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UK
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdf
 
How to Choose the Right IV Catheter Needle
How to Choose the Right IV Catheter NeedleHow to Choose the Right IV Catheter Needle
How to Choose the Right IV Catheter Needle
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptx
 
Bone Marrow Biopsy Needle in Hematology Diagnostics
Bone Marrow Biopsy Needle in Hematology DiagnosticsBone Marrow Biopsy Needle in Hematology Diagnostics
Bone Marrow Biopsy Needle in Hematology Diagnostics
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
 
FATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAI
FATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAIFATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAI
FATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAI
 
Hip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and KinematicsHip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and Kinematics
 
Navigating Advances in Alzheimer’s Disease: An Expert Consult on Integrating ...
Navigating Advances in Alzheimer’s Disease: An Expert Consult on Integrating ...Navigating Advances in Alzheimer’s Disease: An Expert Consult on Integrating ...
Navigating Advances in Alzheimer’s Disease: An Expert Consult on Integrating ...
 
Finite Therapy, Infinite Possibilities in CLL: Exploring the Rapid Emergence ...
Finite Therapy, Infinite Possibilities in CLL: Exploring the Rapid Emergence ...Finite Therapy, Infinite Possibilities in CLL: Exploring the Rapid Emergence ...
Finite Therapy, Infinite Possibilities in CLL: Exploring the Rapid Emergence ...
 
Breast Cancer and its types, signs and symptoms
Breast Cancer and its types, signs and symptomsBreast Cancer and its types, signs and symptoms
Breast Cancer and its types, signs and symptoms
 
Abnormal uterine bleeding- Prof.HHY.pptx
Abnormal uterine bleeding- Prof.HHY.pptxAbnormal uterine bleeding- Prof.HHY.pptx
Abnormal uterine bleeding- Prof.HHY.pptx
 

Ear Anatomy Guide - External, Middle & Inner Ear Parts

  • 2. EAR 3 Parts  1st part ……………external ear 2nd part….................middle ear 3rd part……………..inner ear
  • 4. AURICLE (PINNA)  Projects at a variable angle from the side of the head  Functions in collecting the sound.  The lateral surface of the pinna is dominated by concavities, in particular the concha.  Helix  Antihelix.
  • 5.  Triangular fossa.  The scaphoid fossa  Concha.  Cymba conchae - smaller superior portion, is the direct lateral relation to the suprameatal triangle.  Cavum concae-Larger inferior portion
  • 6.  Tragus  Antitragus.  Lobule– fibrous and adipose tissue.  Medial (cranial) surface – has elevations corresponding to the depressions on the lateral surface.  Possesses corresponding names, eg. Eminentia conchae
  • 7. CARTILAGE  Body of auricle formed by elastic cartilage
  • 8.  Site of endaural incision – will not damage cartilage or its perichondrium, allows wide exposure of deeper parts.  Cartilage extends around 8 mm to form lateral 1/3rd of EAC.  Cartilage is covered by perichondrium, from which it derives its blood supply, cartilage itself is avascular.
  • 9. LIGAMENTS Cartilage of auricle is connected to the temporal bone by two extrinsic ligaments.  Anterior ligament – runs from tragus and crus of helix to the root of zygomatic arch.  Posterior ligament – runs from medial surface of the concha to the lateral surface of the mastoid prominence. Intrinsic ligaments connect various parts of the cartilaginous auricle, between helix and tragus and another from the antihelix to the posteroinferior portion of the helix
  • 10. MUSCLES Extrinsic muscles :- functionally unimportant. • Anterior auricular muscle •Superior auricular muscle •Posterior auricular muscle  Insert into the epicranial aponeurosis.  Temporal and posterior auricular branches of the facial nerve supply the extrinsic muscles.
  • 11. Intrinsic muscles :- Six in number – are small, inconsistent and without useful function •Helicis major •Helicis minor •Tragicus •Antitragicus •Transverse muscle •Oblique muscle
  • 12. ARTERIAL SUPPLY External carotid artery  Posterior auricular artery (dominant artery)  Anterior auricular branches of the superficial temporal  Superior auricular artery  A small auricular branch from the occipital artery
  • 13.
  • 14. NERVE SUPPLY  Both cranial branchial nerves and somatic cervical nerves supply the auricle. Their distribution is heterogeneous with extensive overlap.  Greater auricular nerve ( C2-3 )  Auriculotemporal nerve (branch of V3) Lesser occipital nerve ( C2 )  Auricular branch of vagus nerve (Arnold nerve)  Facial N. - Probably supplies small region in the root of concha
  • 15.
  • 16. LYMPHATIC DRAINAGE Postauricular / Mastoid tip lymph nodes Preauricular lymph nodes Upper deep cervical lymph nodes
  • 17. EXTERNAL AUDITORY CANAL Approximately 2.4 cm long. Cartilage in the lateral one-third and bone in the medial two-thirds.  The diameter of the canal varies greatly between individuals and between different races.  In adults, the cartilaginous portion runs inwards, upwards and backwards. lateral cartilaginous portion is about 8 mm long and is continuous with the auricular cartilage. It has two deficiencies – the "fissures of Santorini" in this part of the cartilage and through them the parotid or superficial mastoid infections can appear in the canal, or vice versa.
  • 18.
  • 19.  The bony canal wall, about 16 mm long, and is narrower than the cartilaginous portion.  Anteroinferior part of the bony canal may present a deficiency (foramen of Huschke) in children up to the age of four or sometimes in adults, permitting infections to and from the parotid.  The medial end of the bony canal is marked by a groove, the tympanic sulcus, which is absent superiorly.  The tympanic bone forms the greater part of the canal, and also carries the tympanic sulcus. The squamous bone forms the roof.
  • 20.  There are two suture lines– the tympanosquamous anteriorly and tympanomastoid posteriorly.  There are two constrictions in the canal:  At the junction of the cartilaginous and bony portions and  The isthmus, 5 mm from the tympanic membrane where a prominence of the anterior canal wall reduces the diameter.
  • 21.  Deep to the isthmus, the anteroinferior portion of the canal dips forward forming a wedge-shaped anterior recess between the tympanic membrane and the canal.  The external canal is lined with skin.  Instead of skin maturation taking place directly towards the surface, there is outward, oblique growth of the epidermis of the canal skin and pars flaccida so that the surface layers effectively migrate towards the external opening of the canal.  The normal rate of migration is about 0.1 mm/day
  • 22.  The absence of hair serves to distinguish the bony and cartilaginous canals.  At the outer limits of the ear canal are some short hairs that project towards the opening of the canal.  In this region are clusters of ceruminous and sebaceous glands. The ceruminous glands produce a watery, white secretion that slowly darkens, turning semi-solid and sticky as it dries.  The sebaceous glands produce an oily material (sebum) from the breakdown of their fat-containing cells which is usually excreted into the root canals of the hair follicles.  The mixture of desquamated cells, cerumen and sebum forms wax.
  • 23. Blood Supply  Derived from branches of the external carotid artery.  Auricular branches of the superficial temporal artery  Deep auricular branch of the first part of the maxillary A.  Auricular branches of the posterior auricular artery The veins drain into  External jugular vein,  Maxillary veins  The pterygoid plexus
  • 24.
  • 25.  NERVE SUPPLY  Auriculotemporal nerve (branch of V3)  Auricular branch of vagus nerve (Arnold nerve)  Facial nerve ( VII )
  • 26. Lymphatic Drainage Follows that of the auricle Postauricular lymph nodes Preauricular nodes Upper deep cervical nodes
  • 27. Relationships of the external auditory canal
  • 28. TYMPANIC MEMBRANE  Medial end of the EAC and forms majority of lateral wall of the tympanic cavity.  Separates EAC from tympanic cavity of middle ear
  • 29.  It is slightly oval in shape  Forming an angle of about 55° with the floor.  9-10 mm tall ,8-9 mm wide & thickness 0.1 mm  Most of the circumference is thickened to form a fibrocartilaginous ring, the tympanic annulus, which sits in a groove tympanic sulcus.  The sulcus does not extend into the notch of Rivinus at the roof of the canal, which is formed by part of the squama of the temporal bone.
  • 30.  From the superior limits of the sulcus, the annulus becomes a fibrous band which runs centrally as anterior & posterior malleolar folds to the lateral process of the malleus  The handle of malleus is clearly visible within the tympanic membrane.  This leaves a small, triangular region of tympanic membrane above the malleolar folds within the notch of Rivinus, called the pars flaccida, which does not have a tympanic annulus at its margins.  The pars tensa forms the rest of the tympanic membrane
  • 31. Landmarks Cone of Light Umbo Handle of Malleus Lat Process of Malleus A & P Malleolar Fold +/- Incus shadow Annulus
  • 32. LAYERS OF TYMPANIC MEMBRANE  Outer epithelial layer  Middle, mainly fibrous layer, the lamina propria; has radially oriented fibres in the outer layers and circular, parabolic and transverse fibres in the deeper layer.  Inner mucosal layer  In the pars flaccida, the lamina propria is less marked and the orientation of the collagen fibres seems random.
  • 33. Tympanic Membrane - Quadrants
  • 34. ARTERIAL SUPPLY OF THE TYMPANIC MEMBRANE  Arises from branches supplying both the EAC and the middle ear.  These two sources interconnect through extensive anastomoses  The epidermal vessels from the deep auricular branch of the maxillary artery  The mucosal vessels arise from the  Anterior tympanic branches of the Maxillary A.  Stylomastoid branch of the post. auricular A.  Middle meningeal artery.
  • 35. NERVE SUPPLY  Outer surface - Auriculotemporal branch of trigeminal nerve - Auricular branch of vagus nerve  Inner surface Tympanic branch of CN IX ( Jacobson’s nerve )
  • 36. ANATOMY OF THE MIDDLE EAR CLEFT
  • 37. THE MIDDLE EAR CLEFT  The middle ear cleft consists of the  tympanic cavity,  Eustachian tube and  mastoid air cell system.
  • 38. THE TYMPANIC CAVITY  Divided into three compartments  the epitympanum (upper)  the mesotympanum (middle)  hypotympanum (lower)  The epitympanum or attic, lies above the level of the malleolar folds  The mesotympanum lies opposite the tympanic membrane.  The hypotympanum lies below the level of the inferior part of the tympanic sulcus
  • 39.
  • 40. Walls of the Tympanic Cavity  Middle ear is shaped like a narrow box with concave sides  It has 6 walls, which include; I. Membranous wall (lateral wall) II. Tegmental wall (roof) III. Jugular wall (floor) IV. Carotid wall (anterior wall) V. Labyrinthine wall (medial wall) VI. Mastoid wall (posterior wall)
  • 41.
  • 42. THE LATERAL WALL  The lateral wall of the tympanic cavity is formed by the  bony lateral wall of the epitympanum superiorly,  tympanic membrane centrally and  bony lateral wall of the hypotympanum inferiorly.  The lateral epitympanic wall is wedge-shaped in section and its sharp inferior portion is also called the outer attic wall or scutum (Latin: 'shield').  It is thin and easily eroded by cholesteatoma, leaving a telltale sign on a high resolution coronal CT scan.
  • 43.
  • 44.
  • 45. Three holes in the bone of the medial surface of the lateral wall of the tympanic cavity  The petrotympanic fissure is 2 mm long receives the anterior malleolar ligament and transmits the anterior tympanic branch of the maxillary artery to the tympanic cavity.  The chorda tympani nerve enters through anterior canaliculus (canal of Huguier)  Posterior canaliculus at the junction of lateral and posterior wall
  • 46. THE ROOF  The roof of the epitympanum is the tegmen tympani  It is a thin bony plate that separates the middle ear space from the middle cranial fossa.  It is formed by both the petrous and squamous portions of the temporal bone .  The petrosquamous suture line, which does not close until adult life, can provide a route of access for infection into the extradural space in children.  Veins from the tympanic cavity running to the superior petrosal sinus pass through this suture line.
  • 47. THE FLOOR  The floor of the tympanic cavity separates the hypotympanum from the dome of the jugular bulb.  Its thickness varies according to the height of the jugular fossa.  Occasionally, the floor is deficient and the jugular bulb is then covered only by fibrous tissue and a mucous membrane.  At the junction of the floor and the medial wall of the cavity there is a small opening that allows the entry of the tympanic branch of the glossopharyngeal nerve into the middle ear.
  • 48. THE ANTERIOR WALL  Narrow as the medial and lateral walls converge.  The lower-third thin plate of bone covering the carotid artery.  This plate is perforated by the – superior and inferior caroticotympanic nerves – tympanic branches of the internal carotid artery.  The middle-third-tympanic orifice of the Eustachian tube.  Just above this is a canal containing the tensor tympani muscle.  Upper-third is usually pneumatized and may house the anterior epitympanic sinus, a small niche anterior to the ossicular heads, which can hide residual cholesteatoma in canal wall up surgery.
  • 49. THE MEDIAL WALL  Separates the tympanic cavity from the inner ear.  The promontory is a rounded elevation in central portion of the medial wall.  Covers basal coil of the cochlea and usually has small grooves on its surface containing the nerves which form the tympanic plexus.  The promontory gently inclines forwards to merge with the anterior wall of the tympanic cavity.
  • 50.
  • 51.  Behind and above the promontory is the oval window – kidney shaped opening that connects the tympanic cavity with the vestibule, which is closed by the footplate of the stapes and its surrounding annular ligament.  Its size 3.25 mm long and 1.75 mm wide.  The oval window niche can be of varying width depending on the position of the facial nerve superiorly, and the prominence of the promontory inferiorly.
  • 52.
  • 53.  The round window niche lies below and a little behind the oval window niche from which it is separated by a posterior extension of the promontory called the subiculum.  Another ridge of bone, the ponticulus, leaves the promontory above the subiculum and runs to the pyramid on the posterior wall of the cavity.  Triangular in shape, with anterior, posterosuperior and posteroinferior walls.  The latter two meet posteriorly and lead to the sinus tympani.
  • 54.  The round window membrane  Oval in shape, about 2.3 x 1.9 mm in dimension and lies in a plane at right angles to the plane of the stapes footplate.  Curve towards the scala tympani of the basal coil of the cochlea, concave when viewed from the middle ear.  Landmark for singular nerve [use full in neuractomy done for interactable vertigo]
  • 55.
  • 56.  The facial nerve canal (or Fallopian canal) runs above the promontory and oval window in an anteroposterior direction.  It has a smooth rounded lateral surface that often has microdehiscences  When the bone is thin or the nerve exposed by disease, there are two or three straight blood vessels clearly visible along this line of nerve.  These are the only straight blood vessels in the middle ear and indicate that the facial nerve is very close by.  The facial nerve canal is marked anteriorly by the processus cochleariformis, a curved projection of bone, concave anteriorly, which houses the tendon of the tensor tympani muscle.  Behind the oval window, the facial canal starts to turn inferiorly as it begins its descent in the posterior wall of the tympanic cavity.
  • 57. THE POSTERIOR WALL  Upper part a large irregular opening - the aditus ad antrum.  Fossa incudis, below the aditus is a small depression, houses short process of incus & its suspensory ligament.  Pyramid, a small hollow conical projection with its apex pointing anteriorly houses the stapedius muscle and tendon.
  • 58.
  • 59.  The facial recess is a groove lies b/w pyramid with facial nerve, and the annulus of the tympanic membrane .  The facial recess is, therefore, bounded – medially by the facial nerve and – laterally by the tympanic annulus, – with the chorda tympani nerve running obliquely through the wall between the two.  The chorda always runs medial to the tympanic membrane.  Angle between the facial nerve and the chorda allows a posterior tympanotomy, allowing access to the middle ear from the mastoid without disruptiong the tympanic membrane.
  • 60.
  • 61.
  • 62.
  • 63. The Sinus tympani located at the junction of the lateral and posterior walls of the tympanic cavity. lies between ponticulus superiorly and subiculum inferiorly. bounded by pyramidal ridge externally and promontory internally.
  • 64. Posterior extension of the mesotympanum  deep to both the promontory and the facial nerve.  The sinus can extend as far into the mastoid bone  The medial wall ; continuous with the posterior portion of the medial wall of the tympanic cavity.  where it is related to the oval and round window niches and the subiculum of the promontory. Most inaccessible site
  • 65.
  • 66. THE CONTENTS OF THE TYMPANIC CAVITY  The tympanic cavity contains the – ossicles, – two muscles, – the chorda tympani and – the tympanic plexus.  The ossicles malleus, incus and stapes  The Muscles tensor tympani & stapedius
  • 67.
  • 68. THE MALLEUS (the hammer)  Largest, 9 mm in length.  Head, neck and handle or manubrium.  The head lies in the epitympanum  The head of the malleus articulate with the body of the incus by a synovial joint.  Below the neck lateral process, the anterior process and the handle.  The lateral process prominent landmark on the tympanic membrane and receives the anterior and posterior malleolar folds from the tympanic annulus.
  • 69.  The chorda tympani crosses the upper part of the malleus handle on its medial surface above the insertion of the tendon of tensor tympani, but below the neck of the malleus itself.  The neck of the malleus connects the handle with the head and amputation of the head by cutting through the neck leaves both chorda tympani and tensor tympani intact.  A slender anterior ligament arises from the anterior process to insert into the petrotympanic fissure.
  • 70. THE INCUS (the anvil)  Articulates with the malleus  Has a body and two processes.  The body lies in the epitympanum and suspended by the superior incudal ligament  The short process lie in the fossa incudis attached by a short suspensory ligament.  The long process descends into the mesotympanum and at its tip is a lentiular process called the fourth ossicle.  Lenticular process articulates with the head of the stapes.
  • 71. THE STAPES (the stirrup)  Shaped like a stirrup  Consists of a head, neck, the anterior and posterior crura and a footplate.  The head has synovial articulation with the lenticular process of the incus.  The stapedius tendon inserts into neck and upper portion of the posterior crus.  The two crura arise from lower part of the neck .  Footplate are 3 mm long-and 1.4 mm wide, and it lies in the oval window where it is attached to the bony margins by the annular ligament
  • 72. THE STAPEDIUS MUSCLE - Arises from wall of conical cavity within pyramid - Attaches to neck of stapes - Helps to dampen loud sound, preventing noise trauma - supplied by branch of Facial N
  • 73. TENSOR TYMPANI MUSCLE ● Arises from a)bony canal above ET b)cartilagenous part of ET c) greater wing of sphenoid ● Attaches to neck of malleus ● Tenses tympanic membrane ● Supplied by branch of Mandibular N
  • 74. THE CHORDA TYMPANI NERVE  It enters the tympanic cavity from the posterior canaliculus at the junction of the lateral and posterior walls.  It runs across the medial surface of the tympanic membrane between the mucosal and fibrous layers.  Then passes medial to the upper portion of the handle of the malleus above the tendon of tensor tympani.  Continues forwards and leaves by way of the anterior canaliculus, which subsequently joins the petrotympanic fissure.
  • 75. THE TYMPANIC PLEXUS  Formed by – tympanic branch of the glossopharyngeal nerve (Jacobson's nerve) – caroticotympanic nerves, arise from the sympathetic plexus around the internal carotid artery.  The nerves form a plexus on the promontory  Branches -mucous membrane lining the tympanic cavity, Eustachian tube and mastoid antrum & air cells.  Branches to join the greater superficial petrosal nerve and the lesser superficial petrosal nerve .
  • 76. THE MUCOSA OF THE TYMPANIC CAVITY  Mucus-secreting respiratory mucosa bearing cilia.  Three distinct mucocilary pathways can be identified – epitympanic, – promontorial and – hypotympanic, (largest).  Each of these pathways coalesces at the tympanic orifice of the Eustachian tube.  The mucous membrane lines the bony walls of the tympanic cavity, and extends to cover the ossicles and their supporting ligaments.
  • 77.  It also covers the tendons of the two middle ear muscles and carry their blood supply.  These folds separate the middle ear space into compartments.  The only route for ventilation of the epitympanic space from the mesotympanum is via two small openings between the various mucosal folds - the anterior and posterior isthmus tympani.  Prussak's space ;between the pars flaccida and the neck of the malleus, bounded by the lateral malleolar fold  This space can play an important role in the retention of keratin and subsequent development of cholesteatoma.
  • 78. MUCOSAL FOLDS  Lateral incudal fold  Anterior malleolar fold  Superior malleolar fold  Superior incudal fold  Medial incudal fold  Lateral malleolar fold  Interossicular fold  Anterior malleolar ligament  Tensor tympani fold
  • 79. THE LATERAL INCUDAL FOLD Connects the lateral attic wall and the body of the incus it extends posteriorly to the posterior incudal ligament
  • 80. THE ANTERIOR MALLEOLAR FOLD  It is located between the anterior surface of the malleus head,the anterolateral bony wall of the attic and the anterior malleolar ligament
  • 81.
  • 82. THE SUPERIOR MALLEOLAR FOLD Extends between the superior surface of the malleus head and superior attic wall
  • 83. THE SUPERIOR INCUDAL FOLD extends between the superior aspect of the incus body and the superior attic wall
  • 84. THE MEDIAL INCUDAL FOLD It is located between the long process of the incus and the tendon of the stapedius muscle
  • 85.
  • 86. The lateral malleolar fold  Goes from the neck of the malleus upto scutum forms the superior border of the prussaks space
  • 87.
  • 88. The anterior malleolar ligament  Extends from the long process of the malleus toward the anterior attic wall
  • 89. The interossicular fold  It extends between the malleus handle and long process of the incus
  • 90.
  • 91. The tensor tympani fold  Occupies the window between the tensor tympani tendon,the anterior bony plate of the attic wall the tensor tympani eminence and the anterior malleolar ligament
  • 92. The anterior malleolar ligament  Extends from the long process of the malleus toward the anterior attic wall
  • 93.
  • 94. THE BLOOD SUPPLY OF THE TYMPANIC CAVITY  Arise from both the internal and external carotid system.  The overlap is extensive and great variability is present.  Anterior tympanic  Stylomastoid  Maxillary  Posterior auricular  Middle meningeal  Ascending pharyngeal  Artery of pterygoid canal and internal carotid arteries.  The anterior tympanic and stylomastoid arteries are the biggest.
  • 95. Venous drainage  Ptergoid plexus  Superior petrosal sinus Lymphatic  Retropharyngeal  Parotid lymph node
  • 96. THE EUSTACHIAN TUBE  Links the middle ear with the nasopharynx.  Length = 36 mm (reached by the age of 7).  It runs downwards from the middle ear at 45° and is turned forwards and medially.  The lateral third is bony and arises from the anterior wall of the tympanic cavity.  Medial two-thirds cartilaginous part.  Its narrowest portion is called the isthmus, where the diameter is only 0.5 mm or less.
  • 97.  It is lined with respiratory mucosa containing goblet cells and mucous glands, having ciliated epithelium on its floor.  A thin plate of bone forms the roof, separating the tube from the tensor tympani muscle above.  The carotid canal lies medially and can impinge on the bony Eustachian tube.  In the nasopharynx, the tube opens 1-1.25 cm behind and below the posterior end of the interior turbinate.  The opening is triangular in shape and is surrounded above and behind by the torus.
  • 98.  The salpingopharyngeal fold stretches from the lower part of the torus downwards to the wall of the pharynx.  The levator palati, as it enters the soft palate, results in a small swelling immediately below the opening of the tube.  Behind the torus is the pharyngeal recess or fossa of Rosenmuller.  Lymphoid tissue is present around the tubal orifice and in the fossa of Rosenmuller, and may be prominent in childhood.
  • 99. MUSCLES ATTACHED TO THE EUSTACHIAN TUBE  Tensor palati ; arises from the bony wall and the upper portion of the front wall of the cartilaginous tube.  The muscle converges to a short tendon that turns medially around the pterygoid hamulus and then spreads out within the soft palate to meet fibres from the other side in a midline raphe.  Separates the tube from the otic ganglion, the mandibular nerve and its branches, the chorda tympani nerve and the middle meningeal artery.  It is supplied by the Mandibular Nerve.
  • 100.  Salpingopharyngeus is attached to the inferior part of the cartilage of the tube near its pharyngeal opening, and it descends to blend with the palatopharyngeus.  Levator palati arises from the lower surface of the cartilaginous tube and from the lower surface of the petrous bone, and from fascia forming the upper part of the carotid sheath.  It first lies inferior to the tube, then crosses to the medial side and spreads out into the soft palate.  Salpingopharyngeus and the levator palati are supplied from the pharyngeal plexus.
  • 101.  The ascending pharyngeal and middle meningeal arteries supply the Eustachian tube.  The veins drain into the pharyngeal plexus and the lymphatics pass to the retropharyngeal nodes.  The nerve supply arises from the pharyngeal branch of the sphenopalatine ganglion (Vb) for the ostium, the nervus spinosus (Vc) for the cartilaginous portion and from the tympanic plexus (IX) for the bony part.
  • 102. THE MASTOID AIR CELL SYSTEM
  • 103.
  • 104.  There are five recognized regions of pneumatization: the middle ear, mastoid, perilabyrinthine, petrous apex, and accessory.  The middle ear :- epitympanic, hypotympanic, mesotympanic, protympanic & posterior tympanic area  The mastoid region :- mastoid antrum, central mastoid, and peripheral mastoid.  Perilabyrinthine :- supralabyrinthine and infralabyrinthine areas.  Petrous apex region :- The apical area and the peritubal area  Accessory region :- zygomatic, squamous, occipital, and styloid areas.
  • 105.  There are five recognized air cell tracts.  The posterosuperior tract runs at the juncture of the posterior and middle fossa aspects of the temporal bone.  The posteromedial cell tract parallels and runs inferior to the posterosuperior tract.  The subarcuate tract passes through the arch of the superior semicircular canal.  The perilabyrinthine tracts run superior and inferior to the bony labyrinth.  The anterior petrous apex is pneumatized in only 10 to 15% of specimens. Most often, it is diploic; in a small percentage of cases, it is sclerotic.
  • 106.  The mastoid antrum air-filled sinus in the petrous part of temporal bone.  It communicates with the middle ear by the aditus.  Antrum is well developed at birth.  Volume = 2 ml (adult).  The medial wall relates to the posterior semicircular canal.  More deeply and inferiorly is the dura of the posterior cranial fossa and the endolymphatic sac.  The roof of the mastoid antrum and mastoid air cell space form the floor of the middle cranial fossa.
  • 107.
  • 108. SIGMOID SINUS  posterior limit of mastiod cavity.  passes deep part of mastoid process under facial nerve toward jugular SINODURAL ANGLE  Angle between middle fossa and posterior fossa dura plate and superior part of the sigmoid sinus  Laterally in angle with in mastoid cortex –emissarium mastoidum –bleeding during drilling of corticle bone
  • 109. MacEwen's triangle – Temporal line – Posterosuperior segment of bony EAC – a tangent through the posterior border of EAC  Normally lining of the mastoid is a flattened, nonciliated epithelium without goblet cells or mucus glands.
  • 110.
  • 111.  The inner ear is called as labyrinth, from the complexity of its shape.  It consists of two parts: 1. The osseous labyrinth: A series of cavities within the petrous part of the temporal bone. 2. The membranous labyrinth: A series of communicating membranous sacs and ducts, contained within the bony cavities. 9/29/2015 111
  • 112. The Osseous Labyrinth (labyrinthus osseous)  Consists of three parts: The vestibule, semicircular canals and cochlea.  These are cavities hollowed out of the substance of the bone, and lined by periosteum.  Contain a clear fluid, perilymph, in which the membranous labyrinth is situated. 9/29/2015 112
  • 113. The Vestibule (vestibulum)  Central part of the osseous labyrinth, medial to tympanic cavity, behind cochlea, and in front of semicircular canals.  Ovoid in shape, but flattened transversely.  About 5 mm. from before backward, the same from above downward, and about 3 mm. across.  In its lateral or tympanic wall is the fenestra vestibuli, closed by the base of the stapes and annular ligament. 9/29/2015 113
  • 114.  On medial wall, forepart, small circular depression, the recessus sphaericus, which is perforated, at its anterior and inferior part, by several minute holes (macula cribrosa media) for the passage of filaments of the acoustic nerve to the saccule.  Behind this depression is an oblique ridge, the crista vestibuli, the anterior end of which is named the pyramid of the vestibule.  This ridge bifurcates below to enclose a small depression, the fossa cochlearis, which is perforated by a number of holes for the passage of filaments of the acoustic nerve which supply the vestibular end of the ductus cochlearis. 9/29/2015 114
  • 116.  Hinder part of the medial wall is the orifice of the aqueductus vestibuli, which extends to the posterior surface of the petrous portion of the temporal bone.  On the upper wall or roof is a transversely oval depression, the recessus ellipticus, separated from the recessus sphaericus by the crista vestibuli.  The pyramid and adjoining part of the recessus ellipticus are perforated by a number of holes (macula cribrosa superior).  The apertures in the pyramid transmit the nerves to the utricle. 9/29/2015 116
  • 117. The Bony Semicircular Canals  3 in number superior, posterior, and lateral,  Above and behind the vestibule.  Unequal in length  Each measures about 0.8 mm. in diameter, and presents a dilatation at one end, called the ampulla  They open into the vestibule by five orifices, one of the apertures being common to two of the canals 9/29/2015 117
  • 118. The superior semicircular canal  15 to 20 mm. in length.  vertical in direction, and placed transversely to long axis of petrous portion of temporal bone.  Its lateral extremity is ampullated, and opens into the upper part of the vestibule; the opposite end joins with the upper part of the posterior canal to form the crus commune 9/29/2015 118
  • 119. The posterior semicircular canal  Vertical, is directed backward, nearly parallel to the posterior surface of the petrous bone.  Longest 18 to 22 mm.  It’s lower or ampullated end opens into the lower and back part of the vestibule, its upper into the crus commune. 9/29/2015 119
  • 120. The lateral or horizontal canal  Shortest  12 to 15 mm.  Its ampullated end corresponds to the upper and lateral angle of the vestibule, just above the fenestra vestibuli  It’s opposite end opens at the upper and back part of the vestibule. 9/29/2015 120
  • 121. THE COCHLEA  Resemblance to a common snail-shell  Anterior part of the labyrinth.  It is conical in form, and placed almost horizontally in front of the vestibule.  Apex (cupula) is directed forwards and lateral toward the upper and front part of the labyrinthic wall of the tympanic cavity.  Base bottom of the internal acoustic meatus, and is perforated by numerous apertures for the passage of the cochlear division of the acoustic nerve. It measures about 5 mm. from base to apex, and its breadt is about 9 mm 9/29/2015 121
  • 122. The modiolus  Conical central axis of the cochlea.  Base is broad at the bottom of the IAM.  Perforated by numerous orifices, transmit filaments of the cochlear division of acoustic nerve.  The nerves for the first turn and a half, pass through the foramina of the tractus spiralis foraminosus.  Those for the apical turn,pass through the foramen centrale. 9/29/2015 122
  • 123.  The bony canal of the cochlea takes two turns and three- quarters around the modiolus.  It is about 30 mm. in length, and diminishes gradually in diameter from the base to the summit, where it terminates in the cupula  The beginning of this canal is about 3 mm. in diameter 9/29/2015 123
  • 124.  1st the fenestra cochlea, communicates with the tympanic cavity closed by the secondary tympanic membrane.  2nd of an elliptical form, opens into the vestibule.  3rd is the aperture of the aquaeductus cochleae, opens on the inferior surface of the petrous part of the temporal bone and forms a communication between the subarachnoid cavity and the scala tympani. 9/29/2015 124
  • 125. The osseous spiral lamina  Bony shelf projects from modiolus into interior of canal, like canal takes two and three- quarter turns around modiolus.  It reaches about half-way toward the outer wall of the tube, and partially divides its cavity into two passages or scalae, upper scala vestibuli, lower scala tympani.  Helicotrema:through which the two scalae communicate with each other. 9/29/2015 125
  • 126.  The osseous labyrinth is lined by an exceedingly thin fibro- serous membrane.  It’s attached surface is rough and fibrous, and closely adherent to the bone.  It’s free surface is smooth and pale, covered with a layer of epithelium, and secretes a thin, limpid fluid, the perilymph. 9/29/2015 126
  • 127. The Membranous Labyrinth  The membranous labyrinth is lodged within the bony cavity, separated from the bony walls by a quantity of fluid, perilymph.  In certain places it is fixed to the walls of the cavity.  The membranous labyrinth contains fluid, the endolymph, and on it’s walls the ramifications of the acoustic nerve are distributed. 9/29/2015 127
  • 128. PERILYMPH  Resembles extracellular fluid.  Rich in Na+ ions.  SOURCE:2 theories 1)filtrate of blood serum from capillaries of spiral ligament. 2)CSF reaching labyrinth via aqueduct of cochlea. ENDOLYMPH:  Resembles intracellular fluid.  Rich in K+ ions.  SOURCE: 1) Stria vascularis 2) Dark cells of utricle & ampullated ends of semicircular canals. 9/29/2015 128
  • 129. Membranous labyrinth consists of  Cochlear duct,  Two sacs, utricle and saccule  Three semicircular ducts  Endolymphatic duct & sac 9/29/2015 129
  • 131. Cochlear duct Also called membranous cochlea/scala media Blind coiled tube Triangular on cross section 3 walls are formed by Basilar membrane which support organ of corti Reissner membrane which separates it from scala vestibuli Stria vascularis – secretion of endolymph. Cochlear duct connected to saccule by ductus reuniens
  • 132. The stria vascularis is composed of 3 cell types: 1.Marginal cells, which line the endolymphatic canal and have an essential role in ion exchange 2. Intermediate cells, which are rich in the pigment melatonin 3. Basal cells.
  • 133. THE UTRICLE  Larger of the two, is of an oblong form, and occupies the upper and back part of vestibule.  The portion which is lodged in the recess forms a sort of pouch or cul- de-sac, the floor and anterior wall of which are thickened, and form the macula, which receives the utricular filaments of the acoustic nerve.  The cavity of it communicates with the semicircular ducts orifices.
  • 134. The Saccule  Globular in form and lies in the recessus sphaericus.  Its anterior part exhibits an oval thickening, macula, to which are distributed the saccular filaments of the acoustic nerve.  Its cavity does not directly communicate with that of the utricle.  Posterior wall a canal, the ductus endolymphaticus, is given off; this duct is joined by the ductus utriculosaccularis, and then passes along the aquaeductus vestibuli and ends in a blind pouch (saccus endolymphaticus) on the posterior surface of the petrous portion of the temporal bone, where it is in contact with the dura mater  From the lower part of the saccule a short tube, the canalis reuniens of Hensen, passes downward and opens into the ductus cochlearis near its vestibular extremity9/29/2015 134
  • 135. SEMICIRCULAR DUCTS  3 in no.  Correspond exactly to bony canals  Open in utricle  Ampullated end of each duct contains neuroepithelium called crista ampullaris.
  • 136.  The walls of the utricle, saccule, and semicircular ducts consist of three layers  The outer layer is a loose composed of ordinary fibrous tissue containing blood vessels and some pigment-cells.  The middle layer, thicker more transparent, forms a homogeneous membrana propria, and presents on its internal surface, especially in the semicircular ducts, numerous papilliform projections.  The inner layer is formed of polygonal nucleated epithelial cells.  In the maculae of the utricle and saccule, and in the transverse septa of the ampullae of the semicircular ducts, the middle coat is thickened and the epithelium is columnar, and consists of supporting cells and hair cells. 9/29/2015 136
  • 137.  There are two types of hair cells in the semicircular canals and the vestibule.  Type I hair cells are flask- shaped cells while type II hair cells are cylinder-shaped cells.  Type I and type II hair cells are very similar in their structure and innervation to the inner hair cells and the outer hair cells of the organ of Corti, respectively. 9/29/2015 137
  • 138.  The organ of Corti converts the mechanical vibrations into neural impulses.  The fibers of the auditory nerves travel from the organ of Corti through a system of small perforations in the spiral lamina collectively called habenula perforata.  From habenula perforata, nerve fibers travel through a channel in the center of the modiolus (Rosenthal's canal), exit the base of the cochlea, and join vestibular nerve fibers to form the vestibulocochlear nerve. 9/29/2015 138
  • 139.  There are two types of hair cells in the organ of Corti: the inner hair cells (IHCs) and the outer hair cells (OHCs). 9/29/2015 139 • The groups of IHCs and OHCs are separated by two rods (pillars) of Corti, which structurally support the organ of Corti.
  • 140.  The rods are attached at their tips and more widely separated at the base, forming a triangular shape called the tunnel of Corti.  The tunnel is filled with the cortilymph fluid that has similar properties to the perilymph fluid found in the bony labyrinth. 9/29/2015 140
  • 141.  The tops of the hair cells and supporting cells of the organ of Corti are tightly connected together at their tips to form a continuous layer called the reticular lamina.  The reticular lamina isolates all of the organ of Corti from the endolymph of the scala media except for stereocilia which project through the reticular lamina into the endolymph. 9/29/2015 141
  • 142.  The OHCs are held in position by the outer rod of Corti on one side and by Deiters cells on the other side.  Each Deiters cell holds an OHC at the bottom and through long projections called phalangeal processes from above.  The middle part of an OHC is not firmly supported and is surrounded by a perilymph- filled space called the space of Nuel 9/29/2015 142
  • 143.  Next to the Deiters cells, towards outer end of cochlea, there are several groups of supporting cells, called Hensen cells, Claudius cells, outer spiral sulcus cells, and Boettcher cells.  Lateral to these support cells is Stria vascularis, highly vascular organ attached to the outer surface of the scala media.  Stria vascularis recycles K+ and produces endolymph for scala media, thus maintaining endocochlear potential of inner ear. 9/29/2015 143
  • 144. ENDOLYMPHATIC DUCT & SAC  Duct formed by union of 2 ducts each from utricle & saccule  Passes through vestibular aqueduct  Terminal part dilated to form sac lies b/w 2 layers of dura posterior surface of tympanic bone
  • 145. Nerve supply  The vestibular nerve supplies utricle, saccule and ampullae of the semicircular ducts.  On the trunk of the nerve, within the IAM, is a ganglion, the vestibular ganglion (ganglion of Scarpa); the fibers of the nerve arise from the cells of this ganglion.  On distal side of ganglion nerve splits into a superior, an inferior and a posterior branch.  The filaments of the superior branchmacula of the utricle and in the ampullae of the superior and lateral semicircular ducts  inferior branchmacula of the saccule.  The posterior branch runs through the foramen singulare at the postero-inferior part of the bottom of the meatus and divides into filaments for the supply of the ampulla of the posterior semicircular duct.9/29/2015 145
  • 147. Blood supply of labyrinth  Mainly by internal auditory a. (branch of AICA - branch of basilar a.)  Internal auditory artery divides into 1. Anterior vestibular artery  Supplies utricle ,superior & lateral SCC 2. Common cochlear artery  Main cochlear artery(80%)-supplies cochlea  Vestibulocochlear artery 1. Post vestibular A.-supplies saccule & post SCC 2. Cochlear branch –supplies to cochlea9/29/2015 147
  • 149. Venous drainage  Mainly by:  Internal auditory vein  Vein of cochlear aqueduct  Vein of vestibular aqueduct These Drain into inferior petrosal and sigmoid sinuses. 9/29/2015 149