Ear

Overview and topographic anatomy

General information

  • Dual functions:

    • Maintains the balance of the body (vestibular)

    • Perceives sound (auditory)

  • 3 divisions:

    • External ear

    • Middle ear

    • Inner ear

External ear

  • The most superficial portion of the ear, the external ear includes the auricle, external acoustic meatus, and the tympanic membrane

  • Helps gather sound and direct it to the tympanic membrane

Middle ear

  • Transmits sound vibrations from the tympanic membrane to the inner ear via the ear ossicles—malleus, incus, and stapes

  • Mainly within the petrous portion of the temporal bone

  • General shape resembles a biconcave lens

  • Composed of the tympanic cavity that connects anteriorly with the nasopharynx via the auditory tube and the mastoid air cells posteriorly

  • Tympanic cavity contains the ear ossicles (malleus, incus, and stapes), muscles (tensor tympani and stapedius muscles), nerves (chorda tympani, tympanic branch of the glossopharyngeal nerve, and lesser petrosal nerve), and tympanic plexus (parasympathetics from the glossopharyngeal nerve plus sympathetics from the superior cervical ganglion via the carotid plexus)

Inner ear

  • Vestibular and auditory structures, which are filled with fluid, make up the inner ear:

    • Auditory portion (cochlea) is stimulated by the movement of the fluid

    • Vestibular portion (utricle, saccule, and semicircular canals) is stimulated by fluid movement within these chambers

  • Consists of a membranous labyrinth that lies within an osseous labyrinth

  • The receptors for auditory and vestibular function are located within the membranous labyrinth

  • Fluids located in the membranous labyrinth (endolymph) and osseous labyrinth (perilymph) stimulate the auditory and vestibular receptors

  • The vestibulocochlear nerve enters the internal ear via the internal acoustic meatus

Figure 18-1

Figure 18-2

Figure 18-3

Structures and boundaries

Structures of the external ear

Structure Comments
Auricle
  • An irregularly shaped structure made of elastic cartilage and skin

  • Superior portion has a skeleton of elastic cartilage

  • Inferior portion is known as the lobule and has no cartilage

  • Helix— the outermost curved rim of the auricle, continues anteriorly to blend with the head at the crus helix

  • Antihelix— the portion of cartilage that follows along the helix from the inside

  • Scaphoid fossa— the depressed area between the helix and the antihelix

  • Concha— demarcated by the antihelix, it is the depressed area that leads to the external acoustic meatus

  • Tragus— extends from the face into the concha

  • Antitragus— extends from the inferior portion of the antihelix into the concha and is separated from the tragus by the intertragic notch

External acoustic meatus
  • The passageway connecting the concha of the auricle to the tympanic membrane

  • Covered by skin rich in sebaceous and cerumen-secreting glands

  • About 2.5 cm in length

  • Lateral 1/3— cartilaginous, extends into the temporal bone

  • Medial 2/3— osseous, formed by the tympanic, squamous, and petrous portions of the temporal bone

Tympanic membrane
  • The most medial portion of the external ear that separates it from the middle ear

  • Lies in a groove on the tympanic part of the temporal bone

  • A thin, semitransparent, 3-layered membrane:

  • External layer —derived from skin; composed of stratified squamous epithelium

  • Middle layer —fibrous, with fibers attaching to the malleus

  • Inner layer —continuous with the mucous membrane of the middle ear cavity; composed of columnar epithelium with cilia

  • Anterior and posterior malleolar folds lie on the superior portion of the tympanic membrane

  • Tense and loose portions are called the pars tensa and pars flaccida, respectively

Figure 18-4

Boundaries of the middle ear

Boundary Comments
Roof Made by the tegmen tympani, separating the middle ear from the temporal lobe of the middle cranial fossa
Floor
  • Thin bone separates the middle ear from the internal jugular v.

  • Tympanic canaliculus, located in the floor of the middle ear; allows the tympanic branch of the glossopharyngeal n. to enter the middle ear

Anterior wall
  • Auditory tube— located in the middle ear’s anterior wall; connects the middle ear with the nasopharynx; equilibrates pressure on either side of the tympanic membrane, and allows proper drainage of the middle ear

  • Lesser petrosal n. exits the middle ear through the anterior wall

  • Postganglionic sympathetic nerve fibers from the internal carotid a. pass through the anterior wall to enter the middle ear

Posterior wall
  • Facial canal— passes superoinferiorly immediately posterior to the middle ear until it terminates at the stylomastoid foramen

  • Mastoid antrum— located in the superior portion of the posterior wall near the junction with the roof of the middle ear

  • Pyramid— a hollow projection from the posterior wall; contains the tendon of the stapedius m.

  • Posterior cranial fossa and sigmoid sinus are located posterior to the posterior wall

Medial wall
  • The medial wall separates the middle ear from the inner ear

  • Promontory— a large protuberance created by the cochlea of the inner ear

  • In the superior portion of the medial wall is a protuberance formed by the lateral semicircular canal

  • Inferior to the lateral semicircular canal on the opposite side of the medial wall is the horizontal portion of the facial canal

  • Fenestra vestibuli (oval window—where the footplate of the stapes is located) and fenestra cochleae (round window—an opening covered by a membrane)—located in a superior–inferior relationship on the medial wall posterior to the promontory

  • Tendon of the tensor tympani m. enters the middle ear through the medial wall

Lateral wall
  • The lateral wall separates the middle ear from the external ear; mainly created by the tympanic membrane, with the malleus attached to the membrane at the umbo

  • Epitympanic recess— the region superior to the tympanic membrane that houses portions of the malleus and incus

  • Chorda tympani n. lies along the tympanic membrane and malleus until exiting the petrotympanic fissure

Figure 18-5

Figure 18-6

Structures of the inner ear

Structure Description
Osseous labyrinth
  • Located in the petrous portion of the temporal bone

  • Surrounds the membranous labyrinth and contains perilymph

  • Connects to the middle ear via the fenestra vestibuli and the fenestra cochleae

  • Divided into 3 parts—vestibule, cochlea, and semicircular canals

Vestibule
  • The middle portion of the osseous labyrinth, it contains the saccule and utricle of the membranous labyrinth

  • Contains an opening for the vestibular aqueduct containing the endolymphatic duct

Cochlea
  • Anterior portion of the osseous labyrinth contains the cochlear duct of the membranous labyrinth

  • Like a seashell, it spirals around a central point (the modiolus), which carries branches of the cochlear n. to the cochlear duct, for 2¾ turns, getting progressively smaller as it approaches its apex

  • As the cochlea spirals, the spiral lamina is raised from the modiolus

  • Within the spiral lamina, the cochlear duct lies between the scala vestibuli and the scala tympani

  • Scala vestibuli and scala tympani are continuous at the helicotrema at the apex

  • An opening for the aqueduct of the cochlea allows perilymph to drain into the cerebrospinal fluid

Semicircular canals
  • The posterior portion of the osseous labyrinth

  • 3 semicircular canals— anterior, posterior, and lateral

  • Ampulla— a dilated end of each

  • Anterior and posterior semicircular canals have a common crus

Membranous labyrinth
  • Located within the osseous labyrinth; contains endolymph

  • Divided into 4 parts—cochlear duct, saccule, utricle, and semicircular ducts

Cochlear duct
  • A spiral structure located within the cochlea

  • Begins at a blind end of the cochlea at the apex and ends where it joins the saccule via the ductus reuniens

  • Triangular in shape, with a base created by the endosteum of the canal known as the spiral ligament and the stria vascularis

  • Roof is formed by the vestibular membrane that separates the cochlear duct from the scala vestibuli

  • Floor is formed by the basilar membrane, on which lies the organ of Corti; separates the duct from the scala tympani

Saccule
  • A small structure located within the vestibule of the osseous labyrinth

  • Connected to the utricle via the utriculosaccular duct and the endolymphatic duct

  • Sensory receptors (the maculae) are located in the saccule

Utricle
  • Located within the vestibule of the osseous labyrinth

  • Sensory receptors (maculae) are located in the utricle

Semicircular ducts
  • Correspond to the semicircular canals of the osseous labyrinth (anterior, posterior, and lateral)

  • Open into the utricle via 5 openings

  • Sensory receptors known as crista are located in the ampullae of the semicircular ducts

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Feb 15, 2025 | Posted by in General Dentistry | Comments Off on Ear

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