Anatomy - The ear

14 important questions on Anatomy - The ear

What is around the circumference of the tympanic membrane?

The fibrous annulus, shich sits in the tympanic sulcus. The annulus is incomplete superior to the anterior and the posterior malleal folds. (pars flaccida/Shrapnell membrane)

What is the name for the section of the tympanic membrane inferior to the malleal folds?

Pars tensa

Where do blood vessels enter the tympanic membrane?

Through the superior external auditory canal skin (vascular strip) and from the fibrous annulus
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Where does the middle ear cavity originate from?

Frm the first branchial pouch.

What does the middle ear space consist of?

Five portions based on their relationship to the tympanic annulus:
- Mesotympanum
- Hypotympanum
- Attic
- Protympanum
- Retrotympanum (includes sinus tympani and facial recess)

What is the blood supply of the middle ear and mastoid?

It originates from theinternal and external carotid arteries. Vessels off the external carotid artery include the anterior tympanic artery and the deep auricular artery (branches of the internal maxillary artery), the superior petrosal and superior tympanic arteries (brances of the middle meningeal artery), and the stylomastoid artery (a branch of the occipital artery that runs up the stylomastoid foramen). In addition the caroticotympanic artery, a branch of the internal carotid artery, forms a plexus over the promontory of the middle ear.

Where does the stapedius muscle originate form?

The pyramidal eminence

Where is the tensor tympani muscle located?

It is anchored by the cochleariform process where it turns 90 degrees and becomes a tendon that connects to the malleus.

Which branch of the glossopharyngea nerve runs across the tympanic promontory?

The tympanic nerve or Jacobson's nerve that innervates the mucosa of the middle ear space and Eustachian tube as well as parasympathetic innervation to the parotid gland.

What is the branch of the vagus nerve in the midle ear cavity?

Arnold's nerve, which supplies innerfation to the external auditory canal.

Coughing when ear canal is cleaned due to referred sensation to the throat.

Which spaces ar earound teh facial nerve?

- Facial recess:  medial to the end of the ear canal, but lateral to the facial nerve
- Sinus tympani: medial to the facial nerve

In which two ways does the middle ear amplify sound vibrations?

- The large surface area of the tympanic membrane imparts an increase in vibrational amplitude
- The lever arm effect of the malleus and incus imparts a further increase in vibrational amplitude.

Which two fluid-filled chambers make up the inner ear?

- Outer or bony chamber: filled with sodim solution -> perilymph (resembles CSF)
- Inner or membranous chamber: filled with high potassium solution --> endolymph, resembles intracellular fluid.

Marginal cells in the stria vascularis actively pump potassium into the membranous chamber to maintain the difference in the sodium and potassium concentrations. The difference in the chemical composition between perilymph and endolymph provides the electrochemical energy that powers the activities of the sensory cells. The inner ear is unique beause the sensory cells rely on energy provided by other cells.

What are hair cells?

The sensory mechanoreceptor cells of hearing and balance, that convert mechanical stimuli into neural information. (Transduction). The stereocilia are arranged asymmetrical and polarized. Short to tall rows of stereocilia ending with a single kinocilium.
Bending the bundle in the direction of the tallest row leads to entry of potassium and calcium ions into the hair cell through channels that open at the tips of the stereocilia --> depolarisation. Bending the bundle in the opposite direction promotes channel closure and results in hyperpolarisation.

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