3. Auricle /pinna
single piece of yellow elastic cartilage covered with skin
Closely adherant to perichondrium on lateral surface than
medial
Incisura terminalis: no cartilage between tragus n crus of
helix .incision in this area for epidural approach use: as
source of source of graft for reconstruction surgery of middle
ear etc
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5. (a)Cartilagenous part
8mm
has 2 deficiencies:fissure of santorini; part through which
parotid or superior mastoid infection occur
Furuncles(staphylococcal infection) in outer 1/3 of canal due
to hair follicles
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6. (b)Bony part
16mm devoid of hair, ceruminous glands
6mm lateral to tympanic membrane bony meatus presents
narrowing :”isthmus”
Anteroinferior part of deep meatus beyond isthmus presents
recess-”ant recess”
Anteeroinferior part of bony canal may presents deficiency
(foramen of huschke)
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8. Tympanic memb/ear drum
9-10mm tall,8-9mm wide,.1mm thick
Divided into 2 parts
(a) pars tensa
Thick perifery ,form fibrocartlagenous ring called ”annulus
tympanicus”
Central part tensed inwards at tip of malleus ‘UMBO’
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9. (b)Pars flacida /shrapnels membrane
Between notch of rivinus n anterior n posterior malleal folds
LAYERS OF TYMPANIC MEMBRANE
Outer epIthelial layer
Inner mocosal layer
Middle fibrous layer
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11. MIDDLE EAR
Middle ear cleft: eustachian tube,aditus,antrum,mastoid air cells
Divided into: mesotympanium,epitympanum,hypotympanum
Linked to 6 sided box
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12. roof
Formed by thin plate of bone : tegmen tympani,forms
roof of aditus n antrum
FLOOR
Thin plate of bone seperates tympanic cavity from jug bulb
ANTERIOR WALL
Thin plate of bone seperates cavity from internal carotid
art
2 openings: eustachian tube, tensor tympani muscle
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13. Posterior wall
Close to mastoid air cells
Presents bony progectn”pyramid”,tendon of stapedius is
attachad to neck of stapes
Surgically important as direct access can be made through
middle ear
Facial recess/ posteauor sinus: depression in post wall lateral
to pyramid
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14. Medial wall
Formed by labyrinth
Presents bulge” promontary”
Oval window fixed to foot plate
Round window covered by sec tympanic membrane
Over oval window is canal for facial n
Just anterior to oval window, hook like progection” pocessus
cochleariformis”
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15. Lateral wall
Formed by tympanic membrane n bony outer attic wall
”scutum”
OSSICLES OF MIDDLE EAR
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16. Malleus:head,neck,handle,lateral and anterior process
Incus:body,short and long process
Stapes: head, neck, anterioe and posterior crura, foot plate
INTRA TYMPANIC MUSCLES
Tensor tympani
stapedius
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18. Bony and membranous labyrinth filled with endolymph and
perylymph respectively
Bony labyrinth
3 parts:vestibule,semicircular canals,cochlea
Vestibule:the central canal of labrynth
Latwral wall:oval window
Medial wall: 2 recess: spherical and elliptical
Below opening of elliptical recess is opening of aqueous duct
through which passes endolymphatic duct
Posterior part of vestibule:5 openings of semisircular canals
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19. Semicircular canals3 in number: lateral,posterior,superior at right angles to each
other
Has amputated n nonamputated end,
Nonamputated ends of posterior n superior canals unite to form
channel ”crus commune”
conchae
Coiled tube making2.5-2.75 turns round central pyranid
”modiolus”
“osseous spiral lamina”:around modiolus winding spirally like
thread of screw
3 componants:
scala vestibuli
Scala tympani
Scala mediapgmedicalworld.com