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BY
Dr.K.AMRITHAANILKUMAR
PRESENTS
Kural 411
செல்வத்துட் செல்வஞ் செவிச்செல்வம் அச்செல்வம்
செல்வத்து செல்லாந் தலல.
TRANSLATION
Wealth of wealth is wealth acquired be ear attent;
Wealth mid all wealth supremely excellent.
EXPLANATION :
Wealth (gained) by the ear is wealth of
wealth; that wealth is
the chief of all wealth.
EXERNAL EAR
• Ear is divided into
»1. external ear
»2. Middle ear
»3. internal ear
1.External ear
• Auricle/pinna
• External acoustic canal/ auditory
canal
• Tympanic membrane/ drum head
Auricle/pinna
External acoustic canal
• It is 24mm, not a straight tube- so
pinna has to be pulled upwards,
backwards & laterally
• It has 2 parts
Cartilaginous part -8mm Bony part – 16mm
 2 deficiencies- “fissure of
santorini”(parotid and
superficial mastoid
infection will appear )
Ceruminous & pilosebaceous
glands – wax
Has hair follicles ( prone to
furuncle )
 Lateral – isthumus( foreign
bodies gets lodged )& antero
inferior –anterior recess &
foramen of huscke (4 yrs/
adult – parotid transmit
infections )
Devoid of hair & ceruminous
glands
Tympanic membrane /
drum head
• Pearly white semi translucent
membrane
• It has 2 parts – pars tensa & pars
flaccida
Tympanic membrane /
drum head
• Pars tensa
–periphery fibrocartilaginous ring
called annulus tympanicus,
deficient in the pars flaccida called
notch of rivinus & inwards tented
inwards called umbo
• Pars flaccida/shrapnells membrane
–situated above the lateral process
of malleus
Nerve supply to tympanic
membrane
• Anterior ½ - auriculotemporal
nerve
• Posterior ½ - auricular branch of
vagus nerve
• Medial branch – tympanic branch
of glossopharyngeal nerve (
Jacobson neve )
Relations
• Superior –middle cranial fossa
• Posterior –mastoid air cells &
facial nerve ; p.superior –mastoid
antrum ( acute mastoiditis)
• Anterior -temporomandibular joint
• Inferior -parotid gland
Nerve supply
• Herpes zoster oticus – occur in
facial neve ( concha & posterior
part of tympanic membrane )
CLINICAL ANATOMY OF
EXTERNAL EAR
1. Perichondritis pinna
- inflammation of
perichondrium
with pus between
perichondrium
&cartilage
- Pinna totally deformed
Like cauliflower
2. Otitis externa
Acute inflammation of skin lining
EAC
Infective
- Bacterial – furuncle
- Fungal –otomycosis
- Viral – herpes zoster
oticus
Reactive
- Eczematous
- Seborrheic
- neurodermitis
3. Otomycosis
- Fungal infection
affecting
external ear
- Predisposes
Diabetes &
immunocompromised
- Infect. Org
Aspergillus niger
4. Furunculosis
-Inflammation of hair follicles
May spread
- Subcutaneously
Cause -- cellulitis
- Infect. Org
1. Staphylococus
2. pseudomonas
3. proteus
5. Cerumen/Miscellaneous wax
Mixture of ceruminous
& sebaceous gland
with desquamated
Epithelium in EAC
Functions
- Antibacterial
- trap dust
- foreign body
REFERENCES
• Diseases of Ear, Nose and Throat & Head
and Neck Surgery by P L Dhingra
• BD Chaurasia's Human Anatomy Regional
and Applied Dissection and Clinical: Vol. 3:
Head-Neck Brain
A
Special
Thank you
To
A
Very
Special Doctor
en love da Homoeopathy

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Anatomy of ear(Part 1-External Ear) by Dr.K.AmrithaAnilkumar

  • 2.
  • 3. Kural 411 செல்வத்துட் செல்வஞ் செவிச்செல்வம் அச்செல்வம் செல்வத்து செல்லாந் தலல. TRANSLATION Wealth of wealth is wealth acquired be ear attent; Wealth mid all wealth supremely excellent. EXPLANATION : Wealth (gained) by the ear is wealth of wealth; that wealth is the chief of all wealth.
  • 5. • Ear is divided into »1. external ear »2. Middle ear »3. internal ear
  • 6. 1.External ear • Auricle/pinna • External acoustic canal/ auditory canal • Tympanic membrane/ drum head
  • 8. External acoustic canal • It is 24mm, not a straight tube- so pinna has to be pulled upwards, backwards & laterally • It has 2 parts
  • 9. Cartilaginous part -8mm Bony part – 16mm  2 deficiencies- “fissure of santorini”(parotid and superficial mastoid infection will appear ) Ceruminous & pilosebaceous glands – wax Has hair follicles ( prone to furuncle )  Lateral – isthumus( foreign bodies gets lodged )& antero inferior –anterior recess & foramen of huscke (4 yrs/ adult – parotid transmit infections ) Devoid of hair & ceruminous glands
  • 10.
  • 11. Tympanic membrane / drum head • Pearly white semi translucent membrane • It has 2 parts – pars tensa & pars flaccida
  • 12. Tympanic membrane / drum head • Pars tensa –periphery fibrocartilaginous ring called annulus tympanicus, deficient in the pars flaccida called notch of rivinus & inwards tented inwards called umbo • Pars flaccida/shrapnells membrane –situated above the lateral process of malleus
  • 13.
  • 14. Nerve supply to tympanic membrane • Anterior ½ - auriculotemporal nerve • Posterior ½ - auricular branch of vagus nerve • Medial branch – tympanic branch of glossopharyngeal nerve ( Jacobson neve )
  • 15.
  • 16. Relations • Superior –middle cranial fossa • Posterior –mastoid air cells & facial nerve ; p.superior –mastoid antrum ( acute mastoiditis) • Anterior -temporomandibular joint • Inferior -parotid gland
  • 17. Nerve supply • Herpes zoster oticus – occur in facial neve ( concha & posterior part of tympanic membrane )
  • 18.
  • 19. CLINICAL ANATOMY OF EXTERNAL EAR 1. Perichondritis pinna - inflammation of perichondrium with pus between perichondrium &cartilage - Pinna totally deformed Like cauliflower
  • 20. 2. Otitis externa Acute inflammation of skin lining EAC Infective - Bacterial – furuncle - Fungal –otomycosis - Viral – herpes zoster oticus Reactive - Eczematous - Seborrheic - neurodermitis
  • 21. 3. Otomycosis - Fungal infection affecting external ear - Predisposes Diabetes & immunocompromised - Infect. Org Aspergillus niger
  • 22. 4. Furunculosis -Inflammation of hair follicles May spread - Subcutaneously Cause -- cellulitis - Infect. Org 1. Staphylococus 2. pseudomonas 3. proteus
  • 23. 5. Cerumen/Miscellaneous wax Mixture of ceruminous & sebaceous gland with desquamated Epithelium in EAC Functions - Antibacterial - trap dust - foreign body
  • 24. REFERENCES • Diseases of Ear, Nose and Throat & Head and Neck Surgery by P L Dhingra • BD Chaurasia's Human Anatomy Regional and Applied Dissection and Clinical: Vol. 3: Head-Neck Brain