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Dr. Hoda Hassan
Ass. prof. of anatomy & embryology
(2nd year) ā€“ (Academic year 2020-2021)
ā€¢Anatomy of the ear
External ear
Middle ear
ā€¢Facial nerve
ā€¢Vestibulo-cochlear nerve
ā€¢ The ear is subdivided into: external, middle and internal ear.
ā€¢ It lie within the temporal bone on the lateral aspect of the skull.
ā€¢ Each ear is a distance receptor for complex waves of sound.
ā€¢ It also contains the receptors for hearing and balance.
ā€¢ The external ear has an
auricle, an external
auditory meatus and ear
drum.
THE EXTERNAL EAR
Has a characteristic shape
collects air vibrations
consists of a thin plate of yellow
elastic cartilage covered by skin.
(except lobule devoid of cartilage)
Parts: helix, antihelix, concha,
tragus, antitragus, intertragic
notch and lobule
The auricle
Muscles: Numerous intrinsic and
extrinsic muscles are associated with
the auricle:
the intrinsic muscles pass between
the cartilaginous parts of the auricle
such as helicis major and minor,
tragicus, antitragicus, transversus
auriculae and obliquus auriculae;
the extrinsic muscles, the anterior,
superior, and posterior auricular
muscles, pass from the scalp or skull
to the auricle and may also play a
role in positioning of the auricle.
The auricle
Nerve supply:
ā€¢ Motor by facial nerve
ā€¢ Sensory by auriculotemporal,
lesser occipital, great
auricular and auricular branch
of vagus nerves
The auricle
ā€¢ Deeper parts (root) of the auricle are
supplied by branches from the facial nerve
[VII] and the vagus nerve [X].
Arterial supply:
ā€¢ Superficial temporal a
ā€¢ Posterior auricular a
is a curved tube conducts sound waves
from the auricle to the tympanic
membrane.
the outer third is elastic cartilage and
directed upward and backward,
the inner two thirds is bone and
directed downward and forwards
The meatus is lined by skin, and its outer
third is provided with hairs and
sebaceous and ceruminous glands. The
latter are modified sweat glands that
secrete a yellowish brown wax. The hairs
and the wax provide a sticky barrier that
prevents the entrance of foreign bodies.
The external auditory meatus
Sensory nerve supply of the lining skin
is derived from the auriculotemporal
nerve and the auricular branch of the
vagus nerve.
The external auditory meatus
Separate the external auditory meatus from middle ear cavity
Lies obliquely, downward, forward and laterally
Semi translucent membrane (skin, fibrous tissue and mucous membrane)
EAR DRUM (tympanic membrane)
Parts: Pars tensa (all parts contain fibrous tissue) except upper part which is
known as Pars flaccida
EAR DRUM (tympanic membrane)
Features:
Ant. and post. malleolar folds
separate Pars tensa and flaccida
Handle of maleus
Con of light (ant inf quadrant)
EAR DRUM (tympanic membrane)
Sensory nerve supply
The lining skin is derived from the auriculotemporal nerve and the auricular
branch of the vagus nerve.
Inner surface supplied by tympanic branch of glossopharyngeal n.
EAR DRUM
MIDDLE EAR
The tympanic cavity
is an irregular,
laterally compressed
space
in the petrous part of the
temporal bone.
lined with mucous
membrane
The cavity is bounded
laterally by the tympanic
membrane and medially
by the lateral wall of the
internal ear.
Middle Ear
The space within the
middle ear can be
subdivided into:
1.tympanic cavity
proper, opposite the
tympanic membrane,
2.epitympanic recess
above the level of
the membrane.
Middle Ear
Middle Ear
Boundaries of tympanic cavity:
1. ROOF
2. FLOOR
3. Lateral Wall
4. Medial wall
5. Anterior wall
6. Posterior wall
Roof
Floor
Ant. wall
post.
wall lateral wall
Medial wall
Middle Ear
ROOF:
The roof of the middle ear cavity is formed by the tegmen
tympani.
It separates the middle ear cavity from the dura of the middle
cranial fossa and temporal lobe of cerebrum.
Middle Ear
Floor (jugular wall):
The jugular wall of the
middle ear consists of
a thin layer of bone
that separates it from
the internal jugular
vein. (IJV).
At the junction of the
floor and the medial
wall there is a small
opening which allows
the entry of tympanic
branch of
glossopharyngeal
nerve to pass into the
middle ear.
Floor
IJV
Anterior
Posterior
Medial wall
Middle Ear
Lateral Wall:
is partly bony and partly membranous. It consists of the tympanic
membrane & bony lateral wall of the epitympanic recess
Middle Ear
Posterior Wall: from above downward
Aditus leading to the mastoid antrum
Pyramid (origin of stapedius muscle)
Opening of chorda tympani nerve
Vertical canal of facial nerve medial to pyramid
Middle Ear
Medial Wall:
1. Promontory produced by the 1st turn of the cochlea, Associated with the mucous
membrane covering the promontory is a plexus of nerves (the tympanic plexus) and
branches from the internal carotid plexus.
2. Oval window: posterior superior to the promontory
3. Round window: posterior inferior to the promontory;
4. prominence of horizontal part of facial canal, posterior and superior to the oval
window
5. prominence of lateral semicircular canal just above and posterior to the prominence
of facial canal
Middle Ear
Anterior Wall:
1. a smaller opening for the canal containing the tensor tympani muscle.
2. Opening of Pharyngotympanic tube into the middle ear;
3. The lower part consists of a thin plate of bone that separates the tympanic cavity from
the internal carotid artery. This plate is pierced by sympathetic caroticotympanic
nerves and the tympanic branches of internal carotid artery
4. The foramen for the exit of the chorda tympani nerve
Middle Ear
Communications:
It communicates posteriorly with the mastoid antrum and with the mastoid
air cells.
Anteriorly it communicates with the nasopharynx via the pharyngotympanic
tube.
Contents of tympanic cavity:
1. Air
2. Auditory ossicles
3. Muscles
4. Nerves
Contents of tympanic cavity:
1. Auditory ossicles
Three small bones: malleus,
incus and stapes,
They form an articulated chain
connecting the lateral and
medial walls of the cavity,
Transmit the vibrations of the
tympanic membrane across
the cavity to the inner ear.
malleus incus
stapes
malleus incus
stapes
Malleus (head, neck & handle)
Handle attached to ear drum
and receive ins. Of tensor tympani
Head articulate with incus
Incus (body & 2 processes)
Body articulate with malleus
Long process articulate with head of
stapes
Stapes (head, neck, 2 limbs & foot)
Head articulate with incus
Neck insertion of stapedius muscle
Foot close the oval window of internal ear
2. Muscles:
Tensor tympani
O:Cartilaginous part of pharyngotympanic
tube, greater wing of sphenoid, its own
bony canal
I: Upper part of handle of malleus
NS: Branch from nerve to medial
pterygoid (mandibular nerve [V3])
AC: Contraction pulls handle of malleus
medially, tensing tympanic membrane to
reduce the force of vibrations in response
to loud noises
Stapedius
O: Attached to inside of pyramidal
eminence
I: Neck of stapes
NS: nerve to stapedius (Branch of facial
nerve [VII])
AC: Contraction, usually in response to
loud noises, pulls the stapes posteriorly
and prevents excessive oscillation
3. Nerves
1. Tympanic plexus
2. Chorda tympani nerve
3. Facial nerve
Nerves
1. Tympanic plexus
Site: on the promontary
Formation: tympanic branch
of glossopharyngeal n. and
caroticotympanic branch of
plexus around ICA
Branches: tympanic cavity,
eustachian tube & mastoid
air cells
&Lesser sup. petrosal nerve
that supply parotid gland
Nerves
2. Chorda tympani nerve
ļ¶Fibers: parasympathetic and
taste fibers
ļ¶Origin: facial nerve in the
vertical part of facial canal
ļ¶Course: enter the middle ear
through canaliculus in the post.
Wall
then pass through tympanic
cavity and leave the ear through
the squamotympanic fissure
End by joining the lingual nerve
ļ¶Branches:
parasympathetic supply for
submandibular and sublingual
salivary glands
Taste sensation for ant. 2/3 of
tongue
Facial nerve
(CN VII)
Facial nerve
a.Functions: mixed (motor, sensory & parasympathetic)
b.Deep origin: pons
c.Components :
1. facial n. proper Motor
2. nervous intermedius parasympathetic and taste
Facial nerve
d. Course and relations:
Intrapetrous course
ā€¢It enters internal auditory meatus
ā€¢ Runs in a bony canal in the petrous part of temporal bone called facial canal
ā€¢ pass backward in the horizontal part of facial canal
ā€¢ pass downward in the vertical part of facial canal
ā€¢to reach the stylomastoid foramen & leave the cranial cavity
Facial nerve
Extracranial course
ā€¢Turn forward making a curve
around the styloid process
ā€¢It enters the substance of
parotid gland and lies superficial
ā€¢Ends by dividing into 5 terminal
branches
Facial nerve
I. Branches of intrapetrous part:
1.Greater superficial petrosal n: (parasympathetic)------sphenopalatine ganglion
that supply mucous glands of palate, nose, nasopharfynx & lacrimal gland
2.Chorda tympani n: (parasympathetic)----submandibular ganglion and supply
submandibular and sublingual salivary glands
(& taste) -------- ant. 2/3 of tongue
3. Nerve to stapedius m (inside the middle ear)
Facial nerve
II. Branches of extracranial part before parotid gland:
1. N. to post. Belly of digastric
2. Post. Auricular n
II. Terminal Branches inside parotid gland:
Temporal, zygomatic, buccal, marginal mandibular and cervical
N. to post.
Belly of digastric
Post.
Auricular n
ā€¢ Although facial nerve is mainly motor, there are some
cutaneous fibers from the facial nerve which accompany
the auricular branch of the vagus and which probably
innervate the skin in the conchal depression (Deep parts
(root) of the auricle).
Vestibulo-
cochlear nerve
(CN VIII)
Function: Vestibulo-cochlear nerve (CN VIII) carried
special afferent fibers (special sensation) for hearing
and balance
Parts: consists of two divisions:
ā€¢ a vestibular component for balance;
ā€¢ a cochlear component for hearing.
Vestibulo-cochlear nerve
I. Cochlear nerve:
is one of the two divisions of the vestibulocochlear nerve (CN VIII).
The cochlear nerve arises from the organ of Corti, which lies in the cochlea of
the inner ear. The receptor cells (hair cells) in the organ of Corti receive the
primary stimuli, the information is then transmitted to pseudounipolar neurons
located in the spiral ganglion, which lies in the modiolus (center) of the
cochlea. The axons of these neurons form cochlear nerve.
Vestibulo-cochlear nerve
Vestibulo-cochlear nerve
II. Vestibular nerve:
arises from the receptors of
the maculae of utricle and
saccule, and from the
receptors from the ampullary
crest of the membranous
labyrinth.
The axons arising from the
neurons in the vestibular
ganglion form the vestibular
nerve.
Vestibulo-cochlear nerve
Cochlear and vestibular
nerves enters the internal
acoustic meatus where
they joins forming
the vestibulo-cochlear
nerve.
Vestibulo-cochlear nerve
The vestibulo-cochlear
nerve then travels through
the internal acoustic opening
to the posterior cranial
fossa, then enters the
brainstem in the
cerebellopontine angle along
with the facial nerve (CN
VII).
ā€¢Anatomy of the ear
External ear
Middle ear
ā€¢CN VII (Facial nerve)
ā€¢Vestibulo-cochlear nerve

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Dr Hoda _Hassan_Anatomy of EAR 20-21.pptx

  • 1. Dr. Hoda Hassan Ass. prof. of anatomy & embryology (2nd year) ā€“ (Academic year 2020-2021)
  • 2. ā€¢Anatomy of the ear External ear Middle ear ā€¢Facial nerve ā€¢Vestibulo-cochlear nerve
  • 3.
  • 4. ā€¢ The ear is subdivided into: external, middle and internal ear. ā€¢ It lie within the temporal bone on the lateral aspect of the skull. ā€¢ Each ear is a distance receptor for complex waves of sound. ā€¢ It also contains the receptors for hearing and balance.
  • 5. ā€¢ The external ear has an auricle, an external auditory meatus and ear drum. THE EXTERNAL EAR
  • 6. Has a characteristic shape collects air vibrations consists of a thin plate of yellow elastic cartilage covered by skin. (except lobule devoid of cartilage) Parts: helix, antihelix, concha, tragus, antitragus, intertragic notch and lobule The auricle
  • 7. Muscles: Numerous intrinsic and extrinsic muscles are associated with the auricle: the intrinsic muscles pass between the cartilaginous parts of the auricle such as helicis major and minor, tragicus, antitragicus, transversus auriculae and obliquus auriculae; the extrinsic muscles, the anterior, superior, and posterior auricular muscles, pass from the scalp or skull to the auricle and may also play a role in positioning of the auricle. The auricle
  • 8. Nerve supply: ā€¢ Motor by facial nerve ā€¢ Sensory by auriculotemporal, lesser occipital, great auricular and auricular branch of vagus nerves The auricle
  • 9. ā€¢ Deeper parts (root) of the auricle are supplied by branches from the facial nerve [VII] and the vagus nerve [X].
  • 10. Arterial supply: ā€¢ Superficial temporal a ā€¢ Posterior auricular a
  • 11. is a curved tube conducts sound waves from the auricle to the tympanic membrane. the outer third is elastic cartilage and directed upward and backward, the inner two thirds is bone and directed downward and forwards The meatus is lined by skin, and its outer third is provided with hairs and sebaceous and ceruminous glands. The latter are modified sweat glands that secrete a yellowish brown wax. The hairs and the wax provide a sticky barrier that prevents the entrance of foreign bodies. The external auditory meatus
  • 12. Sensory nerve supply of the lining skin is derived from the auriculotemporal nerve and the auricular branch of the vagus nerve. The external auditory meatus
  • 13. Separate the external auditory meatus from middle ear cavity Lies obliquely, downward, forward and laterally Semi translucent membrane (skin, fibrous tissue and mucous membrane) EAR DRUM (tympanic membrane)
  • 14. Parts: Pars tensa (all parts contain fibrous tissue) except upper part which is known as Pars flaccida EAR DRUM (tympanic membrane)
  • 15. Features: Ant. and post. malleolar folds separate Pars tensa and flaccida Handle of maleus Con of light (ant inf quadrant) EAR DRUM (tympanic membrane)
  • 16. Sensory nerve supply The lining skin is derived from the auriculotemporal nerve and the auricular branch of the vagus nerve. Inner surface supplied by tympanic branch of glossopharyngeal n. EAR DRUM
  • 18. The tympanic cavity is an irregular, laterally compressed space in the petrous part of the temporal bone. lined with mucous membrane The cavity is bounded laterally by the tympanic membrane and medially by the lateral wall of the internal ear. Middle Ear
  • 19. The space within the middle ear can be subdivided into: 1.tympanic cavity proper, opposite the tympanic membrane, 2.epitympanic recess above the level of the membrane. Middle Ear
  • 20. Middle Ear Boundaries of tympanic cavity: 1. ROOF 2. FLOOR 3. Lateral Wall 4. Medial wall 5. Anterior wall 6. Posterior wall Roof Floor Ant. wall post. wall lateral wall Medial wall
  • 21. Middle Ear ROOF: The roof of the middle ear cavity is formed by the tegmen tympani. It separates the middle ear cavity from the dura of the middle cranial fossa and temporal lobe of cerebrum.
  • 22. Middle Ear Floor (jugular wall): The jugular wall of the middle ear consists of a thin layer of bone that separates it from the internal jugular vein. (IJV). At the junction of the floor and the medial wall there is a small opening which allows the entry of tympanic branch of glossopharyngeal nerve to pass into the middle ear. Floor IJV Anterior Posterior Medial wall
  • 23. Middle Ear Lateral Wall: is partly bony and partly membranous. It consists of the tympanic membrane & bony lateral wall of the epitympanic recess
  • 24. Middle Ear Posterior Wall: from above downward Aditus leading to the mastoid antrum Pyramid (origin of stapedius muscle) Opening of chorda tympani nerve Vertical canal of facial nerve medial to pyramid
  • 25. Middle Ear Medial Wall: 1. Promontory produced by the 1st turn of the cochlea, Associated with the mucous membrane covering the promontory is a plexus of nerves (the tympanic plexus) and branches from the internal carotid plexus. 2. Oval window: posterior superior to the promontory 3. Round window: posterior inferior to the promontory; 4. prominence of horizontal part of facial canal, posterior and superior to the oval window 5. prominence of lateral semicircular canal just above and posterior to the prominence of facial canal
  • 26. Middle Ear Anterior Wall: 1. a smaller opening for the canal containing the tensor tympani muscle. 2. Opening of Pharyngotympanic tube into the middle ear; 3. The lower part consists of a thin plate of bone that separates the tympanic cavity from the internal carotid artery. This plate is pierced by sympathetic caroticotympanic nerves and the tympanic branches of internal carotid artery 4. The foramen for the exit of the chorda tympani nerve
  • 27. Middle Ear Communications: It communicates posteriorly with the mastoid antrum and with the mastoid air cells. Anteriorly it communicates with the nasopharynx via the pharyngotympanic tube.
  • 28. Contents of tympanic cavity: 1. Air 2. Auditory ossicles 3. Muscles 4. Nerves
  • 29. Contents of tympanic cavity: 1. Auditory ossicles Three small bones: malleus, incus and stapes, They form an articulated chain connecting the lateral and medial walls of the cavity, Transmit the vibrations of the tympanic membrane across the cavity to the inner ear. malleus incus stapes
  • 30. malleus incus stapes Malleus (head, neck & handle) Handle attached to ear drum and receive ins. Of tensor tympani Head articulate with incus Incus (body & 2 processes) Body articulate with malleus Long process articulate with head of stapes Stapes (head, neck, 2 limbs & foot) Head articulate with incus Neck insertion of stapedius muscle Foot close the oval window of internal ear
  • 31. 2. Muscles: Tensor tympani O:Cartilaginous part of pharyngotympanic tube, greater wing of sphenoid, its own bony canal I: Upper part of handle of malleus NS: Branch from nerve to medial pterygoid (mandibular nerve [V3]) AC: Contraction pulls handle of malleus medially, tensing tympanic membrane to reduce the force of vibrations in response to loud noises Stapedius O: Attached to inside of pyramidal eminence I: Neck of stapes NS: nerve to stapedius (Branch of facial nerve [VII]) AC: Contraction, usually in response to loud noises, pulls the stapes posteriorly and prevents excessive oscillation
  • 32. 3. Nerves 1. Tympanic plexus 2. Chorda tympani nerve 3. Facial nerve
  • 33. Nerves 1. Tympanic plexus Site: on the promontary Formation: tympanic branch of glossopharyngeal n. and caroticotympanic branch of plexus around ICA Branches: tympanic cavity, eustachian tube & mastoid air cells &Lesser sup. petrosal nerve that supply parotid gland
  • 34. Nerves 2. Chorda tympani nerve ļ¶Fibers: parasympathetic and taste fibers ļ¶Origin: facial nerve in the vertical part of facial canal ļ¶Course: enter the middle ear through canaliculus in the post. Wall then pass through tympanic cavity and leave the ear through the squamotympanic fissure End by joining the lingual nerve ļ¶Branches: parasympathetic supply for submandibular and sublingual salivary glands Taste sensation for ant. 2/3 of tongue
  • 36. Facial nerve a.Functions: mixed (motor, sensory & parasympathetic) b.Deep origin: pons c.Components : 1. facial n. proper Motor 2. nervous intermedius parasympathetic and taste
  • 37. Facial nerve d. Course and relations: Intrapetrous course ā€¢It enters internal auditory meatus ā€¢ Runs in a bony canal in the petrous part of temporal bone called facial canal ā€¢ pass backward in the horizontal part of facial canal ā€¢ pass downward in the vertical part of facial canal ā€¢to reach the stylomastoid foramen & leave the cranial cavity
  • 38. Facial nerve Extracranial course ā€¢Turn forward making a curve around the styloid process ā€¢It enters the substance of parotid gland and lies superficial ā€¢Ends by dividing into 5 terminal branches
  • 39. Facial nerve I. Branches of intrapetrous part: 1.Greater superficial petrosal n: (parasympathetic)------sphenopalatine ganglion that supply mucous glands of palate, nose, nasopharfynx & lacrimal gland 2.Chorda tympani n: (parasympathetic)----submandibular ganglion and supply submandibular and sublingual salivary glands (& taste) -------- ant. 2/3 of tongue 3. Nerve to stapedius m (inside the middle ear)
  • 40. Facial nerve II. Branches of extracranial part before parotid gland: 1. N. to post. Belly of digastric 2. Post. Auricular n II. Terminal Branches inside parotid gland: Temporal, zygomatic, buccal, marginal mandibular and cervical N. to post. Belly of digastric Post. Auricular n
  • 41. ā€¢ Although facial nerve is mainly motor, there are some cutaneous fibers from the facial nerve which accompany the auricular branch of the vagus and which probably innervate the skin in the conchal depression (Deep parts (root) of the auricle).
  • 43. Function: Vestibulo-cochlear nerve (CN VIII) carried special afferent fibers (special sensation) for hearing and balance Parts: consists of two divisions: ā€¢ a vestibular component for balance; ā€¢ a cochlear component for hearing. Vestibulo-cochlear nerve
  • 44. I. Cochlear nerve: is one of the two divisions of the vestibulocochlear nerve (CN VIII). The cochlear nerve arises from the organ of Corti, which lies in the cochlea of the inner ear. The receptor cells (hair cells) in the organ of Corti receive the primary stimuli, the information is then transmitted to pseudounipolar neurons located in the spiral ganglion, which lies in the modiolus (center) of the cochlea. The axons of these neurons form cochlear nerve. Vestibulo-cochlear nerve
  • 45. Vestibulo-cochlear nerve II. Vestibular nerve: arises from the receptors of the maculae of utricle and saccule, and from the receptors from the ampullary crest of the membranous labyrinth. The axons arising from the neurons in the vestibular ganglion form the vestibular nerve.
  • 46. Vestibulo-cochlear nerve Cochlear and vestibular nerves enters the internal acoustic meatus where they joins forming the vestibulo-cochlear nerve.
  • 47. Vestibulo-cochlear nerve The vestibulo-cochlear nerve then travels through the internal acoustic opening to the posterior cranial fossa, then enters the brainstem in the cerebellopontine angle along with the facial nerve (CN VII).
  • 48. ā€¢Anatomy of the ear External ear Middle ear ā€¢CN VII (Facial nerve) ā€¢Vestibulo-cochlear nerve