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Anat & Phys W3.3
Middle Ear: Muscles
| Question | Answer |
|---|---|
| What are the three physiology characteristics of the ME muscles? | 1) Static Characteristics 2) Dynamic Characteristics (sensitivity, latency, contraction time) 3) Function |
| What are the two muscles in the ME? | Stapedius and Tensor Tympani |
| Where does the stapedius muscle attach? What CN innervates it? | Connects the stapes to the ME wall. Innervated by CN VII (facial). |
| Where does the tensor tympani muscle attach? What CN innervates it? | Connects the malleus near the TM. Innervated by CN V (trigeminal). |
| What are you testing when you do Acoustic Reflexes? | Stapedial reflex |
| What are the static properties of the stapedius muscle? | 1) Contracts in response to loud sounds 2) Contraction increases stiffness of the ossicular chain. |
| Which ME muscle can you get an easier reflex on? | Threshold for tensor tympani is much greater than that of the stapedius muscle. Very difficult to get a reflex on the TT. |
| Where is the greater amount of attenuation for the reflex of the stapedius muscle? | Greatest attenuation in lower frequencies. ~20 dB of attenuation from 125-3,500Hz at 137 dB stimulus. |
| How do the ME muscles contract when a sound is presented? | Contraction occurs in both ears, even if the stimulation is presented only in one ear. |
| In order from lowest threshold to the greatest threshold (in terms of inputting a stimulus), what is the order to get a measurable reflex? | 1) Simultaneous stimulation 2) Ipsilateral stimulation 3) Contralateral stimulation |
| In the "dynamic characteristic" for ME muscles there is "sensitivity." What is the reflex a funtion of? | Reflex threshold is a function of loudness, NOT intensity. Sensitive to 1)BW of signal 2) Total duration of signal 3) Ramp durations. |