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Anat & Phys W2.1
Outer Ear Structure
| Question | Answer |
|---|---|
| What composes the outer ear? | Visible ear up to the TM. |
| What is the basic function of the pinna (auricle)? | Collects acoustic energy. |
| What is the basic function of the EAM? | Funnels acoustic energy to the TM. |
| Describe the pinna. | Protrudes from head at 15-30 degree angle. Composed of yellow (elastic) cartilage held together by ligaments. Auricle cartilage is a unitary structure covered with epithelial tissue. Lobe devoid of cartilage. Cartilage hardens as one gets older. |
| Where are the attachment points for the pinna? | Via a cartilaginous spine to the zygomatic arch and by a cartilaginous tail to the mastoid process of the temporal bone. |
| What are the extrinsic pinna muscles? | Superior, Anterior, Posterior auricular muscles |
| What is the average length and diameter of the EAM? | ~2.5 to 3 cm (shorter in children) ~.75 cm in diameter |
| Does the diameter remain constant throughout the EAM? | The diameter increases at auricle orifice, gradually decreases in diameter as it approaches the isthmus, and the gradually increases as it moves more medial. |
| What is the isthmus? | Bony and cartilaginous juncture |
| What are the THREE main structures of the EAM? | 1) Tympanic portion of temporal bone - floor and anterior wall and interior-posterior wall 2) Squamous portion of the temporal bone - roof and portion of posterior wall 3) Condyle of the mandible - inferior-anterior wall at the TMJ |
| What are the cartilaginous and osseous foundations of the EAM? | Distal 1/3 is cartilaginous and Medial 2/3 has osseous foundation. |
| What are the characteristics of the EAM in an infant? | At birth there is only an incomplete cartilaginous ring (tympanic annulus). Osseous portion develops over the first 3 years. Infant and toddler's EAM is more "flexible" than older children and adults. |
| Describe the skin of the EAM. | Outer layer migrates outwardly and forms the lateral-most layer of TM. Cartilaginous portion contains hair follicles and glands for cerumen. |
| What are the TWO types of cells that contribute to cerumen? | Sebaceous gland - close to the hair follicles and produce an oily substance that lubricates the EAM; passive breakdown of cells, not active secretion). Modified aprocrine glands - secrete wax-like substance. The two glands combine to produce cerumen. |
| Macrotia | Large pinna |
| Microtia | Small pinna |
| Anotia | Absent or incomplete pinna |
| Aural atresia | Absence of EAM and possibly TM |
| EAM stenosis | Narrowing of EAM (usually not congenital) |
| Otitis externa | "umbrella term" for infection |
| EAM extostoses | Growth of new bone |
| What can tags and pits be indicative of? | Brachio-oto-renal syndrome |