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66 Cards in this Set

  • Front
  • Back

acoustic energy

outer ear

mechanical energy

middle ear

fluid energy

middle ear


temporal bone

contains the sensory organs of hearing, balance and the human ear

outer ear anatomy

auricle/pinna


ear canal/external auditory meatus


outer layer of ear drum (tympanic membrane)

auricle/pinna

skin covered cartilage of outer ear, no fatty layer underneath

helix of pinna

upper rim

lobule of pinna

ear lobe

concha

bowl of pinna at entrance of ear canal

osseocartilaginous junction

connection between cartilaginous portion and bony portion of external auditory meatus

first 1/3 of EAM

skin covered cartilage

inner 2/3 of EAM

skin covered bown


size of EAM

2.3-2.9 cm in length, .7 cm in diameter

EAM shape

has a downward bend at the auricle to protect the eardrum from outside substances

diameter of TM

.9cm, slightly larger than EAM because of a 55 degree angle

shape of TM

concave and slightly inward like a cone shape

pars flaccida

superior portion, 1/10 of TM


more flexible portion/less strong


does not have a middle fibrous layer


does not participate largely in transduction of acoustic signal

pars tensa

9/10 of TM


very strong, made of tightly woven fibers to protect ear drum

annulus

thickened fibrocartilagenous ring fixed to tympanic bone surrounding membrane 3/4 of the way around it

otoscopic evaluation

a cone of light is present that reflects of the malleus (umbo) in the tympanic membrane

two parts of malleus that connect to the TM

umbo (lower part)


manubrium of malleus (more central part)

part of incus attached to TM

long arm of incus

outer ear physiology

collect and resonate sound


assist in sound localization


protect the middle ear

resonant freq of ear canal

2700 Hz

resonant freq of pinna+ concha together

5000 Hz (high freq)

total enhancement of resonant freqs of outer ear

+20 db around 3500 Hz

head related transfer function

-the way sounds bounce off diff parts of body may contribute to sound localization (diffraction and reflection properties of head, pinna torso before reaching ear)


-use timbre differences from sounds coming from diff directions


-sounds will lose some freq when they hit body parts

interaural time difference (ITD)

calculate the difference in time each ear hears the sound to determine where its coming from


-best for lower freq sounds because they can bend and won't lose intensity (will arrive at opposite ear at same intensity but diff time)

interaural intensity difference (IID)

calculate the difference of intensity of the sound at each ear to determine where the sound came from


-best for higher freq sounds because they can't bend when presented with an obstacle and will lose intensity when it reaches the farther ear (inverse square law)

cerumen

sebaceous glands in ear canal secrete cerumen


-protects skin/prevents foreign objects from entering ear canal


-antibacterial/antifungal properties

cilia

hairs in outer 1/3 of ear canal point outward toward the pinna


middle ear anatomy

-middle/inner layers of tympanic membrane


-ossicles/middle ear bones (malleus, stapes, incus)


-eustachian tube


-ligaments/muscles


-oval/round windows

three layers of TM

-outer epithelial layer


-inner mucosal layer


-middle fibrous layer

outer epithelial layer of TM

continuous with skin lining of ear canal

inner mucosal layer of TM

continuous with mucous of middle ear

middle fibrous layer of TM

encloses handle of malleus


has 3 types of fibers-radial, circular and parabolic

tympanic membrane physiology

separates outer ear from middle ear


-transmits acoustic sounds from air to ossicles by vibrating (mechanical)


-malleus is connected to ear drum at the umbo and short arm of the malleus

two parts of middle ear cavity

-tympanic cavity


-attic/epitympanic recess

tympanic cavity

opposite tympanic membrane (part of middle ear cavity)

epitympanic recess/attic

above the level of the tympanic membrane contains upper half of malleus and greater part of incus

middle ear cavity characteristics

-irregular shape


-filled with air (from nasopharynx through eustachian tube)


-houses the ossicular chain (connected from lateral wall/malleus to medial wall/stapes)

tegmental wall of middle cavity

"roof"


formed by a thin plate of bone


ceiling of epitympanic recess (upper part of malleus/incus)

jugular wall of middle cavity

"floor"


separates tympanic cavity from the jugular fossa

medial wall

-opening to the cochlea


-fenestrae vestibuli (oval window) and rotunda (round window)


-promontory of the cochlea (between the windows) and the facial nerve VII

anterior wall (towards front of face)

tendon of the tensor tympani muscle (connected to malleus)


-opening to the auditory tube/eustachian tube

posterior wall (towards back of head)

attachment of stapedius muscle (connected to stapes)


-access to mastoid bone air cells through aditus and antrum

lateral wall (closest to outer ear)

contains tympanic membrane

ossicles

3 smallest bones in the body


(malleus incus stapes)


-connect TM on lateral wall to oval window of the cochlea on medial wall


-have true articular joints

malleus

manubrium and short process (umbo) connected to TM


-attached to lateral wall by lateral ligament


-head of the manubrium is attached to the body of the incus

incus

attached to posterior wall via superior ligament


-long process is attached to head of stapes

stapes

sealed to the entrance of the cochlea/inner ear by annular ligament + footplate

eustachian tube

connects middle ear to nasopharynx


-equalizes pressure(pressure changes of middle ear impact TM)


-drains fluid


-normally closed, opens during swallowing/yawning


-beings in anterior wall


36mm in length

eustachian tube in children

it is more horizontal in infancy


children unable to drain fluid as easily


-common for children to have fluid in ears secondary to ear infections

acoustic reflex

middle ear muscles that contract in response to a loud sound

stapedius muscle

attached from posterior wall to stapes


-primary muscle of acoustic reflex, only one measured in audiology


-contracts pulling stapes backwards(towards TM)


-decreases movement of stapes, dampens hearing sensitivity

tensor tympani

attached from anterior wall to malleus


-contracts pulling TM inward in response to internal sounds (chewing) and non auditory stimuli (puff of air to the eye)


-TM stiffens, doesnt vibrate as easily, dampens hearing sensitivity

physiology of the middle ear

1. three impedence matching mechanisms


2. pressure equalizer


3. protection


impedance matching device

middle ear carries mechanical energy from TM to fluid filled inner ear (change of resistance from air-fluid)


-if sound pressure waves were applied directly to inner ear 99.9% of acoustic energy because of fluid


-even with ossicles there is a loss of 33dB


-middle ear has to account for this

middle ear increases pressure to match impedence by

1. increasing force


2. decreasing area


3. both 1 and 2 at the same time

middle ear impedence matching mechanism TM to footplate (area ratio)

-area of the TM is 17x greater than the footplate of the stapes


-decrease in size from TM to the footplate without change in force results in a 17x increase in pressure (+25dB)


middle ear impedence matching mechanism malleus to incus (lever action)

-length of manubrium of malleus is 1.3x length of incus


-pivot point (connection) of malleus/incus is closer to incus and therefore the malleus uses less force to move it (like a seesaw)


-results in an increase in pressure on the incus (+2dB) because of force applied to a smaller incus, therefore applied to oval window

middle ear impedence matching mechanism TM shape (buckling)

-flexible/cone shaped TM curves from its rim at both ends to its attachment at the umbo


-results in greater movement/displacement of the TM and not the malleus manubrium/ umbo (higher pressure)


-product of force/displacement must be equal on both sides of TM


-+6dB gain

total gain from middle ear impedance matching

33 dB (25dB+2dB+6dB)


-about as much that would be lost by converting from mechanical energy (middle ear) to hydraulic energy (inner ear)

middle ear transfer function

doesn't transmit all freqs equally, better sensitivity to mid freq range (900-5kHz)


-gain of pressure/dB depends on freq, resonancy characteristics, and phase diff between pressure wave at oval window and phase at TM

pressure equalizer

eustachian tube equalizes pressure between middle ear cavity and external auditory meatus by opening and letting in air from nasopharynx


-if unable to open, negative pressure in ME can suck in TM and make it stiff/resistant to vibration

contraction of auditory reflex

bilateral contraction of middle ear muscles (tensor tympani and stapedius) primarily stapedius


-contraction increases w increased intensity (AR growth) to a point (plateau)


-85 dB causes the contraction in both ears even if loud sound is only presented to one ear


-dampens sounds by stiffening ossicle chain (low freqs)