Anatomy and Physiology of the Ear – Structure, Parts, Functions | UP Nursing Notes

Introduction

The human ear is not only responsible for hearing but also plays a crucial role in maintaining balance. Anatomically, it is divided into three main parts: the external ear, middle ear, and internal ear. Each part has distinct structures and specialized functions that contribute to our auditory and vestibular systems.

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External Ear

The external ear gathers sound waves from the environment and directs them towards the tympanic membrane.

Pinna (Auricle)

  • Lateral Surface: Collects sound waves.
  • Applied Aspects: Visible part, varies in size/shape.
  • Nerve Supply: Greater auricular and auriculotemporal nerves.
  • Arterial Supply: Posterior auricular and superficial temporal arteries.
  • Venous & Lymphatic Drainage: Drains into pre- and post-auricular lymph nodes.

External Auditory Meatus

  • Cartilaginous Part: Lateral 1/3rd, flexible.
  • Bony Part: Medial 2/3rd, fixed.
  • Arterial Supply: Deep auricular branch of maxillary artery.
  • Nerve Supply: Auriculotemporal and vagus nerves.

Tympanic Membrane (Eardrum)

Introduction

Thin, semi-transparent membrane separating the external and middle ear.

Layers

  1. Outer cutaneous
  2. Middle fibrous
  3. Inner mucous

Parts

  • Pars tensa
  • Pars flaccida

Surfaces

  • Lateral (convex): Faces external meatus
  • Medial (concave): Faces middle ear cavity

Blood Supply & Nerve Supply

  • Arterial: Deep auricular, anterior tympanic arteries
  • Venous Drainage: External jugular system
  • Nerve: Auriculotemporal, auricular branch of vagus, glossopharyngeal

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Middle Ear (Tympanic Cavity)

Introduction

An air-filled cavity in the temporal bone involved in sound conduction.

Communications

  • Nasopharynx via Eustachian tube
  • Mastoid air cells
  • Internal ear via round and oval windows

Contents

  • Ear ossicles
  • Muscles
  • Tympanic plexus

Subdivisions

  • Epitympanum
  • Mesotympanum
  • Hypotympanum

Boundaries

  • Roof: Tegmen tympani
  • Floor: Jugular wall
  • Anterior Wall: Carotid wall
  • Posterior Wall: Mastoid wall
  • Medial Wall: Labyrinthine wall
  • Lateral Wall: Membranous wall (tympanic membrane)

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Ear Ossicles

Small bones that amplify sound:

  • Malleus (hammer)
  • Incus (anvil)
  • Stapes (stirrup)

They transmit vibrations from the tympanic membrane to the inner ear.

Intratympanic Muscles & Applied Aspects

  • Tensor Tympani: Tenses the tympanic membrane, innervated by mandibular nerve
  • Stapedius: Stabilizes stapes, innervated by facial nerve

Blood and Nerve Supply of Middle Ear

  • Arterial Supply: Anterior tympanic artery, stylomastoid artery
  • Venous & Lymphatic Drainage: Pterygoid venous plexus and deep cervical nodes
  • Nerve Supply: Tympanic plexus (glossopharyngeal), facial and sympathetic fibers

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Internal Ear (Labyrinth)

Bony Labyrinth

  • Cochlea: Hearing organ
  • Vestibule: Balance; connects cochlea and semicircular canals
  • Semicircular Canals: Detect angular motion

Membranous Labyrinth

  • Cochlear Duct (Scala media)
  • Saccule and Utricle: Detect linear motion
  • Utriculo-saccular Duct: Connects both sacs
  • Semicircular Ducts: End in ampullae, detect movement
  • Receptors: Hair cells in maculae and cristae
  • Innervation: Vestibulocochlear nerve (CN VIII)

Functions of the Ear

  • Hearing: Via cochlea and auditory pathway
  • Balance: Via vestibular apparatus (utricle, saccule, semicircular canals)

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