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scala vestibuli
uppermost tube, connects to oval window
what do you see during an otoscopy
mesotympano & malleus
how to overcome impedence mismatch
pinna amplifies sound, TM vibrates and converts acoustic energy to mechanical vibration, lever action of ossicles delivers force to oval window, areal ratio of TM and stapes increases pressure
outer hair cells
furthest from modiolus, 3 rows, attached at top and bottom, source of otoacoustic emissions
inner hair cells
closest to modiolus, single row
reisner’s membrane
separates scala vestibuli and scala media
stapedius
shorter of 2 muscles, more powerful of 2 muscles, pulls stapes footplate away from oval window
tensor tympani
larger of 2 muscles, less powerful of 2 muscles, pulls manubrium away from TM
shrapnell’s membrane
small part of pars flaccida w/ no connective tissue, ruptures first with pressure
pediatric audiologist
works in children’s hospital, excellent counseling skills, aural re/habilitation
examples of HL impact on children
impaired speech/language development, impaired academic performance, impaired social/emotional development, parent/child bonding, time taken away from siblings
functions of TM
transmit sound to ossicles, compensate for loss of sound energy (areal ratio)
function of oval window
sets forth traveling wave in cochlea
function of round window
relieves pressure wave, 180 degrees out of phase with oval window
function of middle ear muscles
protect inner ear from loud sounds, frequency selection, maintain maximum tension, vary inner ear fluid pressure
Eustachian tube
mucosal lined tube that runs from the middle ear to nasopharynx, regulates pressure in middle ear, drains fluid
function of ossicular chain
transmit mechanical energy, amplify sound, route energy to oval window