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pinna
funnels sound into external auditory canal
external auditory meatus
conducts sound waves to timpatic membrane
tympanic membrane
conducts sound from external auditory canal to ossicles
ossicles
amplifies sound / carries sounf from tymptic membrane to oval window
pharyngotympanic tube (eustachian)
tube down - equalizes pressure in middle ear
inner ear
bony labyrinth / membranous labyrinth
cochlea
snail shell - contains receptors for hearing
oval window
movement initiates movemnt of fluid within cochlea - stapes attached
round window
counteracts movement of oval (negataes) - maintains volume - pressure changes of cochlear fluid
cochlear branch
sensory info for hearing equilibrum
vestibule
equilibrium / balance
utricle
closer to semi circular canal - gray bulb top -gravitational equilibrium
saccule
closer to cochlea - gray buld bottom - gravitational equilibrium
anterior semiC.C
touch cochlea througth - rotational equilibrium
posterior semiCC
Faces pinna - rotational equilibrium
lateral semiCC
faces out - rotational equilibrium
weber test
tuning fork on forhead - CHL: lateralization to affected ear (blockage or damaged outer/middle ear) - SHL: lateralized to unaffeted ear (inner ear nerve damage)
rinnie test
tuning fork behinf ear - AC>BC = normal - BC>AC = abnormlal
conductive HL
loss up to cochlea BC>AC
Sensorineural HL
hearing loss cochlea onwards - AC>BC - both decreased
Romberg test
fluid in semiCC still moving eyes catch up