The ear can be divided into three main sections: external, middle, and inner ear.
External Auditory Canal:
Funnels sound toward the middle ear.
Collects sound waves which travel through air.
Tympanic Membrane (Eardrum):
Transmits vibrations caused by sound waves.
Acts like the head of a drum, moving in response to sound.
Ossicles:
Three tiny bones: Malleus, Incus, and Stapes.
Transmit vibrations from the tympanic membrane to the oval window in the inner ear.
Sequence of transmission: Tympanic membrane → Malleus → Incus → Stapes → Oval Window.
Oval Window:
Thin membrane covering the entry into the cochlea.
Transmits vibrations to the cochlea, crucial for sound detection.
Cochlea:
A liquid-filled tube that detects sound.
Contains structures that facilitate the detection process.
The detection mechanisms will be covered in detail in lectures and histology slides.
Eustachian Tube (Pharyngotympanic Tube):
Connects the pharynx (throat) to the tympanic cavity in the middle ear.
Equalizes pressure across the tympanic membrane, which can change due to altitude (e.g., during plane descent).
Actions like swallowing, yawning, or chewing gum help keep this tube open, allowing air into the tympanic cavity.
Vestibule:
Part of the inner ear involved in maintaining balance.
Two types of equilibrium:
Static Equilibrium:
Detects linear movements (accelerating, braking in a vehicle, tilting head).
Structures within the vestibule help detect these changes.
Dynamic Equilibrium:
Helps detect rotational movements (e.g., spinning, cartwheeling).
Involves the semicircular canals with structures called Cristae Ampullaris located in the ampulla that respond to fluid movement within these canals.
Spiral Organ (Organ of Corti):
Located within the cochlea and is responsible for sound detection.
Contains hair cells that are sensitive to sound vibrations.
The middle ear plays a critical role in amplifying sound before it reaches the cochlea.
The ossicles leverage mechanical properties to increase the force of sound waves, ensuring that vibrations are strong enough to be detected by the cochlea.
Weber Test:
Used to check for unilateral hearing loss.
A tuning fork is placed on the skull; a louder sound indicates potential conductive hearing loss in that ear.
Rinne Test:
Assesses the function of the middle ear.
Evaluates if sound is heard better through air (normal function) or bone (indicating possible conductive deafness).
Conductive Deafness:
Results from anything obstructing sound waves from reaching the cochlea (e.g., fluid in middle ear, ossicle issues).
Sensory Neural Deafness:
Occurs when sound waves reach the cochlea but cannot be processed due to neural pathway issues (e.g., damage to hair cells, auditory nerve).