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Anatomy Physiology and
Disorders of the Hearing
Major Divisions of the Ear
Peripheral Mechanism
VIII
Outer Middle Inner
Cranial
Ear
Ear
Ear
Nerve
Central Mechanism
Brain
Question
What is the purpose of the pinna?
A. Cosmetics
B. Sound collector
C. Same side localization
D. A and B
E. B and C
Outer/External Ear
Pinna
External
Auditory
Meatus
• Auricle=Pinna
• Cerumen=Wax
• External Auditory
Meatus= Hole in
temporal bone (leads
to Auditory canal)
• Tympanic Membraneear drum
Pinna
Question
Another name for pinna?
A. External auditory meatus
B. External auditory canal
C. Ear lobe
D. Auricle
E. None of the above
Function of Outer Ear
•
•
•
•
•
Collect sound
Localization
Resonator
Protection
Sensitive
(earlobe)
• Other?
Pinna
• localizes
• Directs sound into the ear
• Each individual's pinna
creates a distinctive imprint
on the acoustic wave
traveling into the auditory
canal
Question
Cerumen should be routinely removed from
the ear canal?
A. True
B. False
Cerumen
• Repel water
• Trap dust, sand particles, microorganisms, and other debris
• Moisturize epithelium in ear canal
• Odor discourages insects
• Antibiotic, antiviral, antifungal
properties
– Cleanse ear canal
Tympanic Membrane
• Separates outer from the middle
ear
• Protective barrier to the middle
ear
• Cone-shaped (depressed inward)
• 1st to vibrate in response to sound
waves.
External Ear Care
Hazardous to health:
• Ear candling
• Swabs
• Foreign objects
Outer Ear Hearing Disorders
• Outer ear
• CHARGE
• Down Syndrome
– Ears small and low set
• Fetal Alcohol
Syndrome
– Deformed ears
Grow Ear?
The big picture
• Size and shape
What is sound?
• Sound is a form of energy that can be
heard and travels in waves.
• When matter vibrates or moves back and
forth very quickly, a sound is made.
• Sound waves can travel through solids,
liquids, or gases.
•
Sound makes the air vibrate.
• For sound to be heard, sound vibrations
must have air or some other kind of
matter to travel through.
• Can’t hear sound in outer space because
there is no air or other matter to carry
sound vibrations.
Middle Ear
The function of the middle ear is to?
A. Cause middle ear infections in young
children
B. Amplify sounds
C. Interpret sounds
D. Analyze sounds
E. None of the above
Middle Ear
What are the parts of the middle ear?
A. Ossicles and cochlea
B. Ossicles and eustachian tube
C.Tympanic membrane and auricle
D.I don’t know
Middle Ear
Ossicles
Middle Ear Muscles
Eustachian Tube
Mastoid
Function of Middle Ear
• Conduction
– Conduct sound from the outer ear to the inner ear
• Protection
– Creates a barrier
• Transducer
– Converts sound waves to mechanical energy
• Amplifier
Middle Ear (parts)
• Auditory Ossicles malleus, incus, stapes transmit vibrations and
amplify the signal
• Eustachian tubeconnects the middle ear
to the throat - helps
maintain air pressure
Eustachian Tube
• Connects the middle ear with the
nasopharynx
• Opens during swallowing and
yawning
• This equalizes the pressure on either side of
the eardrum
• Necessary for optimal hearing.
– Without this function the eardrum could
prolapse.
– Plugged ears on a plane
The Eustachian tube:
A. Opens when one yawns
B. Opens when one smiles
C. Opens when one blinks
D. It is always open
E. Never opens
Ossicles
• Malleus
(hammer)
• Incus (anvil)
• Stapes
(stirrup)
smallest
bone of the
body
Middle Ear Disorders
• Middle Ear disorders
– Acute otitis media
– TM Perforation
Question
The function of the inner ear:
A. Balance
B. Hearing
C. Touch
D. All the above
E. A and B
Inner Ear = Labyrinth
• Labyrinth series of fluid filled tubes responsible for
equillibrium (balance) and hearing.
• Made of 2 main regions: Semicircular canals &
Cochlea
• Semicircular Canals - sense of equilibrium
• Cochlea – senses hearing
• Organ of Corti - contains hearing receptors, hair cells
detect vibrations
Organ of Corti
Inner Ear: Cochlea
• Inside the cochlea are special neurons called HAIR
CELLS
• The stapes is attached to the OVAL WINDOW, and
vibrations cause the fluid in the inner ear to vibrate
• This moves the hair cells, transmitting the vibration.
• Therefore the HAIR CELLS in this region are
receptors for HEARING.
Sense of Equilibrium
• Static Equilibrium - sense
the position of the head,
maintain stability and
posture
• Dynamic Equilibrium
(semicircular canals) balance the head during
sudden movement
• Cerebellum (brain)interprets impulses from the
semicircular canals and
maintains overall balance
and stability
Steps in Hearing
1. Sound waves enter external auditory meatus
2. Eardrum vibrates
3. Auditory ossicles (malleus, incus, stapes) amplify vibrations
4. Stapes hits oval window and transmits vibrations to cochlea
5. Organs of corti contain receptor cells (hair cells) that deform
from vibrations
6. Impulses sent to the vestibulocochlear nerve
7. Auditory cortex of the temporal lobe interprets sensory
impulses
8. Round window dissipates vibrations within the cochlea