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Do You Hear What I Hear? Outer Ear Pinna (auricle) – visible part of the ear (function is to collect sound waves) External auditory cannal – your ear canal Tympanic Membrane – your ear drum and it separates the outer and middle ear Outer Ear Auditory canal is lined with sebaceous glandscalled ceruminous glands which produce cerumen Cerumen – ear wax Function – is to protect the ear Middle Ear A. Cavity in the temporal bone Connects with the pharynx by the Eustachian tube – which equilizes pressure in the middle ear with the outside atmosphere Middle Ear Contains the 3 smallest bones in the body which transmit sound waves to the inner ear: Malleus (Hammer) Incus (Anvil) Stapes (Stirrup) Inner Ear Cochlea – Spiral – shaped organ of hearing Cochlea contains a membraneous tube, the cochlea duct, which is filled with fluid that vibrates when sound waves are transmitted by the stapes (they strike against it) Inner Ear Organ of Corti – delicate hair-like cells that pick up vibrations of fluid and transmit them as a sensory impulse along the auditory nerve to the brain Inner Ear Semicircular Canals – three structures in inner ear that contain liquid set in motion by head and body movements Impulses are sent back to the cerebellum to help maintain body balance (equilibrium) Nothing to do with hearing Pathway of Hearing External auditory canal Tympanic membrane incus, and stapes) Auditory nerve Ossicles (malleus, cochlea Hearing is very fragile and loud noises over a long period of time can cause hearing loss Delicate hair cells in the organ of Corti become damaged if over-stimulated Symptoms are: Tinnitus (ringing in the ears) Difficulty understanding what people are saying Hearing Loss Hearing Loss 2 types of hearing loss: Conductive – sounds are prevented from reaching the middle ear (ear wax, fluid in the middle ear or abnormal bone growth) Sensorinueral – problem with inner ear and/or auditory nerve (sometimes can be treated with cochlear implants) Presbycusis Condition which causes deafness due to the aging process Lose the ability to hear low frequencies first Can be helped with hearing aide Otitis Media Infection of the middle ear Often a complication of the common cold in children Treatment: antibiotics Otitis Media Repeated bouts of otitis media can cause a build up of fluid or pus Myringotomy – tubes are inserted through the tympanic membrane to relieve pressure and drain off fluid Otosclerosis Inherited disorder that is a common cause of deafness in young adults Chronic progressive disease of the middle ear Stapes becomes spongy and then hardens, becoming fixed and immobile Treatment: Stapedectomy and total replacement of the stapes Meniere’s Disease Affects the semicircular canals Attacks occur without any warning Symptoms: Marked vertigo (dizziness) Nausea and Vomiting Tinnitus Treatment includes bedrest during and acute attack and medication to relieve vertigo and nausea Tinnitus Ringing of ears from impacted wax, otitis media, otosclerosis, loud noise, blockage of normal blood supply to the cochlea, and a reaction to drugs (salicylates)