Page 100 - Edited - Webster HEAD AND NECK - part 2-Merge PDF
P. 100

HN 294
                                            THE POSITION OF THE DIVISIONS
                                                OF THE EAR IN THE SKULL
                                                                      (A)   SCHEMATIC DISPOSITIONS
                                 GREATER WING                             INTERIOR OF BASE OF CRANIUM
                                 OF SPHENOID                 Anterior     FOR CONTEXT, SEE
                                                             clinoid
                                                             process.

                              MIDDLE                                              Posterior clinoid process.
        TYMPANIC
        MEMBRANE
                                 FOSSA                       FORAMEN LACERUM.

                                                             AUDITORY TUBE

                                                            Middle ear - TYMPANIC CAVITY

                                                        COCHLEAR PART of INNER EAR (hearing)

                                                         INTERNAL AUDITORY (ACOUSTIC) MEATUS (i.e. "tube")

                                                        CRANIAL NERVE VIII - VESTIBULO-COCHLEAR N

                                                   JUGULAR FORAMEN.

                                                VESTIBULAR PART OF INNER EAR (balance & position in space).

                                              (B) RELATIONS & ASSOCIATED CAVITIES OF THE TYMPANIC  CAVITY
                                                                                               BONY AUDITORITURE
                                                                                                   (in petrous temporal)
                               RIDGE OF PETROUS                                                    CARTILAGINOUS
                                TEMPORAL BONE                                                      AUDITORY TUBE
                                                                 GREATER WING                      (below cranial base)
                                                                 OF SPHENOID                             Thus:



              RELATIONS OF MIDDLE EAR:                                                            INTERNAL
                 ASSOCIATED CAVITIES                      SQUAMOUS                                CAROTID ARTERY
                                                          TEMPORAL                                (SHEET 91)
           The middle ear lies immediately behind and
           above the carotid canal and above the                                               CAROTID CANAL
           beginning of the internal jugular vein (the
           superior jugular bulb). The cavity extends
           forwards to the nasopharynx (through the                                    SUPERIOR JUGULAR
           auditory tube) and backwards as the tympanic                                BULB (beginning of
                                                                                       internal jugular vein) IN
           additus and antrum                                                          JUGULAR FORAMEN.

           The epithelium of the middle ear is ciliated
           columnar or cuboidal. Goblet cells are present                              TYMPANIC CAVITY
           at the origin of the auditory tube: gaseous                                 (open circles ؞)
           exchange occurs slowly and the tube exists to
           correct pressure differences between the                                SIGMOID VENOUS
           atmosphere and tympanic cavity. The tube                    ADDITUS         SINUS ( )

           opens during swallowing (salpingopharyngeus
           and tensor palati) but may be forced open by               MASTOID ANTRUM

           the Valsalva manoeuvre. The additus, antrum
           and mastoid air cells are lined with a simple              THE MIDDLE EAR CAVITY
           flattened epithelium. Mucous glands are                    EXCLUDES THE ADDITUS ANTRUM,
           present ONLY in the cartilaginous auditory                 & THE AUDITORY TUBE. IT IS
           tube, especially near the pharynx.                         DIVIDED INTO THE TYMPANIC
                                                                      CAVITY BELOW & EPITYMPANIC
                                                                      RECESS ABOVE ( ).


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