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382

Sense organs

 

 

 

 

1

Auditory ossicles (malleus, incus and stapes).

19

Incudomallear joint. Articulatio incudomal-

1

 

 

Ossicula auditoria (auditus). They operate col-

 

learis. Joint between the incus and malleus. It

 

 

 

lectively as a bent lever system transferring

 

occasionally exhibits an articular cavity. A

2

 

 

sound waves from the tympanic membrane to

20

Incudostapedial articulation. Articulatio in-

 

 

 

the inner ear.

 

cudostapedialis. Union between the lenticular

 

 

 

 

 

 

3

 

2 Stapes (stirrup). A stirrup-shaped auditory os-

 

process of the long crus of the incus and the

 

 

sicle. Its base is inserted into the fenestra vesti-

 

stapes. A

 

 

 

 

 

 

 

buli. A B

 

21

Tympanostapedial syndesmosis. Syndesmo-

4

 

 

 

 

 

 

 

3

Head of stapes. Caput stapedis. It lies opposite

 

sis tympanostapedialis. Connective tissue at-

 

 

 

the base of the stapes and articulates with the

 

taching the base of the stapes to the oval win-

5

 

 

lenticular process of the incus. A B

 

dow. It is broader anteriorly than posteriorly. B

 

4

Anterior

crus (limb.). Crus anterius. The vir-

22

Ligaments of auditory ossicles. Ligg. os-

 

6

 

 

tually straight anterior limb of the stapes. A B

 

siculorum auditoriorum.

 

 

23

Anterior ligament of malleus. Lig. mallei an-

 

5

Posterior crus (limb.). Crus posterius. The

 

 

 

terius. Ligament that arises from the anterior

7

 

 

more curved posterior limb of the stapes. A B

 

 

 

 

process of the malleus, lies in the anterior mal-

6

Base (footplate) of stapes. Basis stapedis. The

 

 

 

lear fold and extends as far as the petrotym-

8

 

 

plate of bone inserts into the fenestra vestibuli

 

panic fissure. D

 

 

(ovalis). A B

 

 

 

 

24

Superior ligament of malleus. Lig. mallei su-

 

 

7 Incus (anvil). The central ossicle situated be-

9

 

 

perius. It passes from the head of the malleus to

 

 

tween the head of the malleus and the head of

 

the roof of the epitympanic recess. C D

 

 

 

the stapes. A D

25

Lateral ligament of malleus. Lig. mallei

10

 

 

8

Body of incus. Corpus incudis. It articulates

 

laterale. It unites the neck of the malleus with

 

 

 

with the malleus by means of a saddle-shaped

 

the upper margin of the tympanic notch. C

 

 

 

 

11

 

 

joint. A

 

26

Superior ligament of incus. Lig. incudis su-

9

Long crus (limb.). Crus longum. Long process

 

 

perius. Courses approximately parallel to the

 

 

12

 

 

which projects almost vertically downward be-

 

superior ligament of the malleus and connects

 

 

hind the manubrium of the malleus with the

 

the body of the incus with the roof of the

 

 

 

 

 

 

 

lenticular process at its tip. A

 

epitympanic recess. C D

13

 

 

 

10

Lenticular process. Processus lenticularis. Small

27

Posterior ligament of incus. Lig. incudis post-

 

 

 

bony projection on the tip of the long crus. It ar-

 

erius. It passes from the short limb of the incus

14

 

 

ticulates with the stapes. A

 

to the lateral wall of the tympanic cavity. C D

 

11

Short crus (limb). Crus breve. Small posteri-

28

Stapedial membrane. Membrana stapedialis.

 

15

 

 

orly directed process attached to the incudal

 

Thin membrane between the limbs and base of

 

 

fossa by a ligament. A

 

the stapes. B

 

 

 

 

 

12

Malleus [[hammer]]. It lies between the tym-

29

Anular ligament of stapes. Lig. anulare stape-

16

 

 

panic membrane and the incus. A C

 

diale. Ligament situated between the base of

 

13

Handle

(manubrium) of malleus. Manu-

 

the stapes and the margin of the oval window. It

17

 

is broader anteriorly than posteriorly. B

 

 

brium mallei. Its outer surface is fused to the

 

 

 

 

 

 

 

 

tympanic membrane as far as the lateral

 

 

18

 

 

process. A

 

 

 

14 Head of malleus. Caput mallei. It has a convex

 

 

 

 

 

19

 

 

articular surface for accomodation of the body

 

 

 

 

of the incus. A

 

 

 

 

 

 

 

 

15 Neck of malleus. Collum mallei. Structure con-

 

 

20

 

 

 

 

necting the head and manubrium of the mal-

 

 

 

 

 

leus. A

 

 

 

21

 

 

 

 

 

16

Lateral process of malleus. Processus later-

 

 

 

 

 

alis. Short process that projects from the end of

 

 

22

 

 

the manubrium and produces the mallear

 

 

 

 

 

prominence. A

 

 

 

17

Anterior process of malleus. Processus ante-

 

 

23

 

 

 

 

 

rior. Long, very thin process. It extends into the

 

 

24

 

 

petrotympanic fissure in the newborn, but

 

 

 

 

diminishes in the adult. A

 

 

18 Articulations of auditory ossicles. Articula-

25tiones ossiculorum auditoriorum. They are not true joints but syndesmoses.

 

 

 

 

 

 

Sense organs

383

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

1

 

 

 

14

 

 

 

 

 

 

 

 

 

 

 

11

 

 

2

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

12

15

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

 

 

9

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A Auditory ossicles

26 24

27

 

 

12

25

 

 

CTympanic cavity, posterior half

 

 

 

10

5

 

 

 

 

 

 

 

 

 

 

 

7

13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

20

4

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

11

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

 

 

 

 

 

29

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

Base of stapes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

in oval window

 

 

 

 

 

 

 

 

15

 

 

 

 

29

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

26

 

 

 

 

 

17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

22

23

24

D Lateral wall of tympanic cavity

25

 

384

Sense organs

 

 

 

 

 

 

1

Muscles of auditory ossicles. Musculi os-

13

AUDITORY

(PHARYNGOTYMPANIC, EUSTA-

1

 

 

siculorum auditoriorum. The following two

 

CHIAN) TUBE. Tuba auditoria (auditiva). Narrow

 

 

 

muscles are attached to the ossicles.

 

4 cm long, partly cartilaginous, partly bony tube

2

2

M. tensor tympani. Muscle located in the sem-

 

between the middle ear and the nasopharynx

 

 

 

icanal for the tensor tympani muscle above the

 

for aeration of the tympanic cavity. A C

 

 

 

 

 

 

 

auditory tube. Its tendon bends laterally around

14

Tympanic ostium of auditory tube. Ostium

3

 

 

 

 

the cochleariform process almost at a right

 

tympanicum tubae auditoriae. Opening of the

 

 

 

angle and inserts at the base of the manubrium

 

auditory tube on the anterior wall of the tym-

4

 

 

of the malleus. I: Mandibular nerve. A

 

panic cavity. It usually lies slightly above the

 

3

M. stapedius. Muscle that originates in a bony

 

floor of the tympanic cavity. A

 

 

5

 

 

canal on the posterior wall of the tympanic cav-

15

Osseous part of auditory tube. Pars ossea

 

 

ity. Its tendon passes through an opening at the

 

tubae auditoriae. Laterally and posterosuperi-

 

 

 

apex of the pyramid before inserting at the head

 

orly situated portion that involves about 1/3 of

6

 

 

of the stapes. By tilting the stapes, it exerts a

 

the tube’s length. It lies below the semicanal for

 

 

 

dampening effect on sound vibrations reaching

 

the tensor tympani muscle and emerges be-

 

 

 

the inner ear. I: Nerve to stapedius from the fa-

 

tween the carotid canal and the foramen spino-

7

 

 

 

 

 

cial nerve. B

 

 

 

sum. A

 

 

4

Mucous membrane of tympanic cavity. Tunica

16

Isthmus [tubae auditoriae]. Narrow portion of

8

 

 

mucosa cavitatis tympanicae. It consists of

 

the tube between the cartilaginous and bony

 

 

 

simple squamous and/or cuboidal epithelium

 

parts of the auditory tube. A

 

 

 

and a delicate vascular-rich lamina propria.

17

Air cells. Cellulae pneumaticae. Small fossae in

9

 

 

5

Posterior mallear fold. Plica mallearis poste-

 

the wall of the osseous part of the auditory tube.

 

 

 

rior. Fold extending from the base of the handle

 

A

 

10

 

 

of the malleus to the posterior, upper part of the

18

Cartilaginous part of auditory tube. Pars car-

 

 

 

tympanic ring. It contains the posterior portion

 

tilaginea [tubae auditoriae]. Located anterome-

 

 

 

 

 

 

 

of the chorda tympani. D

 

dially and has a length of about 2.5 cm. A

11

 

 

 

6

Anterior mallear fold. Plica mallearis anterior.

19

Cartilage of auditory tube. Cartilago tubae

 

 

 

 

Fold extending from the base of the manubrium

 

auditoriae. Hook-shaped in cross section. It be-

 

 

 

 

12

 

 

to the anterior, upper part of the tympanic ring.

 

comes lower lateroposteriorly and contains

 

 

 

It contains the anterior segment of the chorda

 

elastic cartilage only in the angle between the

 

 

 

 

 

 

 

tympani, the anterior process of the malleus

 

two cartilaginous laminae. A

13

 

 

 

 

 

and the anterior ligament of the malleus. D

20

Medial cartilaginous lamina. Lamina (car-

 

 

7 Fold of chorda tympani. Plica chordae tym-

 

tilaginis) medialis. Broad plate of cartilage. C

14

 

 

 

 

pani. Fold created by the chorda tympani on the

21

Lateral cartilaginous lamina. Lamina (car-

 

 

 

neck of the malleus between the two above-

 

tilaginis)

lateralis. Narrow anterolaterally

 

 

 

 

15

 

 

mentioned folds. D

 

 

directed plate of cartilage. C

 

7 a Recess of

tympanic

membrane. Recessus

 

 

22

Membranous lamina. Lamina membranacea.

 

 

 

 

 

membranae tympanicae. Mucosal pouch in the

 

 

 

 

Membranous portion of the wall of the car-

16

 

 

 

 

 

tympanic cavity.

 

 

 

 

 

 

tilaginous part of the auditory tube. A C

 

8

Anterior recess of tympanic membrane. Re-

23

Tunica mucosa. Mucous membrane of auditory

17

 

 

cessus [membranae tympani] anterior. Mucosal

 

tube lined by a simple ciliated epithelium. C

 

 

 

pouch between the anterior mallear fold and

24

Glands of auditory tube. Glandulae tubariae.

 

 

 

the tympanic membrane. D

18

 

 

 

Mucous glands especially in the cartilaginous

9

Superior recess of tympanic membrane

 

 

part of the tube. C

 

 

 

(Prussak’s

pouch).

Recessus [membranae

25 Pharyngeal opening of auditory tube. Ostium

19

 

 

tympani] superior. Recess bounded laterally by

 

 

 

pharyngeum tubae auditoriae. Funnel-shaped

 

 

 

the flaccid part of the tympanic membrane, me-

 

to slit-like opening above the levator eminence

 

 

 

dially by the head and neck of the malleus and

 

20

 

 

 

at the level of the inferior nasal meatus 1 cm

 

 

the body of the incus. D

 

 

 

 

lateral and anterior to the posterior wall of the

 

10

Posterior recess of tympanic membrane. Re-

 

 

 

pharynx. A

 

21cessus [membranae tympani] posterior. Mucosal pouch between the posterior mallear fold and tympanic membrane. D

2211 Incudal fold. Plica incudialis. Mucosal fold extending from the roof of the epitympanic recess

23to the head of the incus or from the short limb of the incus to the posterior wall of the tympanic cavity. D

2412 Stapedial fold. Plica stpedialis. Mucosal fold extending from the posterior wall of the tympanic

25cavity to the stapes. It covers the stapedius muscle and the stapes. B

Sense organs 385

15

 

 

 

 

 

 

14

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

15

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

2

 

 

 

 

 

Auditory tube

 

 

 

 

 

A

 

 

19

 

25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

21

 

12

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

 

Stapedius muscle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

Auditory tube, cross section

 

 

 

 

 

 

 

8

7

 

 

 

 

 

 

 

 

 

 

6

 

 

 

11

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

D Lateral wall of tympanic cavity

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

 

386

Sense organs

 

 

 

 

1

EXTERNAL EAR. Auris externa. The part of the

20

Cymba conchalis. Upper, slit-like part of the

1

 

 

ear consisting of the auricle (pinna) and exter-

 

concha between the crura of helix and anthelix.

 

 

 

nal acoustic meatus.

 

A

2

 

 

 

2

External acoustic (auditory) meatus (canal).

21

Cavity of concha. Cavitas (cavum) conchalis.

 

 

 

Meatus acusticus externus. Flat, partly car-

 

Main part of the concha located below the crus

 

 

 

 

3

 

 

tilaginous, partly bony, S-shaped canal about

 

of the helix and behind the tragus. A

 

 

2.4 cm long with a diameter of about 6 mm. C

22

Antitragus. Small tubercle present on the infe-

 

 

 

 

3

External opening of acoustic canal. Porus

 

rior continuation of the anthelix and separated

4

 

 

 

acusticus extrnus. C

 

from the tragus by the intertragic incisure. A D

 

 

3 a Tympanic notch. Incisura tympanica. Defect

23

Tragus. Flat projection in front of the external

 

 

5

 

 

between the greater and lesser tympanic

 

opening of the acoustic canal. A

 

 

 

spines. In the newborn, it is the superior gap be-

24

Anterior notch. Incisura anterior (auris). It lies

 

 

 

 

 

 

tween the still free ends of the tympanic ring.

 

between the tragus (supratragic tubercle) and

6

 

 

 

 

 

See p. 16.8

 

the crus of the helix. A

 

4

Cartilaginous part of external acoustic mea-

25

Intertragic incisure. Incisura intertragica.

7

 

 

tus. Meatus acusticus externus cartilagineus.

 

Notch between tragus and antitragus. A D

 

 

 

Lateral, cartilaginous third of the external

26

Auricular [[Darwin’s]] tubercle. [Tuberculum

 

 

 

8

 

 

acoustic meatus. C

 

auriculare]. It is occasionally present on the

5

Cartilage of external acoustic meatus. Car-

 

 

 

anterior margin of the helix from which it ex-

 

 

 

tilago meatus acustici. Together with the car-

 

tends posteroinferiorly. A

9

 

 

 

 

 

tilage of the pinna, it forms a groove that opens

27 Apex of auricle. [Apex auricularis]. Outer mar-

 

 

 

superiorly and posteriorly. D

 

 

 

 

gin of the auricular cartilage (helix) which,

10

6

Incisurae cartilaginis meatus acustici. Two

 

when present, projects backward, upward and

 

 

 

fissures in the cartilage of the external acoustic

 

outward. B

 

 

 

 

 

 

 

meatus. They are bridged by connective tissue

28 Posterior auricular sulcus. Sulcus auricularis

11

 

 

 

 

and are usually directed anteriorly. D

 

 

 

posterior. Shallow indentation between the an-

 

 

7 Lamina tragi. Lateral part of the meatal car-

 

 

 

 

titragus and anthelix. A

12

 

 

tilage. It lies in front of the external opening of

29

Supratragic tubercle. [Tuberculum supratragi-

 

 

 

the acoustic meatus. D

 

cum]. Small tubercle occasionally present at the

 

 

 

 

13

8

Auricle (Pinna). Auricula. A B

 

upper end of the tragus. A

 

 

 

 

 

9Ear lobe. Lobulus auricularis. Lower end of the pinna devoid of cartilage. A B C

14

10

Auricular cartilage. Cartilago auricularis.

 

 

 

Structural framwork of the pinna consisting of

15

 

 

elastic cartilage. D

 

11 Helix. External, curved margin of the auricle. A

 

16

 

B C D

 

12

Crus of helix. Crus helicis. Site of origin of the

 

17

 

helix in the cavity (concha) of the auricle. A B D

13

Spine of helix. Spina helicis. Small, forward-

 

 

 

projecting cartilaginous prominence on the

18

 

 

crus helices. D

 

14 Tail of helix. Cauda helicis. Posterior, inferior

 

19

 

end of the helix separated from the antitragus

 

 

by an indentation. D

 

 

20

15

Antihelix [[anthelix]]. Arched projection located

 

 

in front of the posterior part of the helix. A B C D

 

16

Tringular fossa. Fossa triangularis. Antero-

21

 

superiorly located fossa enclosed by the two

 

 

crura of the anthelix. A D

22

 

17

Crura of anthelix (antihelix). Crura antheli-

 

 

cis. Formed by the bifurcation of the anthelix

 

 

23

 

superiorly, the two crura form the boundary of

 

the triangular fossa. A D

24

18 Scaphoid fossa. Scapha. Narrow fossa situated

 

posteriorly between the helix and anthelix. A D

19 Concha (cavity) of auricle. Concha auricularis.

25It is embraced by the anthelix, antitragus and tragus. A