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8.AUD-Middle Ear
Audiology SLP314
Term | Definition |
---|---|
Function of Middle Ear (ME) | Overcomes transmission loss during transfer of sound energy from air medium (outer ear) to fluid medium (inner ear). Increases pressure to inner ear. |
ME spaces | 1.Tympanum, 2.Epitympanic recess (tympanic attic). |
Eustachian tube functions (2) | 1. Equalize pressure between ME & ear canal. 2. Drains ME secretions. |
Mastoid air cells | Portion of temporal bone behind tympanic attic filled with air pockets. Aditus ad antrum connects attic to air cells. Potential path of infection. |
Windows (2) | 1. Oval (filled by stapes footplate) 2. Round window covered by thin membrane (pressure release) |
Ossicular chain (3 parts) | Malleus. Incus. Stapes |
Malleus (3 parts) | 1. Head (in attic). 2. Manubrium (Umbo attaches to center of TM). Lateral process (attached to top of TM (pars flaccida) |
Incus (3 parts) | 1. Body (attached to head of malleus) 2. Long crus 3. Lenticular process (90 deg turn in long crus, attaches to head of stapes). |
Stapes | head, neck, 2 crus, footplate, annular ligament |
Ossicle ligaments | 3 on malleus, 1 on incus. Maintain bone positions with head movements. |
2 ways ME increases pressure to inner ear. | 1. Difference in area from TM to oval window (17x = 25 dB) 2. Leverage force (manubrium is longer than long crus of incus (3-5 dB). Overall 28-30 dB gain. |
ME muscles (2) | 1. Tensor tympany (CN V, attaches to malleus and tenses TM, decreases vibration) 2. Stapedius (CN VII, acoustic reflex above 85 dB) |
Disorders of ME (2) | Serous otitis media. Suppurative OM |
Serous OM: stages | 1. Eustachian tube dysfunction (blockage) 2. Negative ME pressure (TM retracts) 3. ME effusion(fluid sucked out of lining |
Serous OM: treatment | 1. May resolve spontaneously 2. Pressure equalizing tubes (PET- children) or myringotomy 3. Remove underlying problem (adenoids, allergies, smoke) 4. Antibiotics (preventative) |