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Introduction Anatomy of the Ear

The ears are paired sensory organs comprising the auditory system, involved in the detection of sound, and the vestibular system, involved with maintaining body balance/ equilibrium. The ear divides anatomically and functionally into three regions: the external ear, the middle ear, and the inner ear. All three regions are involved in hearing. Only the inner ear functions in the vestibular system.

The external ear (or pinna, the part you can see) serves to protect the tympanic membrane (eardrum), as well to collect and direct sound waves through the ear canal to the eardrum. About 1¼ inches long, the canal contains modified sweat glands that secrete cerumen, or earwax. Too much cerumen can block sound transmission.

The middle ear, separated from the external ear by the eardrum, is an air-filled cavity (tympanic cavity) carved out of the temporal bone. It connects to the throat/nasopharynx via the Eustachian tube. This ear-throat connection makes the ear susceptible to infection (otitis media). The eustachian tube functions to equalize air pressure on both sides of the eardrum. Normally the walls of the tube are collapsed. Swallowing and chewing actions open the tube to allow air in or out, as needed for equalization. Equalizing air pressure ensures that the eardrum vibrates maximally when struck by sound waves.

Adjoining the eardrum are three linked, movable bones called "ossicles," which convert the sound waves striking the eardrum into mechanical vibrations. The smallest bones in the human body, the ossicles are named for their shape. The hammer (malleus) joins the inside of the eardrum. The anvil (incus), the middle bone, connects to the hammer and to the stirrup (stapes). The base of the stirrup, the footplate, fills the oval window which leads to the inner ear. Ossicles (detail) – malleus, incus, stapes

The inner ear consists of a maze of fluid-filled tubes, running through the temporal bone of the skull. The bony tubes, the bony labyrinth, are filled with a fluid called perilymph. Within this bony labyrinth is a second series of delicate cellular tubes, called the membranous labyrinth, filled with the fluid called endolymph. This membranous labyrinth contains the actual hearing cells, the hair cells of the organ of Corti. There are three major sections of the bony labyrinth :

  1. The front portion is the snail-shaped cochlea, which functions in hearing.
  2. The rear part, the semicircular canals, helps maintain balance.
  3. Interconnecting the cochlea and the semicircular canals is the vestibule, containing the sense organs responsible for balance, the utricle and saccule.

The inner ear has two membrane-covered outlets into the air-filled middle ear the oval window and the round window. The oval window sits immediately behind the stapes, the third middle ear bone, and begins vibrating when "struck" by the stapes. This sets the fluid of the inner ear sloshing back and forth. The round window serves as a pressure valve, bulging outward as fluid pressure rises in the inner ear. Nerve impulses generated in the inner ear travel along the vestibulocochlear nerve (cranial nerve VIII), which leads to the brain. This is actually two nerves, somewhat joined together, the cochlear nerve for hearing and the vestibular nerve for equilibrium.

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