Anatomy of External Ear

Pinna
Entire pinna except its lobule
·

and outer part of External

acoustic canal are made up

elastic
of single piece of yellow
covered with
cartilage skin.

· skin and perichondrium is

closely
while it is loose
adherent on its lateral surface slightly
on medial cranial surface.

· No
cartilage between
trage and crue
of helix, and
this area is called Incisura terminals

conchae
·
Part above helix: Cymba
Part below helix: Canum conchae
·

have
· lobules only fat, never

ossities.

Darwin's tubercle:

·
Variation in
anatomy
·
Projection at
junction of upper 1/3rd
and lower clord of helix

·
Can be med as Personal

dentification mark.
I
 Surgical approach to ear.

vi Lempert's invision. Invision on

Invisura terminalis
L(empert's
iii) William Wilde's Approach -
Invision

behind the pinna. (Noscar

viii) Rosen's Invision -

Invision is

inside the EAC & William Wilde's (

given

External Auditory Canal

· Extends from bottom
of
concha to tympanic memb

· About 24mm

·
Lateral 1/3rd =
smm

& cartilaginous)

· Medial/Inner 2/3rd=16mm
(Bony)

·
Isthmus - Narrowest
point (6mm lateral to
Tympanec
membrane)
·
Not a
straight tube (S-shaped);
outer part =
Upward, backward &
medially
Inner part - Downward, forward &
medially
 Cartilaginous part:
· thick skin with sebaceous & ceruminous
glands
·
Hair follicles

· lined
by stratified sqo epithelium

It
* has two
deficiencies =

Fissures of Santorini.
#a

- prsent at anterior wall, towards

I coor
-

Infection from EAC through

floor can reach base of skell

I skull base Osteomyelitis (

Infection from EAC involves Parotid - Parotitis.

Bony part:
·
skin
lining is then I continuous over
the tympanic
membrane.

· Devoid of hair & ceruminous

glands.
·

Anterinferior part of deep meatus, beyond the

isthone, presents a necess called Anterior necess.

and debris
Act an
cesspool for discharge
in external middle
of
case can

infection.
 ·

Anterinferior party bony canal

may pent
a

called
deficiency Foramen
of Huschip
in children

upto age of 4 or sometime in adults.

*

Permits to
injections
and
from parotid

Tympanic Membrane
·

Obliquely set.

is attached at
· Tha an
angle
of 350 with Antero
inferior
wall (floor) of EAC.

· At birth TM is almost

horizontal, it attains 330

at
age 4yrs.
·
Trimeric structure formed from all 3
germ layers
-

echoderm
1) Outer epithelial layer from
be Middle Fibrous mesoderm
layer from
Inner from endoderm.
plumsal
layer
·

Pearly guey/ Translucent

grey
in color.

Thickness of iM- 0.1mm

· TM is divided into two

parts - (a) Parsflaccida
↳sharpnel's memb
b) Pars Tensa.
 · Fibrom layer is
scanty and unorganised in
Parsflaucida
and tensa is
pars organised.
·
Tip of the malleus is called Umbo which is most

visible & anatomical landmark of th

Cone of
·
light =

Anterinferior quadrant,
In became
y
reflection of light
 Ner ve Supply of External Ear
Pinna

Greater auricular nerve

((2,3) supplies most
of the
medial
surface of pinna &
only posterior part of
lateral surface

iii) Lesser
Occipital (C2) supplies Upper part of Medial
surface.
(iii) Auriculotemporal (13) supplies tragus, crus
of
helix &

adjacent part of helix.

Auricular branch (CNx) also called Arnold's
six of vague
-

nerve, supplies the concha &

corresponding eminence

medial
of surface
Facial Nerve supplies Concha & Retwoauricular
I groove
 External
Auditory Canal:

(i) Anterior wall a

Roof: Auriculotemporal (Y3)
ii) Posterior wall & floor: Auricular branch of Vague (CNX)

Post wall
sensory fibres of
also receives
iii) CNX1

through auricular branch of Vagus.

Membrane:
Tympanic

Anterior
#
half of lateral surface =
Auriculotemporal
(Y3)
Posterior lateral
ii) half of surface :
Auricular branch
of
vagus (Cx x)

iii) Medial surface =

Tympanic branch of CN1x

& Iacobson's Nervel

C
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