DEPARTMENT OF ANATOMY

Head and Neck

Dr. SREEKANTH THOTA

ALICE IN ANATOMY LAND

EAR
 Do you know Gulliver ?
 Participants

Mr Rabbit.

Alice.
Anatomy Professor
 Who The _______ is Alice?
Md 1 student
 One day at windsor medical school
 Alice followed the Mr Rabbit to the Garden.

What was the Mr rabbit saying?

I am late. I am late
 They saw 6 small hills in the garden
surrounding a well
 Alice peeped into the well and couldnt see
the bottom.

She rubbed her hand over the edge of the well

and heard loud coughing sound
 Mr rabbit jumped to the well and Alice
followed.
After the winding fall

They reached a door.

 Mr Rabbit Opened the Door and Alice
Followed.
 They saw GIANT BLACKSMITH hands coming
from the either wall.

Right hand he held a hammer.

Left hand he held a stirrup.

 As ALICE entered he stopped the work and put
the stirrup on the window.
 There was round table on the full of colourful
snakes. Two crawled up the table . One
crawled out.

A large two headed crawled on the top of one

wall to the other. One head wrapped on the
BLACKSMITH left hand . The other head was
fastened with chord to opposite wall.
 Alice said Mr Rabbit this is dangerous place
find exit to get out of here.
escape
 They walked out of the gullivers mouth
Ear
Downloaded from: StudentConsult (on 10 December 2006 10:42 AM)
2005 Elsevier
 EXTERNAL EAR
Auricle
Helix
Antihelix
Tragus
Lobule

External acoustic meatus - ends proximally at the

tympanic membrane
SENSORY INNERVATION OF THE AURICLE
Congenital microtia , Bifid earlobe , Supernumerary auricle
Cerebrospinal fluid (CSF) otorrhea
 Tympanic Membrane
The tympanic membrane (TM) is an oval, semi-transparent
membrane that separates the external and middle ears.
The orientation of the TM is slightly oblique to the sagittal
plane; the TM is roughly conical, pointing medially. The
handle of the malleus is attached to the medial aspect of
the TM.
The TM is divided into two parts: the pars flaccida (the
portion superior to the insertion of the manubrium) and
the pars tensa. The point at which the inferior end of the
manubrium inserts into the TM is called the umbo.
 Tympanic Membrane Perforation

Otoscopic examination

Note: gently
Pull Pinna
Upwards
and Outwards
(directly Down
and
Back in
children)
 MIDDLE EAR

Boundaries and associated structures

Roof
Tegmen tympani
Floor
Lateral wall
Tympanic membrane
Medial wall
Promontory
Anterior wall
Opening of the pharyngotympanic (auditory) tube
Tensor tympani m.

Posterior wall
Aditus to antrum
Stapedius m.
 Contents
Ossicles
Malleus
Handle (manubrium)
Incus
Stapes
Base
Nerves
Tympanic plexus
Chorda tympani
Muscles
Stapedius m.
Tensor tympani m.