THE EAR INTRODUCTION In the adult, the ear forms one anatomic unit serving both hearing and equilibrium. it has three distinctly different parts:
1. External ear, the sound-collecting organ;
2. Middle ear, a sound conductor from the external to the internal ear; an 3. Internal ear, which converts sound waves into nerve impulses and registers changes in equilibrium. From an embryological standpoint, the ear has a dual origin. The inner ear arises from a thickened ectodermal placode at the level of the rhombencephalon. The structures of the middle and external ear are derivatives of the first and second pharyngeal arches and the intervening first pharyngeal cleft and pharyngeal pouch. INTERNAL EAR Is the first of the three parts of the ear to develop. The first indication of the developing ear can be found in embryos approximately 22 days as a thickening of surface ectoderm on each side of the rhombencephalon. These thickenings, the otic placodes, invaginate rapidly and form the otic or auditory vesicles (otocysts) Cells from the otocyst differentiate and form ganglion cells for the statoacoustic (vestibulocochlear) ganglia. During later development, each vesicle divides into a ventral component that gives rise to the saccule and cochlear duct and a dorsal component that forms the utricle, semicircular canals, and endolymphatic duct. Together, these epithelial structures form the membranous labyrinth. VENTRAL COMPONENT In the sixth week of development, the saccule forms a tubular outpocketing at its lower pole. This outgrowth, the cochlear duct, penetrates the surrounding mesenchyme in a spiral fashion until the end of the eighth week, when it has completed 2.5 turns. In the seventh week, cells of the cochlear duct diíferentiate into the spiral organ of Corti that transduces sound vibrations into electrical signals for hearing. A connection between the cochlear duct and the remaining portion of the saccule is maintained but confined to a narrow pathway, the ductus reuniens. Mesenchyme surrounding the cochlear duct soon differentiates into cartilage. In 10th week, this cartilaginous undergoes vacuolization, and two perilymphatic spaces, scala vestibuli and scala tympani, are formed. The lateral wall of the cochlear duct remains attached to the surrounding cartilage by the spiral ligament, whereas its median angle is connected to and partly supported by a long cartilaginous process, the modiolus, the future axis of the bony cochlea. Initially, epithelial cells of the cochlear duct are alike. With further development, they form two ridges: the inner ridge, the future spiral limbus, and the outer ridge. The outer ridge forms one row of inner and three or four rows of outer hair cells. They are covered by the tectorial membrane, a fibrillar gelatinous substance attached to the spiral limbus that rests with its tip on the hair cells. DORSAL COMPONENT During the 6th week of development, semicircular canals appear as flattened outpocketings of utricular part of otic vesicle. Central portions of the walls of these outpocketings disappear, giving rise to three semicircular canals. Whereas one end of each canal dilates to form the crus ampullare, the other, the crus non ampullare, does not widen. During formation of the otic vesicle, a small group of cells breaks away from its wall and forms the statoacoustic ganglion. Other cells of this ganglion are derived from the neural crest. The ganglion subsequently splits into cochlear and vestibular portions, which supply sensory cells of organ of Corti and those of saccule, utricle, and semicircular canals, respectively. MIDDLE EAR The tympanic cavity, which originates in the endoderm, is derived from the first pharyngeal pouch. This pouch expands in a lateral direction and comes in contact with the floor of the first pharyngeal cleft. Distal part of the pouch, the tubotympanic recess, widens and gives rise to the primitive tympanic cavity, and the proximal part remains narrow and forms the auditory tube (eustachian tube). OSSICLES The malleus and incus are derived from cartilage of the first pharyngeal arch, and stapes is derived from that of the second arch. Ossicles appear during the first half of fetal life, they remain embedded in mesenchyme until the eighth month. The endodermal epithelial lining of the primitive tympanic cavity then extends along the wall of the newly developing space. When the ossicles are entirely free of surrounding mesenchyme, the endodermal epithelium connects them in a mesentery-like fashion to the wall of the cavity. Because the malleus is derived from the first pharyngeal arch, its muscle, the tensor tympani, is innervated by the mandibular branch of the trigeminal nerve. The stapedius muscle, which is attached to the stapes, is innervated by the facial nerve, the nerve to the second pharyngeal arch. EXTERNALEAR The external audítory meatus develops from the dorsal portion of the first pharyngeal cleft. At the beginning of third month, epithelial cells at the bottom of the meatus proliferate, forming a solid epithelial píate, the meatal plug. In the seventh month, this plug dissolves, and the epithelial lining of the floor of the meatus participates in formation of the definitive eardrum. TYMPANIC MEMEBRANE The eardrum is made up of an ectodermal epithelial lining at the bottom of the auditory meatus, an endodermal epithelial lining of the tympanic cavity, and an intermedíate layer of connective tissue that forms the fibrous stratum. The major part of the eardrum is firmly attached to the handle of the malleus, and the remaining portion forms the separation between the external auditory meatus and the tympanic cavity. AURÍCLE Auricle develops from six mesenchymal proliferations at the dorsal ends of the first and second pharyngeal arches, surrounding the first pharyngeal cleft. These swellings (auricular hillocks), three on each side of the external meatus, later fuse and form the definitive auricle. Because the hillocks are derived from neural crest cells, external ear defects are often associated with malformations in other organs derived from neural crest cells, such as the face, skull, and heart. Initially, the external ears are in the lower neck región but growth of the mandible posterocranially, moves the external ears to the side of head at the level of eyes.