The Vestibulocochlear Organ 前庭蜗器 山东大学医学院 解剖教研室 李振华 General Features Three parts External ear 外耳: collects sound waves Middle ear 中耳: transmits sound waves Internal ear 内耳: containing the organs of hearing and balanc External Ear 外耳 Auricle 耳郭 External acoustic meatus 外耳道 Tympanic membrane 鼓膜 Auricle 耳郭 External Acoustic Meatus 外耳道 A slender canal that extends from external acoustic pore to tympanic membrane Two parts Cartilaginous part- lateral 1/3 Bony part-medial 2/3 Lined by a layer of thin skin This S-shaped passage medially, at first forward and upward, then backward and, finally forward and downward In babyhood, it is shorter and more horizontal than in adult Tympanic Membrane 鼓膜 A thin, fibrous membrane that is pearly gray Two parts Flaccid part 松弛部: upper 1/8-1/6 Tense part 紧张部: lower 7/8-5/6 Umbo of tympanic membrane 鼓膜脐 Cone of light 光锥 Middle Ear 中耳 Tympanic cavity 鼓室 Auditory tube 咽鼓管 Mastoid antrum 乳突窦 and mastoid cells 乳突小房 Tympanic Cavity 鼓室 An air-containing cavity in the petrous portion of temporal bone and is lined with mucous membrane Has six walls Walls of Tympanic Cavity Roof or tegmental wall 盖壁 Lateral wall or membranous wall 膜壁 Posterior Anterior Wall wall or or carotidmastoid wall 颈动脉壁 wall 乳突壁 Floor or jugular wall 颈静脉壁 Medial wall or labyrinthine wall 迷路壁 Walls of Tympanic Cavity Roof or tegmental wall 盖壁 Formed by tegmen tympani Separates tympanic cavity from middle cranial fossa Floor or jugular wall 颈静脉壁 separates the cavity from superior bulb of internal jugular vein Walls of Tympanic Cavity Anterior wall or carotid wall 颈动脉壁 Separates tympanic cavity from carotid canal, superiorly lies two openings: Upper opening for tensor tympani muscle Lower opening for auditory tube, which communicates with nasopharynx Walls of Tympanic Cavity Posterior wall or mastoid wall 乳突壁 Aditus of mastoid antrum 乳突窦入口 Pyramidal eminence 锥隆起 Walls of Tympanic Cavity Lateral wall or membranous wall 膜壁 Tympanic membrane Epitympanic recess Walls of Tympanic Cavity Medial wall or labyrinthine wall 迷路壁 Promontory 岬 Fenestra vestibuli 前庭窗:covered by base of stapes Fenestra cochleae 蜗窗 closeted by secondary tympanic membrane 第二鼓膜 Prominence of facial canal 面神经管凸 Acute otitis median 急性中耳炎 Perforation, inflammation or trauma 鼓膜穿孔(炎症或外伤) Auditory Ossicles 听小骨 Consists of chain of three bones: Malleus 锤骨 Incus 砧骨 Stapes 镫骨 Articulate by synovial joints Transmit vibration of tympanic membrane to footplate of stapes in fenestra vestibuli Muscles of Auditory Ossicles Tensor tympani 鼓膜张肌 Stapedius 镫骨肌 Auditory Tube 咽鼓管 About 3~4 cm long, extends from the anterior wall of tympanic cavity downward, forward, and medially to the nasopharynx Two parts Bony part: posterolateral 1/3 Cartilaginous part: anteromedial 2/3 Functions to equalize air pressure on either side of tympanic membrane In childhood, it is shorter, wider and more horizontal than in adult Auditory Tube 咽鼓管 Mastoid Antrum 乳突窦 and Mastoid Cells 乳突小房 Mastoid antrum乳突窦: a small chamber between tympanic cavity and mastoid cells Mastoid cells乳突小房: A series of communicating cavities within the mastoid process of temporal bone Continuous above with the mastoid antrum and the tympanic cavity Internal Ear 内耳 General features Lies within the petrous portion of temporal bone Key contents of internal ear Bony labyrinth 骨迷路 contains perilymph Membranous labyrinth 膜迷路 is filled with endolymph and contains the sensory organs Bony Labyrinth 骨迷路 Cochlea 耳蜗 Vestibule 前庭 Bony semicircular canals 骨半规管 Vestibule 前庭 Hollow bony space In its lateral wall are the fenestra vestibuli and fenestra cochleae Contains utricle 椭圆囊 and saccule 球囊 Bony Semicircular Canals 骨半规管 Semicircular duct in each (anterior, posterior, and lateral) Canal at right angles to each other Bony ampullar 骨壶腹 dilated ampulla in each canal at its end Cochlea 耳蜗 It somewhat resembles a snail’s shell Cupula of cochlea faces anterolaterally and the base of cochlea faces posteromedially Cochlea 耳蜗 Modiolus 蜗轴 Osseous spiral lamina 骨螺旋板 Spiral canal of modiolus 蜗轴螺旋管 contain cochlear ganglion 蜗神经节 Cochlear spiral canal 蜗螺旋管: makes two and one-half spinal turns around the modiolus Scala vestibuli 前庭阶 Scala tympani 鼓阶 Membranous Labyrinth 膜迷路 Cochlear duct 蜗管 Utricle and saccule 椭圆囊和球囊 Semicircular ducts 膜半规管 INNER EAR ANATOMY: LOCATION OF SENSORY RECEPTORS Membranous of ampullae Cochlear duct Saccule Utricle Cochlear Duct 蜗管 Contains: Spinal organ 螺旋器 (of Corti) The sound receptors lies on tympanic wall of cochlear duct 蜗管鼓壁 Utricle and Saccule 椭圆囊和球囊 Contain: Macular utriculi 椭圆囊斑 Macular sacculi 球囊斑 End organs of balance, which respond to linear acceleration and deceleration, static of gravity Semicircular Ducts 膜半规管 Each duct has a membranous ampullae 膜壶腹 Containing crista ampullaris 壶腹嵴, receptors of balance that respond to rotational acceleration in three different planes Conduction of Sound Sound waves Cochlear nerve Air-conduction of sound Bony- conduction of Sound Sound waves Skull Bony labyrinth Endolymph within cochlear duct Cochlear nerve Perilymph Spinal organ Internal acoustic Meatus 内耳道 Extends from internal acoustic pore to fundus of internal acoustic meatus Facial, vestibulocochlear nerves and vessels of labyrinth pass through the fundus of internal acoustic meatus STRUCTURE OF A MACULA Macula Otoliths “Hairs” Gelatinous membrane Hair cells Nerve fibres Supporting cells FUNCTION OF A MACULA 3. Neural impulse generated 1. Gelatinous membrane pulled downwards 2. Hairs of hair cells bend Gravity Organs of Dynamic Equilibrium:- The Semicircular Canals Rotational head movements detected in ampullae at base of semicircular canals by specialised receptors called the CRISTAE AMPULLARES Main features • support cells • receptor hair cells • overlying membrane - cupula Movements of the head induce the fluid in the semicircular canals to move • cupula + hair cells bent - neural impulse DYNAMIC EQUILIBRIUM:- LOCATION OF CRISTAE AMPULLARES Semicircular canals Ampulla STRUCTURE OF A CRISTA AMPULLARIS Cupula Hair cell Hair cell Nerve fibres