Gross Anatomy of the Middle Ear - Boundaries ,Contents and Functions ( Animation ) | USMLE Step 1 — Transcript
Full transcript
- 0:00[Music]
- 0:07anatomy of the middle ear
- 0:10the air is structurally divided into
- 0:14three parts
- 0:15the outer part
- 0:17the outer part is made up of the pinna
- 0:20as well as the external auditory canal
- 0:24the next one is the middle ear
- 0:26the place where i am standing is called
- 0:28as the middle ear or the tympanic cavity
- 0:31and
- 0:32the final structure of the ear is the
- 0:35inner ear so like this the ear is
- 0:37divided into three parts called as outer
- 0:40middle and the inner ear
- 0:42so here this video is going to focus
- 0:45especially on the anatomical aspects of
- 0:48the middle ear so where we are going to
- 0:50discuss about their boundaries contents
- 0:53as well as the blood supply
- 0:55and the supply of the middle ear
- 0:58so the middle ear actually extends from
- 1:02the tympanic membrane because tympanic
- 1:04membrane is the lateral structure of the
- 1:06middle ear and it extends towards the
- 1:09inner ear that is lateral structure of
- 1:11the or the lateral wall of the inner ear
- 1:14so what are the extensions of the middle
- 1:16ear guys
- 1:17it extends from
- 1:19tympanic membrane laterally
- 1:21as well as to the lateral wall of the
- 1:24inner ear medially right this is where
- 1:27you can see the middle ear cavity which
- 1:30is called as the tympanic cavity
- 1:33now coming towards the divisions of the
- 1:36middle ear
- 1:37the middle ear can be divided into two
- 1:40parts
- 1:42the first one is called as the tympanic
- 1:43cavity
- 1:44and second one is called as
- 1:46epi tympanic rhesus
- 1:48so now let us discuss about the tympanic
- 1:51cavity
- 1:53the tympanic cavity is also called as
- 1:56the tympanum
- 1:58so here
- 1:59the tympanum is nothing but
- 2:02is a pneumatized region
- 2:05so what is the meaning of the
- 2:06pneumatized region here it is nothing
- 2:08but the air filled region of the
- 2:11temporal bone
- 2:12that lies
- 2:14just medium to that of the tympanic
- 2:16membrane
- 2:17what is the tympanic membrane we will
- 2:20also call the tympanic membrane as the
- 2:23eardrum
- 2:25so remember that the tympanic membrane
- 2:27is also called as eardrum the middle ear
- 2:29is located
- 2:30later to that of the promontory
- 2:33so what is the promontory the promotory
- 2:36it is nothing but caused by
- 2:38the terms of the cochlea of the inner
- 2:42ear
- 2:43so now let us talk about the tegmen
- 2:45tympani
- 2:47the tegman timpani is nothing but a
- 2:50laminar projection
- 2:52of the petrus part of the temporal bone
- 2:55that forms the roof of the middle ear
- 2:58cavity is nothing but called as the
- 3:00tegman timpani it is the laminar
- 3:03projection of the petrus parts of the
- 3:06temporal bone which forms the roof
- 3:10and it contains
- 3:12especially if you see here the middle
- 3:13ear contains there are three important
- 3:16bones
- 3:17the malleus
- 3:18incus and stapes which transmits the
- 3:21sound vibrations from the tympanic
- 3:24membrane extending towards the inner air
- 3:27by means of these three important tiny
- 3:30bones which are present in the middle
- 3:32ear
- 3:33now let us talk about epi tympanic
- 3:35rhesus which is the another division of
- 3:38the tympanic cavity right one is the
- 3:42tympanum and second one is called as the
- 3:44epi tympanic races
- 3:46so this epi tympanic vases is nothing
- 3:49but a space
- 3:51which is located superior to that of the
- 3:54tympanic cavity
- 3:56and which lies adjacent to the mastoid
- 3:59air cells
- 4:01and here the ear ossicles such as
- 4:03malleus
- 4:04incus partially extend upwards into the
- 4:08epi tympanic races so this is how the
- 4:12middle ear cavity can be divided into
- 4:15the tympanum as well as epi tympanic
- 4:18races
- 4:20now we shall discuss about the
- 4:22boundaries of the middle ear
- 4:25for better understanding the middle ear
- 4:28can be visualized as a rectangular box
- 4:32so here you can see
- 4:33it looks like
- 4:35a rectangular box
- 4:37which has a roof
- 4:38which has a floor
- 4:40which also has
- 4:42the medial wall this is the medial wall
- 4:45and the lateral wall is open which is
- 4:46formed by the chimpanic membrane and
- 4:49also it has the anterior wall and also
- 4:51it has the posterior wall
- 4:54so like this the middle ear totally has
- 4:56six walls
- 4:58so now we have to discuss what are the
- 5:00structures which are formed
- 5:02whenever we are talking about these
- 5:04boundaries of the middle ear
- 5:06first let us discuss about the roof of
- 5:09the middle ear cavity
- 5:11the roof is also called as
- 5:13the tegmental wall
- 5:16remember that the pigmental wall forms
- 5:19the roof of the middle ear cavity also
- 5:23known as the tympanic cavity
- 5:25so why we are calling it as a tegmental
- 5:27wall
- 5:28because it is formed by the
- 5:30tegmentimpany
- 5:32which is nothing but a thin plate of the
- 5:35petrus part of the temporal bone that
- 5:38forms the roof of the canal for the
- 5:40tensor tympani muzzle and the tympanic
- 5:43antrum
- 5:44so this is the wall which means the roof
- 5:46is the one which separates the dura
- 5:49mater which is lying at the floor of the
- 5:52middle cranial fossa from the tympanic
- 5:55cavity and above that what you can see
- 5:57is the cerebral cortex
- 6:00so after this after discussing about the
- 6:03roof now let us discuss about the floor
- 6:06of the middle ear cavity
- 6:08so as we said that
- 6:10the tegmental wall is called as the roof
- 6:13the jugular wall is called as the floor
- 6:16the floor is called as jugular wall so
- 6:20it is formed by
- 6:22a thin layer of the bone we can see very
- 6:24clearly here a thin layer of the bone
- 6:27which separates this particular tympanic
- 6:30cavity from the superior bulb of the
- 6:34internal jugular vein which means the
- 6:37internal jugular vein as well as the
- 6:39tympanic cavity that is the middle ear
- 6:41cavity is separated by a thin layer of
- 6:44the bone called as jugular wall so this
- 6:48is the roof as well as floor of the
- 6:51middle ear cavity
- 6:53and next one is called as the membranous
- 6:55wall
- 6:56the membranous wall is the lateral wall
- 6:59so as you can see me inside the middle
- 7:01ear cavity
- 7:02the lateral wall is opened or formed by
- 7:05the tympanic membrane so why are we
- 7:07calling it as a membranous fall
- 7:09because it is entirely formed by a
- 7:12peaked convexity of the tympanic
- 7:15membrane and superiorly by the lateral
- 7:18body wall of the epi tympanic races so
- 7:22the epi tympanic creases as well as the
- 7:24tympanic membrane this is what it
- 7:26actually forms the lateral wall of the
- 7:29middle ear cavity so after the lateral
- 7:31wall now we have to see what is the
- 7:33medial wall right so this medial wall is
- 7:36called as the labyrinth involved so the
- 7:38entire structure the entire the wall
- 7:41what you are seeing here which is called
- 7:43as the medial wall
- 7:45this medial wall is called as the
- 7:47labyrinthine wall
- 7:49so this is the wall it separates this
- 7:52particular tympanic cavity from the
- 7:54inner ear
- 7:56so the initial part that is the basal
- 7:58turn of the cochlea
- 8:00forms the promontory of the labyrinthine
- 8:03wall here and we can also see some of
- 8:06the important structures like round
- 8:08window as well as oval window right
- 8:11promontory round window oval window all
- 8:13these are the structures what we can
- 8:15clearly visualize
- 8:17on the medial wall of the middle ear
- 8:20right we can see the oval window as well
- 8:22as round window over here which
- 8:24communicates with the inner ear so here
- 8:27we have to discuss little bit more
- 8:29detail about the round window as well as
- 8:31the oval window
- 8:33so first let's discuss about the round
- 8:34window here we can see the structure
- 8:37right
- 8:38so
- 8:39round window is one of the two openings
- 8:41which are seen on the medial wall of the
- 8:44middle ear
- 8:46that is it is nothing but a part which
- 8:48is separating the middle ear to the
- 8:50inner ear
- 8:52and this wall and this particular
- 8:55structure
- 8:56is sealed by a secondary tympanic
- 8:59membrane which is also called as round
- 9:02window membrane
- 9:04so this is the membrane which actually
- 9:06vibrates with opposite phase vibrations
- 9:10entering the inner ear through the oval
- 9:12window
- 9:13and this particular structure allows the
- 9:16fluid into the cochlea to move which in
- 9:19turn it ensures the hair cells of the
- 9:21basilar membrane will be stimulated and
- 9:24the audition will occur that is the
- 9:27importance of the round window
- 9:29and next structure is called as the oval
- 9:32window
- 9:33oval window is also called as fine straw
- 9:36vegetable eye
- 9:37so the oval window is also a membrane
- 9:40covered opening
- 9:42that leads the middle ear to the
- 9:44vestibule of the inner ear over here
- 9:48so the vibrations that contact the
- 9:50tympanic membrane travel through the
- 9:53ossicles and it enters into the inner
- 9:56ear
- 9:57and the oval window is nothing but
- 9:59called as an intersection of the middle
- 10:02ear with the inner ear and it is
- 10:04directly contacted by the stapes because
- 10:07it is covered by the food plate of the
- 10:10staples so this is what we need to know
- 10:12about the round window as well as the
- 10:15oval window so after discussing about
- 10:17the medial wall
- 10:19next let us concentrate on the posterior
- 10:22wall of the tympanic cavity
- 10:24the mastoid wall is also called as the
- 10:26posterior wall of the middle ear
- 10:29so this is the wall which features the
- 10:31adjectives which is the opening to the
- 10:34mastoid antrum in its superior part
- 10:37which connects to the tympanic cavity
- 10:39especially to the mastoid air cells
- 10:43and also we can appreciate the canal of
- 10:45the facial nerve
- 10:47which descends between the posterior
- 10:50wall and the antrum medial to the top
- 10:52adjectives
- 10:54so above this particular canal what we
- 10:57can see is the lateral semicircle canal
- 11:00and below the additives there is a
- 11:03hollow conical projection called as a
- 11:05pyramid
- 11:06which is perforated by the tendon of the
- 11:09stapedius muscle so these are the
- 11:11structures what we can identify on the
- 11:14posterior wall of the middle ear cavity
- 11:17at last we have to discuss about
- 11:20the anterior wall of the middle ear
- 11:22cavity which is also called as the
- 11:24carotid wall
- 11:26so this is the wall that separates the
- 11:28tympanic cavity from the carotid canal
- 11:31so what is the carotid canal here
- 11:34the carotid canal is a passageway
- 11:37in the temporal bone through which the
- 11:40internal carotid artery enters the
- 11:42middle cranial fossa from the neck
- 11:45so this anterior wall is also termed as
- 11:48a corroded wall because
- 11:50there is a thin plate of the bone that
- 11:52separates the carotid canal from the
- 11:55tympanic cavity and this particular wall
- 11:58is perforated by the tympanic branch of
- 12:01the internal carotid artery and also the
- 12:04d petrosal nerve
- 12:06so this is what we need to discuss about
- 12:09the anterior wall of the middle ear
- 12:12cavity by this we completed all the six
- 12:15boundaries of the middle ear cavity
- 12:17which is also known as the tympanic
- 12:19cavity
- 12:21after discussing all the boundaries of
- 12:23the middle ear
- 12:25let's enumerate the functions of the
- 12:27middle ear cavity
- 12:29the primary function of the middle ear
- 12:32is to offset the decrease in the
- 12:34acoustic energy
- 12:36that would occur if the low impedance
- 12:38ear canal directly contacted the high
- 12:42impedance cochlear fluid
- 12:44so when the sound waves are transferred
- 12:47from low impedance medium that is air
- 12:51to the high impedance medium example
- 12:53that is water
- 12:54a considerable amount of energy
- 12:57is reflected
- 12:58and fails to enter the liquid
- 13:01so if there is no middle ear where
- 13:03present
- 13:05only 0.1 percent of the acoustic wave
- 13:08energy
- 13:08traveled through the air would enter the
- 13:11fluid of the cochlea and 99.9 percent
- 13:14would be reflected so that is the chief
- 13:17function of the middle ear cavity and
- 13:20the middle ear also able to dampen the
- 13:23sound conduction substantially
- 13:25when faced with a very loud sound by
- 13:28noise induced reflex contraction of the
- 13:31middle ear muscles so these are the two
- 13:34important functions what we need to know
- 13:36about the middle ear so by this we
- 13:38completed the anatomy of the middle ear
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