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Gross Anatomy of the Middle Ear - Boundaries ,Contents and Functions ( Animation ) | USMLE Step 1 — Transcript

by Dr.G Bhanu Prakash Animated Medical Videos · 1,969 words · 339 segments · language en · Watch on YouTube

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  1. 0:00[Music]
  2. 0:07anatomy of the middle ear
  3. 0:10the air is structurally divided into
  4. 0:14three parts
  5. 0:15the outer part
  6. 0:17the outer part is made up of the pinna
  7. 0:20as well as the external auditory canal
  8. 0:24the next one is the middle ear
  9. 0:26the place where i am standing is called
  10. 0:28as the middle ear or the tympanic cavity
  11. 0:31and
  12. 0:32the final structure of the ear is the
  13. 0:35inner ear so like this the ear is
  14. 0:37divided into three parts called as outer
  15. 0:40middle and the inner ear
  16. 0:42so here this video is going to focus
  17. 0:45especially on the anatomical aspects of
  18. 0:48the middle ear so where we are going to
  19. 0:50discuss about their boundaries contents
  20. 0:53as well as the blood supply
  21. 0:55and the supply of the middle ear
  22. 0:58so the middle ear actually extends from
  23. 1:02the tympanic membrane because tympanic
  24. 1:04membrane is the lateral structure of the
  25. 1:06middle ear and it extends towards the
  26. 1:09inner ear that is lateral structure of
  27. 1:11the or the lateral wall of the inner ear
  28. 1:14so what are the extensions of the middle
  29. 1:16ear guys
  30. 1:17it extends from
  31. 1:19tympanic membrane laterally
  32. 1:21as well as to the lateral wall of the
  33. 1:24inner ear medially right this is where
  34. 1:27you can see the middle ear cavity which
  35. 1:30is called as the tympanic cavity
  36. 1:33now coming towards the divisions of the
  37. 1:36middle ear
  38. 1:37the middle ear can be divided into two
  39. 1:40parts
  40. 1:42the first one is called as the tympanic
  41. 1:43cavity
  42. 1:44and second one is called as
  43. 1:46epi tympanic rhesus
  44. 1:48so now let us discuss about the tympanic
  45. 1:51cavity
  46. 1:53the tympanic cavity is also called as
  47. 1:56the tympanum
  48. 1:58so here
  49. 1:59the tympanum is nothing but
  50. 2:02is a pneumatized region
  51. 2:05so what is the meaning of the
  52. 2:06pneumatized region here it is nothing
  53. 2:08but the air filled region of the
  54. 2:11temporal bone
  55. 2:12that lies
  56. 2:14just medium to that of the tympanic
  57. 2:16membrane
  58. 2:17what is the tympanic membrane we will
  59. 2:20also call the tympanic membrane as the
  60. 2:23eardrum
  61. 2:25so remember that the tympanic membrane
  62. 2:27is also called as eardrum the middle ear
  63. 2:29is located
  64. 2:30later to that of the promontory
  65. 2:33so what is the promontory the promotory
  66. 2:36it is nothing but caused by
  67. 2:38the terms of the cochlea of the inner
  68. 2:42ear
  69. 2:43so now let us talk about the tegmen
  70. 2:45tympani
  71. 2:47the tegman timpani is nothing but a
  72. 2:50laminar projection
  73. 2:52of the petrus part of the temporal bone
  74. 2:55that forms the roof of the middle ear
  75. 2:58cavity is nothing but called as the
  76. 3:00tegman timpani it is the laminar
  77. 3:03projection of the petrus parts of the
  78. 3:06temporal bone which forms the roof
  79. 3:10and it contains
  80. 3:12especially if you see here the middle
  81. 3:13ear contains there are three important
  82. 3:16bones
  83. 3:17the malleus
  84. 3:18incus and stapes which transmits the
  85. 3:21sound vibrations from the tympanic
  86. 3:24membrane extending towards the inner air
  87. 3:27by means of these three important tiny
  88. 3:30bones which are present in the middle
  89. 3:32ear
  90. 3:33now let us talk about epi tympanic
  91. 3:35rhesus which is the another division of
  92. 3:38the tympanic cavity right one is the
  93. 3:42tympanum and second one is called as the
  94. 3:44epi tympanic races
  95. 3:46so this epi tympanic vases is nothing
  96. 3:49but a space
  97. 3:51which is located superior to that of the
  98. 3:54tympanic cavity
  99. 3:56and which lies adjacent to the mastoid
  100. 3:59air cells
  101. 4:01and here the ear ossicles such as
  102. 4:03malleus
  103. 4:04incus partially extend upwards into the
  104. 4:08epi tympanic races so this is how the
  105. 4:12middle ear cavity can be divided into
  106. 4:15the tympanum as well as epi tympanic
  107. 4:18races
  108. 4:20now we shall discuss about the
  109. 4:22boundaries of the middle ear
  110. 4:25for better understanding the middle ear
  111. 4:28can be visualized as a rectangular box
  112. 4:32so here you can see
  113. 4:33it looks like
  114. 4:35a rectangular box
  115. 4:37which has a roof
  116. 4:38which has a floor
  117. 4:40which also has
  118. 4:42the medial wall this is the medial wall
  119. 4:45and the lateral wall is open which is
  120. 4:46formed by the chimpanic membrane and
  121. 4:49also it has the anterior wall and also
  122. 4:51it has the posterior wall
  123. 4:54so like this the middle ear totally has
  124. 4:56six walls
  125. 4:58so now we have to discuss what are the
  126. 5:00structures which are formed
  127. 5:02whenever we are talking about these
  128. 5:04boundaries of the middle ear
  129. 5:06first let us discuss about the roof of
  130. 5:09the middle ear cavity
  131. 5:11the roof is also called as
  132. 5:13the tegmental wall
  133. 5:16remember that the pigmental wall forms
  134. 5:19the roof of the middle ear cavity also
  135. 5:23known as the tympanic cavity
  136. 5:25so why we are calling it as a tegmental
  137. 5:27wall
  138. 5:28because it is formed by the
  139. 5:30tegmentimpany
  140. 5:32which is nothing but a thin plate of the
  141. 5:35petrus part of the temporal bone that
  142. 5:38forms the roof of the canal for the
  143. 5:40tensor tympani muzzle and the tympanic
  144. 5:43antrum
  145. 5:44so this is the wall which means the roof
  146. 5:46is the one which separates the dura
  147. 5:49mater which is lying at the floor of the
  148. 5:52middle cranial fossa from the tympanic
  149. 5:55cavity and above that what you can see
  150. 5:57is the cerebral cortex
  151. 6:00so after this after discussing about the
  152. 6:03roof now let us discuss about the floor
  153. 6:06of the middle ear cavity
  154. 6:08so as we said that
  155. 6:10the tegmental wall is called as the roof
  156. 6:13the jugular wall is called as the floor
  157. 6:16the floor is called as jugular wall so
  158. 6:20it is formed by
  159. 6:22a thin layer of the bone we can see very
  160. 6:24clearly here a thin layer of the bone
  161. 6:27which separates this particular tympanic
  162. 6:30cavity from the superior bulb of the
  163. 6:34internal jugular vein which means the
  164. 6:37internal jugular vein as well as the
  165. 6:39tympanic cavity that is the middle ear
  166. 6:41cavity is separated by a thin layer of
  167. 6:44the bone called as jugular wall so this
  168. 6:48is the roof as well as floor of the
  169. 6:51middle ear cavity
  170. 6:53and next one is called as the membranous
  171. 6:55wall
  172. 6:56the membranous wall is the lateral wall
  173. 6:59so as you can see me inside the middle
  174. 7:01ear cavity
  175. 7:02the lateral wall is opened or formed by
  176. 7:05the tympanic membrane so why are we
  177. 7:07calling it as a membranous fall
  178. 7:09because it is entirely formed by a
  179. 7:12peaked convexity of the tympanic
  180. 7:15membrane and superiorly by the lateral
  181. 7:18body wall of the epi tympanic races so
  182. 7:22the epi tympanic creases as well as the
  183. 7:24tympanic membrane this is what it
  184. 7:26actually forms the lateral wall of the
  185. 7:29middle ear cavity so after the lateral
  186. 7:31wall now we have to see what is the
  187. 7:33medial wall right so this medial wall is
  188. 7:36called as the labyrinth involved so the
  189. 7:38entire structure the entire the wall
  190. 7:41what you are seeing here which is called
  191. 7:43as the medial wall
  192. 7:45this medial wall is called as the
  193. 7:47labyrinthine wall
  194. 7:49so this is the wall it separates this
  195. 7:52particular tympanic cavity from the
  196. 7:54inner ear
  197. 7:56so the initial part that is the basal
  198. 7:58turn of the cochlea
  199. 8:00forms the promontory of the labyrinthine
  200. 8:03wall here and we can also see some of
  201. 8:06the important structures like round
  202. 8:08window as well as oval window right
  203. 8:11promontory round window oval window all
  204. 8:13these are the structures what we can
  205. 8:15clearly visualize
  206. 8:17on the medial wall of the middle ear
  207. 8:20right we can see the oval window as well
  208. 8:22as round window over here which
  209. 8:24communicates with the inner ear so here
  210. 8:27we have to discuss little bit more
  211. 8:29detail about the round window as well as
  212. 8:31the oval window
  213. 8:33so first let's discuss about the round
  214. 8:34window here we can see the structure
  215. 8:37right
  216. 8:38so
  217. 8:39round window is one of the two openings
  218. 8:41which are seen on the medial wall of the
  219. 8:44middle ear
  220. 8:46that is it is nothing but a part which
  221. 8:48is separating the middle ear to the
  222. 8:50inner ear
  223. 8:52and this wall and this particular
  224. 8:55structure
  225. 8:56is sealed by a secondary tympanic
  226. 8:59membrane which is also called as round
  227. 9:02window membrane
  228. 9:04so this is the membrane which actually
  229. 9:06vibrates with opposite phase vibrations
  230. 9:10entering the inner ear through the oval
  231. 9:12window
  232. 9:13and this particular structure allows the
  233. 9:16fluid into the cochlea to move which in
  234. 9:19turn it ensures the hair cells of the
  235. 9:21basilar membrane will be stimulated and
  236. 9:24the audition will occur that is the
  237. 9:27importance of the round window
  238. 9:29and next structure is called as the oval
  239. 9:32window
  240. 9:33oval window is also called as fine straw
  241. 9:36vegetable eye
  242. 9:37so the oval window is also a membrane
  243. 9:40covered opening
  244. 9:42that leads the middle ear to the
  245. 9:44vestibule of the inner ear over here
  246. 9:48so the vibrations that contact the
  247. 9:50tympanic membrane travel through the
  248. 9:53ossicles and it enters into the inner
  249. 9:56ear
  250. 9:57and the oval window is nothing but
  251. 9:59called as an intersection of the middle
  252. 10:02ear with the inner ear and it is
  253. 10:04directly contacted by the stapes because
  254. 10:07it is covered by the food plate of the
  255. 10:10staples so this is what we need to know
  256. 10:12about the round window as well as the
  257. 10:15oval window so after discussing about
  258. 10:17the medial wall
  259. 10:19next let us concentrate on the posterior
  260. 10:22wall of the tympanic cavity
  261. 10:24the mastoid wall is also called as the
  262. 10:26posterior wall of the middle ear
  263. 10:29so this is the wall which features the
  264. 10:31adjectives which is the opening to the
  265. 10:34mastoid antrum in its superior part
  266. 10:37which connects to the tympanic cavity
  267. 10:39especially to the mastoid air cells
  268. 10:43and also we can appreciate the canal of
  269. 10:45the facial nerve
  270. 10:47which descends between the posterior
  271. 10:50wall and the antrum medial to the top
  272. 10:52adjectives
  273. 10:54so above this particular canal what we
  274. 10:57can see is the lateral semicircle canal
  275. 11:00and below the additives there is a
  276. 11:03hollow conical projection called as a
  277. 11:05pyramid
  278. 11:06which is perforated by the tendon of the
  279. 11:09stapedius muscle so these are the
  280. 11:11structures what we can identify on the
  281. 11:14posterior wall of the middle ear cavity
  282. 11:17at last we have to discuss about
  283. 11:20the anterior wall of the middle ear
  284. 11:22cavity which is also called as the
  285. 11:24carotid wall
  286. 11:26so this is the wall that separates the
  287. 11:28tympanic cavity from the carotid canal
  288. 11:31so what is the carotid canal here
  289. 11:34the carotid canal is a passageway
  290. 11:37in the temporal bone through which the
  291. 11:40internal carotid artery enters the
  292. 11:42middle cranial fossa from the neck
  293. 11:45so this anterior wall is also termed as
  294. 11:48a corroded wall because
  295. 11:50there is a thin plate of the bone that
  296. 11:52separates the carotid canal from the
  297. 11:55tympanic cavity and this particular wall
  298. 11:58is perforated by the tympanic branch of
  299. 12:01the internal carotid artery and also the
  300. 12:04d petrosal nerve
  301. 12:06so this is what we need to discuss about
  302. 12:09the anterior wall of the middle ear
  303. 12:12cavity by this we completed all the six
  304. 12:15boundaries of the middle ear cavity
  305. 12:17which is also known as the tympanic
  306. 12:19cavity
  307. 12:21after discussing all the boundaries of
  308. 12:23the middle ear
  309. 12:25let's enumerate the functions of the
  310. 12:27middle ear cavity
  311. 12:29the primary function of the middle ear
  312. 12:32is to offset the decrease in the
  313. 12:34acoustic energy
  314. 12:36that would occur if the low impedance
  315. 12:38ear canal directly contacted the high
  316. 12:42impedance cochlear fluid
  317. 12:44so when the sound waves are transferred
  318. 12:47from low impedance medium that is air
  319. 12:51to the high impedance medium example
  320. 12:53that is water
  321. 12:54a considerable amount of energy
  322. 12:57is reflected
  323. 12:58and fails to enter the liquid
  324. 13:01so if there is no middle ear where
  325. 13:03present
  326. 13:05only 0.1 percent of the acoustic wave
  327. 13:08energy
  328. 13:08traveled through the air would enter the
  329. 13:11fluid of the cochlea and 99.9 percent
  330. 13:14would be reflected so that is the chief
  331. 13:17function of the middle ear cavity and
  332. 13:20the middle ear also able to dampen the
  333. 13:23sound conduction substantially
  334. 13:25when faced with a very loud sound by
  335. 13:28noise induced reflex contraction of the
  336. 13:31middle ear muscles so these are the two
  337. 13:34important functions what we need to know
  338. 13:36about the middle ear so by this we
  339. 13:38completed the anatomy of the middle ear

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