•Auris externa, media et interna •Auricula •Meatus acusticus externus •Membrana tympani •Cavitas tympani •Ossicula auditus •Tuba auditiva •Labyrinthus osseus •Labyrinthus membranaceus •ORGANUM VESTIBULOCOCHLEARE •Auris externa •Auris media •Auris interna bubinek •MEMBRANA TYMPANI •umbo membranae tympani •stria mallearis (manubrium) •prominentia mallearis •plica mallearis anterior et posterior •pars flaccida membranae tympani (membrana Shrapnelli) •pars tensa •světelný reflex (trigonum Woodi) •anulus fibrocartilagineus •(sulcus tympanicus) •(processus lateralis mallei) •střední vazivová vrstva – stratum membranaceum •zevní vrstva - stratum cutaneum •vnitřní vrstva - stratum mucosum http://2.bp.blogspot.com/_ZWqgYBROGHw/TQfHU45T-II/AAAAAAAAB_M/C41WYO69fXk/s1600/20080324-normal-ear drum-1.jpg http://www.londonentclinic.com/wp-content/uploads/2012/09/CSOM1.jpg •prominentia mallearis •(processus lateralis mallei) •světelný reflex (trigonum Woodi) •plica mallearis posterior •stria mallearis (manubrium) •CAVITAS TYMPANI • •paries jugularis •- apertura externa canaliculi tympanici •paries tegmentalis •- hiatus canalis nervi petrosi minoris •paries caroticus •- canaliculi caroticotympanici •- canalis musculotubarius •semicanalis musculi tensori tympani •semicanalis tubae auditivae •- fenestra vestibuli •paries labyrinthicus •- promontorium •- fenestra cochleae •paries mastoideus •- antrum mastoideum •paries membranaceus •- bubínek •CAVITAS TYMPANI hiatus canalis nervi petrosi minoris •prominentia •c. n. facialis tegmen tympani m. tensor tympani tuba auditiva nn. caroticotympanici fenestra cochleae fenestra vestibuli eminentia pyramidalis chorda tympani antrum mastoideum n. facialis plexus sympathicus a. carotis interna prominentia c. semicirc. lat. canalis musculotubarius semicanalis musculi tensoris tympani •Caput mallei •Processus lateralis •Processus anterior •Manubrium mallei •Art. incudostapedialis •Art. incudomallearis •OSSICULA AUDITUS •Malleus •Corpus incudis •Crus breve •Crus longum •Incus •Crus posterius •Crus anterius •Basis stapedis •Caput stapedis •Stapes sluch10 •Caput mallei •Processus lateralis •Processus anterior •Manubrium mallei •Corpus •incudis •Crus breve •Crus longum •Art. incudostapedialis •Crus posterius •Crus anterius •Basis stapedis •Art. incudomallearis •OSSICULA AUDITUS •Caput stapedis sluch2 •Art. incudostapedialis •M. stapedius, tendo •Lig. incudis post. •Art. incudomallearis •Lig. incudis sup. •Lig. mallei sup. •Lig. mallei lat. •Crus breve •M. tensor tympani, tendo sluch4 •tuba auditiva •canalis caroticus •plica mallearis pos. •plica mallearis ant. •rec. epitympanicus •lig. incudis pos. •lig. incudis sup. •caput •mallei •lig. mallei sup. •Incus •m. tensor tympani Tensor tympani muscle / Its role is to dampen sounds, such as those produced from chewing. sluch3 •Meatus acusticus externus •Lig. mallei sup. •Lig. mallei lat. •M. tensor tympani •Recessus epitympanicus •Prom. •Incus Gilroy et al. Atlas of Anatomy 2nd Edition, Thieme 2012. Gilroy et al. Atlas of Anatomy 2nd Edition, Thieme 2012. sluch5 •TUBA AUDITIVA, SLUCHOVÁ (EUSTACHOVA) TRUBICE •pars ossea tubae auditivae (10mm) •pars cartilaginea tubae auditivae (25 mm) •lamina medialis et lateralis •ostium pharyngeum tubae auditivae •ostium tympanicum tubae auditivae •torus tubarius •lymfatická tkáň (tonsilla tubaria) •TUBA AUDITIVA, SLUCHOVÁ (EUSTACHOVA) TRUBICE •pars ossea tubae auditivae (10mm) •pars cartilaginea tubae auditivae (25 mm) •lamina medialis et lateralis •ostium pharyngeum tubae auditivae •ostium tympanicum tubae auditivae •torus tubarius •lymfatická tkáň (tonsilla tubaria) http://cdn.ent-surgery.com.au/wp-content/uploads/2012/02/the-eustachian-tube.jpg •TUBA AUDITIVA, SLUCHOVÁ (EUSTACHOVA) TRUBICE 1- a. carotis int.; 2-lamina lateralis et 4-medialis; 6 – m. tensor veli palatini; 7- m. salpingopharyngeus; 8-m. levator veli palatini; 9-nasopharynx; 1- a. carotis int.; 6 – m. tensor veli palatini; 7- m. salpingopharyngeus; 8-m. levator veli palatini; 9-nasopharynx; 2-lamina lateralis et 4-medialis •TORUS TUBARIUS, torus levatorius, plica salpingopharyngea 2- m. tensor v.p.; 3- m.levator v.p; 6- m. salpingopharyngeus 2- tensor; 3- levator; 6- m. salpingopharyngeus Gilroy et al. Atlas of Anatomy 2nd Edition, Thieme 2012. F:\Obrázky\Anatomie\eustachian-tube-4-638.jpg Dhingra: Disease of Ear, Nose and Throat, 5th ed., Elsevier 2010. 90a •- cochlea •fenestra vestibuli •fenestra cochleae •AURIS INTERNA - LABYRINTHUS OSSEUS •- vestibulum -canales semicirculares ossei • anterior • posterior •ampulla ossea •crus communae •crus simplex •lateralis Sinělnikov R.D. 1980. Atlas člověka. •COCHLEA (KOSTĚNÝ HLEMÝŽĎ) •modiolus •lamina spiralis ossea •canalis spiralis osseus •canales longitudinales •tractus spiralis foraminosus sluch6 •AURIS INTERNA Sinělnikov R.D. 1980. Atlas člověka. •VESTIBULUM •Utriculus •Sacculus n. ampullaris posterior n. utriculoampullaris n. saccularis Caecum vestibulare Sinělnikov R.D. 1980. Atlas člověka. Caecum vestibulare ductus cochlearis •labyrinthus vestibularis - utriculus et sacculus - d. utriculosaccularis→d.endolymphaticus (aquaductus vestibuli)→saccus endolymph. - ductus semicirculares •LABYRINTHUS MEMBRANACEUS •macula statica utriculi et sacculi •cristae ampullares •labyrinthus cochlearis •- ductus cochlearis •lamina basilaris •membrana vestibularis Reissneri •stěna kostěného kanálku •organum spirale Corti •membrana tectoria •LABYRINTHUS MEMBRANACEUS http://i65.photobucket.com/albums/h230/sleepy_yuci/e-learning/Ear/18Membranouslabyrinth.jpg •Ductus endolymphaticus • (aquaductus vestibuli) •* Ductus reuniens * VnitrUcho •Saccus endolymphaticus (fossa subarcuata) •Ductus endolymphaticus • (aquaductus vestibuli) •Ductus utriculosaccularis •Ductus reuniens •Caecum vestibulare •Ductus cochlearis •ant. •post. •lat. •LABYRINTHUS MEMBRANACEUS •Ductus semicircularis •S •U •Canaliculus cochleae •(apertura externa •canaliculi cochlae) •Membrana tympani sec. VnitrUcho2 •Scala vestibuli •(perilymfa) •Scala tympani •(perilymfa) •Ductus •cochlearis •(endolymfa) •membrana •tectoria •membrana basilaris •membrana vestibularis Reissneri •DUCTUS COCHLEARIS •organum spirale Corti •NERVUS VESTIBULOCOCHLEARIS Gilroy et al. Atlas of Anatomy 2nd Edition, Thieme 2012. •n. cochlearis •ggl. vestibulare •superior et inferior •n. saccularis •n. utriculoampullaris •n. ampullae posterioris •n. vestibularis •NERVUS VESTIBULOCOCHLEARIS introitus canalis n. VII crista transversa area vestibularis superior (n. utriculoampullaris) area vestibularis inferior (n. saccularis) + foramen singulare (n. ampularis. post.) tractus spiralis foraminosus Gilroy et al. Atlas of Anatomy 2nd Edition, Thieme 2012. Fundus meatus acustici interni introitus canalis n. VII crista transversa area vestibularis superior (n. utriculoampullaris) area vestibularis inferior (n. saccularis) + foramen singulare (n. ampularis. post.) tractus spiralis foraminosus n. ampullaris ant. et lat.