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Endoscopic ear surgery (EES) is a minimally invasive alternative to traditional ear surgery and is defined as the use of the rigid endoscope, as opposed to a surgical microscope, to visualize the middle and inner ear during otologic surgery. [1]
The middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea (of the inner ear). The mammalian middle ear contains three ossicles (malleus, incus, and stapes), which transfer the vibrations of the eardrum into waves in the fluid and membranes of the inner ear .
In the anatomy of humans and various other tetrapods, the eardrum, also called the tympanic membrane or myringa, is a thin, cone-shaped membrane that separates the external ear from the middle ear. Its function is to transmit changes in pressure of sound from the air to the ossicles inside the middle ear, and thence to the oval window in the ...
Given the greater access to the ear anatomy using endoscopic methods, it has been suggested that the bony part of the eustachian tube is really the anterior extension of the middle ear cavity, or the "Protympanum". The term "Eustachian Tube" should be limited to the fibrocartilaginous structure connecting the protympanum to the nasopharynx. [4]
In human anatomy, Prussak's space is the small middle ear recess, bordered laterally by the flaccid part of Shrapnell's membrane, superiorly by the scutum (a sharp bony spur that is formed by the superior wall of the external auditory canal) and lateral malleal ligament, inferiorly by the lateral process of the malleus, and medially by the neck of the malleus.
The inner ear houses the apparatus necessary to change the vibrations transmitted from the outside world via the middle ear into signals passed along the vestibulocochlear nerve to the brain. The hollow channels of the inner ear are filled with liquid, and contain a sensory epithelium that is studded with hair cells. The microscopic "hairs" of ...
The ligaments of malleus are three ligaments that attach the malleus in the middle ear.They are the anterior, lateral and superior ligaments.. The anterior ligament of the malleus also known as Casserio's ligament [1] is a fibrous band that extends from the neck of the malleus just above its anterior process to the anterior wall of the tympanic cavity close to the petrotympanic fissure.
The epitympanic recess is the portion of the tympanic cavity (of the middle ear) situated superior to the tympanic membrane. [1]: 414 The recess lodges the head of malleus, and the body of incus. [1]: 416
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