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Infections in the middle ear easily spread into the mastoid air cells through the aditus ad antrum, resulting in mastoiditis, a potentially dangerous and life-threatening condition. Infection may then further spread into the middle cranial fossa or posterior cranial fossa, causing meningitis or abscess of adjacent brain tissue.
The pathophysiology of mastoiditis is straightforward: bacteria spread from the middle ear to the mastoid air cells, where the inflammation causes damage to the bony structures. Streptococcus pneumoniae , Streptococcus pyogenes , Staphylococcus aureus , Haemophilus influenzae , and Moraxella catarrhalis are the most common organisms recovered ...
The mastoid antrum (tympanic antrum, antrum mastoideum, Valsalva's antrum) is an air space in the petrous portion of the temporal bone, communicating posteriorly with the mastoid cells and anteriorly with the epitympanic recess of the middle ear via the aditus to mastoid antrum (entrance to the mastoid antrum). These air spaces function as ...
The walls of the antrum are lined by mucosa which is continuous with that lining the mastoid cells and tympanic cavity. [3] The medial wall of the aditus features a ridge created by the underlying facial canal, and a bulge created by the underlying ampulla of the lateral semicircular canal.
The mastoid antrum is situated posterior to the recess and opens into the recess at the posterior wall of the recess via the aditus to mastoid antrum. [1]: 416 The ampulla of the lateral semicircular canal creates a prominence upon the medial wall of the recess. [1]: 420
The mastoid process is located posterior and inferior to the ear canal, lateral to the styloid process, and appears as a conical or pyramidal projection. It forms a bony prominence behind and below the ear. [1] It has variable size and form (e.g. it is larger in the male than in the female). It is also filled with sinuses, or mastoid cells.
A mastoidectomy is a procedure performed to remove the mastoid air cells [1] near the middle ear. The procedure is part of the treatment for mastoiditis, chronic suppurative otitis media or cholesteatoma. [2] Additionally, it is sometimes performed as part of other procedures, such as cochlear implants, [3] or to access the middle ear.
The tympanic nerve (Jacobson's nerve) is a branch of the glossopharyngeal nerve passing through the petrous part of the temporal bone to reach the middle ear. It provides sensory innervation for the middle ear, the Eustachian tube, the parotid gland, and mastoid cells. It also carries parasympathetic fibers destined for the parotid gland.