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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 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 .
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.
[citation needed] The roof is formed by the tegmen antri which is a continuation of the tegmen tympani and separates it from the middle cranial fossa. The lateral wall of the antrum is formed by a plate of bone which is an average of 1.5 cm in adults. The mastoid air cell system is a major contributor to middle ear inflammatory diseases. [1]
The vestibular aqueduct acts as a canal between the inner ear and the cranial cavity. Running through it is a tube called the endolymphatic duct, which normally carries a fluid called endolymph from the inner ear to the endolymphatic sac in the cranial cavity. When the endolymphatic duct and sac are larger than normal, as is the case in large ...
Most causes of conductive hearing loss can be identified by examination but if it is important to image the bones of the middle ear or inner ear then a CT scan is required. CT scan is useful in cases of congenital conductive hearing loss, chronic suppurative otitis media or cholesteatoma, ossicular damage or discontinuity, otosclerosis and ...
The internal auditory meatus provides a passage through which the vestibulocochlear nerve (CN VIII), the facial nerve (CN VII), and the labyrinthine artery (an internal auditory branch of the anterior inferior cerebellar artery in 85% of people) can pass from inside the skull to structures of the inner ear and face.
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.