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    Auditory Tube

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    Abishek J
    The Eustachian tube connects the middle ear cavity to the nasopharynx. It has bony and cartilaginous portions and maintains pressure equilibrium in the middle ear. The tube is shorter and more horizontal in infants, making them more prone to middle ear infections from the nasopharynx. When blocked, negative pressure in the middle ear can cause the eardrum to bulge inward and cause hearing loss and headaches until the pressure is equalized.

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    Auditory Tube

    Uploaded by

    Abishek J
    32 views14 pages
    The Eustachian tube connects the middle ear cavity to the nasopharynx. It has bony and cartilaginous portions and maintains pressure equilibrium in the middle ear. The tube is shorter and more horizontal in infants, making them more prone to middle ear infections from the nasopharynx. When blocked, negative pressure in the middle ear can cause the eardrum to bulge inward and cause hearing loss and headaches until the pressure is equalized.

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    Auditory Tube

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    The Eustachian tube connects the middle ear cavity to the nasopharynx. It has bony and cartilaginous portions and maintains pressure equilibrium in the middle ear. The tube is shorter and more horizontal in infants, making them more prone to middle ear infections from the nasopharynx. When blocked, negative pressure in the middle ear can cause the eardrum to bulge inward and cause hearing loss and headaches until the pressure is equalized.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    32 views14 pages

    Auditory Tube

    Uploaded by

    Abishek J
    The Eustachian tube connects the middle ear cavity to the nasopharynx. It has bony and cartilaginous portions and maintains pressure equilibrium in the middle ear. The tube is shorter and more horizontal in infants, making them more prone to middle ear infections from the nasopharynx. When blocked, negative pressure in the middle ear can cause the eardrum to bulge inward and cause hearing loss and headaches until the pressure is equalized.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 14

    PHARYNGO-TYMPANIC TUBE

    [Eustachian Tube/Auditory Tube]

    Presented by :- Dr. Sushma Tomar


    Associate Professor
    Department of Anatomy
    Introduction
    • An osseo-cartilaginous tube.
    • Connects the nasopharynx with the tympanic cavity.
    • Maintains the equilibrium of air pressure on either side
    of tympanic membrane.
    Length-
    • ~36 mm
    Direction (from tympanic end)-
    • Downwards, Forwards and Medially.
    Parts
     2 parts:
    • Bony (Osseous) part.
    • Cartilaginous part.
    Bony (Osseous) part-
    • Posterolateral part.
    Length- ~12mm (1/3rd of total length).
    •Lies between tympanic and petrous part of temporal bone.
    •Opens into anterior wall of middle ear cavity (tympanic
    cavity)
    •Tympanic end is small.
    Cartilaginous Part
    • Anteromedial part.
    Length- ~24mm (2/3rd of total length).

    • Lies between petrous part of temporal


    bone and posterior border of greater wing
    of sphenoid bone.

    • Opens into lateral wall of nasopharynx.

    • Pharyngeal end is in the form of a vertical


    slit, and it is the widest part of the tube.

    • Medial wall, roof and upper part of lateral


    wall of cartilaginous part is formed by
    elastic cartilage.

    • Rest of the lateral wall is formed by fibrous


    membrane.
    Parts contd…
    • Both parts meet at isthmus (narrowest part).
    Differences between the Eustachian Tube of an
    Infant and an Adult
    Parameter Infant Adult
    Length 18 mm 36 mm
    Direction More or less horizontal (makes an Oblique, directed downwards,
    angle of 10° with horizontal plane forwards and medially fro
    tympanic end (makes an angle of
    45° with horizontal plane
    Angulation of Isthmus No angulation Angulation present

    Applied Aspects
    Middle ear infections are more common in infants
    and young children than in adults, since the
    eustachian tube is shorter, wider and more horizontal
    and infections from nasopharynx can easily reach the
    middle ear.
    Functions of Eustachian Tube
    • At rest, Eustachian tube remains closed.
    • Eustachian tube is reflexly opened during swallowing, yawning and sneezing.
    • It maintains equilibrium of air pressure on either side of tympanic membrane.
    • It protects the middle ear by preventing the transmission of high air pressure from
    nasopharynx to middle ear.
    • Movement of cilia present in epithelium of tube, clears the secretions from middle ear.
    Applied Aspects
    Blockage of Eustachian Tube- (blockage may be due to inflammation of tubal tonsil)
    •Residual air in middle ear is absorbed into the blood vessels of its mucous membrane.
    •Air pressure falls in tympanic cavity.
    •Tympanic membrane retracts (bulges towards middle ear cavity).
    Clinical Features-
    •Hearing disturbance.
    •Severe headache.
    Treatment-
    Periodic introduction of air within the middle ear by Eustachian catheter.

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