- Not to be confused with the secondary tympanic membrane of the round window
|Eardrum or Tympanic membrane|
Right tympanic membrane as seen through a speculum.
|This article is one of a series documenting the anatomy of the|
In human anatomy, the eardrum, or tympanic membrane, is a thin, cone-shaped membrane that separates the external ear from the middle ear in humans and other tetrapods. Its function is to transmit sound from the air to the ossicles inside the middle ear, and then to the oval window in the fluid-filled cochlea. Hence, it ultimately converts and amplifies vibration in air to vibration in fluid. The malleus bone bridges the gap between the eardrum and the other ossicles.
- Relations 1.1
- Umbo 1.2
Clinical significance 2
- Rupture 2.1
- Society and culture 3
- See also 4
- Additional images 5
- References 6
- External links 7
There are two general regions of the tympanic membrane: the pars flaccida upper region and the pars tensa. The pars flaccida consists of two layers, is relatively fragile, and is associated with eustachian tube dysfunction and cholesteatomas. The larger pars tensa region consists of three layers: skin, fibrous tissue, and mucosa. It is comparatively robust, and is the region most commonly associated with perforations.
The pars tensa forms most of the tympanic membrane. Its periphery is thickened to form a fibrocartilaginous ring called the anulus tympanicus. The central part of the pars tensa is tented inwards at the level of the tip of malleus and is called the umbo. A cone of light can be seen radiating from the tip of the malleus to the periphery in the antero-inferior quadrant. The pars flaccida is situated above the lateral process of the malleus between the notch of Rivinus and the anterior and posterior malleal folds. It appears slightly pinkish.
The tympanic membrane is superiorly related to middle cranial fossa, posteriorly to the ear ossicles and the facial nerve, inferiorly to the parotid gland and anteriorly to the temporomandibular joint.
The umbo is the most depressed part of the tympanic membrane. The manubrium of the malleus is firmly attached to the medial surface of the membrane as far as its center, which it draws toward the tympanic cavity; the lateral surface of the membrane is thus concave, and the most depressed part of this concavity is named the umbo.
Unintentional rupture of the ear drum has been described in blast injuries during conflict, but also during air travel, usually when the congestion of an upper respiratory infection has prevented equalization of pressure in the middle ear. It is also described in sport and recreation, such as swimming, diving with a poor entry into the water, scuba diving and martial arts. In the published literature, 80% to 95% have recovered completely without intervention in two to four weeks. These injuries, even in a recreational or athletic setting, are blast injuries. Many will experience some short-lived hearing loss and ringing in the ear (tinnitus) but can be reassured that this, in all likelihood, will pass. A very few will experience temporary disequilibrium (vertigo). There may be some bleeding from the ear canal if the eardrum has been ruptured. Naturally, the foregoing reassurances become more guarded as the force of injury increases, as in military or combat situations.
Society and culture
- Purves D, Augustine GJ, Fitzpatrick D, et al., editors. Neuroscience. 2nd edition. Sunderland (MA): Sinauer Associates; 2001. The Middle Ear. Available from: http://www.ncbi.nlm.nih.gov/books/NBK11076/
- Marchioni D, Molteni G, Presutti L (February 2011). "Endoscopic Anatomy of the Middle Ear". Indian J Otolaryngol Head Neck Surg 63 (2): 101–13.
- Gray's Anatomy (1918)
- Ritenour AE, Wickley A, Ritenour JS, Kriete BR, Blackbourne LH, Holcomb JB, Wade CE (February 2008). "Tympanic membrane perforation and hearing loss from blast overpressure in Operation Enduring Freedom and Operation Iraqi Freedom wounded". J Trauma 64 (2 Suppl): S174–8.
- Mirza S, Richardson H (May 2005). "Otic barotrauma from air travel". J Laryngol Otol 119 (5): 366–70.
- Green SM, Rothrock SG, Green EA= (October 1993). "Tympanometric evaluation of middle ear barotrauma during recreational scuba diving". Int J Sports Med 14 (7): 411–5.
- Fields JD, McKeag DB, Turner JL (February 2008). "Traumatic tympanic membrane rupture in a mixed martial arts competition". Current Sports Med Rep 7 (1): 10–11.
- Kristensen S (December 1992). "Spontaneous healing of traumatic tympanic membrane perforations in man: a century of experience". J Laryngol Otol 106 (12): 1037–50.
- Lindeman P, Edström S, Granström G, Jacobsson S, von Sydow C, Westin T, Aberg B (December 1987). "Acute traumatic tympanic membrane perforations. Cover or observe?". Arch Otolaryngol Head Neck Surg 113 (12): 1285–7.
- Garth RJ (July 1995). "Blast injury of the ear: an overview and guide to management". Injury 26 (6): 363–6.
- Diagram at Georgia State University
- drtbalu's otolaryngology online