CHAPTER 13: NERVOUS SYSTEM: SPECIAL SENSES
CHAPTER OBJECTIVES
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When you have completed this chapter you should be able
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Receptors
Receptors are essential as they provide us with information about our body as well as our external environment. They are present in the skin, muscles, tendons, joints, viscera, blood vessels and sensory organs, and are sensitive or responsive to a stimulus. They can detect touch, pressure, stretch, heat, cold, blood chemistry, light and pain.Classification of Receptors
Receptors can be grouped by the way they are distributed in the body, the type of stimulus they respond to, or by the origin of the stimulus.Distributed in the body;
Receptor Type
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Distribution in the body
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Somatic Sense
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Gives us information from the skin, muscles and joints.
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Visceral sense
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Gives us information from the internal organs and viscera.
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Type of stimulus;
Receptor types
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Stimulus
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Mechanoreceptors
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Touch, pressure, stretch.
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Chemoreceptors
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Chemicals.
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Photoreceptors
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Light.
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Thermoreceptors
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Hot and cold.
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Nociceptors
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Pain.
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Origin of Stimulus
Receptor types
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Origin of stimulus
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Responsible for
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Interoceptors
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Internal organs.
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Detecting heart rate, blood pressure, blood gas
concentration and visceral pain.
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Proprioceptors
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Muscles, tendons and capsules.
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Position and movements of the body.
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Exteroceptors
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External to the body.
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Vision, hearing, taste, smell and skin.
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Pain
Pain has its own pain receptors called nociceptors (a name derived from the word noxious). They occur in the entire body, except the brain, and are most numerous in the skin and mucous membranes.The nociceptors can be broadly grouped into fast (A-delta fibres) or slow (C fibres) neurons. The fast pain neurons are myelinated and can conduct nerve signals at 30 meters a second and are responsible for 'acute pain' perceived at the time of injury. The slow pain neurons are unmyelinated and can conduct nerve signals at 2 meters a second and are responsible for the dull 'chronic pain' that follows an injury or is associated with such diseases as cancer or arthritis.
Nociceptors are unusual because they usually only respond to a strong stimulus, however, following an injury they become increasingly sensitive (hyperalgesia, Greek for "super pain”). When tissues become injured or inflamed they release chemicals such as histamine, that cause the nociceptors to become much more sensitive. This means that the affected nociceptors will now react to even a gentle stimuli.
SELF-TEST
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Complete the following questions before you go onto the
next section:
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Sensory Organs
Sensory organs are specialised receptors that are combined with other tissue to create an organ that provides us with specific information from our surroundings. They are innervated by the cranial nerves and deal with smell (chemoreceptors), taste (chemoreceptors), vision (photoreceptors), sound (mechanoreceptors) and balance (mechanoreceptors).
Special Senses
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Receptors
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Vision
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Photoreceptors
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Sound
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Mechanoreceptors
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Balance
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Mechanoreceptors
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Smell
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Chemoreceptors
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Taste
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Chemoreceptors
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Vision
Vision is important for our survival and communication. The paired eyes are the peripheral organs of vision. Their main function is to focus light onto the retina where there are specialised photoreceptors which respond to light within the visible spectrum (400-760 nm).Anatomy of the Eye
Each eyeball is a sphere embedded in occular fat within the bony orbits of the skull; this provides protection as well as attachment points for its extrinsic muscles. It consists of tunica, optical and neural structures.Tunica
The tunica form the outer and inner walls of the eyeball and consist of three layers: fibrous, vascular and neural. The outer fibrous tunica consists of the opaque sclera (white of the eye) behind, and the transparent cornea in front. The vascular tunica consists of the choroid behind, and the ciliary body and the iris in front. The neural tunica consists of the retina.
Name
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Description
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Function
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Fibrous Tunica
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Fibrous outer coat.
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This is the white of the eye found surrounding the entire
eye except anteriorly at the cornea. The sclera becomes a perforated plate
posteriorly and is pierced by the optic nerve as well as the retinal artery
and vein. The sclera becomes continuous with the sheath around the optic nerve.
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Cornea
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This projects from the anterior part of the eye and is
transparent.
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Vascular Tunica
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Pigmented, vascular coat.
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Choroid
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This is a dark brown, rich network of blood vessels. It is
present in the entire eye except anteriorly where it becomes continuous with
the ciliary body.
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Ciliary body
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This is an anterior thickened muscular portion of the
choroid which sits just behind the iris forming a ring around the lens. From
it project suspensory ligaments which attach it to the lens.
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A pigmented muscular ring found around the aperture of the
pupil.
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Neural Tunica
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Innermost, neural layer of the eye.
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Retina
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The inner most layer of the eye it is attached at the back
to the optic disc and at the front to the ora serrata.
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CROSS SECTION OF THE EYE
Retina
The retina is made up of four specialised layers; pigment, photoreceptor, inner nuclear and ganglion layers.
Name
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Description
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Function
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Retina
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The neural component of the eye.
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Pigment layer
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Dark brown outer layer of the retina.
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Photoreceptor layer
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This consists of two types of light receptor, rods
and cones.
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Inner nuclear layer
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This consists of bipolar neurons.
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Ganglion layer
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The innermost layer of the retina containing ganglion
cells. The axons of these cells converge at the optic disc to give rise to
the optic nerve.
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Macula Lutea
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A small area (3mm) of cells found on the retina at the
back of the eye, directly in line with the lens. At its centre is the fovea
centralis.
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Fovea centralis
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A small area (1.5mm) occupying the macula lutea. The
ganglion and inner nuclear layers lean away so that light can hit the cones
(there are no rods present) directly.
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Optic disc
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Found about 3mm medial from the macula lutea, this is where
the axons of the ganglion cells of the retina converge.
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Optic Nerve (II)
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The optic nerve runs through the optic canal (foramen) to
the middle cranial fossa to reach the optic
chiasma.
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Optical structures of the eye
The optical structures of the eye are those that allow light to pass through and be focused on the retina.
Name
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Description
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Function
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Cornea
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This is the anterior part of the fibrous tunica of the
eye. It is transparent and projects anteriorly.
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Posterior Chamber
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Found between the iris in front and the lens, suspensory
ligament and ciliary body behind. It is filled with aqueous humour.
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Anterior Chamber
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Found between the cornea in front and the iris behind. It
is filled with aqueous humour.
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Aqueous Humour
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A clear watery fluid secreted by the ciliary body and
absorbed into the canal of Schlemm situated in the angles between the cornea
and iris.
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Lens
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A transparent elliptical structure, consisting of concentric
layers of lens fibres (cells). It is held in place behind the aperture of the
pupil by the suspensory ligament of the ciliary body.
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Vitreous body
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Transparent jelly which fills the eyeball behind the lens.
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Extrinsic Eye Muscles
The extrinsic muscles of the eye move the eyeball in almost any direction. They are innervated by the cranial nerves: trochlea (IV), abducens (VI) and oculomotor (III).There are seven extraocular muscles:
Muscle
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Innervated
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Action
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Oculomotor (III)
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Elevates the upper eyelid.
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Oculomotor (III)
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Moves the eye so that the cornea is directed upwards
(elevation) and medially (adducted).
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Oculomotor (III)
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Moves the eye so that the cornea is directed downwards
(depression).
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Oculomotor (III)
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Moves the eye so that the cornea is directed medially
(adducted).
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Abducens (VI)
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Moves the eye so that the cornea is directed laterally
(abducted).
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Trochlea (IV)
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Depresses the posterior aspect of the eye, depressing the
cornea.
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Oculomotor (III)
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Depresses the posterior aspect of the eye, elevating the
cornea.
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Accessory Structures
These include the eyebrows, eyelashes, eyelids, conjunctiva and lacrimal apparatus, all of which function to protect the surface of our eyes. The eyebrows are thought to direct perspiration and rays of the sun away from the eyes, the eyelashes help to protect our eyes from airborne particles and the eyelids react rapidly to protect the eyes from injury. The conjunctiva and the lacrimal apparatus lubricate the eye as well as act as a bactericide.Conjunctiva
The conjunctiva is a thin transparent film which covers the inside of the eyelids and is reflected onto the surface of the visible part of the sclera (it does not cover the cornea). The conjunctiva secretes oils and mucous that helps to lubricate the surface of the eye as well as keep it clean.Lacrimal apparatus
This consists of the lacrimal gland, punctum, ducts, canal and sac. The lacrimal gland produces tears, which travel down tiny ducts in the upper eyelid to the surface of the eye, the conjunctiva. Here they lubricate the surface of the eye, supply it with nutrients and act as a bactericide. The tears begin to collect at the medial corner of the eye where there is a tiny hole on each eyelid called the lacrimal punctum. Each hole leads to a lacrimal canal, which drains the tears into the lacrimal sac which drains into the nasal cavity via the nasolacrimal duct.LACRIMAL APPARATUS
Mechanism of Vision
Light hits the cornea where it is directed through the aperture of the pupil to the lens. The lens is convex and bends (refracts) the light so that it is focused on the retina at the back of the eye. The ciliary muscles adjust the curvature of the lens so that the light is focused correctly on the back of the retina, a process known as accommodation.During the passage of light through the retina the visual field is reversed (image is flipped) so that the image appears upside down as well as the left side appearing on the right side of the retina.
Axons of the ganglion cells of the retina converge at the optic disc and form the optic nerve (II). The optic nerve runs through the optic canal (foramen) to the middle cranial fossa to reach the optic chiasma. Here, half of the visual information crosses to the opposite side; fibres from the medial side of the retina enter the contralateral (opposite) optic tract whereas those from the lateral side of the retina remain uncrossed, travelling in the ipsilateral optic tract. These fibres continue in the optic tracts (which contain some fibres that have crossed-over and some that have not) to the brain. The fibres in the optic tracts that originate in the medial side of the retina terminate in the superior colliculi and pretectal nucleus. The fibres in the optic tracts that originate in the lateral side of the retina synapse at the thalamus (relay station). From here the fibres form the optic radiation which project to the visual cortex of the occipital lobe. Association tracts connect the visual cortex to the visual association area for interpretation.
SELF-TEST
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Complete the following questions before you go onto the
next section:
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EAR
The ear is the organ of sound and balance and can be split into external, middle and inner ear. The external and middle ear transmit sound to the inner ear where the mechanoreceptors of the cochlea convert sound into nerve impulses. The inner ear is also the location of the semicircular canals, which house the mechanoreceptors for balance.Anatomy of the ear
External Ear
The external ear includes the auricle and the external acoustic meatus. The auricle sits on the side of the head and directs sound into the acoustic meatus. The external acoustic meatus is the opening into the s-shaped auditory canal, which directs sound onto the tympanic membrane (ear drum).
Name
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Description
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Function
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External Ear
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Consists of the auricle, external acoustic meatus
and auditory canal.
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Directs the sound to the middle ear.
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Auricle
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The auricles sit on either side of the head and are
composed of and shaped by fibrocartilage
which is covered with skin.
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The shape of the auricles causes sound to be directed into
the corresponding external acoustic meatus.
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The external acoustic meatus is the opening between the
auricle and the auditory canal.
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It directs sound into the auditory canal.
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Auditory Canal
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The auditory canal is an S-shaped passage that begins at
the external acoustic meatus. It travels about 4 cm through the tympanic bone
to terminate at the tympanic membrane (ear drum).
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It directs sound to the tympanic membrane (ear drum).
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AURICLE
Middle Ear
The tympanic membrane separates the external ear from the middle ear; it is a thin, semitransparent concave sheet, fixed within a ring in the temporal bone and is commonly called the ear-drum. The middle ear, also know as the tympanic cavity houses the structures that amplify sound. These include the ossicles and auditory muscles. The ossicles are three tiny bones, the malleus (hammer), incus (anvil), and stapes (stirrup), which transmit sound from the tympanic membrane across the tympanic cavity. The tympanic membrane vibrates in response to a sound, this is transmitted to the malleus which it is attached to. The malleus articulates with the incus which then articulates with the stapes. Finally the footplate of the stapes bone articulates with the oval window which is the opening into the fluid filled inner ear. A round window in the inner ear can also be seen opening into the middle ear; this is closed off by a secondary tympanic membrane. This membrane moves out as the foot plate of the stapes moves into the oval window transmitting the pressure through the fluid of the inner ear. The eustachian tube which connects the middle ear cavity to the throat (nasopharynx) allows the pressure in the cavity to be equalised.
Name
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Description
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Function
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Middle Ear (tympanic cavity)
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Houses the structures that function to amplify sound
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About 1 cm in diameter the tympanic membrane is a thin,
semitransparent concave sheet, fixed within a ring in the temporal bone
between the auditory canal and the middle ear.
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It vibrates in response to sound.
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Tympanic cavity
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This is the cavity of the middle ear. It is connected to
the pharynx (back of the throat) by the eustachian tube, which functions to
equalize the pressure within the cavity.
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It contains the ossicles.
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Ossicles
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The ossicles transmit sound from the tympanic membrane
across the tympanic cavity.
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Oval window
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An opening between the middle and inner ear; it
articulates with the foot plate of the stapes.
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Allows the foot plate of the stapes to transmit the sound
vibrations from the middle ear to the inner ear.
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Secondary tympanic membrane
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Closes off the round window in the inner ear. It can be
seen opening into the middle ear.
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Transmits the pressure through the fluid of the inner ear.
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Eustachian tube
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Connects the middle ear cavity to the throat
(nasopharynx).
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Allows the pressure in the middle ear cavity to be
equalised.
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INTERNAL ANATOMY OF THE EAR
Inner Ear
The inner ear is embedded deep in the bony labyrinth of the temporal bone. This bony labyrinth can be split into three regions, the cochlear, vestibule and the semicircular canals. Within the bony labyrinth lies the membranous labyrinth, which also has cochlea, vestibule and semicircular components. The membranous labyrinth contains a fluid called endolymph and is separated from the bony labyrinth by a cushion of fluid called perilymph.
Name
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Description
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Function
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Inner Ear
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Bony and membranous labyrinth, containing the
mechanoreceptors of hearing and balance.
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Bony Labyrinth
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This is a series of tunnels within the temporal
bone; cochlea, vestibule and semicircular canals.
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It contains the membranous labyrinth.
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The bony part is a coiled tube of bone, which coils around
a central pillar called a modiolus and resembles a snail shell.
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It supports the membranous cochlear.
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Central part of the bony labyrinth, its lateral wall
containing the oval window.
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Connects the inner ear with the middle ear and supports
the membranous saccule and utricle.
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Consists of superior, posterior,
and lateral semicircular canals oriented at right angles to
each other. They are connected to the vestibule via five ampullae.
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Supports the semicircular ducts.
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Membranous labyrinth
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A series of membranous tubes containing endolymph;
cochlea, vestibule and semicircular canals.
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They contain the mechanoreceptors.
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Cochlea
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The membranous part is a membranous coiled tube which is
split by two membranes into three chambers; scala vestibuli, cochlear
duct and the scala tympani. The cochlear duct contains
the organ of corti.
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Organ of sound (the organ of corti detects the sound vibrations). |
Vestibule
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Two membranous sacs; saccule and utricle
containing endolymph. The utricle is connected to the semicircular ducts via
five openings.
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Organ of balance, angular decelerations.
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Semicircular canals
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Three semicircular ducts, corresponding to
the canals. They connect to the utricle via five openings where there are
five groups of mechanoreceptors (cristae ampullaris).
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Organ of balance, detects deceleration in all directions.
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INNER EAR
Sound (Hearing)
Cochlea
The cochlea is the organ of hearing and consists of a bony and membranous part. The bony part is a coiled tube of bone, which coils around a central pillar called a modiolus and resembles a snail shell.The bony cochlea supports the membranous cochlea which is spilt into three chambers, scala vestibuli, cochlear duct and the scala tympani by two membranes. The scala vestibuli is the superior chamber and is separated from the cochlear duct below, by the vestibular membrane. The scala tympani is the inferior chamber and is separated from the cochlear duct above, by the basilar membrane. The superior and inferior chambers both contain perilymph. The scala vestibuli begins near the oval window and spirals up to the apex where it communicates with the scala tympani via the helicotrema. The scala tympani spirals down from the apex to the round window, which is covered by the secondary tympanic membrane.
The cochlear duct is the middle chamber, sandwiched between the vestibular membrane above and basilar membrane below. It contains endolymph and the organ of corti. The organ of corti is located on the basilar membrane and consists of sound receptors (mechanorecptors) that detect sound along with supporting cells. The mechanoreceptors are composed of four rows of hair cells, each of which have numerous stereocilia projecting from them, with a gelatinous tectorial membrane lying above.
Mechanism of Hearing
When a sound is produced vibrations are transmitted from the tympanic membrane across the tympanic cavity via the ossicles to the inner ear. The vibrations are transmitted from the footplate of the stapes through the oval window to form waves in the perilymph of the cochlea. This causes the basilar membrane to move which causes the stereocilia on the hair cells of the organ of corti to move upwards and contact the overlying tectorial membrane. This stimulates the hairs cells to send a signal to the sensory neurons of the cochlear fibres below, which transmit the signal to the brain where the sound is interpreted and perceived.Cochlear pathway
The dendrites of the cochlear neurons synapse with the hair cells at the basilar membrane, the axons of these neurons wind around the modiolus to form the spiral ganglion and become the cochlear nerve. The cochlear nerve travels to the cochlear nuclei in the medulla oblongata. There are ventral and dorsal cochlear nuclei which are functionally different and whose fibres follow a slightly different pathway.The ventral cochlear nucleus enables us to determine the direction that sound is emanating from by comparing the timing and intensity (loudness) of the sound in each ear. The fibres from this nucleus project to the superior olivary nucleus of the pons. The fibres then travel in a tract called the lateral lemniscus to reach the inferior colliculus.
The dorsal cochlear nucleus enables us to distinguish between different frequencies, for example when listening to speech. The fibres from this nucleus project directly to the inferior colliculus via the lateral lemniscus.
From the inferior colliculus both sets of fibres project to the medial geniculate body of the thalamus. From the thalamus the fibres travel to the primary auditory cortex found on the anterior transverse temporal gyrus of temporal lobe.
NB Some fibres from both the ventral and dorsal nuclei cross to the opposite side of the brain via the trapezoid body where they then continue to travel in the lateral lemniscus to the inferior colliculus.
Equilibrium (Balance)
The vestibule and semicircular canals contain the mechanoreceptors responsible for balance and coordination also know as ‘equilibrium’. There are two types of equilibrium, static and dynamic. Static is how we perceive the head when the body is not moving and dynamic is the perception of motion (acceleration). Acceleration can be divided into linear and angular; linear is the change in velocity in a straight line and detected by the saccule and utricle. Angular acceleration/deceleration is a change in the rate of rotation and is detected by the semicircular canals.Vestibule (static labyrinth)
The vestibule is the central part of the bony labyrinth and contains, in its lateral wall, the oval window connecting the inner ear with the middle ear. The saccule and utricle are two membranous sacs, containing endolymph, located within the vestibule. The saccule is the smaller sac and lies near the opening of the scala vestibuli; it has openings into the endolymphatic duct and the cochlear duct. The utricle lies in the posterosuperior part of the vestibule; it has five openings for the semicircular canals, and a duct connecting it to the saccule.Both the saccule and utricle have a macula, a specialised oval patch of thickened cells, containing hair cells. The two macula lie at right angles to each other; that of the saccule (macula sacculi) lying vertically on the wall of the saccule and that of the utricle (macula utriculi) lying horizontally along the floor of the utricle. Each hair cell has many stereocilia as well as a single mobile cilia, all of which are embedded in the otolithic membrane. This is a gelatinous membrane containing otolithic granules (ear sand); tiny stones of calcium carbonate that give the membrane weight and enhance its sensitivity to gravity and motion.
The hair cells are the mechanoreceptors, which synapse with the vestibular fibres of the vestibulocochlear nerve.
Semicircular Canals
Posterior to the vestibule are the three bony semicircular canals; superior, posterior, and lateral. They are oriented at right angles to each other and connect to the vestibule via ampullae. Within the semicircular canals is the membranous part, the semicircular ducts, which all connect to the utricle via five openings. Within the ampullae are cristae ampullaris, which are mounds of mechanoreceptor hair cells. Each cell has many stereocilia as well as a single mobile cilia, all of which are embedded in the cupula. The cupula is a gelatinous projection that extends from the crista ampullaris to the roof of the ampulla.Mechanism of Balance
Angular decelerations of the head cause a counterflow of endolymph, deflecting the cupola of each crista and bending the hairs (stereocilia/kinocilia on each hair cell). This causes a change in membrane potential of the affected receptor cell and causes the vestibular nerve to fire signals to the brain.The semicircular canals (kinetic labyrinth) lie at right angles from each other meaning that deceleration is detected in all directions.
Vestibular pathways
The hairs cells of the saccule, utricle and crista ampullaris synapse at their base with fibres of the vestibular nerve. This nerve joins with the cochlear nerve to form the vestibulocochlear nerve, the vestibular component of which travels to the vestibular nuclei in the medulla oblongata as well as directly to the cerebellum.There are four vestibular nuclei (superior, lateral, inferior and medial) that not only receive input from the three semicircular canals, the saccule, and the utricle, but also from the eyes, cerebellum and from the somatic sensory system. All of these signals are integrated together enabling us to coordinate head, eye and body movements so that we can maintain posture and be aware of our body movement and orientation so that we can coordinate motor functions.
SELF-TEST
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Complete the following questions before you go onto the
next section:
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Taste (Gustation)
Taste buds are present not only on the tongue but also on the soft palate, oropharynx, epiglottis and inner cheeks. They are most numerous on the tongue and are made up of groups of taste cells located within the epithelium. Each taste cell is banana shaped and from its apex project several microvilli called taste hairs. These hairs project into the taste pore, a small opening in the surface epithelium. Food is dissolved in our saliva, and enters our taste pores where the chemicals (molecules) are detected by the chemoreceptors on our taste hairs.The surface (dorsum) of the tongue is split into oral and pharyngeal parts by a v-shaped sulcus (terminalis) near the back of the tongue. On the tongue surface the taste buds are associated with specialised areas called lingual papillae of which there are four types.
Taste cells are not neurons but chemosensory cells, which are capable of synaptic transmission, and synapse at their bases with fibres from one of the following cranial nerves; facial (VII), glossopharyngeal (IX) and vagus (X) nerves. The taste signal is relayed via the cranial nerves (VII, IX and X) to the solitary nucleus in the medulla oblongata which relays the signals to the cortex where we become conscious of taste.
Primary Tastes
We have 5 primary (basic) taste sensations: sweet, salty, sour, bitter and umami (meaty). Although all these tastes can be detected over the entire tongue surface, some regions are said to be more sensitive to certain tastes ( the tip of the tongue is supposed to be most sensitive to sweet, the anterior sides to salty, the posterior sides to sour and the back mainly to bitter). Many of the tastes we perceive as taste sensations are actually olfactory sensations. Taste is a combination of the primary taste sensations, smell, texture and temperature.
SELF-TEST
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Complete the following questions before you go onto the
next section:
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Smell
Our sense of smell is highly sensitive and the average person can distinguish between 2 to 4 thousand odours. An odour is sensed on the olfactory mucosa, a strip of mucous membrane located on the roof of the nasal cavity (superior concha and nasal septum). The olfactory mucosa has millions of olfactory neurons (cells). Olfactory cells are unusual as they are the only neurons that come into contact directly with the external environment; they are replaced every 40-60 days by stem cells.Olfactory cells are shaped like a mallet, and from its handle end project 10 to 20 cilia called olfactory hairs. These hairs are embedded in the olfactory mucosa and bind with the odour molecules that get trapped in the mucus layer as we breathe them into the nasal cavities. The mallet end of the cell tapers to become an axon which groups together with other axons to become a fascicle (nerve).
Each olfactory nerve ascends to leave the nasal cavity via small holes in the cribriform plate of the ethmoid bone and synapse in the olfactory bulb with the mitral cells. Mitral cell axons form the olfactory tracts, which travel to the brain.
The fibres of the olfactory tracts travel to the temporal lobe, the hypothalamus and limbic system, which control the autonomic reflexes such as salivating and vomiting. Fibres also travel to the thalamus, where they are relayed to an association area in the cerebral cortex (orbitofrontal) where the signals are integrated with those from taste and sight to give us an overall conscious perception of smell.
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