OIDO MEDIO ANATOMÍA

(CAVIDAD TIMPÁNICA)
DAR. MORENO AVALOS R1RX.
Susan Standring MBE, PhD, DSc, FKC, Hon FAS, Hon FRCS, External and middle ear, Gray’s Anatomy, Chapter 37,
2016, Elsevier 
 panic recess); 6, basal turn of the cochlea; 7, middle of the cochlea; 9, interscalar sept
turn of the cochlea; 8, otic capsule; 9, IAC; 10, dow niche; 11, vestibular aqued
LIMITES
modiolus; 11, vestibule. pani; 13, stapedius; 14, pyramid
mastoid portion of the facial nerv

Figure 5

epitympanum, separatin
• 3,
airtegmen
cells into medial an
tympani
partments. The medial m
are separated from the
• 6.hypotympanu
moid sinus by the sigmo
m;
Inner Ear
The inner
• 10, tympanic ear is situated
trous portion and comp
n membrane
ous labyrinth, which in
,
chlea, vestibule, and sem
AmyFigure 5: MDCoronal
F. Juliano, CT image
Daniel T. Ginat, shows:
MD, MS Gul 1,MD,
Moonis, mastoid
Imaging air
Review of the Temporal Bone: Part I. Anatomy and
(Figs20132–5). The cochle
Inflammatory and Neoplastic Processes, Radiology: Volume 269: Number 1—October
cells; 2, tegmen mastoideum; 3, tegmen tympani; 4, end organ for hearing w
 LIMITES
Figure 3

• 10, round window

niche

• 12, sinus tympani

• 14, pyramidal
eminence;

• 16, facial recess.

• 5: carotid canal

Amy F. Juliano, MD Daniel T. Ginat, MD, MS Gul Moonis, MD, Imaging Review of the Temporal Bone: Part I. Anatomy and
Figure 3: Axial CT image shows: 1, stapes (head);
Inflammatory and Neoplastic Processes, Radiology: Volume 269: Number 1—October 2013
 LIMITES

• canal carotídeo
(1)

• orificio de la
trompa de
Eustaquio (2)

Amy F. Juliano, MD Daniel T. Ginat, MD, MS Gul Moonis, MD, Imaging Review of the Temporal Bone: Part I. Anatomy and
Inflammatory and Neoplastic Processes, Radiology: Volume 269: Number 1—October 2013

E. Larrazabal Echevarria, S., Anatomía del hueso temporal. Guía para residentes, SERAM 2012
 LIMITES
Figure 1 Figure 2

• 1. Antro
mastoideo

Amy F. Juliano, MD Daniel T. Ginat, MD, MS Gul Moonis, MD, Imaging Review of the Temporal Bone: Part I. Anatomy and

Figure 1: Axial CT image shows: 1, mastoid an-

Inflammatory and Neoplastic Processes, Radiology: Volume 269: Number 1—October 2013
DIVISIONES

E. Larrazabal Echevarria, S., Anatomía del hueso temporal. Guía para residentes, SERAM 2012
 CONTENIDO

• Corte axial:
articulación
incudomaleolar

E. Larrazabal Echevarria, S., Anatomía del hueso temporal. Guía para residentes, SERAM 2012
 CONTENIDO

E. Larrazabal Echevarria, S., Anatomía del hueso temporal. Guía para residentes, SERAM 2012
CONTENIDO

E. Larrazabal Echevarria, S., Anatomía del hueso temporal. Guía para residentes, SERAM 2012
 MARTILLO.

Susan Standring MBE, PhD, DSc, FKC, Hon FAS, Hon FRCS, External and middle ear, Gray’s Anatomy, Chapter 37, 2016,
Elsevier 
 Cabeza
Cabeza

Cuello
Cuello
Manubrio
Manubrio Reconstrucción oblicua doble del
Cabeza martillo (3), que se obtiene a partir de
las imágenes ortogonales axiales (1) y
Cuello
sagitales (2).
Manubrio En el corte oblicuo se pueden delimitar
con precisión las distintas partes del
martilo.

3
Cadena osicular: el yunque
Cadena
Cadenaosicular:
•
osicular:elelyunque
Reconstrucción oblicua doble del martillo (3)
yunque
 YUNQUE

Susan Standring MBE, PhD, DSc, FKC, Hon FAS, Hon FRCS, External and middle ear, Gray’s Anatomy, Chapter 37, 2016,
Elsevier 
 Cuerpo
Cuerpo

Apóf. Larga
Apóf. Larga
Articulación
Articulación

• Reconstrucción oblicua doble del yunque

 ESTRIBO

Susan Standring MBE, PhD, DSc, FKC, Hon FAS, Hon FRCS, External and middle ear, Gray’s Anatomy, Chapter 37, 2016,
Elsevier 
 3
• Para ver con precisión el estribo se necesitan
reconstrucciones específicas, que permiten valorar las dos
ramas y la platina.
Ventana
Ventanaredonda
redonda
• (1) Malleus umbo, (2) manubrium of malleus, (3) malleus anterior process, (4)
malleus lateral process, (5) malleus neck, (6) malleus head (7), malleoincudal
articulation, (8) short process incus, (9) incus body, (10) incus long process, (11)
incus lenticular process, (12) incudostapedial articulation, (13) stapes head, (14)
anterior stapes crus, (15) posterior stapes crus, (16) stapes footplate.
Travis A. Abele, Imaging of the Temporal Bone, Radiol Clin N Am 53 (2015) 15–36
 LIGAMENTOS.

The external, middle

and inner regions of the
left ear. B, A more
detailed view of the
relationships of
structures in the middle
and inner ear.
 along its anterior surface such that it would have a “C-shaped” cross-section. The arrow indicates the incudosta-
ensional reformat of the ossicles superimposed on an axial slice shows the relationship of theFigure
ossicles
1: to Axial
the oval
CT image shows: 1, mastoid an-
ages created with Slicer program, Surgical Planning Lab, Brigham and Women’s Hospital, Boston. Images courtesy of Dr. Soenke Bartling,
trum; 2, aditus ad antrum; 3, epitympanum; 4, lat-

LIGAMENTOS.
eral semicircular canal; 5, vestibule; 6, labyrinthine F
segment of the facial nerve; 7, IAC; 8, posterior c
semicircular canal. 4
Superior malleolar ligament Superior ligament of incus
p
Epitympanic tu
recess Posterior ligament Figure 4
m
Lateral ligament of of incus
malleus
Incomalleolar joint
Chorda tympani
Anterior ligament
of malleus Posterior tympanic
Tensor tympani artery
tendon
Incostapedial joint
Manubrium of
Stapes tendon
malleus
Stapedial
membrane
Tympanic
Annular ligament
membrane
of stapes
Figure 4: Coronal CT image shows: 1, EAC; 2,
Fibrocartilaginious
tympanic ring mastoid air cells; 3, tegmen mastoideum; 4, tegmen
tympani; 5, tympanic segment of the facial nerve; 6,
FIGURE 15-13 Ossicles and tympanic membrane viewed from medially. labyrinthine segment of the facial nerve; 7, petrous
F
apex; 8, basal turn of the cochlea; 9, interscalar
c
septum; 10, middle turn of the cochlea; 11, carotid
IA
canal; 12, tendon of the tensor tympani; 13, lateral
for Elba Moreno (egma@lasallistas.org.mx) at Universidad la Salle from ClinicalKey.com by Elsevier on September 16, 2017. n
For personal use only. No other uses without permission. Copyright ©2017. Elsevier Inc. All rights reserved. process of the malleus; 14, lateral malleal ligament;
ty
15, malleus (head).
s
Susan Standring MBE, PhD, DSc, FKC, Hon FAS, Hon FRCS, External and middle ear, Gray’s Anatomy, Chapter 37, 2016, Elsevier
Amy F. Juliano, MD Daniel T. Ginat, MD, MS Gul Moonis, MD, Imaging Review of the Temporal Bone: Part I. Anatomy and s
Inflammatory and Neoplastic Processes, Radiology: Volume 269: Number 1—October 2013 o
malleal, posterior malleal, and poste- fo
rior incudal. These ligaments are
 Figure 3

• 4. Tensor
del
tímpano

Susan Standring MBE, PhD, DSc, FKC, Hon FAS, Hon FRCS, External and middle ear, Gray’s Anatomy, Chapter 37, 2016,
Figure 3: Axial CT image shows: 1, stapes (head);
Elsevier 
Amy F. Juliano, MD Daniel T. Ginat, MD, MS Gul Moonis, MD, Imaging Review of the Temporal Bone: Part I. Anatomy and
2, incus (long process); 3, malleus (neck); 4, tensor
Inflammatory and Neoplastic Processes, Radiology: Volume 269: Number 1—October 2013