East Tennessee State University

Quillen College of
Medicine
Middle ear learning objectives

be able to visualize the location of the middle ear
know the structures within the middle ear cavity, their
arrangement and function
learn the relationship of structures that surround the middle
ear, and understand their significance
Pharyngeal Arch I
(mand. CN V3, mm of Mast.)
Pharyngeal Arch II
(hyoid CN VII, mm of Facial Exp.)
Pharyngeal Arch III
(CN IX, stylopharyngeus m.)
Pharyngeal Arch IV/VI
(laryng. carts. CN X, mm of larynx & pharynx)
Stomodeum
(mouth)
Pharyngeal Cleft I
(external auditory meatus)
Cleft 1 (External Auditory Meatus)
Pharyngeal Pouch 1 (middle ear cavity)
Pharyngeal Pouch 1 (middle ear cavity)
Auditory tube
Tympanic memb.
Nasopharynx
External auditory meatus
(Pharyngeal cleft I)
Membrane between Pharyngeal Arch I & Cleft I
Middle ear cavity and eustachian tube
(from Pharyngeal pouch I)
Cone of light
Malleus
Chorda tympani
Taste ant. 2/3 of tongue
PSNS submand./subling. gls.
Dissection procedures:
2 cuts and a chisel
CN VII
Geniculate gang.
CN VII
Ch. Tymp.
Gr. Petrosal n.
CN VIII
Internal auditory meatus
CN VIII
Malleus
Incus
Stapes
CN VII
Chord. Tymp.
Tensor tymp. m.
On a routine visit to your clinic, a 53 year old male patient
presented with the following symptoms that sequentially
appeared over a nine month period of time.

-ringing (tinnitus) in his right ear that was occasional
initially, worsening in frequency and severity over time.

-periodic dizziness.

-episodes of falling without any apparent reason. These
occurrences have also increased recently.

-fluids draining out of the right corner of his mouth while
drinking.

What is his problem?



Larynx learning objectives

be able to visualize the location of the larynx
know the skeletal structures within the middle larynx,
their arrangement and function
learn the attachments of the laryngeal muscles and their
function
describe the innervation of the laryngeal muscles and
mucosa
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Internal br. of Sup. Lary.
br. of CNX
Recurrent Laryn. br. of CNX
Hyoid
Thyroid
Cricoid
Epiglottis
Arytenoid
Cricoid
Arytenoid
Muscular process
Vocal process
Vocal lig.
Cricothyroid memb.
Vocal fold
Cricothyroid m. - tense
(Ext. Laryn. br. of Sup. Laryn. br. of X)
Thyroarytenoid m. - relax
Lat. cricoarytenoid m. - adduct
Transverse arytenoid m. - adduct
Aryepiglottic m. close airway
Post. cricoarytenoid m. - abduct
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A 65 y/o man comes to the clinic with a raspy/hoarse voice. He did not know how
long he has had the problem, but feels that it has worsened over the last 3 weeks.

He has not been sick. He has no reported allergies.

He was in the military for 30 years, and was a heavy smoker over that time.

What do you suspect is the source of his problem?

What can you do to help confirm your diagnosis?
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East Tennessee State University
Quillen College of
Medicine