← All decks

ENT

Embryology and Developmental Anatomy of the Ear

Built from Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition

What’s inside

9 sections · 78 slides

  1. 01

    Overview

    • Scope of temporal bone embryology

    1 slide

  2. 02

    External ear

    • Origin and timing of auricular development
    • Adult derivatives of the six hillocks
    • Six hillocks of His and the adult auricle
    • Postnatal growth of the auricle
    • Anomalies from failed hillock fusion
    • Development of the external auditory canal

    6 slides

  3. 03

    Tympanic membrane and tympanic cavity

    • Trilaminar origin of the tympanic membrane
    • The tympanic ring and the notch of Rivinus
    • Congenital cholesteatoma and drum orientation
    • The tubotympanic recess and tympanic cavity
    • Mastoid pneumatisation and the neonatal mastoid tip

    5 slides

  4. 04

    Ossicular chain

    • Function and timing of ossicular development
    • Cartilaginous precursors of the ossicles
    • Stapes ring formation and the stapedial artery
    • The dual-arch theory of ossicular origin
    • Embryologic origin of the ossicular chain
    • Arch origin of the middle ear muscles
    • Otoscopic corollary of the dual-arch theory
    • Congenital anomalies of the middle ear
    • Spectrum of ossicular chain abnormalities
    • Exploratory tympanotomy and ossiculoplasty
    • Congenital stapes footplate fixation
    • Imaging and surgical timing in footplate fixation

    12 slides

  5. 05

    Inner ear

    • Otic placode and formation of the otocyst
    • Dorsal and ventral derivatives of the otocyst
    • Otocyst formation and its derivatives
    • Sequence of semicircular canal formation
    • Elongation of the cochlear duct
    • Differentiation of the organ of Corti
    • Formation of the otic capsule and perilymphatic spaces
    • Oval window, round window and Hyrtl's fissure
    • Development of the vestibulocochlear nerve
    • Membranous labyrinthine dysplasias
    • Timing of combined osseous and membranous malformations
    • Michel aplasia, rudimentary otocyst and common cavity
    • Incomplete partition types and cochlear hypoplasia
    • Semicircular canal malformations and CHARGE syndrome

    14 slides

  6. 06

    Facial nerve

    • Derivation and territory of the facial nerve
    • Timeline of facial nerve development
    • Segments of the fallopian canal
    • Formation of the genua and canal ossification
    • Facial nerve variants in congenital ear anomalies
    • Dehiscence of the tympanic segment

    6 slides

  7. 07

    Sensory nerves of the ear

    • Sensory supply of the external and middle ear
    • Jacobson's nerve and the tympanic plexus
    • Arnold's nerve and the nervus intermedius
    • Hitselberger's sign
    • Auriculotemporal and great auricular nerves

    5 slides

  8. 08

    Arterial supply of the ear

    • Fate of the six aortic arches
    • Fifth and sixth arches and the mandibular artery
    • Embryologic development of the internal carotid artery
    • Branches and annexation of the stapedial artery
    • Adult configuration and persistent stapedial artery
    • Clinical presentation of persistent stapedial artery
    • Arterial supply of the adult middle ear
    • Arterial supply to the middle ear
    • Aberrant internal carotid artery
    • Presentation and imaging of an aberrant carotid
    • Aberrant carotid artery on temporal bone CT

    11 slides

  9. 09

    Summary

    • Key developmental landmarks
    • Surgical implications of temporal bone embryology
    • Conclusions
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition
    • Join our WhatsApp groups

    10 slides