Sss - k24 (Histologi Telinga 1)

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    Histology of Ear 

    Histology Department

    Medical Faculty

    University of Sumatera Utara

    2008

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    References:

    Gartner LP Hiatt !L" #olor te$t%oo& of

    'istology" 2nd ed" P'iladelp'ia" () Saunders

    company" 200*

    +iers,en%aum -L" Histology and cell %iology

    an introduction to pat'ology" 2nd ed"

    P'iladelp'ia" Mos%y .lsevier" 200/

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    Ear 

    *" .$ternal .ar 

    2" Middle .ar 

    " 1nner .ar 

    http://en.wikipedia.org/wiki/Image:HumanEar.jpghttp://en.wikipedia.org/wiki/Image:HumanEar.jpghttp://en.wikipedia.org/wiki/Image:HumanEar.jpg

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    External Ear 

    Pinna -uricle3 1rregularly s'aped plate o4t elastic cartilage covered %y

    t'in s&in

    Meatus acusticus e$terna 5'e canal t'at e$tends f4t pinna into t'e temporal %one

    to t'e e$ternal surface o4t tympanic mem%rane Superficial portion is composed of elastic cartilage

    6'ic' is continuous 6it' t'e cartilage o4t pinna"

    5emporal %one replaces t'e cartilage as support in t'einner 24 o4t canal

    1s covered 6it' s&in containing 'air follicles se%aceousglands ceruminous glands modified s6eat glands3

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    Pinna

    Meatus Acusticus

    Externus

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    Ceruminous glands

    Modification of apocrine

    s6eat gland

    5u%ular glands7

    Produce cerumen

    ear6a$3

    Myoepit'elial cells

    surrounded t'e

    secretory portion of

    ceruminous glands

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    Middle Ear 

    5ympanic mem%rane

    5ympanic cavity

     -uditory ossicles malleus (hammer)

    incus (anvil)

    stapes (stirrup)

     -uditory .ustac'ian3 tu%e

    Muscle 5ensor tympani muscle

    Stapedius muscle

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    ympanic mem!rane

    .$ternal surface is covered %y epidermis7

    #ollagen and elastic fi%ers fi%ro%lasts

    interposed %t6 2 epit'elial layers 1nternal surface is covered %y simple

    suamous to cu%oidal epit'elium

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    ympanic cavity

    1s an air filled space located i4t petrous portion o4t temporal %one Posterior9 mastoid air cell  -nterior9 auditory eustac'ian3 tu%e Medial 6all9 oval 6indo6 and round 6indo6

    Lateral 6all9 tympanic mem%rane )ony ossicles spans t'e distance %t6 tympanic mem%rane and t'e

    mem%rane o4t oval 6indo6"

    1s lined mostly %y simple suamous epit'elium and pseudostratifiedciliated columnar ep near auditory tu%e3

    Lamina propria )ony 6all9 -d'eres to %ony 6all and 'as no glands :verlaying cartilage portions9 'as many mucous glands 6'ose ducts open

    into tympanic cavity

    Muscles

    M tensor tympani9 movement o4t tympanic mem%rane M sta edius9 movement o4t %on ossicles

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    Auditory "ssicles

    Malleus 1s attac'ed to tympanic mem%rane

    1ncus 1nterposed %t6 malleus and stapes

    Stapes 1s attac'ed to t'e oval 6indo6

     -re articulated in series %y synovial ;ointslined 6it' simple suamous ep"

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    #nner Ear 

    )ony la%irynt' Semicircular canals

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    $ony %a!yrinth Mem!ranous %a!yrinth

    Semicircular canals Semicircular ducts

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    $ony la!yrinth

    1s lined 64 endosteum and is separated f4t mem%ranousla%yrint' %y perilymp'atic space t'at is filled 64 perilymp'"

    Semicircular canals are oriented at =0o to one anot'er 

    :ne end of eac' canal is an enlarged end called ampulla Semicircular duct mem%ranous la%yrint'3

    ound 6indo6 fenestra coc'lea3 Utricle and saccule mem%ranous la%yrint'3

    #oc'le arises as a 'ollo6 %ony spiral t'at turns upon itself  Modiolus9 central %ony column

    :sseous spiral lamina

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    Mem!ranous la!yrinth

    1s composed of an epit'elium from em%ryonicectoderm derived f4t em%ryonic ectoderm 6'ic'invades t'e developing temporal %one and gives

    rise to saccule and utricle semicircular duct andcoc'lea

    #irculating t'roug't t'e entire mem%ranousla%yrint' is endolymp'

    5'in strands of connective tissue from endosteumpass t'roug' t'e perilymp' to %e inserted intomem%ranous la%yrint'" 5'e connective tissue

    strands carry %lood vessels"

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    &accule and utricle

    Ducts o4t saccule and utricle Ductus utriculosaccularis connects saccule and utricule

    .ndolymp'atic duct ? endolymp'atic sac

    Ductus reuniens ;oins t'e saccule 6it' coc'lear duct 5'e 6alls are composed of 

     - t'in outer vascular layer of connective tissue

    Simple suamous to lo6 cu%oidal epit'elium

    @on receptor epit'elium Lig't cells

    Dar& cells

    >eceptor epit'elium neuroepit'elium3 ? maculae

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    Maculae  -re located so t'at t'ey are perpendicular to eac' ot'er 

    Macula o4t saccule is located in t'e 6all ? detecting linearvertical acceleration

    Macula o4t utricle is located in t'e floor ? detecting linear

    'ori,ontal acceleration  -re t'ic&ened areas of epit'elium 2 A mm in diameter"  -re composed of

    2 types of neuroepit'elial cells 5ype 1 and 5ype 11 'air cells3

    supporting cells  -re covered %y and em%edded in a t'ic& gelatinous

    glycoprotein mass t'e otolit'ic mem%rane" 5'e surface oft'is mem%rane contains otolit' otoconia3 small calcium

    car%onate"

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    ype # hair cells

    Has a single &inocilium and stereocilias arranged in ro6s

    according to lengt' .ac' stereocilium is anc'ored in terminal 6e%

    )ending can occur only in t'e nec& region of stereocilia -re plump cells 64 a rounded %ase t'at narro6s to6ard

    t'e nec&

    #ytoplasm9 :ccasional >.>

     - supranuclear golgi comple$

    @umerous small vesicles

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    &upporting cells

     -re interposed %t6 'air cells Structure

    Have a fe6 micovilli !unctional comple$es %ind t'ese cells to eac' ot'er

    and 'air cells .$'i%it 6ellBdeveloped golgi comple$ and secretory

    granules

    Functions9 Maintain t'e 'air cells #ontri%ute to t'e production of endolymp'

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    #nnervation

    from vesti%ular portion o4t vesti%ulococ'learnerve

    )ase of type 1 'air cells are entirely surrounded

    afferent nerve fi%er  5ype 11 'air cells e$'i%it many afferent fi%ers

    synapsing on t'e %asal area of t'e cell"

    Synaptic ri%%ons 5ype 11 synapses 64 efferent nerves for increasing

    efficiency of synaptic release

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    &emicircular ducts

    #ontinuation o4t mem%ranous la%yrint' from utricle .ac' of ducts is dilated at its lateral end near t'e

    utricle3 ? ampullae

    #ristae ampularis9 speciali,ed receptor areas 1s composed of a ridge 6'ose free surface is covered sensory

    epit'elium 5ype 1 and 11 'air cells Supporting cells

    #upula9 similar to otolit'ic mem%rane %ut itCs coneBs'aped anddoes not contain otolit's

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    Cochlear duct and organ of

    corti

    #oc'lear duct is a diverticulum of t'e saccule" (edgeBs'aped receptor organ 'oused in t'e %ony coc'lea Surrounded on 2 sides %y perilymp' %ut separated from it %y 2

    mem%ranes 5'e roof is vesti%ular >eissnerCs mem%rane3 6'ereas t'e floor

    is t'e %asilar mem%rane

    5'e perilymp'Bfilled compartment lying a%ove t'evesti%ular mem%rane is scala vesti%uli 6'ereas t'e

    perilymp'Bfilled compartment lying %elo6 t'e %asilarmem%rane is scala tympani" 5'ese 2 compartmentscommunicate at t'e 'elicotrema near t'e ape$ o4tcoc'lea"

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    'esti!ular and $asilar

    mem!rane

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    &tria 'ascularis

    1s a pseudostratified epit'elium located in t'e lateral 6all o4t coc'learduct e$tends %t6 vesti%ular mem%rane and spiral prominence

    contains an intraepit'elial ple$us of capillaries 6'ic' are surrounded%y %asal processes of marginal cells ascending processof %asal and intermediate cells

    1s composed of cell types9 Marginal cells

    Dar& staining E dense cytoplasm contain mitoc'ondria and small vesicles

    a%udant microvilli on t'eir free surfaces )asal cells

    Less dense cytoplasm 1ts cytoplasmic process interdigitate 64 ot'er cells

    1ntermediate cells Less dense cytoplasm

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    Capillary

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    M# marginal cells

    1# 1ntermediate cells

    )# %asal cells

    : ,onula occludens

    - ,onula ad'erens

    D desmosome

    #-P capillary

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    &piral Prominence

    Located on t'e inferior 6all of coc'lear duct

    1s a small protu%erance t'at ;ust out from

    periosteum of coc'lea

    5'e %asal cells and vascular layer  covers t'e

    prominence"

    1nferiorly t'ese cells are reflected into spiral

    sulcus 6'ere t'ey %ecome cu%oidal and continue

    onto %asilar lamina as cells of #laudius 6'ic' lies

    overlie t'e smaller cells of )ttc'er 

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    %im!us

    Located at narro6est portion o4t coc'lear duct

    6'ere t'e vesti%ular and %asilar mem%ranes meet

    1s composed of periosteum

    Part of lim%us pro;ects over t'e internal spiral

    sulcus tunnel3

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    >eissners mem%rane >M3 spiral ligament SL3 stria vascularisS

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    "rgan of Corti

    Speciali,ed receptor organ for 'earing Lies on %asilar mem%rane 1s composed of

    neuroepit'elial 'air cells supporting cells

    Pillar cells P'alangeal cells )order cells #ells of Hensen

    5ectorial mem%rane 1nner tunnel

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    &upporting Cells 1nner and outer pillar cells

    5all cells 6it' 6ide %ases and apical ends t'at are attace'ed to%asilar mem%rane

    5'e central portions are deflected to form t'e 6alls of innertunnel7 apical portion contact eac' ot'er"

    P'alangeal cells :uter p'alangeal cells

    5all columnar cells t'at are attac'ed to %asilar mem%rane  -pical portions are cupBs'aped to support t'e %asilar portions of

    outer 'air cells along 6it' efferent and afferent nerve fi%ers

    Do not reac' t'e free surface of organ of corti Space of @uel9 a fluidBfilled gap around unsupported regions o4t

    outer 'air cells #ommunicates 64 inner tunnel

    1nner p'alangeal cells Located deep to t'e innel pillar cells #ompletely surround t'e inner 'air cells

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    &upporting Cells

    )order cells Delineate t'e inner %order o4t organ of corti

    Slender cells t'at support inner aspects o4t organ

    of corti

    #ells of Hensen Define t'e outer %order 

    Located %t6 outer p'alangeal cells and cells of#laudius

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    ith li l (H i ) ll t

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    euroepithelial (Hair) cells ot

    "rgan of Corti

    1nner 'air cells Single ro6 of cells supported %y inner p'alangeal cells -re s'ort and e$'i%it a centrally nucleus numerous

    mitoc'ondria located %elo6 terminal 6e% >.> S.>and small vesicles"

     -pical surface contains I0 A J0 stereocilia arranged inK

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    euroepithelial (Hair) cells ot

    "rgan of Corti

    :uter 'air cells -re supported %y outer p'alangeal cells

     -re arranged in ro6s of or 3

     -re elongated cylindrical cells 6'ose -pical portion9

    *00 stereocilia in K( s'ape

    Lateral portion #ortical lattice9 filaments t'at support cell

    )asal portion9 @uclei and mitoc'ondria

    afferent and efferent fi%ers synapses

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    ectorial Mem!rane

    #ontains αB and βBtectorin proteins

    .$tends out6ard over t'e sensory epit'elium from

    t'e spiral lamina

    1s in close contact 64 taller stereocilia of 'air cell

    ('en t'e %asilar me%rane and organ of corti are

    displaced stereocilia 'it t'e tectorial mem%rane

    and depolari,ation of 'air cells occurs

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    5'an& Nou