Outer ear

{{Short description|Outer part of the ear}}

{{Multiple issues|

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{{Infobox anatomy

| Name = Outer ear

| Latin = auris externa

| Image = Anatomy of the Human Ear.svg

| Caption = A diagram of the anatomy of the human ear:{{Anatomy of the human ear - color legend}}

| Width =

| Image2 = Gray904.png

| Caption2 = The auricula. Lateral surface.

| Precursor =

| System =

| Artery =

| Vein =

| Nerve =

| Lymph =

}}

{{Ear series|expanded=Outer}}

The outer ear, external ear, or auris externa is the external part of the ear, which consists of the auricle (also pinna) and the ear canal.[http://www.nyu.edu/classes/bello/FMT_files/2_hearing.pdf nyu.edu/classes/bello/FMT_files/2_hearing.pdf "Hearing" by Juan P Bello] It gathers sound energy and focuses it on the eardrum (tympanic membrane).

Structure

=Auricle=

{{Main|Auricle (anatomy)}}

The visible part is called the auricle, also known as the pinna, especially in other animals. It is composed of a thin plate of yellow elastic cartilage, covered with integument, and connected to the surrounding parts by ligaments and muscles; and to the commencement of the ear canal by fibrous tissue. Many mammals can move the pinna (with the auriculares muscles) in order to focus their hearing in a certain direction in much the same way that they can turn their eyes. Most humans do not have this ability.{{Cite web|url=http://www.livescience.com/33809-wiggle-ears.html|title = Why Can Some People Wiggle Their Ears?|website = Live Science|date = 30 March 2012}}

=Ear canal=

{{Main|Ear canal}}

From the pinna, the sound waves move into the ear canal (also known as the external acoustic meatus) a simple tube running through to the middle ear. This tube leads inward from the bottom of the auricula and conducts the vibrations to the tympanic cavity and amplifies frequencies in the range 2 kHz to 5 kHz.{{Cite web |title=Acoustics Chapter One: The ear |url=https://cmtext.indiana.edu/acoustics/chapter1_ear.php#:~:text=The%20auditory%20canal%20behaves%20as,hammer,%20anvil%20and%20stirrup). |access-date=2024-10-21 |website=cmtext.indiana.edu}}

=Auricular muscles=

==Intrinsic muscles==

{{Infobox muscle

| Name = Intrinsic muscles of external ear

| Latin =

| Image = Gray906.png

| Caption = The muscles of the auricula

| Image2 =

| Caption2 =

| Origin =

| Insertion =

| Blood =

| Nerve = Facial nerve

| Action = Undeveloped in humans

| Antagonist =

}}

The intrinsic auricular muscles are:

  • The helicis major is a narrow vertical band situated upon the anterior margin of the helix. It arises below, from the spina helicis, and is inserted into the anterior border of the helix, just where it is about to curve backward.
  • The helicis minor is an oblique fasciculus, covering the crus helicis.
  • The tragicus is a short, flattened vertical band on the lateral surface of the tragus. Also known as the mini lobe.
  • The antitragicus arises from the outer part of the antitragus, and is inserted into the cauda helicis and antihelix.
  • The transverse muscle is placed on the cranial surface of the pinna. It consists of scattered fibers, partly tendinous and partly muscular, extending from the eminentia conchae to the prominence corresponding with the scapha.
  • The oblique muscle also on the cranial surface, consists of a few fibers extending from the upper and back part of the concha to the convexity immediately above it.

The intrinsic muscles contribute to the topography of the auricle, while also function as a sphincter of the external auditory meatus. It has been suggested that during prenatal development in the womb, these muscles exert forces on the cartilage which in turn affects the shaping of the ear.{{Cite journal |last1=Liugan |first1=Mikee |last2=Zhang |first2=Ming |last3=Cakmak |first3=Yusuf Ozgur |date=2018 |title=Neuroprosthetics for Auricular Muscles: Neural Networks and Clinical Aspects |journal=Frontiers in Neurology |volume=8 |page=752 |doi=10.3389/fneur.2017.00752 |pmid=29387041 |pmc=5775970 |issn=1664-2295 |doi-access=free }}

==Extrinsic muscles==

{{Infobox muscle

| Name = Auricular muscles

| Latin = musculi auriculares

| Image = Gray906.png

| Caption = The muscles of the pinna

| Image2 = Gray378.png

| Caption2 = Auricular muscles in context with the other facial muscles

| Origin = Galeal aponeurosis

| Insertion = Front of the helix, cranial surface of the pinna

| Blood = Posterior auricular artery

| Nerve = Facial nerve

| Action = Subtle auricle movements (forwards, backwards and upwards)

}}

The extrinsic auricular muscles are the three muscles surrounding the auricula or outer ear:

The superior muscle is the largest of the three, followed by the posterior and the anterior.

In some mammals these muscles can adjust the direction of the pinna. In humans these muscles possess very little action.

The auricularis anterior draws the auricula forward and upward, the auricularis superior slightly raises it, and the auricularis posterior draws it backward. The superior auricular muscle also acts as a stabilizer of the occipitofrontalis muscle and as a weak brow lifter.{{Cite journal |last1=Chon |first1=Brian H. |last2=Blandford |first2=Alex D. |last3=Hwang |first3=Catherine J. |last4=Petkovsek |first4=Daniel |last5=Zheng |first5=Andrew |last6=Zhao |first6=Carrie |last7=Cao |first7=Jessica |last8=Grissom |first8=Nick |last9=Perry |first9=Julian D. |date=February 2021 |title=Dimensions, Function and Applications of the Auricular Muscle in Facial Plastic Surgery |url=https://pubmed.ncbi.nlm.nih.gov/33258010/ |journal=Aesthetic Plastic Surgery |volume=45 |issue=1 |pages=309–314 |doi=10.1007/s00266-020-02045-x |issn=1432-5241 |pmid=33258010|s2cid=227236615 }} The presence of auriculomotor activity in the posterior auricular muscle causes the muscle to contract and cause the pinna to be pulled backwards and flatten when exposed to sudden, surprising sounds.{{Cite journal |last1=Strauss |first1=Daniel J |last2=Corona-Strauss |first2=Farah I |last3=Schroeer |first3=Andreas |last4=Flotho |first4=Philipp |last5=Hannemann |first5=Ronny |last6=Hackley |first6=Steven A |date=2020-07-03 |editor-last=Groh |editor-first=Jennifer M |editor2-last=Shinn-Cunningham |editor2-first=Barbara G |editor3-last=Verhulst |editor3-first=Sarah |editor4-last=Shera |editor4-first=Christopher |editor5-last=Corneil |editor5-first=Brian D |title=Vestigial auriculomotor activity indicates the direction of auditory attention in humans |journal=eLife |volume=9 |pages=e54536 |doi=10.7554/eLife.54536 |pmid=32618268 |issn=2050-084X|pmc=7334025 |doi-access=free }}

Function

{{Expand section|date=December 2013}}

One consequence of the configuration of the outer ear is selectively to boost the sound pressure 30- to 100-fold for frequencies around 3 kHz. This amplification makes humans most sensitive to frequencies in this range—and also explains why they are particularly prone to acoustical injury and hearing loss near this frequency. Most human speech sounds are also distributed in the bandwidth around 3 kHz.{{cite book | author = Purves, Dale, George J. Augustine, David Fitzpatrick, William C. Hall, Anthony-Samuel LaMantia, James O. McNamara, and Leonard E. White | title = Neuroscience. 4th ed. | publisher = Sinauer Associates | page = 317 |chapter=Chapter 13| year = 2008 | isbn = 978-0-87893-697-7}}

Clinical significance

Malformations of the external ear can be a consequence of hereditary disease, or exposure to environmental factors such as radiation, infection. Such defects include:

  • A preauricular fistula, which is a long narrow tube, usually near the tragus. This can be inherited as an autosomal recessive fashion and may suffer from chronic infection in later life.{{sfn|Богомильский, Чистякова|2002|pp=68–69}}
  • Cosmetic defects, such as very large ears, small ears.{{sfn|Богомильский, Чистякова|2002|pp=65–66}}{{sfn|Пальчун, Крюков|2001|p=489}}
  • Malformation that may lead to functional impairment, such as atresia of the external auditory meatus{{sfn|СЭС|1986|p=89}} or aplasia of the pinna,{{sfn|СЭС|1986|p=68}}
  • Genetic syndromes, which include:
  • Konigsmark syndrome, characterised by small ears and atresia of the external auditory canal, causing conductive hearing loss and inherited in an autosomal recessive manner.{{sfn|Богомильский, Чистякова|2002|pp=66–67}}
  • Goldenhar syndrome, a combination of developmental abnormalities affecting the ears, eyes, bones of the skull, and vertebrae, inherited in an autosomal dominant manner.{{sfn|Богомильский, Чистякова|2002|p=67}}
  • Treacher Collins syndrome, characterised by dysplasia of the auricle, atresia of the bony part of the auditory canal, hypoplasia of the auditory ossicles and tympanic cavity, and 'mixed' deafness (both sensorineural and conductive), inherited in an autosomal dominant manner.{{sfn|Богомильский, Чистякова|2002|pp=67–68}}{{sfn|Асанов и др.|2003|pp=198–199}}
  • Crouzon syndrome, characterised by bilateral atresia of the external auditory canal, inherited in an autosomal dominant manner.{{sfn|Асанов и др.|2003|p=198}}

=Surgery=

Usually, malformations are treated with surgery, although artificial prostheses are also sometimes used.{{sfn|Пальчун, Крюков|2001|p=489}}

  • Preauricular fistulas are generally not treated unless chronically inflamed.{{sfn|Пальчун, Крюков|2001|p=489}}
  • Cosmetic defects without functional impairment are generally repaired after ages 6–7.{{sfn|Богомильский, Чистякова|2002|p=65}}

If malformations are accompanied by hearing loss amenable to correction, then the early use of hearing aids may prevent complete hearing loss.{{sfn|Богомильский, Чистякова|2002|p=65}}

Evolution

The outer ear's cartilage is homologous to the cartilage in gills of amphibians, fishes, and invertebrates such as the horseshoe crab. The extracolumella cartilage of reptiles is likely also homologous.{{cite journal |last1=Thiruppathy |first1=Mathi |last2=Teubner |first2=Lauren |last3=Roberts |first3=Ryan R. |last4=Lasser |first4=Micaela |last5=Moscatello |first5=Alessandra |last6=Chen |first6=Ya-Wen |last7=Hochstim |first7=Christian |last8=Ruffins |first8=Seth |last9=Sarkar |first9=Arijita |last10=Tassey |first10=Jade |last11=Evseenko |first11=Denis |last12=Lozito |first12=Thomas P. |last13=Willsey |first13=Helen Rankin |last14=Gillis |first14=J. Andrew |last15=Crump |first15=J. Gage |title=Repurposing of a gill gene regulatory program for outer ear evolution |journal=Nature |date=9 January 2025 |doi=10.1038/s41586-024-08577-5}}

Additional images

File:Gray907.png|External and middle ear, opened from the front. Right side.

References

{{Gray's}}

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