The ear is the organ of hearing and balance. It has three parts: the external ear collects sound, the middle ear amplifies it through the ossicles, and the inner ear turns it into nerve signals. The inner ear also contains the vestibular system, which senses head movement and gravity.
| Location | Side of the head, with the middle and inner ear inside the temporal bone |
|---|---|
| Parts |
|
| Nerve Supply | Vestibulocochlear nerve (CN VIII); Facial nerve (CN VII); Glossopharyngeal nerve (CN IX, tympanic branch); Auriculotemporal and great auricular nerves; Auricular branch of the vagus |
| Blood Supply | Posterior auricular artery; Superficial temporal artery; Deep auricular and anterior tympanic arteries; Labyrinthine artery |
Detects sound and converts it into nerve impulses for hearing, and senses head position and motion to maintain balance.
Hearing loss is classed as conductive (outer or middle ear) or sensorineural (inner ear or nerve), and Rinne and Weber tuning fork tests help separate the two. Dizziness can arise from the vestibular parts of the inner ear or from the brain. Sudden one-sided sensorineural hearing loss is an emergency that benefits from early steroid treatment.
Reduced hearing from blocked sound transmission in the outer or middle ear, for example wax, otitis media, perforation or otosclerosis.
Hearing loss from damage to the cochlea or auditory nerve, commonly from ageing or noise. It is usually permanent.
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