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Mucosal Folds of Middle Ear

The document describes the middle ear folds and ligaments. There are two main malleal folds - the anterior and posterior malleal folds - that are connected to the neck of the malleus bone and border different areas of the middle ear. Between these folds are pouches of von Tröltsch. The lateral malleal fold forms Prussak's space. Several ligaments stabilize the ossicles, including the superior and anterior malleal ligaments for the malleus, and ligaments connecting the incus and stapes to surrounding structures.

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234 views3 pages

Mucosal Folds of Middle Ear

The document describes the middle ear folds and ligaments. There are two main malleal folds - the anterior and posterior malleal folds - that are connected to the neck of the malleus bone and border different areas of the middle ear. Between these folds are pouches of von Tröltsch. The lateral malleal fold forms Prussak's space. Several ligaments stabilize the ossicles, including the superior and anterior malleal ligaments for the malleus, and ligaments connecting the incus and stapes to surrounding structures.

Uploaded by

adham bani younes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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MIDDLE EAR FOLDS

Located mainly in the attic area (most of them are related to the neck of the malleus)

May limit infection

1. Anterior malleal fold & Posterior malleal fold:


Both connected to:
1. Neck of the malleus
2. superior margin of the tympanic sulcus:
a. anterior malleal fold: anteriosuperior margin
b. posterior malleal fold: posteriosuperior margin

Note: Ant & Post fold is the border between:

1. epitympanum & mesotypanum:


this is why it is attached to superior margin of the tympanic sulcus
2. paras flaccida & paras tensa:
because it is attached to the superior margin of the tympanic sulcus to which paras tensa attaches.
3. 1st arch & 2nd arch deravatives:
it is attached into the malleur neck which is the 1st arch derivative while the manebiulum is 2nd arch
derivative

pouch of von Tröltsch:

 lies between the malleal fold & segment of T.M anterio/post the handle of malleus:

a) Anterior pouch of von Tröltsch:


Lies between the anterior malleal fold & the portion of the T.M anterior to the handle of
the malleus.

b)Posterior pouch of von Tröltsch:

Lies between the posterior malleal fold and the

2. Lateral medial mallear fold:

 neck to neck in an arch form and to Shrapnell's membrane.

Prussak's space is bound;(see essential page 10)

1. Anteriorly + Superiorly+ Posteriorly: by the lateral malleolar fold

2. Inferiorly by the lateral process of the malleus

3. Medially by the neck of the malleus

4. Laterally by Shrapnell's membrane (paras flacida)


Ligaments

Malleus ligaments:

Stabilization direction Name of the ligament Site of insertion over Insertion on the bone
the malleus
Superiorly Superior malleal lig Head of the malleus Tegmen tympani
Anteriorly Anterior malleal lig Neck of the malleus near Sphenoid bone via
the ant process petrotympanic fissure
Medial Tensor tympani muscle Upper part of manibrium cochleariformis
tendon
Lateral Lateral malleal lig Neck of the malleus Tympanic notch

Incus:

1. superior incudal ligament:


body to tegmen
2. posterior incudal ligament:
short process to the floor of incudal fossa

stapes:

1. stapedial tendon:
apex of the pyramidal process to the post aspect of the stapedial neck
2. annular ligament:
footplate to the margin of vestibular fenestrum
The ant mealleal ligament course:

See the relation between the manubium of the malleus & T.M in ossicles file

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