Henry Gray (18251861). Anatomy of the Human Body. 1918.
The middle ear and auditory tube are developed from the first pharyngeal pouch. The entodermal lining of the dorsal end of this pouch is in contact with the ectoderm of the corresponding pharyngeal groove; by the extension of the mesoderm between these two layers the tympanic membrane is formed. During the sixth or seventh month the tympanic antrum appears as an upward and backward expansion of the tympanic cavity. With regard to the exact mode of development of the ossicles of the middle ear there is some difference of opinion. The view generally held is that the malleus is developed from the proximal end of the mandibular (Meckels) cartilage (Fig. 43), the incus in the proximal end of the mandibular arch, and that the stapes is formed from the proximal end of the hyoid arch. The malleus, with the exception of its anterior process is ossified from a single center which appears near the neck of the bone; the anterior process is ossified separately in membrane and joins the main part of the bone about the sixth month of fetal life. The incus is ossified from one center which appears in the upper part of its long crus and ultimately extends into its lenticular process. The stapes first appears as a ring (annulus stapedius) encircling a small vessel, the stapedial artery, which subsequently undergoes atrophy; it is ossified from a single center which appears in its base.
The external acoustic meatus is developed from the first branchial groove. The lower part of this groove extends inward as a funnel-shaped tube (primary meatus) from which the cartilaginous portion and a small part of the roof of the osseous portion of the meatus are developed. From the lower part of the funnel-shaped tube an epithelial lamina extends downward and inward along the inferior wall of the primitive tympanic cavity; by the splitting of this lamina the inner part of the meatus (secondary meatus) is produced, while the inner portion of the lamina forms the cutaneous stratum of the tympanic membrane. The auricula or pinna is developed by the gradual differentiation of tubercles which appear around the margin of the first branchial groove. The rudiment of the acoustic nerve appears about the end of the third week as a group of ganglion cells closely applied to the cephalic edge of the auditory vesicle. Whether these cells are derived from the ectoderm adjoining the auditory vesicle, or have migrated from the wall of the neural tube, is as yet uncertain. The ganglion gradually splits into two parts, the vestibular ganglion and the spiral ganglion. The peripheral branches of the vestibular ganglion pass in two divisions, the pars superior giving rami to the superior ampulla of the superior semicircular duct, to the lateral ampulla and to the utricle; and the pars inferior giving rami to the saccule and the posterior ampulla. The proximal fibers of the vestibular ganglion form the vestibular nerve; the proximal fibers of the spiral ganglion form the cochlear nerve.
1d. 1. The External Ear
The external ear consists of the expanded portion named the auricula or pinna, and the external acoustic meatus. The former projects from the side of the head and serves to collect the vibrations of the air by which sound is produced; the latter leads inward from the bottom of the auricula and conducts the vibrations to the tympanic cavity.
The Auricula or Pinna(Fig. 904) is of an ovoid form, with its larger end directed upward. Its lateral surface is irregularly concave, directed slightly forward, and presents numerous eminences and depressions to which names have been assigned. The prominent rim of the auricula is called the helix; where the helix turns downward behind, a small tubercle, the auricular tubercle of Darwin, is frequently seen; this tubercle is very evident about the sixth month of fetal life when the whole auricula has a close resemblance to that of some of the adult monkeys. Another curved prominence, parallel with and in front of the helix, is called the antihelix;