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Author: admin, 08.07.2014. Category: Ring In The Ears

To request an appointment at NYOG by email, please give us your contact information in the form below and we will get back to you shortly with available dates. For over 17 years, the NYOG has specialized in the ear, nose and throat, and ranks among the country's leading diagnostic and treatment centers for otolaryngology-related illnesses.
Movement of the ossicles causes vibrations in the fluid of the cochlea, the hearing portion of the inner ear.
The cone-shaped bone that forms the part of the skull immediately below and behind each ear is called the mastoid process. The auricle, which is also known as the pinna, and the external acoustic canal comprise the outer ear. The auricle receives the necessary blood supply via posterior auricular artery and the occipital artery. The ceruminous glands are those which are buried deeper in the ear canal, secrete wax for ear protection and seeps out wax to keep the tympanic membrane soft, pliable, and waterproof. The tympanic membrane is well innervated, receiving the auriculotemporal branch from the mandibular nerve and the auricular nerve branched from the vagus nerve.
Just as with all other aspects of human biology, there is a broad range of Eustachian tube function in children- some children get lots of ear infections, some get none. Allergies are common in children, but there is not much evidence to suggest that they are a cause of either ear infections or middle ear fluid. Ear infections are not contagious, but are often associated with upper respiratory tract infections (such as colds). Acute otitis media (middle ear infection) means that the space behind the eardrum - the middle ear - is full of infected fluid (pus).
Any time the ear is filled with fluid (infected or clean), there will be a temporary hearing loss.
The poor ventilation of the middle ear by the immature Eustachian tube can cause fluid to accumulate behind the eardrum, as described above. Ear wax (cerumen) is a normal bodily secretion, which protects the ear canal skin from infections like swimmer's ear.
Ear wax rarely causes hearing loss by itself, especially if it has not been packed in with a cotton tipped applicator.
In the past, one approach to recurrent ear infections was prophylactic (preventative) antibiotics. For children who have more than 5 or 6 ear infections in a year, many ENT doctors recommend placement of ear tubes (see below) to reduce the need for antibiotics, and prevent the temporary hearing loss and ear pain that goes along with infections. For children who have persistent middle ear fluid for more than a few months, most ENT doctors will recommend ear tubes (see below).


It is important to remember that the tube does not "fix" the underlying problem (immature Eustachian tube function and poor ear ventilation). Adenoidectomy adds a small amount of time and risk to the surgery, and like all operations, should not be done unless there is a good reason. In this case, though, the ventilation tube serves to drain the infected fluid out of the ear. The most common problem after tube placement is persistent drainage of liquid from the ear. In rare cases, the hole in the eardrum will not close as expected after the tube comes out (persistent perforation). I see my patients with tubes around 3 weeks after surgery, and then every three months until the tubes fall out and the ears are fully healed and healthy. If a child has a draining ear for more than 3-4 days, I ask that he or she be brought into the office for an examination. Once the tube is out and the hole in the eardrum has closed, the child is once again dependant on his or her own natural ear ventilation to prevent ear infections and the accumulation of fluid. About 10-15% of children will need a second set of tubes, and a smaller number will need a third set. Children who have ear tubes in place and who swim more than a foot or so under water should wear ear plugs. Deep diving (more than 3-4 feet underwater) should not be done even with ear plugs while pressure equalizing tubes are in place. NYOG physicians have consistently been recognized among the city's foremost doctors within their areas of specialization.
Our ears serve to convert those sound waves into a form that can be interpreted by the brain, which receives only electrical impulses. The shape of the pinna is ideal to collect the sound waves, direct them down the ear canal, and vibrate the tympanic membrane, or eardrum. In the middle ear, the eardrum’s vibrations move the Malleus (hammer), the Incus (anvil) and the Stapes (stirrup) bones of the middle ear, collectively known as the ossicles.
As the cochlear fluid vibrates, it moves thousands of tiny hair-like nerve cells that line the cochlear walls, which serves to convert the mechanical energy of the ossicles into the requisite electrical nerve impulses.
The external acoustic meatus is created by the combination of the fleshy tube which lays inside the bony tube. These are extensions which branch off from the external carotid artery and the superficial temporal artery. The secreted wax serves as an additional barrier to small foreign objects entering the ear canal.


It is quite thin despite its double layering, and is really a dividing element designed by epithelial cells. There are additional branches from the facial nerve and the glossopharyngeal nerve which innervate the tympanic membrane. Staffed by an exceptional team of board-certified physicians and specialists, the NYOG adheres to a comprehensive disease management approach to ensure its patients receive the best possible care of their sinus, head and neck, hearing and balance, speech and swallowing, and sleep apnea conditions. With motion of the ossicles, the sound waves that first entered the ear canal have been converted to mechanical energy, and this energy is conducted toward the inner ear. These impulses travel from the cochlea up the auditory nerve, where they are received and given meaning and relevance by the brain. Easily discernable with the naked eye, the pinna can be detected along the outside of the head, and is varied mildly in shape and size from individual to individual. The pinna is designed structurally to help encourage sound waves to enter the ear, with its mild funneling style it acts somewhat like a sound wave scoop. This excessive innervation makes the tympanic membrane remarkably sensitive to painful stimulus. As well, its facial plastics practice offers a broad array of facial reconstructive surgeries and cosmetic procedures. A basic structural frame of cartilage is then covered with a stretchy connective tissue, and finally covered with skin. The external acoustic canal measures approximately 1 inch in length and appears to hold the shape of a near S. The outer concave layer is designed out of stratified squamous epithelium while the inner convex layer is designed of low columnar epithelium. The fleshy lower section that flexes and hangs free is known as the earlobe, and is the only section of the out ear that is free of the cartilage framework. The canal is lined with sebaceous glands and fine, thin hairs that nearly circle the entrance, which helps to keep foreign objects from entering the ear canal. The auricle is held to the head with ligaments, as well as a combination of muscles which lack strength or high definition. These muscles are attached to the outer ear along the superior, anterior, and posterior segments of the ear.




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