Malleus

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Malleus
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Left malleus. A. From behind. B. From within.
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The right membrana tympani with the hammer and the chorda tympani, viewed from within, from behind, and from above (malleus visible at center)
Details
Pronunciation /ˈmæliəs/
Precursor First branchial arch
Part of Middle ear
System Auditory system
Identifiers
Latin malleus
MeSH D008307
TA98 A15.3.02.043
TA2 881
FMA 52753
Anatomical terms of bone

The malleus, or hammer, is a hammer-shaped small bone or ossicle of the middle ear. It connects with the incus, and is attached to the inner surface of the eardrum. The word is Latin for 'hammer' or 'mallet'. It transmits the sound vibrations from the eardrum to the incus (anvil).

Contents

Structure

The malleus is a bone situated in the middle ear. It is the first of the three ossicles, and attached to the tympanic membrane. The head of the malleus is the large protruding section, which attaches to the incus. The head connects to the neck of malleus. The bone continues as the handle (or manubrium) of malleus, which connects to the tympanic membrane. [1] Between the neck and handle of the malleus, lateral and anterior processes emerge from the bone. [2] [3] The bone is oriented so that the head is superior and the handle is inferior. [3]

Development

Embryologically, the malleus is derived from the first pharyngeal arch along with the incus . [3] It grows from Meckel's cartilage. [3]

Function

The malleus is one of three ossicles in the middle ear which transmit sound from the tympanic membrane (ear drum) to the inner ear. The malleus receives vibrations from the tympanic membrane and transmits this to the incus. [2]

Clinical significance

The malleus may be palpated by surgeons during ear surgery. [1] It may become fixed in place due to surgical complications, causing hearing loss. [1] This may be corrected with further surgery. [1]

History

Several sources attribute the discovery of the malleus to the anatomist and philosopher Alessandro Achillini. [4] [5] The first brief written description of the malleus was by Berengario da Carpi in his Commentaria super anatomia Mundini (1521). [6] Niccolo Massa's Liber introductorius anatomiae [7] described the malleus in slightly more detail and likened both it and the incus to little hammers terming them malleoli. [8]

Other animals

The malleus is unique to mammals, and evolved from a lower jaw bone in basal amniotes called the articular, which still forms part of the jaw joint in reptiles and birds. [9] [10]

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Middle ear</span> Portion of the ear internal to the eardrum, and external to the oval window of the inner ear

The middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea.

The ossicles are three bones in either middle ear that are among the smallest bones in the human body. They serve to transmit sound vibrations sent from the ear drum to the fluid-filled labyrinth (cochlea). The absence of the auditory ossicles would constitute a moderate-to-severe hearing loss. The term "ossicle" literally means "tiny bone". Though the term may refer to any small bone throughout the body, it typically refers to the malleus, incus, and stapes of the middle ear.

<i>Incus</i> Bone of the middle ear

The incus or anvil in the ear is one of three small bones (ossicles) in the middle ear. The incus receives vibrations from the malleus, to which it is connected laterally, and transmits these to the stapes medially. The incus is named for its resemblance to an anvil.

<i>Stapes</i> Bone of the middle ear

The stapes or stirrup is a bone in the middle ear of humans and other animals which is involved in the conduction of sound vibrations to the inner ear. This bone is connected to the oval window by its annular ligament, which allows the footplate to transmit sound energy through the oval window into the inner ear. The stapes is the smallest and lightest bone in the human body, and is so-called because of its resemblance to a stirrup.

<span class="mw-page-title-main">Eardrum</span> Membrane separating the external ear from the middle ear

In the anatomy of humans and various other tetrapods, the eardrum, also called the tympanic membrane or myringa, is a thin, cone-shaped membrane that separates the external ear from the middle ear. Its function is to transmit sound from the air to the ossicles inside the middle ear, and thence to the oval window in the fluid-filled cochlea. The ear thereby converts and amplifies vibration in the air to vibration in cochlear fluid. The malleus bone bridges the gap between the eardrum and the other ossicles.

<span class="mw-page-title-main">Temporal bone</span> Bone of the neurocranium

The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex.

<span class="mw-page-title-main">Quadrate bone</span> Skull bone

The quadrate bone is a skull bone in most tetrapods, including amphibians, sauropsids, and early synapsids.

<span class="mw-page-title-main">Ear</span> Organ of hearing and balance

An ear is the organ that enables hearing and body balance using the vestibular system. In mammals, the ear is usually described as having three parts: the outer ear, the middle ear and the inner ear. The outer ear consists of the pinna and the ear canal. Since the outer ear is the only visible portion of the ear in most animals, the word "ear" often refers to the external part alone. The middle ear includes the tympanic cavity and the three ossicles. The inner ear sits in the bony labyrinth, and contains structures which are key to several senses: the semicircular canals, which enable balance and eye tracking when moving; the utricle and saccule, which enable balance when stationary; and the cochlea, which enables hearing. The ear canal is cleaned via earwax, which naturally migrates to the auricle. The ears of vertebrates are placed somewhat symmetrically on either side of the head, an arrangement that aids sound localization.

<span class="mw-page-title-main">Conductive hearing loss</span> Medical condition

Conductive hearing loss (CHL) occurs when there is a problem transferring sound waves anywhere along the pathway through the outer ear, tympanic membrane (eardrum), or middle ear (ossicles). If a conductive hearing loss occurs in conjunction with a sensorineural hearing loss, it is referred to as a mixed hearing loss. Depending upon the severity and nature of the conductive loss, this type of hearing impairment can often be treated with surgical intervention or pharmaceuticals to partially or, in some cases, fully restore hearing acuity to within normal range. However, cases of permanent or chronic conductive hearing loss may require other treatment modalities such as hearing aid devices to improve detection of sound and speech perception.

<span class="mw-page-title-main">Tympanoplasty</span> Surgical operation on the ear

Tympanoplasty is the surgical operation performed to reconstruct hearing mechanism of middle ear.

<span class="mw-page-title-main">Tensor tympani muscle</span> Muscle of the middle ear

The tensor tympani is a muscle within the middle ear, located in the bony canal above the bony part of the auditory tube, and connects to the malleus bone. Its role is to dampen loud sounds, such as those produced from chewing, shouting, or thunder. Because its reaction time is not fast enough, the muscle cannot protect against hearing damage caused by sudden loud sounds, like explosions or gunshots.

<span class="mw-page-title-main">Tympanic cavity</span> Small cavity surrounding the bones of the middle ear

The tympanic cavity is a small cavity surrounding the bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound.

<span class="mw-page-title-main">Meckel's cartilage</span>

In humans, the cartilaginous bar of the mandibular arch is formed by what are known as Meckel's cartilages also known as Meckelian cartilages; above this the incus and malleus are developed. Meckel's cartilage arises from the first pharyngeal arch.

<span class="mw-page-title-main">Evolution of mammalian auditory ossicles</span> Middle ear bones evolved from jaw bones

The evolution of mammalian auditory ossicles was an evolutionary process that resulted in the formation of the bones of the mammalian middle ear. These bones, or ossicles, are a defining characteristic of all mammals. The event is well-documented and important as a demonstration of transitional forms and exaptation, the re-purposing of existing structures during evolution.

<span class="mw-page-title-main">Hearing</span> Sensory perception of sound by living organisms

Hearing, or auditory perception, is the ability to perceive sounds through an organ, such as an ear, by detecting vibrations as periodic changes in the pressure of a surrounding medium. The academic field concerned with hearing is auditory science.

<span class="mw-page-title-main">Tympanic membrane retraction</span> Medical condition

Tympanic membrane retraction describes a condition in which a part of the eardrum lies deeper within the ear than its normal position.

<span class="mw-page-title-main">Columella (auditory system)</span> Bony structures in the skull that serve the purpose of transmitting sounds

In the auditory system, the columella contributes to hearing in amphibians, reptiles and birds. The columella form thin, bony structures in the interior of the skull and serve the purpose of transmitting sounds from the eardrum. It is an evolutionary homolog of the stapes, one of the auditory ossicles in mammals.

<span class="mw-page-title-main">Incudomalleolar joint</span> Synovial joint between malleus and incus

The incudomalleolar joint or articulatio incudomallearis is a small synovial joint between the malleus (hammer) and the incus (anvil). The joint's function is to transfer vibrations between the ossicles in the middle ear, which is perceived as sound. Contrary to other synovial joints the movement is very limited. All of the ossicles move more or less as a unit, at least at low frequencies.

<span class="mw-page-title-main">Ligaments of malleus</span>

The ligaments of malleus are three ligaments that attach the malleus in the middle ear. They are the anterior, lateral and superior ligaments.

The postdentary trough is a skeletal feature seen in Mesozoic mammals. It is found on the inside of the lower jaw (dentary), at the back behind the molar teeth. It is the hollow in which the postdentary bones and Meckel's cartilage sit. These bones form the middle ear in later mammal groups ; they include the incus (quadrate), malleus (articular), ectotympanic (angular) and prearticular.

References

  1. 1 2 3 4 Lippy, William H.; Berenholz, Leonard P. (2010). "25 - Special Problems of Otosclerosis Surgery". Otologic surgery (3rd ed.). Philadelphia: Saunders. pp. 293–303. doi:10.1016/B978-1-4160-4665-3.00025-1. ISBN   978-1-4377-1966-6. OCLC   489078311.
  2. 1 2 Mitchell, Richard L. Drake, Wayne Vogl, Adam W. M. (2005). Gray's anatomy for students. Philadelphia, Pa.: Elsevier. p. 862. ISBN   978-0-8089-2306-0.{{cite book}}: CS1 maint: multiple names: authors list (link)
  3. 1 2 3 4 Cunningham, Craig (2016). "5 - The Skull". Developmental juvenile osteology. Louise Scheuer, Sue M. Black, Helen Liversidge, Angela Christie (2nd ed.). Amsterdam: Academic Press. pp. 43–148. doi:10.1016/B978-0-12-382106-5.00005-0. ISBN   978-0-12-382107-2. OCLC   956277358.
  4. Alidosi, GNP. I dottori Bolognesi di teologia, filosofia, medicina e d'arti liberali dall'anno 1000 per tutto marzo del 1623, Tebaldini, N., Bologna, 1623. http://gallica.bnf.fr/ark:/12148/bpt6k51029z/f35.image#
  5. Lind, L. R. Studies in pre-Vesalian anatomy. Biography, translations, documents, American Philosophical Society, Philadelphia, 1975. p.40
  6. Jacopo Berengario da Carpi,Commentaria super anatomia Mundini, Bologna, 1521. https://archive.org/details/ita-bnc-mag-00001056-001
  7. Niccolo Massa, Liber introductorius anatomiae, Venice, 1536. p.166. https://www.digitale-sammlungen.de/en/view/bsb10151904?page=1
  8. O'Malley, C.D. Andreas Vesalius of Brussels, 1514-1564. Berkeley: University of California Press, 1964. p. 120
  9. Ramachandran, V. S.; Blakeslee, S. (1999). Phantoms in the Brain . Quill. pp.  210. ISBN   9780688172176.
  10. Luo, Zhe-Xi (2021). "2.14 - Origins and Early Evolution of Mammalian Ears and Hearing Function". The Senses: A Comprehensive Reference. Vol. 2. Bernd Fritzsch (2nd ed.). Cambridge,Massachusetts: Academic Press. pp. 207–252. doi:10.1016/B978-0-12-805408-6.00033-6. ISBN   978-0-12-805409-3. OCLC   1196340700.