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The ear canal (external acoustic meatus, external auditory meatus, EAM) is a pathway running from the outer ear to the
middle ear The middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea (of the inner ear). The mammalian middle ear contains three ossicles (malleus, incus, and stapes), which transfer the vibrations ...
. The adult human ear canal extends from the auricle to the
eardrum 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 changes in pres ...
and is about in length and in diameter.


Structure

The human ear canal is divided into two parts. The elastic cartilage part forms the outer third of the canal; its anterior and lower wall are cartilaginous, whereas its superior and back wall are fibrous. The cartilage is the continuation of the cartilage framework of auricle. The cartilaginous portion of the ear canal contains small hairs and specialized sweat glands, called apocrine glands, which produce cerumen ( ear wax). The bony part forms the inner two thirds. The bony part is much shorter in children and is only a ring (''annulus tympanicus'') in the newborn. The layer of epithelium encompassing the bony portion of the ear canal is much thinner and therefore, more sensitive in comparison to the cartilaginous portion. Size and shape of the canal vary among individuals. The canal is approximately long and in diameter.Faddis, B. T. (2008). "Structural and functional anatomy of the outer and middle ear". In W. Clark & K. Ohlemiller (Eds.), ''Anatomy and physiology of hearing for audiologists'' (pp. 93–108). Thomson Delmar Learning. It has a sigmoid form and runs from behind and above downward and forward. On the cross-section, it is of oval shape. These are important factors to consider when fitting
earplug An earplug is a device that is inserted in the ear canal to protect the user's ears from loud noises, intrusion of water, foreign bodies, dust or excessive wind. Earplugs may be used as well to improve sleep quality or focus in noisy environments ...
s.


Disorders

Due to its relative exposure to the outside world, the ear canal is susceptible to diseases and other disorders. Some disorders include: * Atresia of the ear canal *Cerumen impaction * Bone exposure, caused by the wearing away of skin in the canal *Auditory canal osteoma (bony outgrowths of the temporal bone) * Cholesteatoma *
Contact dermatitis Contact dermatitis is a type of acute or chronic inflammation of the skin caused by exposure to chemical or physical agents. Symptoms of contact dermatitis can include itchy or dry skin, a red rash, bumps, blisters, or swelling. These rashes ...
of the ear canal * Fungal infection ( otomycosis) * Ear mites in animals * Ear myiasis, an extremely rare infestation of maggots *Foreign body in ear *
Granuloma A granuloma is an aggregation of macrophages (along with other cells) that forms in response to chronic inflammation. This occurs when the immune system attempts to isolate foreign substances that it is otherwise unable to eliminate. Such sub ...
, a
scar A scar (or scar tissue) is an area of fibrosis, fibrous tissue that replaces normal skin after an injury. Scars result from the biological process of wound repair in the skin, as well as in other Organ (anatomy), organs, and biological tissue, t ...
usually caused by
tympanostomy tube Tympanostomy tube, also known as a grommet, myringotomy tube, or pressure equalizing tube, is a small tube inserted into the eardrum via a surgical procedure called myringotomy to keep the middle ear aerated for a prolonged period of time, typic ...
s * Otitis externa (swimmer's ear), bacteria-caused inflammation of the ear canal *
Stenosis Stenosis () is the abnormal narrowing of a blood vessel or other tubular organ or structure such as foramina and canals. It is also sometimes called a stricture (as in urethral stricture). ''Stricture'' as a term is usually used when narrowing ...
, a gradual closing of the canal


Earwax

Earwax, also known as cerumen, is a yellowish, waxy substance secreted in the ear canals. It plays an important role in the human ear canal, assisting in cleaning and lubrication, and also provides some protection from
bacteria Bacteria (; : bacterium) are ubiquitous, mostly free-living organisms often consisting of one Cell (biology), biological cell. They constitute a large domain (biology), domain of Prokaryote, prokaryotic microorganisms. Typically a few micr ...
,
fungi A fungus (: fungi , , , or ; or funguses) is any member of the group of eukaryotic organisms that includes microorganisms such as yeasts and mold (fungus), molds, as well as the more familiar mushrooms. These organisms are classified as one ...
, and
insect Insects (from Latin ') are Hexapoda, hexapod invertebrates of the class (biology), class Insecta. They are the largest group within the arthropod phylum. Insects have a chitinous exoskeleton, a three-part body (Insect morphology#Head, head, ...
s. Excess or impacted cerumen can press against the eardrum and/or occlude the external auditory canal and impair hearing, causing
conductive hearing loss Conductive hearing loss (CHL) is a type of hearing impairment that occurs when sound waves are unable to efficiently travel through the outer ear, tympanic membrane (eardrum), or middle ear structures such as the ossicles. This blockage or dysfun ...
. If left untreated, cerumen impaction can also increase the risk of developing an infection within the ear canal.


Additional images

File:Gray187.png, Base of skull. Inferior surface. File:Gray189.png, Left infratemporal fossa. File:Gray907.png, External and middle ear, opened from the front. Right side. File:Gray908.png, Horizontal section through left ear; upper half of section. File:Slide1CAC.JPG, Lateral head anatomy detail. Facial nerve dissection.


See also

* List of specialized glands within the human integumentary system


References


External links


Veterans Health Administration web siteOtoscopy Tutorial w/ Images
* {{Authority control Auditory system Ear Otology Audiology