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Development of the protympanum
Miklós Tóth1, Teréz Medvegy, Gerhard Moser
1Department of Human Morphology and Developmental Biology, Faculty of Medicine, Semmelweis University, Tuzolto u. 58, 1094 Budapest, Hungary. tothm@ana.sote.hu
Abstract:
The protympanum, the only opening of the tympanic cavity, has enormous significance in the pathogenesis of middle ear inflammation. In our study, we analyzed 70 macerated temporal bones stereomicroscopically to understand the development of the protympanum. Details of this embryonic process were attained using histological sections made in frontal and horizontal planes. In contrast to recent descriptions, the present work reveals that almost the entire protympanum develops from different processes of the petrous bone. The tympanic bone takes part in forming only the posterior border of the lateral wall of the protympanum. Consequently the tympanic plate, which forms the inferior half of the mandibular fossa, is formed by two anlages. The anterosuperior quarter is formed by the petrous bone and the remainder by the tympanic bone. The main structures of the medial wall of the protympanum are the carotid canal with the internal carotid artery (ICA). The carotid canal starts to develop as two laminae of the petrous bone in the 18th fetal week. In cases of incomplete closure of these laminae the carotid canal occupies dehiscences increasing the danger of injury to the ICA. The presence of the ICA is necessary for the development of the carotid canal. If the artery takes an aberrant pathway in the tympanic cavity, or is absent, there is no sign of the carotid canal.
Insights
The protympanum primarily develops from the petrous bone, not the tympanic bone, challenging previous understandings. This finding is crucial for comprehending middle ear inflammation and anatomical development.
Area of Science:
- Anatomy
- Embryology
- Otolaryngology
Background:
- The protympanum is vital in middle ear inflammation pathogenesis.
- Previous descriptions of protympanum development require clarification.
Purpose of the Study:
- To elucidate the embryonic development of the protympanum.
- To clarify the contributions of petrous and tympanic bones to protympanum formation.
Main Methods:
- Stereomicroscopic analysis of 70 macerated temporal bones.
- Histological sectioning in frontal and horizontal planes.
Main Results:
- The protympanum predominantly develops from petrous bone processes.
- The tympanic bone contributes only to the posterior border of the protympanum's lateral wall.
- The carotid canal's development is linked to the internal carotid artery (ICA) and petrous bone laminae.
Conclusions:
- The petrous bone is the main contributor to protympanum development.
- Understanding these developmental origins is key for middle ear anatomy and pathology.
- Carotid canal formation depends on ICA presence and proper petrous bone development.
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