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External Ear

Auris externa

For medical students2 min readUpdated 2026-10-10

The external ear is the peripheral part of the vestibulocochlear organ, whose main function is to capture sound waves from the environment. These collected sound waves are directed through this region to the tympanic membrane for further transmission into the middle ear.

Main functionCapture and conduction of sound waves to the tympanic membrane
Acoustic meatusHas an S-shaped course and a length of about 3.5 cm
Cartilaginous frameworkThe auricle is formed by elastic cartilage
SecretionContains ceruminous glands (modified sweat glands)

Vestibulocochlear Organ Overview

The external ear is just one component of a more complex system—the vestibulocochlear organ (organum vestibulocochleare). This organ is unique in that it combines two major sensory systems:

Anatomically, the entire vestibulocochlear complex is traditionally divided into three major parts: the external, middle, and internal ear. The external ear serves as the initial link in this chain.

Auricle (*Auricula*)

The foundation of the auricle is a plate of elastic cartilage tightly covered by skin on the outside. This structure gives the auricle flexibility and the ability to maintain its shape.

Several key anatomical features are distinguished on the complex relief surface of the auricle:

The skin of the auricle is not uniform. It contains sebaceous and sweat glands, as well as hairs. Hair growth is especially prominent in the region where the auricle transitions into the external acoustic meatus.

External Acoustic Meatus (*Meatus acusticus externus*)

This canal functions as a connecting link between the auricle and the tympanic membrane. Its total length is approximately 3.5 cm. An important anatomical feature of the meatus is its S-shaped course, which is clinically significant during medical examinations.

The walls of the external acoustic meatus vary in structure and are divided into two parts:

  1. External part — cartilaginous (pars cartilaginea), which is a continuation of the auricular cartilage.
  2. Internal part — bony (pars ossea), located more deeply.

The meatus is lined internally with skin. This skin lining contains hair follicles and specific ceruminous glands (glandulae ceruminosae), which are modified sweat glands. The blind end of the external acoustic meatus is securely closed by the tympanic membrane.

Tympanic Membrane (*Membrana tympani*)

The tympanic membrane acts as the anatomical boundary strictly separating the external and middle ear. It does not lie vertically, but obliquely: its plane is tilted anteriorly and inferiorly.

Histological structure of the membrane includes three layers (from outside to inside):

Anatomically, the membrane is divided into two unequal parts. The main and larger portion is the pars tensa. In the superior region lies the smaller pars flaccida.

On the inner side (facing the middle ear), the handle of the malleus—one of the auditory ossicles—is firmly attached to the tympanic membrane.

Mnemonic

To remember the three layers of the tympanic membrane from superficial to deep (cutaneous, fibrous, mucosal), use the mnemonic "CFM" — Cutaneous, Fibrous, Mucosal.

Frequently asked questions

What is the innervation of the skin of the auricle?

The skin of the auricle is innervated by branches of the cervical plexus and the vagus nerve.

  • Greater auricular nerve (n. auricularis magnus, C₂–C₃) — innervates the skin of the auricle, as well as the areas behind and below it.
  • Auricular branch (from the vagus nerve) — innervates the skin of the posterior surface of the auricle.
What are the shape and dimensions of the external acoustic meatus?

The external acoustic meatus has an S-shaped course and on transverse section appears as a vertically oriented oval.

Its length ranges from 25 mm to 3.5 cm. The meatus consists of two parts:

  • Cartilaginous part (pars cartilaginea) — forms the lateral third.
  • Bony part (pars ossea) — forms the medial two thirds.
Which arteries supply blood to the external ear?

Blood supply to the external ear is provided by branches of the external carotid artery.

  • Anterior auricular branches (rr. auriculares anteriores) — arise from the superficial temporal artery and supply the auricle.
  • Posterior auricular artery (a. auricularis posterior) — ascends along the posterior margin of the auricle, supplying it and the mastoid region.
What type of cartilage forms the foundation of the auricle?

The foundation of the auricle is formed by elastic cartilage covered with skin.

What parts are distinguished in the structure of the external acoustic meatus?

The walls of the acoustic meatus are divided into an outer cartilaginous part (pars cartilaginea) and an inner bony part (pars ossea).

What are ceruminous glands and where are they located?

Ceruminous glands (glandulae ceruminosae) are modified sweat glands located in the skin lining the external acoustic meatus.

Which layers form the tympanic membrane?

The tympanic membrane consists of an outer cutaneous layer, a middle fibrous layer, and an inner mucosal layer.

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