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[咽鼓管的解剖结构:CT扫描和MRI表现]

[Anatomy of the auditory tube: CT scan and MRI aspect].

作者信息

Robert Y, Gaillandre L, Chaillet N, Francke J P

机构信息

Service de Radiologie Ouest, Hôpital C. Huriez, CHRU Lille.

出版信息

Ann Radiol (Paris). 1992;35(6):444-52.

PMID:1300086
Abstract

The auditory tube is a bony and cartilaginous canal which connects the middle ear to the nasopharynx. The bony portion (protympanum), explored by computed tomography, is cone shaped, with a posterior base. The main relations are: the intrapetrous carotid, the tensor tympani muscle, the middle cerebral fossa and temporo-mandibular joint. The fibrocartilaginous portion is explored by computed tomography and mainly by magnetic resonance. The fibrocartilaginous tube is posteromedial; its upper margin is curled outward to form the roof of the cartilaginous tube. Anterioly and Laterally, the auditory tube is closed by a fibrous membrane extending along the inferior surface of the auditory tube to form its floor. The auditory tube is in contact with two main muscle: the tensor veli palatini anterolateral and the levator veli palatini posterolateral and inferior. They are bounded by fascia: the intrapharyngeal fascia is medial, the pharyngo basilar fascia (salpingopharyngeal fascia of Trölstch, is between the tensor and levator veli palatini muscles; the fascia of Weber Liel is lateral to the tensor veli palatini. The auditory tube and its muscles form the lateral wall of the rhinopharynx and prevent the extension of a pathologic process to the para pharyngeal and infratemporal spaces.

摘要

咽鼓管是一条连接中耳与鼻咽部的骨和软骨管道。计算机断层扫描所显示的骨部(鼓室前部)呈锥形,底部在后方。其主要毗邻结构有:岩部内颈动脉、鼓膜张肌、大脑中窝和颞下颌关节。纤维软骨部可通过计算机断层扫描显示,主要通过磁共振成像显示。纤维软骨性管道位于后内侧;其上缘向外卷曲形成软骨性管道的顶。在前方和外侧,咽鼓管由沿咽鼓管下表面延伸的纤维膜封闭,形成其底部。咽鼓管与两块主要肌肉相邻:前外侧的腭帆张肌和后外侧及下方的腭帆提肌。它们由筋膜界定:咽内筋膜在其内侧,咽颅底筋膜(特罗尔施的咽鼓管咽筋膜)在腭帆张肌和腭帆提肌之间;韦伯·利尔筋膜在腭帆张肌外侧。咽鼓管及其肌肉构成鼻咽的外侧壁,可防止病理过程蔓延至咽旁间隙和颞下间隙。

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