The pinna is the outer part of the ear, located on the sides of the head around the opening of the external auditory canal. It has a distinctive shape, characterised by various regions, and is made of cartilage covered by skin tissue. The auricle plays a very important role as it receives and decodes sounds, enabling us to hear.
The pinna is characterised by its cartilaginous component and a series of prominences, which are:
The muscles of the auricle correspond to the muscles of the external ear and are as follows:
The ligaments of the auricle are of two types:
The auricle or pinna has an auditory function as it is involved in the perception of sound. The auricle is capable of locating, capturing, and directing acoustic signals towards the external auditory canal, which then transmits them to the middle ear. Additionally, the auricle can amplify sound waves with frequencies around 3,000 Hz.
The auricle or pinna is supplied by several sensory nerves, with the main ones being the trigeminal nerve and the cervical plexus. The trigeminal nerve provides innervation to the tragus and the ascending part of the helix through the auriculotemporal nerve (mandibular branch), which innervates the lateral aspect of the auricle.
The cervical plexus, via the great auricular nerve, innervates the lower two-thirds of both surfaces of the auricle. Additionally, there is the auricular branch of the vagus nerve, also known as the auricular nerve, which innervates the external auditory canal and the concha. The skin of the concha receives sensory fibres from both the vagus and the glossopharyngeal nerves, with the majority coming from the auricular branch of the vagus nerve.
The auricle can be subject to both congenital and acquired abnormalities. Congenital abnormalities, such as microtia and atresia, may occur during pregnancy and lead to hearing impairments. Acquired abnormalities, on the other hand, can result from conditions such as auricular perichondritis, burns, or traumatic injuries. Auricular perichondritis is an inflammation of the tissue covering the cartilage of the auricle and can stem from otitis, trauma, dermatitis, perforations, and burns.
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