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Introduction to Special Senses: Anatomy, Physiology, and Disorders, Study notes of Anatomy

A comprehensive overview of the five special senses: smell, sight, hearing, equilibrium, and taste. It delves into the anatomy and physiology of each sense, exploring the structures involved, their functions, and the pathways of sensory information transmission to the brain. Additionally, it discusses common vision disorders and age-related changes in the special senses, offering valuable insights into the complexities of human sensory perception.

Typology: Study notes

2023/2024

Available from 01/11/2025

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C.A.B.M. | 2024
1
Introduction to Special Senses
Special senses include five key sensory modalities:
Smell (Olfaction) detects airborne chemicals.
Taste (Gustation) detects chemicals in food
and liquids.
Sight (Vision) perceives light and images.
Hearing (Audition) perceives sound waves.
Equilibrium (Balance) detects body position
and movement.
These senses involve large, complex sensory
organs or localized clusters of receptors that
process sensory input and send information to the
brain for interpretation.
Part I: The Eye and Vision (Sight)
Overview of Vision
70% of all sensory receptors are located in
the eyes.
Each eye contains over 1 million nerve
fibers, transmitting information to the brain.
1. Anatomy of the Eye
The eye is composed of accessory structures and internal
structures.
A. Accessory Structures
1. Eyelids:
Protect the eye from debris and light.
Meet at the medial and lateral commissures
(corners of the eye).
Contain tarsal glands, which secrete an oily
substance to prevent eyelids from sticking
and lubricate the eye.
2. Eyelashes:
o Contain two types of glands:
Tarsal glands: Produce an oily
secretion to lubricate the eye.
Ciliary glands: Located
between the eyelashes, also
aiding in lubrication.
3. Conjunctiva:
o A thin, transparent membrane that:
Lines the eyelids and covers
the sclera (white of the eye).
Secretes mucus to keep the
eye moist and lubricated.
4. Lacrimal Apparatus:
o Composed of (lacrimal gland +
ducts):
Lacrimal gland (produces
tears) located at the lateral
end of each eye.
Lacrimal canals that drain
tears into the nasolacrimal
duct, which empties into the
nasal cavity.
o Tears contain:
Dilute salt solution.
Mucus.
Antibodies.
Lysozyme: An enzyme that
destroys bacteria, protecting
the eye.
5. Extrinsic Eye Muscles:
o Six muscles that attach to the outer
surface of the eyeball.
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Introduction to Special Senses Special senses include five key sensory modalities:

  • Smell (Olfaction) – detects airborne chemicals.
  • Taste (Gustation) – detects chemicals in food and liquids.
  • Sight (Vision) – perceives light and images.
  • Hearing (Audition) – perceives sound waves.
  • Equilibrium (Balance) – detects body position and movement. These senses involve large, complex sensory organs or localized clusters of receptors that process sensory input and send information to the brain for interpretation. Part I: The Eye and Vision (Sight) Overview of Vision
    • 70% of all sensory receptors are located in the eyes.
    • Each eye contains over 1 million nerve fibers , transmitting information to the brain. 1. Anatomy of the Eye The eye is composed of accessory structures and internal structures. A. Accessory Structures
    1. Eyelids :
    • Protect the eye from debris and light.
      • Meet at the medial and lateral commissures (corners of the eye).
      • Contain tarsal glands , which secrete an oily substance to prevent eyelids from sticking and lubricate the eye.
      1. Eyelashes : o Contain two types of glands: ▪ Tarsal glands : Produce an oily secretion to lubricate the eye. ▪ Ciliary glands : Located between the eyelashes, also aiding in lubrication.
      2. Conjunctiva : o A thin, transparent membrane that: ▪ Lines the eyelids and covers the sclera (white of the eye). ▪ Secretes mucus to keep the eye moist and lubricated.
      3. Lacrimal Apparatus : o Composed of (lacrimal gland + ducts): ▪ Lacrimal gland (produces tears) located at the lateral end of each eye. ▪ Lacrimal canals that drain tears into the nasolacrimal duct , which empties into the nasal cavity. o Tears contain: ▪ Dilute salt solution. ▪ Mucus. ▪ Antibodies. ▪ Lysozyme : An enzyme that destroys bacteria, protecting the eye.
      4. Extrinsic Eye Muscles : o Six muscles that attach to the outer surface of the eyeball.
  1. Superior Rectus – moves the eye upward; IV trochlear
  2. Inferior Rectus – moves the eye downward; III oculomotor
  3. Lateral Rectus – moves the eye outward; VI abducens
  4. Medial Rectus – moves the eye inward; III oculomotor
  5. Superior Oblique – rotates the eye downward and outward; III oculomotor
  6. Inferior Oblique – rotates the eye upward and outward; III oculomotor B. Internal Structures of the Eyeball The eyeball consists of three layers (tunics) and two fluid-filled cavities.
  7. Fibrous Layer (Outer Layer): o Sclera : ▪ White connective tissue seen anteriorly as the "white of the eye." ▪ Provides structural support and protection. o Cornea : ▪ Transparent, anterior portion that allows light to pass through. ▪ Avascular (no blood vessels), making it the only human tissue that can be transplanted without rejection. ▪ Richly supplied with nerve endings, making it very sensitive.
  8. Vascular Layer (Middle Layer): o Choroid : ▪ A blood-rich layer that provides nutrients to the eye and contains a dark pigment to prevent light scattering. o Ciliary Body : ▪ Smooth muscle structure that controls the shape of the lens. ▪ Connected to the lens by suspensory ligaments. o Iris : ▪ The colored part of the eye, containing smooth muscle to regulate the size of the pupil. o Pupil : ▪ The opening in the iris through which light enters the eye. ▪ Size is controlled by the iris in response to light intensity (photopupillary reflex).
  9. Sensory Layer (Inner Layer): o Retina : ▪ Composed of two layers:
  10. Outer pigmented layer : Absorbs light and prevents scattering.
  11. Inner neural layer : Contains photoreceptor cells. ▪ Photoreceptors : ▪ Rods : ▪ Provide vision in dim light and peripheral vision. ▪ Detect black, white, and gray tones. ▪ Concentrated around the periphery of the retina. ▪ Night blindness (prolonged Vit A defiency) ▪ Cones : ▪ Allow for detailed, color vision. ▪ Densest in the fovea centralis , the area of sharpest vision.

6. Optic cortex in occipital lobe Visual fields

  • Each eye sees a slightly different view
  • Field of view overlaps for each eye Binocular visions
  • Results and provides depth perception (three-dimensional vision) Hemianopia
  • The loss of the same side of the visual field of both eyes, which results from damage to the visual cortex on one side only (as occurs in some strokes).
  • The person would not be able to see things past the middle of the visual field on either the right or left side, depending on the site of the stroke Common Vision Disorders:
  • Emmetropia : Normal vision.
  • Myopia (Nearsightedness): o Distant objects appear blurry. o Light focuses in front of the retina. o Corrected with concave lenses.
  • Hyperopia (Farsightedness): o Near objects appear blurry. o Light focuses behind the retina. o Corrected with convex lenses. o Results from an eyeball that is too short or from a “ lazy lens
  • Astigmatism : o Blurred vision due to irregular curvature of the cornea or lens. **Eye Reflexes
  1. Convergence** o Reflective movement of the eyes medially when we focus on a close object 2. Photopupillary reflex o Bright light causes pupils to constrict 3. Accommodation pupillary reflex o Viewing close objects causes pupils to constrict **Part II: The Ear – Hearing and Balance
  2. Anatomy of the Ear** Divided into three regions: A. External Ear:
  3. Auricle (Pinna) : Collects sound waves.
  4. External Acoustic Meatus : o Narrow chamber in the temporal bone o Ear canal lined with ceruminous glands that secrete earwax (cerumen).

o Ends at the tympanic membrane (eardrum). o External ear is only involved in collecting sound waves B. Middle Ear (Tympanic Cavity):

  1. Air-filled cavity containing: o Ossicles : Three small bones that transmit sound vibrations from the eardrum to the inner ear: ▪ Malleus (Hammer). ▪ Incus (Anvil). ▪ Stapes (Stirrup). o Vibrations travel from the hammeranvilstirrupoval window of inner ear
  2. Pharyngotympanic Tube : o Connects the middle ear to the throat. o Equalizes pressure in the middle ear so the eardrum can vibrate.
  • Air-filled mucosa-lined cavity within the temporal bone
  • Involved only in the sense of hearing
  • Located between tympanic membrane and oval window and round window C. Inner Ear (Bony Labyrinth):
  1. Contains structures for hearing and equilibrium
  2. Bony labyrinth ( osseous labyrinth ) consists of: o Cochlea : Houses the organ of Corti (hearing). o Vestibule : Static equilibrium. o Semicircular Canals : Dynamic equilibrium.
  3. Bony labyrinth is filled with perilymph
  4. Membranous labyrinth is suspended in perilymph and **contains endolymph
  5. Hearing Mechanism**
  6. Sound Transmission : o Sound waves → Tympanic Membrane → Ossicles → Oval Window → Cochlea. o Move by the ossicles from the eardrum to the oval window o Sound is amplified by the ossicles o Pressure waves cause vibrations in the basilar membrane in the spiral organ of Corti o Hair cells of the tectorial membrane are bent wen the basilar membrane vibrates against it o An action potential starts in the cochlear nerve (CN VIII), and the impulse travels to the temporal lobe
  7. Spiral organ of Corti : o Hair cells in the cochlea detect vibrations and send impulses to the Cochlear Nerve (Cranial Nerve VIII) ; Cochlear nerve attached to hair cells transmit nerve impulses to auditory cortex on temporal lobe o Located within the cochlear duct o Gel-like tectorial membrane is capable of bending hair cells
  8. High-pitched sounds disturb the short , stiff fibers of the basilar membrane o Receptor cells close to the oval window are stimulated
  9. Low-pitched sounds disturb the long , floppy fibers of the basilar membrane

4. Hearing and Equilibrium Deficits - Deafness- is any degree of hearing loss a. Conduction deafness results when the transmission of sound vibrations through the external and middle ears is hindered. b. Sensorineural deafness results from damage to the nervous system structures involved in hearing. c. Meniere’s syndrome caused by arteriosclerosis, degeneration of cranial nerve VIII and increased of the inner ear fluids**. Part III: Chemical Senses – Smell (Olfaction) and Taste (Gustation)

  1. Olfaction (Sense of Smell)**
  • Chemoreceptors (receptors for taste and olfaction) o Stimulated by chemicals in solution ▪Taste has five types of receptors o Smell can differentiate a wider range of chemicals o Both senses complement each other and respond to many of the same stimuli A. Olfactory Receptors
    • Olfactory receptors are located in the roof of the nasal cavity.
    • Olfactory receptor cells (neurons) have long cilia known as olfactory hairs. o These hairs detect airborne chemicals dissolved in mucus. o The chemicals must be in a solution to stimulate the receptors. B. Olfactory Pathway
    1. Chemicals bind to olfactory receptors.
    2. Impulses are transmitted via the olfactory filaments to the olfactory nerve (Cranial Nerve I).
    3. The signal travels to the olfactory bulb and then to the olfactory cortex in the brain for interpretation.
    4. The brain interprets the input, allowing us to recognize different odors. C. Characteristics of Smell - Humans can distinguish a wide variety of smells. - Smell closely interacts with the sense of taste. - Smell has a significant connection to emotions and memories due to its close association with the limbic system. 2. Gustation (Sense of Taste) A. Taste Buds - Taste buds are the sensory organs for taste and are primarily located on the tongue. It houses the receptor organs. - Additional locations include the: o Soft palate. o Superior part of the pharynx. o Inner surface of cheeks. B. Papillae of the Tongue The tongue is covered with projections called papillae , which house taste buds: 1. Fungiform Papillae : o Scattered across the surface of the tongue. o Contain most of the taste buds. 2. Vallate (Circumvallate) Papillae : o Large papillae arranged in a "V" shape at the back of the tongue. 3. Filiform Papillae : o Do not contain taste buds. o Provide friction to help manipulate food.

C. Structure of Taste Buds

  • Each taste bud consists of:
    1. Gustatory Cells : ▪ The sensory (taste)receptors responsible for taste. ▪ Possess long microvilli ( gustatory hairs ) that protrude through a taste pore. ▪ These hairs are stimulated by chemicals dissolved in saliva.
    2. Basal Cells : ▪ Replace damaged gustatory cells, allowing for the constant renewal of taste buds. D. Taste Pathway
  1. Chemicals in food dissolve in saliva and stimulate gustatory hairs.
  2. Impulses are carried from taste buds to the brain by: o Facial Nerve (Cranial Nerve VII) for the anterior two-thirds of the tongue. o Glossopharyngeal Nerve (Cranial Nerve IX) for the posterior one-third of the tongue. o Vagus Nerve (Cranial Nerve X) for taste buds in the pharynx.
  3. The signals are transmitted to the gustatory cortex (complex) in the brain, where taste is perceived. E. Five Basic Taste Sensations
  4. Sweet : o Responds to sugars and certain amino acids.
  5. Sour : o Responds to hydrogen ions (H⁺) or acids.
  6. Bitter : o Responds to alkaloids such as quinine and caffeine. o Often a protective mechanism to detect toxins.
  7. Salty : o Responds to metal ions like sodium (Na⁺).
  8. Umami (Savory): o Responds to glutamate and aspartate, giving the "meaty" or savory flavor. 3. Interaction of Smell and Taste
  • Smell and taste complement each other and often work together to provide a full perception of flavor.
  • For example, food may taste bland when the sense of smell is impaired due to a cold or nasal congestion. Developmental Aspects of Special Senses
  • Special sense organs are formed early in embryonic development
  • Maternal infections during the first 5 or 6 weeks of pregnancy may cause visual abnormalities as well as sensorineural deafness in the developing child
  1. Vision : o Infants are born with poor visual acuity ( farsighted ) and limited color vision. o Requires the most learning o The visual system matures by age 8- 9 years.
  2. Hearing : o Newborns can hear but have reflexive responses to sound.