Tympanic membrane retraction become eroded. As skin cells die they form a barrier of dry protein called keratin. This layer of keratin is normally pushed out of the ear by migration of skin cells along the ear canal and is turned into wax. Clearance of keratin can be disrupted by tympanic membrane retraction so that keratin accumulates within the retraction pocket. When keratin becomes trapped deep inside the ear and cannot be cleaned out, it is known as cholesteatoma. Growth of bacteria in the trapped keratin causes smelly discharge from the ear and can spread to cause serious infection. Various strategies may be
Tympanic nerve then distributed via the auriculotemporal nerve (branch of the trigeminal nerve) to the parotid gland. This nerve may be involved by paraganglioma, in this location referred to as glomus jugulare or glomus tympanicum tumours. Tympanic nerve The tympanic nerve (nerve of Jacobson) is a branch of the glossopharyngeal nerve found near the ear. It arises from the petrous ganglion, and ascends to the tympanic cavity through a small canal, the inferior tympanic canaliculus, on the under surface of the petrous portion of the temporal bone on the ridge which separates the carotid canal from the jugular fossa. In the tympanic