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Extra info for An introduction to craniosacral terapy
Figure 2–9. Progressive pneumatization of the middle ear cleft. A indicates saccus anticus; M, saccus medius; S, saccus superior; P, saccus posticus. 13 Where these pouches expand and contact each other, mu cosal folds are formed containing mesodermal remnants including blood vessels. Anatomically, these folds invest the ossicles much as the peritoneum and mesentery invest the abdominal viscera. The saccus anticus is the smallest, extending upward anterior to the tensor tympani tendon to form the anterior pouch of von Troeltsch.
Bozzini P. Lichtleiter, eine Erfindung zur Anschauung innerer Teile und Krankheiten, nebst der Abbildung (Light conductor, an invention for examining internal parts and diseases, together with illustrations). Journal der praktischen Arzneikunde und Wundarzneikunst (J Practical Med Surg). 1806;24:107–124. Reuter MA. History of Endoscopy. Vol I. Stuttgart, Germany: Max Nitze Museum; 1999:16–34. Reuter MA. History of Endoscopy. Vol II. Stuttgart, Germany: Max Nitze Museum; 1999:149–155. Hopkins HH, Kapany NS.
When considering the potential for mechanical damage to middle ear structures with the endoscope tip, larger diameter endoscopes are safer than smaller ones. Small endoscopes penetrate deeper into the tympanic cavity, provide a narrower field of view, promote disorientation, and are therefore more likely to cause mechanical injury. Larger endoscopes with tips that do not penetrate much beyond the tympanic ring are safer in this regard. 4 These researchers found that temperature changes occurred rapidly and reached the highest levels at the tip of the endoscope, as high as Figure 3–11.