振动后感音神经性听力损失:一种用于评估内耳听力损失防治的动物模型。
Sensorineural hearing loss after vibration: an animal model for evaluating prevention and treatment of inner ear hearing loss.
作者信息
Zou J, Bretlau P, Pyykkö I, Starck J, Toppila E
机构信息
Department of Otolaryngology, Karolinska Institutet, Stockholm, Sweden.
出版信息
Acta Otolaryngol. 2001 Jan;121(2):143-8. doi: 10.1080/000164801300043244.
Sensorineural hearing loss following a variety of acoustic trauma, including middle ear surgery, is well known. Current literature, which points to the deleterious influence of noise on the inner ear during surgery, has yet to assess the influence of vibration generated by the burr. The purpose of the study reported here was to establish an animal model that mimics drilling and can be used to explore methods of hearing loss prevention and treatment. A specially developed electromagnetic vibrator was calibrated and used in 59 guinea pigs to induce hearing loss. Both young and old guinea pigs were used. The bony external ear canal of guinea pigs were exposed to vibration or sound of varying duration and intensity. The vibration of the temporal bone and noise level in the middle ear were measured. Electrocochleography was recorded to evaluate the hearing loss. Among the young animals, 90% developed a significant threshold shift (TS > 20 dB), when vibrated with 250 Hz at an intensity of 6.2 m/s2 for 15 min. An average of 42 dB TS was observed. With 10 min exposure 63% showed a TS. The older animals vibrated for 5 min developed the same TS (mean TS 34 dB) as the young animals when vibrated for 10 min. The vibration-induced TS showed no recovery within 3 days of observation. In the contralateral ear 4 out of 5 animals showed TS > 20 dB. When exposed to sound levels exceeding the vibration-generated sound in the middle ear (119 dB at 250 Hz) only 2 out of II animals (18%) showed TS. The frequency of TS and level of TS were significantly greater in the vibrated animals than in sound-only exposed animals (p < 0.01). The degree of vibration-induced TS in the present animal model could be controlled by vibration intensity and duration. The older animals were more susceptible to vibration-induced inner-ear damage than younger animals. This model will be used in further studies to find methods for prevention and treatment of hearing loss during ear surgery.
包括中耳手术在内的各种声学创伤后出现的感音神经性听力损失是众所周知的。当前文献指出了手术期间噪声对内耳的有害影响,但尚未评估钻头产生的振动的影响。本文报道的这项研究的目的是建立一种模拟钻孔的动物模型,可用于探索听力损失的预防和治疗方法。一个专门开发的电磁振动器经过校准,并用于59只豚鼠以诱发听力损失。使用了幼年和成年豚鼠。豚鼠的骨性外耳道暴露于不同持续时间和强度的振动或声音中。测量颞骨的振动和中耳的噪声水平。记录耳蜗电图以评估听力损失。在幼年动物中,当以6.2 m/s²的强度在250 Hz下振动15分钟时,90%出现了显著的阈值偏移(TS>20 dB)。观察到平均TS为42 dB。暴露10分钟时,63%出现了TS。成年动物振动5分钟产生的TS(平均TS 34 dB)与幼年动物振动10分钟时相同。振动诱发的TS在观察的3天内没有恢复。在对侧耳中,5只动物中有4只出现TS>20 dB。当暴露于超过中耳振动产生的声音水平(250 Hz时为119 dB)时,11只动物中只有2只(18%)出现TS。振动动物的TS频率和TS水平显著高于仅暴露于声音的动物(p<0.01)。在本动物模型中,振动诱发的TS程度可通过振动强度和持续时间来控制。成年动物比幼年动物更容易受到振动诱发的内耳损伤。该模型将用于进一步研究,以寻找预防和治疗耳部手术期间听力损失的方法。