Kania Romain, Portier Frederic, Lecain Eric, Marcusohn Yael, Ar Amos, Herman Philippe, Tran Ba Huy Patrice
Laboratory of Experimental Otology, LNRS, CNRS ESA 7060, University Paris VII, Paris, France.
Acta Otolaryngol. 2004 May;124(4):408-10. doi: 10.1080/00016480310000683.
The total pressure in the middle ear depends on the air composition of this gas pocket, i.e. on gas exchanges occurring through either the Eustachian tube (ET) or mucosa. The aim of this study was to develop an experimental model to investigate the exclusive role of trans-mucosal gas exchanges in the middle ear (ME).
Both tympanic membranes of 20 Sprague-Dawley rats were punctured under general anesthesia. Rats were divided into two equal groups. Group 1 had no ET obstruction. In Group 2, the ET was blocked, after velar incision, by cauterization and application of cyanoacrylate glue into the lumen. One open transparent glass tube containing a droplet of colored water was placed horizontally and connected hermetically to each ear canal. The ME was then flushed with room air through the tube. Variations in ME gas volume were measured by reading the displacement of the liquid droplet in the horizontal tube. The kinetics of variations in gas volume between groups were displayed and statistically compared using a two-sided t-test.
The pattern of variations in ME gas volume with time was similar in the two groups. Both were characterized by a decrease with three phases and an elimination rate of approximately 0.152 +/- 0.026 microl/min. There was no significant difference in the mean rate of ME volume changes between the two groups.
This experimental model allows investigation of trans-mucosal gas exchanges. These exchanges exhibit an absorptive function resulting in a negative pressure that must be compensated, under physiological conditions, by air flow through the ET.
中耳内的总压力取决于这个气腔的气体成分,即取决于通过咽鼓管(ET)或黏膜发生的气体交换。本研究的目的是建立一个实验模型,以研究中耳(ME)经黏膜气体交换的独特作用。
在全身麻醉下,对20只Sprague-Dawley大鼠的双侧鼓膜进行穿刺。将大鼠分为两组,每组数量相等。第1组不阻塞咽鼓管。在第2组中,在软腭切开后,通过烧灼并向管腔内涂抹氰基丙烯酸酯胶来阻塞咽鼓管。将一根装有一滴有色水的开口透明玻璃管水平放置,并与每个耳道密封连接。然后通过该管向中耳内注入室内空气。通过读取水平管内液滴的位移来测量中耳气体体积的变化。使用双侧t检验展示并统计比较两组之间气体体积变化的动力学。
两组中耳气体体积随时间的变化模式相似。两者均表现为三个阶段的减少,消除速率约为0.152±0.026微升/分钟。两组之间中耳体积变化的平均速率无显著差异。
该实验模型可用于研究经黏膜气体交换。这些交换具有吸收功能,会产生负压,在生理条件下必须通过咽鼓管的气流来补偿。