Department of Otolaryngology-Head & Neck Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.
Hear Res. 2010 Jun 14;265(1-2):90-5. doi: 10.1016/j.heares.2009.12.027. Epub 2010 Jan 5.
Partial labyrinthectomy can result in maintenance of hearing under certain circumstances, and the mechanism of the hearing impairment caused by labyrinthectomy is unclear. We hypothesized that disruption of the membranous labyrinth results in electrical leakage and electrolyte imbalance. This study investigated the change in cochlear function by measurement of endocochlear potential (EP) and potassium concentration ([K(+)]) caused by vestibular labyrinth destruction in the acute phase. Hartley guinea pigs underwent lateral semicircular canal (LSCC) transection with suctioning of the perilymph, ampullectomy, or destruction of the LSCC, superior SCC, and lateral part of the vestibule. The EP and [K(+)] were monitored using double-barreled ion-selective microelectrodes in the second turn of cochlea. The EP showed little to mild change after LSCC transectioning or ampullectomy, but declined variously and drastically after vestibulotomy. The EP did not recover but [K(+)] partially recovered after vestibulotomy. Disturbance of the mechanism of cochlear function caused by vestibular labyrinth destruction may involve reduction in the [K(+)] concentration in the endolymph.
部分迷路切除术在某些情况下可维持听力,迷路切除术引起听力损伤的机制尚不清楚。我们假设膜迷路的破坏会导致电泄漏和电解质失衡。本研究通过测量内淋巴液(EP)和钾离子浓度 ([K+]) 来研究急性前庭迷路破坏对耳蜗功能的影响。Hartley 豚鼠行外侧半规管(LSCC)切断术,并用吸管吸出外淋巴液、壶腹切除术或 LSCC、上半规管和前庭外侧部的破坏。使用双筒离子选择性微电极在耳蜗第二回合监测 EP 和 [K+]。LSCC 切断术或壶腹切除术后 EP 变化较小或轻度变化,但前庭切开术后 EP 变化多样且剧烈。前庭切开术后 EP 未恢复,但 [K+] 部分恢复。前庭迷路破坏引起的耳蜗功能机制障碍可能涉及内淋巴液中 [K+] 浓度的降低。