Hitier M, Besnard S, Vignaux G, Denise P, Moreau S
Department of Anatomy, Medical School, University of Basse-Normandy, Av cote de nacre, 14000, Caen, France.
Surg Radiol Anat. 2010 Nov;32(9):835-42. doi: 10.1007/s00276-010-0690-9. Epub 2010 Jul 4.
Destruction of the inner ear in rats for medical research has been performed since 1936. Nevertheless, descriptions of the technique used and clinical analysis are poor and often involve coagulation of the stapedial artery. We suggest a description of a surgical ventrolateral approach to labyrinthectomy in rats, with preservation of the stapedial artery.
Twenty-five Wistar rats were operated on via a right ventrolateral approach to the bulla, followed by labyrinthectomy with preservation of the stapedial artery. Clinical observation and tests were carried out from the time of the surgery until day one. Twenty-four hours after the surgery on the right side, the same surgery was performed on the left side, followed by clinical observation. Twenty-five other rats were used as controls, with sham surgery. Histologic analysis of the vestibular nerve with silver staining was performed in six rats 3 or 7 days after the labyrinthectomy.
The ventrolateral approach made it possible to reach the middle- and inner-ear with preservation of nervous and vascular elements such as the facial nerve and stapedial artery. Unilateral labyrinthectomy induced ocular skew deviation, head torsion and limb asymmetry. Dynamic signs were first rolling, then rotation, which increased considerably during tail suspension. Bilateral labyrinthectomy produces instability with major body oscillation. Animals show head and neck dorsiflexion with limb extension, sometimes followed by fast backward walking.
The ventrolateral approach is an efficient technique for surgical labyrinthectomy with stapedial artery preservation. Clinical analysis shows a wide range of signs to evaluate the functional destruction of the vestibular organ.
自1936年以来,为医学研究对大鼠内耳进行破坏的操作就已开展。然而,对所使用技术的描述及临床分析却很匮乏,且常常涉及镫骨动脉的凝固。我们建议描述一种大鼠迷路切除术的手术腹外侧入路,同时保留镫骨动脉。
对25只Wistar大鼠经右腹外侧入路至鼓泡进行手术,随后进行迷路切除术并保留镫骨动脉。从手术时起至第1天进行临床观察和测试。右侧手术后24小时,对左侧进行相同手术,随后进行临床观察。另外25只大鼠作为假手术对照组。在迷路切除术后3天或7天,对6只大鼠的前庭神经进行银染色组织学分析。
腹外侧入路能够在保留面神经和镫骨动脉等神经和血管结构的情况下到达中耳和内耳。单侧迷路切除术导致眼球偏斜、头部扭转和肢体不对称。动态体征先是翻滚,然后是旋转,在尾部悬吊期间显著增加。双侧迷路切除术导致不稳定,伴有身体大幅振荡。动物表现出头颈部背屈和肢体伸展,有时随后会快速向后行走。
腹外侧入路是一种保留镫骨动脉的手术迷路切除术的有效技术。临床分析显示了一系列用于评估前庭器官功能破坏的体征。