Ocalan Ramazan, Akin Fatma Ceyda, Yilmaz Yavuz Fuat, Ozlugedik Samet, Gurgen Seren Gulsen
Department of Ear Nose Throat Clinic, Malatya State Hospital, Malatya, Turkey.
Department of Ear Nose Throat Clinic, Ankara Research and Training Hospital, Ankara, Turkey.
Med Sci Monit. 2014 May 6;20:742-6. doi: 10.12659/MSM.890158.
The effect of division of the stapedial tendon on susceptibility to noise-induced inner ear damage has not been previously studied. This study aimed to evaluate the effects of noise exposure following division of the stapedial tendon in guinea pigs.
Ten adult albino guinea pigs were used. The stapedial tendon of each right ear was cut. The stapedial tendon in each left ear was left intact and these ears served as a control group. DPOAEs and ABR tests were performed before and 10 days after noise exposure. The animals were exposed to a 110-dB noise stimulus for 6 h in a silent room a week after surgery. Cochleas of the animals were removed, and inner and outer hair cells were examined under a light microscope.
We found that noise exposure adversely affected DPOAE measurements at all frequencies except 2 KHz in experimental ears. Noise exposure also produced significantly elevated ABR thresholds in experimental ears at 2, 4, 8, and 16 KHz. On histopathological examination, we found a significantly greater prevalence of apoptotic cells in the experimental ears.
Based on these findings, we can conclude that after division of the stapedial tendon, noise exposure may cause damage to the inner ear. This is the first study in the English literature that demonstrates the potential protective effect of the stapedial tendon against acoustic damage.
镫骨肌腱切断对噪声性内耳损伤易感性的影响此前尚未得到研究。本研究旨在评估豚鼠镫骨肌腱切断后噪声暴露的影响。
使用10只成年白化豚鼠。每只右耳的镫骨肌腱被切断。每只左耳的镫骨肌腱保持完整,这些耳朵作为对照组。在噪声暴露前和暴露后10天进行畸变产物耳声发射(DPOAE)和听性脑干反应(ABR)测试。术后一周,动物在安静房间内接受110分贝的噪声刺激6小时。取出动物的耳蜗,在光学显微镜下检查内、外毛细胞。
我们发现,噪声暴露对实验耳除2千赫兹外的所有频率的DPOAE测量均产生不利影响。噪声暴露还使实验耳在2、4、8和16千赫兹处的ABR阈值显著升高。组织病理学检查发现,实验耳中凋亡细胞的发生率显著更高。
基于这些发现,我们可以得出结论,镫骨肌腱切断后,噪声暴露可能会导致内耳损伤。这是英文文献中第一项证明镫骨肌腱对声学损伤具有潜在保护作用的研究。