Holes in the reticular lamina after noise exposure: implication for continuing damage in the organ of Corti.

Three different histological techniques (scanning electron microscopy, phase contrast microscopy and light microscopy) were used to examine the organ of Corti after a damaging noise exposure. In the region of maximal injury, all outer hair cells were missing 1-2 h after the exposure had ended. Degenerated hair cells are eventually replaced by phalangeal scars. However, in these short-term recovery ears, a series of holes which were the exact size and shape of the missing outer hair cell apices were found in the reticular lamina. These holes may provide a communication route between the endolymphatic space and the fluid spaces of the organ of Corti for a period of time following a damaging noise exposure. The noise-related degeneration of supporting cells, nerve fibers and even some sensory cells may be secondary to contamination of the fluid spaces with potassium-rich endolymph.