Kuylenstierna R, Lundquist P G
Acta Otolaryngol. 1982 Sep-Oct;94(3-4):317-28. doi: 10.3109/00016488209128919.
The present investigation indicates that with cryosurgery it is possible to produce well defined cochlear lesions. The point of complete ablation can be chosen at will. A great advantage also is the fact that the bony capsule of the labyrinth is left intact. The remarkably slight scarring caused as well as the morphologically intact walls of the cochlear duct indicate an effective healing process, already completed after 6 days. These findings explain the unsuccessful clinical experiences when trying to ablate the labyrinth completely or to induce labyrinthine fistula with the help of cryosurgery (House, 1966). We suggest that for studies on cochlear function after exogenic trauma, cryosurgery gives easy reproductive morphological changes that may help the understanding and correlation of hair cell loss with cochlear physiology.
目前的研究表明,通过冷冻手术可以产生界限分明的耳蜗损伤。完全消融的部位可以随意选择。另一个很大的优点是,迷路的骨膜保持完整。所造成的瘢痕非常轻微,以及耳蜗管形态上完整的壁,表明愈合过程有效,在6天后已经完成。这些发现解释了在试图通过冷冻手术完全消融迷路或诱发迷路瘘时临床经验的失败(豪斯,1966年)。我们建议,对于外源性创伤后耳蜗功能的研究,冷冻手术能产生易于重现的形态学变化,这可能有助于理解毛细胞丢失与耳蜗生理学之间的关系并进行关联。