Recovery of the endocochlear potential and the K+ concentrations in the cochlear fluids after acoustic trauma.

Intense noise stimulation (142 dB, 1/3-octave-band noise centred at 1 kHz for 1 h) causes damage mainly in the second turn of the cochlea. Several hours (3-5) after the noise exposure, the endocochlear potential (EP) was found to be very low (5.7 +/- 6.0 mV). Similarly, the K+ concentration in the endolymph (Ke+) had decreased to low values (18.9 +/- 9.5 mM). The return of EP and Ke+ to normal values took 5-20 days. In contrast to the Ke+ changes, the perilymph K+ concentration (Kp+) increased slightly after the noise exposure to 4.5 +/- 1.7 mM and returned to normal values one day after the exposure. Differences were found in the time course of the EP, Ke+ and Kp+ changes after the arrest of ventilat ion when animals with acoustic trauma were com,ared with normal healthy individuals. The anoxic EP in noise-exposed animals never decreased to values more negative than -20 mV. The results imply that the inner ear mechanisms maintaining positive EP, Ke+ and Kp+ are severely damaged after acoustic trauma and that their function is restored in 5-20 days. With respect to some parameters (decrease of the EP during anoxia, the value of anoxic negative EP, EP overshoot after reventilation) the inner ear mechanisms are, however, still abnormal.