Okubo H, Akizuki H, Kawashima N, Morita Y, Ito Z, Ase Y, Nakata H, Kusakari J
Department of Otolaryngology, University of Tsukuba, Japan.
Acta Otolaryngol Suppl. 1995;519:97-101. doi: 10.3109/00016489509121879.
The postoperative changes of distortion-product otoacoustic emissions (DPOAEs) and cochlear potentials were examined using 15 albino guinea pigs in which endolymphatic hydrops was induced by obliterating the endolymphatic sac. DPOAEs (geometric mean: 4,6 and 8 kHz) were measured once before and every week after surgery. At the 2nd (n = 5), 4th (n = 5) and 12th (n = 5) postoperative weeks, endocochlear potential (EP) and compound action potential (CAP) were measured. Although the reduction in DPOAEs at 8 kHz was first detected at the 12th week, the amplitude of DPOAEs at 4 and 6 kHz was already reduced at the first week and decreased gradually thereafter. In contrast to these results, the CAP threshold was not elevated at the 2nd week and a slight increase was first detected at the 4th week. The results obtained in the present study suggest that DPOAEs are more sensitive than CAP in detecting the presence of hydrops.
使用15只白化豚鼠进行实验,通过闭塞内淋巴囊诱导内淋巴积水,检测畸变产物耳声发射(DPOAE)和耳蜗电位的术后变化。在手术前及术后每周测量一次DPOAE(几何平均频率:4、6和8kHz)。在术后第2周(n = 5)、第4周(n = 5)和第12周(n = 5)测量耳蜗内电位(EP)和复合动作电位(CAP)。虽然在第12周首次检测到8kHz处DPOAE降低,但在第1周时4kHz和6kHz处DPOAE的幅度就已降低,且此后逐渐下降。与这些结果相反,CAP阈值在第2周未升高,在第4周首次检测到轻微升高。本研究获得的结果表明,在检测积水的存在方面,DPOAE比CAP更敏感。