Soudijn E R, Bleeker J D, Hoeksema P E, Molenaar I, van Rooyen J P, Ritsma R J
Ann Otol Rhinol Laryngol. 1976 Jul-Aug;85(4 Pt 2 Suppl 29):1-58. doi: 10.1177/00034894760850S401.
A method was evolved by which the organ of Corti could be examined in its entirety with the scanning electron microscope, the organ meanwhile retaining its spiral form. This made it possible to assess traumatic effects on the cochlea and qualify lesions in terms of extent, localization and pattern. It was also found possible eventually to cut the same specimen into sections for cellular and subcellular studies. The number of guinea pigs examined totalled 91, divided into three groups. The first group was used to study the anatomy of the organ of Corti with special reference to normal variations and artifacts. Unmistakable indications were found that the longest stereocilia of the inner hair cells are linked to the tectorial membrane. The animals of the second group were exposed to pure tones of high intensity, whereupon, lesions of the organ of Corti were described according to intensity, time, and frequency. Three different types of otologic drills were used to perform mastoidectomies on temporal bones and on the cadaver. The noise produced was analyzed as to intensity and frequency range. It was found that the drill with the lowest rpm (and highest torque) produced the highest noise intensities, at levels which can be traumatic to the human organ of hearing. The animals of the third group were exposed to the amplified noise produced by otologic drills of three different types. The resulting lesions in the organ of Corti were examined by the method described for scanning electron microscopy and compared. In spite of the wide variation in individual lesions, patterns of degeneration of three different types could be distinguished. The high-speed and the very-high-speed drill inflicted less damage on the organ of Corti than the low-speed drill. It is therefore advised to refrain from using the latter drill in prolonged operations.
人们研发出一种方法,借助扫描电子显微镜可对整个柯蒂氏器进行检查,同时该器官能保持其螺旋形态。这使得评估对耳蜗的创伤性影响并依据范围、定位和模式对损伤进行定性成为可能。最终还发现,可以将同一标本切成切片用于细胞和亚细胞研究。总共检查了91只豚鼠,分为三组。第一组用于研究柯蒂氏器的解剖结构,特别关注正常变异和伪像。发现了明确迹象,即内毛细胞最长的静纤毛与盖膜相连。第二组动物暴露于高强度纯音下,随后根据强度、时间和频率描述柯蒂氏器的损伤情况。使用三种不同类型的耳科钻对颞骨和尸体进行乳突切除术。对产生的噪声进行强度和频率范围分析。发现转速最低(扭矩最高)的钻头产生的噪声强度最高,达到可能对人体听觉器官造成创伤的水平。第三组动物暴露于三种不同类型耳科钻产生的放大噪声中。通过所述的扫描电子显微镜方法检查柯蒂氏器产生的损伤并进行比较。尽管个体损伤差异很大,但可区分出三种不同类型的退化模式。高速和超高速钻头对柯蒂氏器造成的损伤比低速钻头小。因此建议在长时间手术中避免使用后者。