title: Sensorineural hearing loss after vibration: an animal model for evaluating prevention and treatment of inner ear hearing loss.
abstract: Sensorineural hearing loss following a variety of acoustic trauma, including middle ear surgery, is well known. Current literature, which points to the deleterious influence of noise on the inner ear during surgery, has yet to assess the influence of vibration generated by the burr. The purpose of the study reported here was to establish an animal model that mimics drilling and can be used to explore methods of hearing loss prevention and treatment. A specially developed electromagnetic vibrator was calibrated and used in 59 guinea pigs to induce hearing loss. Both young and old guinea pigs were used. The bony external ear canal of guinea pigs were exposed to vibration or sound of varying duration and intensity. The vibration of the temporal bone and noise level in the middle ear were measured. Electrocochleography was recorded to evaluate the hearing loss. Among the young animals, 90% developed a significant threshold shift (TS > 20 dB), when vibrated with 250 Hz at an intensity of 6.2 m/s2 for 15 min. An average of 42 dB TS was observed. With 10 min exposure 63% showed a TS. The older animals vibrated for 5 min developed the same TS (mean TS 34 dB) as the young animals when vibrated for 10 min. The vibration-induced TS showed no recovery within 3 days of observation. In the contralateral ear 4 out of 5 animals showed TS > 20 dB. When exposed to sound levels exceeding the vibration-generated sound in the middle ear (119 dB at 250 Hz) only 2 out of II animals (18%) showed TS. The frequency of TS and level of TS were significantly greater in the vibrated animals than in sound-only exposed animals (p < 0.01). The degree of vibration-induced TS in the present animal model could be controlled by vibration intensity and duration. The older animals were more susceptible to vibration-induced inner-ear damage than younger animals. This model will be used in further studies to find methods for prevention and treatment of hearing loss during ear surgery.
authors.affiliation: Department of Otolaryngology, Karolinska Institutet, Stockholm, Sweden.
authors.forename: J
authors.initials: J
authors.lastname: Zou
authors.forename: P
authors.initials: P
authors.lastname: Bretlau
authors.forename: I
authors.initials: I
authors.lastname: Pyykkö
authors.forename: J
authors.initials: J
authors.lastname: Starck
authors.forename: E
authors.initials: E
authors.lastname: Toppila
mesh_terms: D000818:Animals; D001300:Audiometry, Evoked Response; D001305:Auditory Fatigue / Q000502:physiology; D001309:Auditory Threshold / Q000502:physiology; D004195:Disease Models, Animal; D005260:Female; D006168:Guinea Pigs; D006198:Hair Cells, Auditory / Q000503:physiopathology; D006317:Hearing Loss, Noise-Induced / Q000503:physiopathology / Q000517:prevention & control*; D006319:Hearing Loss, Sensorineural / Q000503:physiopathology / Q000517:prevention & control*; D007431:Intraoperative Complications / Q000503:physiopathology / Q000517:prevention & control; D008297:Male; D012307:Risk Factors; D013525:Surgical Instruments; D014732:Vibration / Q000009:adverse effects*