Histopathological and audiological effects of mechanical trauma associated with the placement of an intracochlear electrode, and the benefit of corticosteroid infusion: Prospective animal study

Malkoc G., Dalgic A., Koc M., Kandogan T., Korkmaz S., Ceylan M., ...More

Journal of Laryngology and Otology, vol.128, no.8, pp.702-708, 2014 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 128 Issue: 8
  • Publication Date: 2014
  • Doi Number: 10.1017/s002221511400156x
  • Journal Name: Journal of Laryngology and Otology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.702-708
  • Keywords: Round Window, Ear, Cochlear Implantation, Corticosteroids, Rats
  • Manisa Celal Bayar University Affiliated: Yes

Abstract

Objective: This study aimed to present the histopathological and audiological effects of mechanical trauma associated with the placement of a model electrode in the scala tympani in rats, and the effects of continuous topical corticosteroid application. Method: The study comprised three groups of rats. The round window membrane was perforated in all three groups and a model electrode was inserted in the round window. Group one received no further treatments. Groups two and three also had an intrathecal microcatheter compatible with a mini-osmotic pump inserted; in group two this was used to release normal saline and in group three the pump released 400 μg/ml dexamethasone. Results: Dexamethasone infusion given after implantation of the intracochlear model electrode was more effective for preventing hearing loss than the administration of just one dose of dexamethasone. Conclusion: The findings suggest that continuous dexamethasone infusion is beneficial for preventing the loss of hair cells and neurons associated with early and late periods of intracochlear electrode trauma. Copyright © JLO (1984) Limited 2014.