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Changes in Inner Ear Structure and Function after Drill - Induced Acoustic Trauma

Received: 29 August 2014     Accepted: 15 September 2014     Published: 30 September 2014
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Abstract

Background: drilling on the intact ossicular chain produce acoustic trauma resulting in inner ear structure damage, these changes occurred in organ of corti with disruption of cytoarchitecture and cellular degeneration. Objective: To evaluate the changes in inner ear structure and function after drill - induced acoustic trauma in guinea pigs by Scanning Electron Microscope (SEM) and Otoacoustic emission (OAE). Methods and Material: An experimental study conducted on healthy pigmented guinea pigs in Otolaryngology-Head and neck Surgery Department at Jazan University, Kingdom of Saudi Arabia. Results: Thirty guinea pigs were divided into a control group (N) to document the baseline Distortion Product Otoacoustic Emissions (DPOAEs) and the normal scanning electron microscopic (SEM) morphology of the inner ear, Drill induced acoustic trauma group (D) to evaluate the effect of induced sensorineural hearing loss using micromotor drill (20,000rpm) maximum speed against the body of incus and 2weeks postoperative group (2W) to evaluate to the effect of spontaneous recovery after 2 weeks from induced sensorineural hearing loss which showed spontaneous although incomplete recovery of the DPOAEs amplitudes and SEM morphology with scar tissue replacing the damaged outer hair cells. Conclusion: Avoid touching ossicular chain when using high speed drill during ear surgery as this may cause structural and functional damage to the inner ear. Spontaneous recovery could be occurs after acoustic trauma but incomplete recovery with permanent scar formation in outer hair cells may occur.

Published in American Journal of Clinical and Experimental Medicine (Volume 2, Issue 5)
DOI 10.11648/j.ajcem.20140205.11
Page(s) 90-96
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Inner Ear, Sensorineural Hearing Loss, Otoacoustic Emission, Acoustic Trauma

References
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    Fahd Alharbi, Mohammed Rifaat Ahmed. (2014). Changes in Inner Ear Structure and Function after Drill - Induced Acoustic Trauma. American Journal of Clinical and Experimental Medicine, 2(5), 90-96. https://doi.org/10.11648/j.ajcem.20140205.11

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    ACS Style

    Fahd Alharbi; Mohammed Rifaat Ahmed. Changes in Inner Ear Structure and Function after Drill - Induced Acoustic Trauma. Am. J. Clin. Exp. Med. 2014, 2(5), 90-96. doi: 10.11648/j.ajcem.20140205.11

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    AMA Style

    Fahd Alharbi, Mohammed Rifaat Ahmed. Changes in Inner Ear Structure and Function after Drill - Induced Acoustic Trauma. Am J Clin Exp Med. 2014;2(5):90-96. doi: 10.11648/j.ajcem.20140205.11

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  • @article{10.11648/j.ajcem.20140205.11,
      author = {Fahd Alharbi and Mohammed Rifaat Ahmed},
      title = {Changes in Inner Ear Structure and Function after Drill - Induced Acoustic Trauma},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {2},
      number = {5},
      pages = {90-96},
      doi = {10.11648/j.ajcem.20140205.11},
      url = {https://doi.org/10.11648/j.ajcem.20140205.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20140205.11},
      abstract = {Background: drilling on the intact ossicular chain produce acoustic trauma resulting in inner ear structure damage, these changes occurred in organ of corti with disruption of cytoarchitecture and cellular degeneration. Objective: To evaluate the changes in inner ear structure and function after drill - induced acoustic trauma in guinea pigs by Scanning Electron Microscope (SEM) and Otoacoustic emission (OAE). Methods and Material: An experimental study conducted on healthy pigmented guinea pigs in Otolaryngology-Head and neck Surgery Department at Jazan University, Kingdom of Saudi Arabia. Results: Thirty guinea pigs were divided into a control group (N) to document the baseline Distortion Product Otoacoustic Emissions (DPOAEs) and the normal scanning electron microscopic (SEM) morphology of the inner ear, Drill induced acoustic trauma group (D) to evaluate the effect of induced sensorineural hearing loss using micromotor drill (20,000rpm) maximum speed against the body of incus and 2weeks postoperative group (2W) to evaluate to the effect of spontaneous recovery after 2 weeks from induced sensorineural hearing loss which showed spontaneous although incomplete recovery of the DPOAEs amplitudes and SEM morphology with scar tissue replacing the damaged outer hair cells. Conclusion: Avoid touching ossicular chain when using high speed drill during ear surgery as this may cause structural and functional damage to the inner ear. Spontaneous recovery could be occurs after acoustic trauma but incomplete recovery with permanent scar formation in outer hair cells may occur.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Changes in Inner Ear Structure and Function after Drill - Induced Acoustic Trauma
    AU  - Fahd Alharbi
    AU  - Mohammed Rifaat Ahmed
    Y1  - 2014/09/30
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ajcem.20140205.11
    DO  - 10.11648/j.ajcem.20140205.11
    T2  - American Journal of Clinical and Experimental Medicine
    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
    SP  - 90
    EP  - 96
    PB  - Science Publishing Group
    SN  - 2330-8133
    UR  - https://doi.org/10.11648/j.ajcem.20140205.11
    AB  - Background: drilling on the intact ossicular chain produce acoustic trauma resulting in inner ear structure damage, these changes occurred in organ of corti with disruption of cytoarchitecture and cellular degeneration. Objective: To evaluate the changes in inner ear structure and function after drill - induced acoustic trauma in guinea pigs by Scanning Electron Microscope (SEM) and Otoacoustic emission (OAE). Methods and Material: An experimental study conducted on healthy pigmented guinea pigs in Otolaryngology-Head and neck Surgery Department at Jazan University, Kingdom of Saudi Arabia. Results: Thirty guinea pigs were divided into a control group (N) to document the baseline Distortion Product Otoacoustic Emissions (DPOAEs) and the normal scanning electron microscopic (SEM) morphology of the inner ear, Drill induced acoustic trauma group (D) to evaluate the effect of induced sensorineural hearing loss using micromotor drill (20,000rpm) maximum speed against the body of incus and 2weeks postoperative group (2W) to evaluate to the effect of spontaneous recovery after 2 weeks from induced sensorineural hearing loss which showed spontaneous although incomplete recovery of the DPOAEs amplitudes and SEM morphology with scar tissue replacing the damaged outer hair cells. Conclusion: Avoid touching ossicular chain when using high speed drill during ear surgery as this may cause structural and functional damage to the inner ear. Spontaneous recovery could be occurs after acoustic trauma but incomplete recovery with permanent scar formation in outer hair cells may occur.
    VL  - 2
    IS  - 5
    ER  - 

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Author Information
  • Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Jazan University, 2349-Almarjan-Industrial Zone Rd., Unit No. 1, Jazan, Saudi Arabia

  • Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Jazan University, 2349-Almarjan-Industrial Zone Rd., Unit No. 1, Jazan, Saudi Arabia

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