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Changes of Auditory Brainstem Response and Expression of Glutamate Decarboxylase -67 in the Auditory Cortex in Rats Following Noise Exposure

Fangli LIU ; Bin LUO ; Jingwu SUN ; Hao CHEN

Journal of Audiology and Speech Pathology.2014;(3):268-271,272. doi:10.3969/j.issn.1006-7299.2014.03.010

Objective To study changes of auditory brainstem response and expression of glutamate decar-boxylase-67(GAD67) in the auditory cortex in rats following noise exposure .Methods Rats were exposed to a-bove 4 kHz ,100 dB SPL white noise for 2 hours ,then auditory brainstem responses were measurey immediately , and at the 7th and 14th day post-exposure ,and marked GAD67-positive neurons in auditory cortex with immuno-histochemical techniques ,compared with the expression of GAD67 of exposed group to the control .Results ①The auditory threshold for clicks in all rats exposed to noise showed an initial threshold shift ,returned to near control levels at the day 14 .②GAD67-positive neurons 2~4 hours post-exposure increased by 105% than those of in the control group (P<0 .01) ,Then ,at the 7th and 14th day in exposed group were significantly lower than those of in the control group (P<0 .05) .Conclusion These studies describe a temporary threshold shift and increase markers for GAD67 immediately following acoustic exposure ,followed by a decline to below control levels .It may be closely related to noise deafness and other series of auditory dysfunction .

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Acute Deafness Induced by Co -administration of Kanamycin Sulfate and Furosemide in a Rat Animal Model

Hui YAN ; Wei XING ; Yongli SONG ; Renfeng WANG ; Jun CHEN ; Jianhua QIU

Journal of Audiology and Speech Pathology.2014;(3):277-280,281. doi:10.3969/j.issn.1006-7299.2014.03.012

Objective To evaluate the effect of co -administration of the loop diuretic furosemide (Fur) and kanamycin (KM ) in the rats in order to establish a reliable animal model of sensorineural hearing loss .Methods Thirty -two Sprague-dawley (SD) rats were randomly divided into 4 groups with 8 rats in each group .Rats in group A ,B and C received a single intraperitoneal injection of kanamycin sulfate (KM ,500 mg/kg) ,followed by an-other intraperitoneal injection of furosemide (Fur ,0 .2 ml/kg ) 30 minutes later .While ,rats in control group D re-ceived same doses of normal saline .Auditory brain responses (ABRs) were recorded at 1 ,7 and 14 day after the in-jections ,which were group A ,group B and group C ,respectively .Hair cell loss ,the spiral ganglions and microstruc-ture were observed by immunofluorescence and scanning electron microscopy .Results The ABR thresholds in group A ,B and C were significantly higher than that of in control group D (P<0 .05) .There were no differences of ABR thresholds among group A ,B and C(P>0 .05) .Immunofluorescence and scanning electron microscopy showed obvi-ous hair cell loss in the basal turn in each kanamycin groups ,with cilia disarrangement and fusion ,compared to the same areas in animals from the control group .The expression of cleaved caspase -3 significantly increased in each experimental group than that of in the control group(P<0 .05) .Conclusion Co -administration of furosemide and kanamycin intraperitoneally induces profound hearing loss in rats and is an effective method of establishing acute hearing loss model in animal experiments .

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Assessment of Open-Set Auditory Speech Perception Abilities of Children with Cochlear Implants

Ning ZHANG ; Sha LIU ; Juanjuan XU ; Xiaocui WANG ; Chang LIU

Journal of Audiology and Speech Pathology.1997;0(04):-.

Objective To evaluate the open-set auditory speech perception abilities, to characterize the auditory speech development of children with cochlear implants.Methods 27 congenitally deafened children with cochlear implants were evaluated with Mandarin monosyllable and disyllable lexical neighborhood test(M-LNT-Monosyllable & M-LNT-Disyllable) and Mandarin hearing in noise test for children(MHINT-C) according to the order from M-MLNT easy test,M-MLNT hard test, M-LNT easy test ,M-LNT hard test, MHINT-C quiet condition, MHINT-C noise front condition, MHINT-C noise non-implant side condition to MHINT-C noise implant side condition in sound field.Results 27 CI children have completed M-LNT/M-MLNT, 9 of them could be tested in quiet condition with MHINT, and 7 could be tested in noise with MHINT. There were significant differences between scores of easy and hard words lists of M-LNT and M-MLNT(P

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The Study of EABR and ECAP in Cochlear Implantation

Xiaohua GE ; Line WANG ; Daoxing ZHANG

Journal of Audiology and Speech Pathology.1997;0(04):-.

Objective To explore the threshold and latency of patients receiving cochlear implantation using electrically evoked auditory brainstem responses (EABR), and to evaluate the significance of EABR applied to those patients.Methods The EABR and ECAP were recorded in 14 subjects who were operated for Nucleus24 cochlear implant.They were assigned to Group A and Group B according to the results of ECAP. The threshholds of EABR, the wave latency of III and V and inter-wave latency of III-V of EABR were compared and analyzed between Group A and Group B.Results The threshholds of EABR were higher in Group B than in Group A on electrode No 22 when the pulse width was 25,50,75,100,125 ?s,respectively. There were significant differences between Group A and Group B(P0.05).Conclusion The threshholds of EABR were lower in patients whose ECAP findings were positive. The latencies of III and V,and inter-wave latency of III–V of EABR had no significant difference according to the positive findings of ECAP.

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Cisplatin-Induced Damage of C57 Mice Hair Cells in Cochlear Organizational Cultures

Shan ZENG ; Dongzhen YU ; Zhengnong CHEN ; Bin CHEN

Journal of Audiology and Speech Pathology.1997;0(04):-.

Objective To investigate the characteristic of the cisplatin-induced damage of hair cells in cochlear organotypic cultures. Methods Three to four-day-old (P3～4) C57 mice were used for this study. The cochlear basilar membrane was cultured for 6~8 hours and then treated with different doses of cisplatin(0?mol/L, 10?mol/L, 50?mol/L, 100?mol/L, 400?mol/L, 1000?mol/L,7 cochlears for 0-100?mol/L group, 6 cochlears for the rest dosage, control group used the dose of 0?mol/L)for 48 hours.TRITC-phalloidin and DAPI were used for stain. The entire cochlear hair cells were observed and counted under Nicon fluorescent microscope. Data was analyzed by LS for hair cells loss graph and SAS 8.0 for linear regression analysis. Results Hair cells loss had rarely been seen in the control group of cochlear tissue under the culture condition. How ever, in cisplatin treated groups, the hair cells loss increased from 14.5% to 78.4% with the concentration of cisplatin increased in the range of 10?mol/L-100?mol/L, while decreased from 48.8% down to 8.77% with the dose getting further higher to 400?mol/L and 1000?mol/L. Apoptosis was confirmed by the DAPI stain in the hair cells loss area. The hair cell loss shows no difference from the apex to the basal turn of the basilar membrane. Conclusion Cisplatin-induced hair cell death shows characteristic damage that it is dose-dependent in a certain range of dosage, and it decreases when the cisplatin dose higher than the one caus maximal damage under the condition of cochlear organotypic cutures. Apoptosis happens evenly in inner and outer hair cells in all turns of basilar membrane.

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Expression of Aquaporins in the Inner Ear of Normal Guinea Pigs and Guinea Pigs with Endolymphatic Hydrops

Honglei HAN ; Lianshan ZHANG ; Fengming GU

Journal of Audiology and Speech Pathology.1997;0(04):-.

Objective To study the expression of aquaporins(AQPs) in the inner ear of normal guinea pig and guinea pigs with endolymphatic hydrops, and to investigate the mechanism and significance. Methods The guinea pigs were divided into two groups randomly: model group and control group. The guinea pigs in model group were given desmopressing 4 ?g?kg-1?d-1 introperitoneally for 1 week, while the guinea pigs in control group were given saline. After one week, the expression of AQPs in the inner ears of all guinea pigs was evaluated.Results Expression of AQP0, 1, 2, 3, 5, 7 and 8 were found in the ears of normal guinea pigs. Weak expression of AQP0 was found in stria vascularis and spiral ganglion. The distribution of AQP1 consisted of cellular lining the bony labyrinth, fibrocytes lining in the endolymphatic duct and sac, cells under the basilar membrane, fibrocytes of the spiral ligament and the spiral limbus, Corti's organ, inner and outer spiral sulcus, stria vascularis, saccular and utricular wall, and spiral ganglion. AQP2 were found in stria vascularis, Corti's organ, spiral ganglion and endolymphatic sac. AQP3, 7 and 8 were distributed in a similar manner as the surrounding membranous labyrinth, including Corti's organ, inner and outer spiral sulcus, stria vascularis, fibrocytes of the spiral ligament and the spiral limbus, saccular and utricular wall, endolymphatic sac and spiral ganglion. AQP5 was found at Corti's organ, inner and outer spiral sulcus, spiral ganglion and fibrocytes in spiral ligment. The AQP2 in stria vascularis and endolymphatic sac was stronger in the inner ears with ELH than that in normal ears.Conclusion There are various AQPs in inner ears of normal guinea pigs, and their distributions are overlapping and without obvious regional specificity. Desmopressing induces the expression of AQP2 in the inner ears of guinea pigs. The results indicate that ELH may correlate to upregulation of AQP2, but the mechanism remains unclear.

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Clinical Application of Different Feedback Cancellation Technologies in Hearing Aids Open Fitting

Zhihong CHANG ; Fei REN ; Xuenian CHEN ; Mei WU ; Yanqing LU ; Xiaoyu HU

Journal of Audiology and Speech Pathology.1997;0(04):-.

Objective To validate the clinical effects of two feedback cancellation technologies, PureWave Feedback Eliminator and Active Feedback Intercept based on different platform, in hearing aids open fitting.Methods 40 patients(40 ears) were selected randomly to use the different products(RIC and ZON),which represent the different technologies(PureWave Feedback Eliminator and Active Feedback Intercept respectively), for testing ASG and MSG in the same condition of ear canal .Same receivers (50 dB) were placed in ear canals with medium earbud. Patients aged from 16 to 70 years old, mean age was 40?18.04,and the average PTA was 55.7?14.8 dB HL.Results ASG testing results under two technologies were different. ASG under PureWave Feedback Eliminator was 25.12 dB and that of AFI was 20.33 dB. Maximum difference of MSG gained from the two technologies at 3 kHz and 6.5 kHz were 8 dB and 6 dB,respectively.Conclusion PureWave Feedback Eliminator technology maintains a clear lead of ASG in hearing aids open fitting model, which is helpful for increasing fitting ranges for open fitting and improving comfort and cosmetic.

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Audiologic Evaluations of Newborns After Failure of Universal Neonatal Hearing Screening

Ling ZOU ; Xuanhua TAO ; Juan CAI ; Wei ZHANG

Journal of Audiology and Speech Pathology.1997;0(04):-.

Objective To investigate the hearing and audiologic aspect of children who failed the universal newborn hearing screening.Methods A prospective analysis of 136 consecutive records of neonates referred to Chengdu women and children health hospital due to universal neonatal hearing screening failure. The diagnostic evaluation was performed at 3 and 6 months old and the protocol consisted of a standard otologic examination, diagnostic auditory brainstem response(ABR), transient evoked otoacoustic emissions (TEOAE), and middle ear assessment.Results In the initial 3 months old diagnosis, bilateral hearing loss was confirmed in 72 infants and unilateral hearing loss in 64 infants.Among 136 cases,mild hearing loss was found in 109,moderate in 9,severe in 7,and profound in 11 infants. In 6 months old confirmed diagnosis,permanent hearing loss was confirmed in 114 children with normal hearing in 22 infants. Bilateral hearing loss was diagnosed in 52 infants and unilateral hearing loss in 62 infants.Among these 114 cases,mild hearing loss was observed in 87,moderate in 11,severe in 4,and profound in 12.Conclusion The hearing level of the infants continues to change and those referred from hearing screening are in need of an in-depth evaluation and a comprehensive follow-up program.

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Primary Culture of Neurospheres Obtained from Fetal Mouse Central Nervous System and Differentiation of Inner Ear Hair Cell Immunophenotypes in Vitro

Xiaowei LIU ; Jingwu SUN

Journal of Audiology and Speech Pathology.1997;0(04):-.

Objective To examine whether hair cell immunophenotypes could be derived from the central nervous system (CNS). Methods We established cell cultures from embryonic day 14.5 fetal mouse brain tissues, and analyzed changes in immunohistochemical features of the CNS cell cultures by induction of differentiation.with FGF-2 and EGF.Results The results of this study showed that neural progenitors obtained from fetal rat CNS generated hair cell immunophenotypes with expression of epitopes of hair cell marker proteins myosin VIIa in vitro.Conclusion These findings indicate that immature neural progenitors possess the potential to differentiate into hair cell phenotypes. Immature neural progenitors may be useful as materials for cell transplantation therapy for replacement of damaged inner ear hair cells. Key words: central nervous system, hair cell, immunohistochemical,immunophenotype, transdifferentiation.

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Combined Coblation Total Arytenoidectomy with Posterior Cordectomy for Bilateral Vocal Cord Paralysis

Dongyan HUANG ; Rongguang WANG ; Shiming YAN

Journal of Audiology and Speech Pathology.2014;(2):127-129,130. doi:10.3969/j.issn.1006-7299.2014.03.004

Objective To study the out come of coblation arytenoidectomy combined with true and false pos-terior cordectomy for treatment of bilateral vocal cord paralysis (BVFP) .Methods The group included 17 patients (8 incomplete BVFP and 9 complete BVFP) .All the patients had waited more than 6 months before surgery with no spontaneous recovery .The patients underwent arytenoidectomy combined with true and false posterior cordecto-my using coblation under video suspension laryngoscope .Electric fibrolaryngoscope was performed before and after operation to evaluate the size of the glottis .The patients'voices were recorded before and after operation and evalua-ted by 3 laryngologists through GRBAS .Results Preoperational laryngoscope showed that in the incomplete BVFP ,the vocal folds were close to the middle line with limited abduction .In the complete BVFP ,the vocal folds failed in adduction and abduction and the size of the glottis was 2 -3mm .3 of the patients had underwent tracheotomy . Post operational electric fibrolaryngoscope showed proximate triangulate breathing space which was more than 4mm in the posterior glottis .The patients were followed up 6 to 44months .15 of the 17 were allowed for decannulation . One patient among them underwent posterior cordectomy and arytenoidectomy on the contralateral side respectively after the first operation because of dyspnea owing to scar diathesis .Two patients bunged up the canula but did not de-cannulate .Among them one was a 8-year old boy diagnosed as congenital heart disease .One was thyroid cancer with stiff neck due to radiology .The only postoperative complication was the appearance of granulations in the operation region in 2 patients ,which were disappeared spontaneously .Quality of the voice improved in 2 patients ,unchanged in 10 and worsened in 5 .Conclusion This study demonstrates that arytenoidectomy associated with posterior cord-ectomy is a satisfactory surgical treatment of bilateral vocal fold paralysis because it leads to a considerable and stable enlargement of the breathing space and preserved the voice quality .

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