耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
凍結手術の蝸牛におよぼす変化
走査電顕ならびに聴性脳幹反応による検索
鈴木 衛
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ジャーナル フリー

1983 年 29 巻 2 号 p. 257-264

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A total of 23 cochleas in 15 chinchillas were treated with cryosurgery and the damage to the organ of Corti was evaluated with the scanning electron microscope (SEM) and the auditory evoked brain stem response (ABR). The apical half-turn was treated in 11 of the cochleas and the basal half-turn in 10. Apical exposure to the cryoprobe generally resulted in severe damage to sensory cells in the apical turn whereas basal turn exposure generally resulted in mild damage to sensory cells in the basal turn. On occasion, severe damage from apical turn exposure resulted in severe damage that extended to the basal turn. The first row of outer hair cells were the most susceptible to damage, while inner hair cells the least. ABR to click stimuli were recorded before treatment and again before decapitation. Below 50 dB stimulus level, ABR wave IV latency was prolonged after cryosurgery to the basal turn. However, no significant change was observed in wave IV latency after treat ment to the apical turn.
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