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Perilymphatic and Endolymphatic Pressure in the Guinea Pig After Distal Dissection of the Endolymphatic Sac

 

作者: T. Warmerdam,   F. H. Schröder,   H. Wit,   F. Albers,  

 

期刊: Otology & Neurotology  (OVID Available online 2001)
卷期: Volume 22, issue 3  

页码: 373-376

 

ISSN:1531-7129

 

年代: 2001

 

出版商: OVID

 

关键词: Ménière's disease;Inner ear;Endolymphatic hydrops;Hydrostatic pressure

 

数据来源: OVID

 

摘要:

HypothesisThe study was designed to investigate whether endolymphatic pressure exceeds perilymphatic pressure in an endolymphatic hydrops model with a partially functioning endolymphatic sac.BackgroundPrevious investigations of perilymphatic and endolymphatic pressure measurements during endolymphatic hydrops were done in a classic endolymphatic hydrops model, with a surgically blocked endolymphatic duct and sac. This model, in contrast to the clinical situation of Méniére's patients, totally lacks the functional contribution of the endolymphatic sac.MethodsIn the guinea pig, a partially functioning endolymphatic sac was created via dissection of the distal portion of the sac from the sigmoid sinus. Three (n = 5) and 6 months (n = 3) later, perilymphatic and endolymphatic pressures were measured consecutively using a WPI 900A micropressure system.ResultsIt was observed that damage to the distal part of the endolymphatic sac caused endolymphatic hydrops in 58% of the cases. The hydrostatic pressure in hydropic ears did not differ from that of control ears. There was no pressure difference between the perilymphatic and endolymphatic compartments in ears with endolymphatic hydrops. The endocochlear potential in ears with hydrops was statistically significantly decreased (p < 0.002).ConclusionIn a hydrops model developed to be more comparable to the histopathologic appearance of Méniére's disease in the inner ear, no hydrostatic pressure difference was measured between the perilymphatic and endolymphatic spaces. The only functional difference from control ears we found was a decreased endocochlear potential.

 

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