Hyperbaric compression in the guinea pig with perilymph fistula

Otolaryngol Head Neck Surg. 2003 Sep;129(3):259-64. doi: 10.1016/S0194-5998(03)00467-4.

Abstract

Objective: The study goal was to evaluate the effects of hyperbaric therapy on the auditory and vestibular function of guinea pigs compromised by perilymph fistula (PLF).

Methods: Twenty-four pigmented guinea pigs underwent induction of bilateral eustachian tube dysfunction before the creation of a unilateral PLF. Half of the animals were randomly assigned to receive immediate hyperbaric compression treatment of 4 "dives" each. Hearing was tested electrocochleographically, and signs of vestibulopathy were recorded before and after compression.

Results: After accounting for the effects of PLF, compression was not associated with significant hearing loss (P = 0.5411). Vestibulopathy was seen only in ears with PLF, and its incidence was similar for compression and noncompression groups.

Conclusion: Hyperbaric compression does not compromise auditory or vestibular function in guinea pig ears with experimental PLF.

Significance: Our observations support the relative safety of recompression in patients with PLF.

Publication types

  • Evaluation Study

MeSH terms

  • Animals
  • Audiometry, Evoked Response
  • Barotrauma / complications*
  • Barotrauma / diagnosis
  • Cochlear Diseases / complications*
  • Cochlear Diseases / physiopathology*
  • Cochlear Diseases / surgery
  • Decompression / methods*
  • Eustachian Tube / physiopathology
  • Eustachian Tube / surgery
  • Fistula / complications*
  • Fistula / surgery
  • Guinea Pigs
  • Perilymph / physiology*
  • Postoperative Period
  • Random Allocation
  • Severity of Illness Index