Histopathological and audiological effects of mechanical trauma associated with the placement of an intracochlear electrode, and the benefit of corticosteroid infusion: prospective animal study

J Laryngol Otol. 2014 Aug;128(8):702-8. doi: 10.1017/S002221511400156X.

Abstract

Objective: This study aimed to present the histopathological and audiological effects of mechanical trauma associated with the placement of a model electrode in the scala tympani in rats, and the effects of continuous topical corticosteroid application.

Method: The study comprised three groups of rats. The round window membrane was perforated in all three groups and a model electrode was inserted in the round window. Group one received no further treatments. Groups two and three also had an intrathecal microcatheter compatible with a mini-osmotic pump inserted; in group two this was used to release normal saline and in group three the pump released 400 µg/ml dexamethasone.

Results: Dexamethasone infusion given after implantation of the intracochlear model electrode was more effective for preventing hearing loss than the administration of just one dose of dexamethasone.

Conclusion: The findings suggest that continuous dexamethasone infusion is beneficial for preventing the loss of hair cells and neurons associated with early and late periods of intracochlear electrode trauma.

MeSH terms

  • Administration, Topical
  • Adrenal Cortex Hormones / administration & dosage*
  • Animals
  • Audiometry
  • Cochlea / pathology*
  • Cochlea / physiopathology*
  • Cochlear Implants / adverse effects*
  • Dexamethasone / administration & dosage
  • Female
  • Rats
  • Round Window, Ear / surgery

Substances

  • Adrenal Cortex Hormones
  • Dexamethasone