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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 36(5); 1993 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1993;36(5): 884-889.
The observation of the effect of ototoxic diuretics and hypoxia on guinea pig's cochlea with click-evoked otoacoustic emission.
Ha Won Jung, Sun O Chang
기니픽에서 클릭유발 이음향방사를 통한 이독성 이뇨제투여 및 저산소 상태유발의 결과 관찰
정하원 · 장선오
서울대학교 의과대학 이비인후과학교실
ABSTRACT

From the concepts of well known ototoxic effects of loop diuretics and hypoxic state, twenty guinea pigs with diuretics and/or hypoxia were evaluated with click-evoked otoacoustic emissions(CEOEs) by time-sequential monitoring. Furosemide 25mg/kg was injected to 8 guinea pigs and CEOEs were measured at pretest, 5 minutes after injection, 10, 20, 30, 45 and 60 minutes after the injection. Both echo responses(ER) and reproducibilities(RE) were decreased significantly at 10 minutes after injection, showed the minimal level at 20 minutes. Recovery evidences of CEOEs were noticed by the spectral analysis at 30 minutes after injection, and full recovery of CEOEs was noticed after then. At 60 minutes after injection, the anorexia of 20 seconds by stopping off the artificial respirator was added. The CEOEs showed statistically significant decrease compared to those of preanoxic stage. The CEOEs of 8 guinea pigs with injection of furosemide 50mg/kg showed the decreased ER and RE and no recoveries were noticed for 60 minutes' observation. From this study, clinical application of CEOEs as an objective cochleogram for an early detection of various ototoxicities were expected.

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