COMPARATIVE OTOTOXICITY OF CISPLATIN DURING ACUTE AND CHRONIC TREATMENT

被引:47
作者
SAITO, T
ARAN, JM
机构
[1] Department of Otolaryngology, Fukui Medical School, Fukui
[2] Laboratoire d’Audiologie Expérimentale, INSERM 229, Université de Bordeaux-II, Bordeaux
来源
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES | 1994年 / 56卷 / 06期
关键词
CISPLATIN; OTOTOXICITY; COMPOUND ACTION POTENTIAL; COCHLEOGRAM; TRANSMISSION ELECTRON MICROSCOPY;
D O I
10.1159/000276683
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Functional and morphological alterations were compared in guinea pig cochleae treated acutely (7.5 mg/kg x 2) and chronically (1.5 mg/kg x 10) with cisplatin. Drastic and rapid hearing impairments using compound action potential were observed only after the second injection during acute treatment. During chronic treatment, threshold changes were observed abruptly after 8 or 9 days of treatment. Morphological changes of outer hair cells were stronger in the acute treatment than the chronic one, and they appeared to concur with the functional data. Partial damage in the stria vascularis was observed only after acute treatment. From these results, it was suspected that acute and chronic ototoxic mechanisms differed according to the pharmacokinetics of cisplatin in the inner ear fluid and tissues.
引用
收藏
页码:315 / 320
页数:6
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