OSMOTIC PUMP IMPLANT FOR CHRONIC INFUSION OF DRUGS INTO THE INNER-EAR

被引:124
作者
BROWN, JN [1 ]
MILLER, JM [1 ]
ALTSCHULER, RA [1 ]
NUTTALL, AL [1 ]
机构
[1] UNIV MICHIGAN,KRESGE HEARING RES INST,ANN ARBOR,MI 48109
关键词
GUINEA PIG; TETRODOTOXIN; COCHLEA; AUDITORY NERVE; SYNAPSE FLATTENING;
D O I
10.1016/0378-5955(93)90155-T
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Continuous long-term delivery of experimental drugs to the cochlea of a small animal, such as a young guinea pig, presents several technical problems. A method of placing and securing a cannula-osmotic pump system is described in this paper. Guinea pigs (225-410 g) were unilaterally implanted with an Alzet micro-pump and cannula for delivery of 20 mM tetrodotoxin (mt) (six animals) or saline (three animals) for three days (1 mu l/h). Auditory brainstem responses (ABRs) were recorded under light anesthesia on post-implant day 1 and day 3 and compared with pre-implant baseline values. In all six cochleas infused with TTX, most frequencies showed a 30-60dB decrease in sensitivity within 24 h. Saline control animals showed little or no change from baseline sensitivity for most frequencies. In three TTX-infused animals, the cannula-pump unit was removed on day 3, and ABRs were followed during recovery. Most frequencies returned to, or near, pre-implant levels after pump removal but recovery times varied. By day 6, all animals had recovered post-surgical weight loss and showed a gain of 10-40 g. Brains and cochleas were removed and processed for sectioning. Assessment of the cochlear nucleus of non-recovery TTX-treated animals showed a deafness-related flattening of auditory nerve active zones on the treated side.
引用
收藏
页码:167 / 172
页数:6
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