Effect of transtympanic betamethasone delivery to the inner ear

To investigate the effect of transtympanic betamethasone administration on hearing function with histologic correlation, rats were divided into three transtympanic treatment groups: isotonic saline (group I, n  = 10), gentamicin (group II, n  = 10) and betamethasone (group III, n  = 10). Distortion...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2016-10, Vol.273 (10), p.3053-3061
Hauptverfasser: Özel, Halil Erdem, Özdoğan, Fatih, Gülşen Gürgen, Seren, Esen, Erkan, Selçuk, Adin, Genç, Selahattin
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container_title European archives of oto-rhino-laryngology
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creator Özel, Halil Erdem
Özdoğan, Fatih
Gülşen Gürgen, Seren
Esen, Erkan
Selçuk, Adin
Genç, Selahattin
description To investigate the effect of transtympanic betamethasone administration on hearing function with histologic correlation, rats were divided into three transtympanic treatment groups: isotonic saline (group I, n  = 10), gentamicin (group II, n  = 10) and betamethasone (group III, n  = 10). Distortion product otoacoustic emission thresholds were compared on day 10. Also histological effects on cellular apoptosis in both the inner and outer hair cells in organ of Corti and spiral ganglion neurons were evaluated. Distortion product otoacoustic emission thresholds were comparable ( p  > 0.05) between group I and group III in all measurements. Distortion product otoacoustic emission thresholds of group II were significantly elevated in all measurements when compared with group I ( p  
doi_str_mv 10.1007/s00405-016-3905-9
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Distortion product otoacoustic emission thresholds were compared on day 10. Also histological effects on cellular apoptosis in both the inner and outer hair cells in organ of Corti and spiral ganglion neurons were evaluated. Distortion product otoacoustic emission thresholds were comparable ( p  &gt; 0.05) between group I and group III in all measurements. Distortion product otoacoustic emission thresholds of group II were significantly elevated in all measurements when compared with group I ( p  &lt; 0.05) and group III ( p  &lt; 0.05). In the Terminal deoxynucleotidyl transferase dUTP Nick End Labelling (TUNEL), Caspase-3, Caspase-8 and Caspase-9 staining method the amount of apoptotic cells in group II were significantly elevated in all measurements compared with group I ( p  &lt; 0.05). In the TUNEL staining method the amount of apoptotic cells in Group III were significantly elevated compared with group I in both the organ of Corti and spiral ganglion neurons ( p  &lt; 0.05). The overall histological results revealed that the severity of cellular apoptosis caused by betamethasone was somewhere between isotonic saline and gentamicin. Transtympanic betamethasone does not affect inner ear function as measured by distortion product otoacoustic emission responses, but some increase in cellular apoptosis in the organ of Corti and spiral ganglion neurons was observed. These findings suggest that transtympanic betamethasone may have mild ototoxic effects. 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Distortion product otoacoustic emission thresholds were compared on day 10. Also histological effects on cellular apoptosis in both the inner and outer hair cells in organ of Corti and spiral ganglion neurons were evaluated. Distortion product otoacoustic emission thresholds were comparable ( p  &gt; 0.05) between group I and group III in all measurements. Distortion product otoacoustic emission thresholds of group II were significantly elevated in all measurements when compared with group I ( p  &lt; 0.05) and group III ( p  &lt; 0.05). In the Terminal deoxynucleotidyl transferase dUTP Nick End Labelling (TUNEL), Caspase-3, Caspase-8 and Caspase-9 staining method the amount of apoptotic cells in group II were significantly elevated in all measurements compared with group I ( p  &lt; 0.05). In the TUNEL staining method the amount of apoptotic cells in Group III were significantly elevated compared with group I in both the organ of Corti and spiral ganglion neurons ( p  &lt; 0.05). The overall histological results revealed that the severity of cellular apoptosis caused by betamethasone was somewhere between isotonic saline and gentamicin. Transtympanic betamethasone does not affect inner ear function as measured by distortion product otoacoustic emission responses, but some increase in cellular apoptosis in the organ of Corti and spiral ganglion neurons was observed. These findings suggest that transtympanic betamethasone may have mild ototoxic effects. 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Public Health</topic><topic>Neurosurgery</topic><topic>Organ of Corti - drug effects</topic><topic>Otoacoustic Emissions, Spontaneous - drug effects</topic><topic>Otoacoustic Emissions, Spontaneous - physiology</topic><topic>Otology</topic><topic>Otorhinolaryngology</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Sensory Thresholds - drug effects</topic><topic>Sensory Thresholds - physiology</topic><topic>Spiral Ganglion - drug effects</topic><topic>Tympanic Membrane</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Özel, Halil Erdem</creatorcontrib><creatorcontrib>Özdoğan, Fatih</creatorcontrib><creatorcontrib>Gülşen Gürgen, Seren</creatorcontrib><creatorcontrib>Esen, Erkan</creatorcontrib><creatorcontrib>Selçuk, Adin</creatorcontrib><creatorcontrib>Genç, Selahattin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Özel, Halil Erdem</au><au>Özdoğan, Fatih</au><au>Gülşen Gürgen, Seren</au><au>Esen, Erkan</au><au>Selçuk, Adin</au><au>Genç, Selahattin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of transtympanic betamethasone delivery to the inner ear</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>273</volume><issue>10</issue><spage>3053</spage><epage>3061</epage><pages>3053-3061</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>To investigate the effect of transtympanic betamethasone administration on hearing function with histologic correlation, rats were divided into three transtympanic treatment groups: isotonic saline (group I, n  = 10), gentamicin (group II, n  = 10) and betamethasone (group III, n  = 10). Distortion product otoacoustic emission thresholds were compared on day 10. Also histological effects on cellular apoptosis in both the inner and outer hair cells in organ of Corti and spiral ganglion neurons were evaluated. Distortion product otoacoustic emission thresholds were comparable ( p  &gt; 0.05) between group I and group III in all measurements. Distortion product otoacoustic emission thresholds of group II were significantly elevated in all measurements when compared with group I ( p  &lt; 0.05) and group III ( p  &lt; 0.05). In the Terminal deoxynucleotidyl transferase dUTP Nick End Labelling (TUNEL), Caspase-3, Caspase-8 and Caspase-9 staining method the amount of apoptotic cells in group II were significantly elevated in all measurements compared with group I ( p  &lt; 0.05). In the TUNEL staining method the amount of apoptotic cells in Group III were significantly elevated compared with group I in both the organ of Corti and spiral ganglion neurons ( p  &lt; 0.05). The overall histological results revealed that the severity of cellular apoptosis caused by betamethasone was somewhere between isotonic saline and gentamicin. Transtympanic betamethasone does not affect inner ear function as measured by distortion product otoacoustic emission responses, but some increase in cellular apoptosis in the organ of Corti and spiral ganglion neurons was observed. These findings suggest that transtympanic betamethasone may have mild ototoxic effects. Further studies are needed to obtain precise results for transtympanic application of betamethasone.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26831119</pmid><doi>10.1007/s00405-016-3905-9</doi><tpages>9</tpages></addata></record>
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subjects Animals
Apoptosis - drug effects
Betamethasone - administration & dosage
Caspase 3 - metabolism
Caspase 8 - metabolism
Cochlea - drug effects
Cochlea - enzymology
Ear, Inner - drug effects
Ear, Inner - enzymology
Ear, Inner - physiology
Gentamicins - pharmacology
Glucocorticoids - administration & dosage
Hair Cells, Auditory, Outer - drug effects
Head and Neck Surgery
In Situ Nick-End Labeling
Male
Medicine
Medicine & Public Health
Neurosurgery
Organ of Corti - drug effects
Otoacoustic Emissions, Spontaneous - drug effects
Otoacoustic Emissions, Spontaneous - physiology
Otology
Otorhinolaryngology
Rats
Rats, Wistar
Sensory Thresholds - drug effects
Sensory Thresholds - physiology
Spiral Ganglion - drug effects
Tympanic Membrane
title Effect of transtympanic betamethasone delivery to the inner ear
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