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[Sample distribution of inner ear fluids in the submicroliter range].

Biochemical analysis of inner ear fluids is fraught with numerous problems. After developing accurate techniques to measure inorganic and organic substances in fluid amounts of 0.1 microliter the problem of measuring and handling series of samples arose. It became necessary to develop methods to handle inner ear fluid taken without sophisticated techniques, i.e. to measure, to store and to dispatch inner ear fluid samples. The fluid volume is measured with a "nanocap" technique and is then transferred to cellulose acetate membranes. A 3 mm long glas capillary tube held by a special device is dipped into the inner ear fluid sample. The capillary tube is then placed on a membrane piece that adheres to the tube. The higher capillary forces of the membrane transfer the fluid out of the glass tube into the membrane which is put into a plastic reaction tube and stored. The reproducibility of the method was tested by flame photometric assays of standard sodium solutions and of perilymph from the scala tympani of guinea pigs. The variation coefficient is below 3% for a standard solution and below 5% for perilymph. The method developed to measure and handle inner ear fluids with the aid of "nanocap" and membrane pieces is easier and faster than the conventional techniques.

Animals↗

Symposium: Congenital anomalies of the middle ear. IV. Management of profuse perilymph leak.

Profuse perilymph leak during an otological operation can be controlled by inserting an epidural teflon cannula into the lumbar subarachnoid space and draining away the excess spinal fluid. After about 100 cc is removed the perilymph leak stops, and the oval window can be sealed with a living seal, such as vein, and the operation completed. The catheter is left in the subarachnoid space for about four days, with a bottle on the distal end positioned to remove no more than 150 cc of spinal fluid per day. Results with two patients in which this maneuver was used to control profuse perilymph leak are reported.

Catheterization↗

Non-collagen proteins of stapedial bone matrix in perilymph of otosclerotic patients.

Non-collagen proteins extracted from the otosclerotic stapes footplate, superstructure and temporal cortical bone were compared with the protein patterns of normal and otosclerotic perilymph by analytical isotachophoresis (ITP). Normal and otosclerotic perilymph yielded basically identical isotachophoretic subfractions. Thirteen subfractions were detected moving as anions at pH 9.6 in the normal perilymph, versus 16 subfractions of similar character in the otosclerotic perilymph. Of these 16 protein subfractions, one (which was not detected in the normal perilymph) could be found in the ITP-gram of the stapes footplate non-collagen proteins, but not of the stapes superstructure or temporal cortical bone. Our results support the concept that protein can enter the inner ear fluid spaces from the otosclerotic bone. The biological significance of these proteins has not yet been clarified.

Bone Matrix↗

The relationship between intracranial pressure and tympanic membrane displacement.

Transmission of intracranial pressure (ICP) to the perilymph of the cochlea may occur via the cochlear aqueduct and possibly other routes. Indirect measurement of perilymphatic pressure may be investigated by observing tympanic membrane (TM) displacement during stapedial reflex contraction. In a previous study we investigated the effects of changes in ICP on perilymphatic fluid pressure in three patients who underwent ventriculo/lumbar-peritoneal shunt operations. The TM displacement technique proved extremely sensitive and revealed marked changes in cochlear fluid pressure brought about by changes in ICP (Marchbanks et al., 1987). The study has been extended to 58 patients with hydrocephalus, intracranial tumours and other neurological conditions associated with abnormal ICP. Significant differences in the TM displacement were found between patients with raised and normal ICP. We have shown that changes in ICP can affect the hydrostatic pressure of the cochlea and influence the peripheral auditory system. The finding that ICP can be correlated with TM displacement strengthens the association between an abnormal TM displacement and abnormal cochlear hydrostatic status, irrespective of cochlear aqueduct patency. We suggest that the TM displacement technique provides a useful non-invasive method for the assessment of perilymphatic fluid pressure.

Acoustic Stimulation↗

Intralabyrinthine fluid dynamics: Meniere disease.

PURPOSE OF REVIEW: Meniere disease has long been postulated to be a disorder of intralabyrinthine fluid dynamics. RECENT FINDINGS: More recent developments in this field indicate that the control of fluid movement may be at a cellular level and that hormonal influence may be important. SUMMARY: The control of fluid and ion movements through aquaporins and gap junctions in the cell membranes are creating new perspectives in the mechanism of development of endolymphatic hydrops as well as potential methods for treatment. Intralabyrinthine fluid dynamics also play a role in the ability to locally deliver drugs to the inner ear through the middle ear.

Combined Modality Therapy↗

Antibody activity in perilymph from rats with type II collagen-induced autoimmune inner ear disease.

Rats were immunized with native type II bovine collagen to induce autoimmune inner ear disease, and the antibody activity in the inner ear fluid was measured. Antibody activity against type II collagen was detected in the perilymph at about 10% to 20% of serum level. Thus, the presence of antibody against type II collagen in inner ear fluid may imply an immune injury mechanism in inner ear diseases.

Animals↗

Transmission of square wave pressure pulses through the perilymphatic fluid in cats.

The inner ear hydrodynamics have been studied in a series of experiments on cats. A detailed analysis has been made of the perilymphatic pressure response to square wave pressure pulses applied to the ear canal and middle ear. It was found that the initial pressure response was followed by a rebound pressure response of the opposite phase. It was also found that in most cases each phase of the pressure response could be expressed in terms of two time constants. When the cochlear aqueduct was patent, the perilymphatic pressure response showed almost equal positive and negative pressure changes. However, when the cochlear aqueduct was surgically blocked, the perilymphatic pressure response consisted almost exclusively of the first phase of the response, while the rebound phase disappeared almost completely. The possibility of influencing the inner ear fluid balance in Meniere's disease by external pressure changes is discussed in the light of the present experimental results.

Animals↗

Fluid kinetics of endolymph during calorization.

Various theories on the mechanism of caloric vestibular excitability are discussed and compared with our model, which involves two factors of endolymph movement: thermoconvection and fluid expansion. With this theory, caloric nystagmus in microgravity can be explained, as well as certain phenomena on earth, such as different vestibular responses depending on body position.

Endolymph↗

The effect of intracisternally injected ouabain on perilymph electrolyte concentrations.

A means for altering the ionic composition of perilymph utilizing the cochlear aqueduct and cerebrospinal fluid in chinchillas is introduced. A decrease in sodium and an increase in potassium concentration in perilymph was observed after ouabain was injected into cerebrospinal fluid. The time course of changes in the perilymph paralleled the CSF change but with a time lag which had not reached equilibrium within 60 minutes.

Animals↗

ABO(H) group substances in human inner ear fluid.

Tests were carried out on 89 specimens of human inner ear fluid and the results compared with those of blood and salivary gland tests. It was found that ABO(H) group substances are present in the perilymph of secretors.

ABO Blood-Group System↗

Histologic demonstration of glycosaminoglycans in inner ear fluids.

Hyaluronic acid is a glycosaminoglycan (GAG) which has been demonstrated by biochemical and histochemical methods to be present in inner ear fluids and tissues. However, consistent labeling of hyaluronic acid or other GAGs in inner ear fluid compartments in histologic sections has not been previously reported. Staining and characterization of GAGs in the normal inner ear fluids of humans and guinea pigs are described in this report. It was initially observed that alcian blue produces dense staining of the endolymphatic and perilymphatic fluid compartments in celloidin embedded material. Results obtained with alcian blue were subsequently compared to staining obtained with hematoxylin/eosin and periodic acid/Schiff base. Enzyme digestion was also performed with testicular hyaluronidase (bovine and ovine), streptomyces hyaluronidase, chondroitase ABC, and alpha-amylase. Results of the differential staining and enzyme digestion studies suggest that the substances in inner ear fluids that stain with alcian blue are a combination of chondroitin sulfate-4, -5 and/or -6 and hyaluronic acid.

Alcian Blue↗

[The effects of methodical factors on the microphonic potential in the guinea pig cochlea with perfusion of perilymph].

The decreas in microphonic potentials detected from the round window (RMP) is negligible only if the bores are located very close to the round window, whereas it will increase with increasing distance from it. Only at pressures of more than +/- 30 cm water column, in rare cases even below that, will a sharp decrease in the RMP occur, possibly because of a lesion of either the oval or the round windown membrane. At a perfusion pressure above +5.6 cm water column, the perfusion liquid will enter the cerebrospinal fluid space. At a lower pressure the perfusion liquid is diluted by cerebrospinal fluid via the cochlear aqueduct. The perfusion speed of 1 to 50 mul/min has no effect on the function of the organ of Corti.

Action Potentials↗

[The dynamic behavior of inner ear fluids].

To study the movement of the endolymph and the exchange of substances between serum and endolymph or perilymph, fluorescent dyestuffs were applied directly into the endolymph of the cochlear duct or were given intraperitoneally. In addition, glucose concentrations in endolymph and perilymph were determined after experimental alteration of blood glucose levels. The bulk flow of the endolymph in the cochlear duct in the direction towards the saccule is much quicker in the basal coil than has been described up to now. At the base of the cochlea the perilymph of the scala tympani hardly shows any movement. Fluorescein applied parenterally was demonstrated in the upper coils of the scala tympani more intensively than in the scala vestibuli. In the basal portion of the scala tympani it is practically undetectable. The changes in the glucose concentration of the endolymph were less than in the perilymph. The movement (bulk flow) of the inner ear fluids and the exchange of different substances from the serum is different in the cochlea not only between endolymph and perilymph but also between basal and the apical parts.

Animals↗

Transport characteristics of the blood--perilymph barrier.

The inner ear must maintain a delicate homeostasis to preserve high sensitivity to acoustic and vestibular inputs. Various experimental conditions were imposed upon chinchillas to help identify these homeostatic mechanisms for the inner ear fluids. Radioactive ions (sodium, chloride, and calcium) pass into perilymph more slowly than they pass into cerebrospinal fluid or aqueous humor. The concentration of glucose in perilymph relative to that in serum was found to be quite constant (about 45 per cent) over a wide range of serum values (130-943 mg/dl) generated by continuous intravenous infusion. The transport of albumin into perilymph was very slight after injection of the radioactive protein intravenously. Osmotic agents cause an efflux of water from perilymph into a relatively hypertonic circulating blood, resulting in a secondary elevation of perilymph osmolarity. Recent findings relating to cyclic AMP metabolism and the possible role of this second messenger in the regulation of inner ear fluid metabolism are discussed. A new hypothesis that excess cyclic AMP in the inner ear may be related to endolymphatic hydrops is presented.

Animals↗

Role of perilymphatic fistula in sudden hearing loss: an animal model.

The electrophysiologic response of the guinea pig cochlea was monitored after sequential lesions to Reissner's membrane and the round window (RW). Action potential (AP) responses to click stimuli were recorded from the RW before and after discrete puncture-type lesions were created in the cochlear partition of the second turn. Observed decrements were typically minor, comparable to no greater than 10 dB attenuation of stimulus intensity. The RW membranes then were perforated to create perilymphatic fistulas. Further monitoring demonstrated a rapid (within 5 to 10 minutes), severe decrement in AP amplitude and latency, with complete loss of the AP within 1 hour. Control animals with RW perforations alone did not show these decrements. Correct placement of the second turn lesions was documented by histology. We conclude that discrete lesions in the cochlear duct are not reflected in the AP input-output functions unless there is a fluid leak from the RW, and thus present a possible model for idiopathic sudden hearing loss.

Action Potentials↗

Enzymatic activity of inner and middle ear fluids in fetal guinea pigs under ambient and high-intensity sound presentation.

The enzymes in perilymph of the inner ear scala and within fluid filling the middle ear cavity were investigated in the fetal guinea pig near term. Perilymph lactic dehydrogenase (LDH) exhibited differential activity between fetal scalae vestibuli and tympani, and LDH, aldolase, phosphohexose isomerase and creatine phosphokinase in perilymph of particular fetal scalae were elevated in activity in activity in comparison to corresponding maternal values. Moreover, LDH displayed different isozyme patterns for antenatal and gravid perilymph. In the middle ear fluid, all of the above enzymes were encountered but varied somewhat from the quantities determined for either prenatal perilymph or maternal serum. After gravid guinea pigs were exposed to a tone of 4 kHz, 100 dB SPL for 2 hours, LDH of the fetal middle ear fluid was reduced in activity 24 hours later. The metabolic significance of the fetal distinctions in the ear fluids and the clinical implications of the current work are discussed.

Acoustic Stimulation↗

[A biochemical and cytological explanation of cochlear otospongiosis].

In a study of 250 otosclerotic perilymphatic fluids, it was found statistically that in the presence of developing inner ear deafness, 90% of cases will demonstrate increased trypsin activity. Conversely, elevated antitrypsin levels are found in the absence of developing inner ear deafness.

Histocytochemistry↗