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Molecular machinery of auditory and vestibular transduction.

The hunt for molecules that conduct mechanoelectrical transduction in hair cells has recently intensified. A hair cell's transduction apparatus adapts to sustained stimuli, and myosin I beta and myosin VIIA have been advanced as candidates for the motor that mediates this process. The identity of the transduction channel remains unknown, although a viable suggestion proposes that it belongs to the amiloride-sensitive Na+ channel family.

Animals↗

Effect of wearing a mouthguard on the vestibulocollic reflex.

It has been speculated that the use of a mouthguard improves athletic ability such as muscular strength and equilibrium. The postural system is equipped with response patterns that correct for unexpected perturbations. These responses are driven by immediate feedback from visual, vestibular, and somatosensory information. These are integrated by the central nervous system. We analysed the possibility that wearing a mouthguard influences vestibular information via the vestibulocollic reflex (VCR) in the sagittal plane. The input of the VCR is vestibular afferent activity and its output is neck muscle activation. With the subject in the supine position, the apparatus used in this study induces the VCR by subjecting the head to abrupt vertical acceleration by sudden free fall under the head's own weight. Surface electromyographic (EMG) recordings in the sternocleidomastoid muscles (SCM) of 14 participants were analysed. There were no significant differences in the amplitude of the VCR within the left and right SCM whether subjects were or were not wearing a mouthguard (P=0.3227 within left SCM; P=0.9686 within right SCM). These results suggest that wearing a mouthguard has no effect on the VCR in the sagittal plane when supine, and so that vestibular sensory information is unaffected by wearing a mouthguard, in this context. Further research is required to examine whether this also holds true in more functional, upright and dynamic body positions.

Adult↗

Rapid growth of astrocytic processes in N. magnocellularis following cochlea removal.

Removal of the cochlea or pharmacological blockade of eighth nerve activity in young postnatal chickens results in rapid transneuronal cell death and atrophy in neurons of n. magnocellularis. The present experiments were designed to examine the influence of afferent input on astrocyte structure in n. magnocellularis. Young chickens were subjected to unilateral cochlea removal. At times ranging from 5 minutes to 72 hours later, the brainstems were histologically processed with a polyclonal antibody against glial fibrillary acidic protein (GFAP). A second group of chick brainstems was impregnated by a Golgi method 6 hours after unilateral cochlea removal and impregnated three-dimensional reconstructions were made of glial cells in n. magnocellularis (NM). Analyses of GFAP positive processes in NM revealed an observable increase in the number of astrocytic processes at the borders of the nucleus within 30 minutes of cochlea removal and a twofold increase in GFAP + glial processes by 6 hours. A secondary increase in the number and density of GFAP + processes occurred between 24 and 72 hours following cochlea removal, during the period of axonal degeneration, and transneuronal cell atrophy and death. Analyses of astrocytes impregnated by the Golgi method revealed that individual glial cells had increased their total process length and the number of processes by approximately twofold by 6 hours after cochlea removal. These results suggest that the structure of astrocytes is rapidly and dramatically influenced by the level of excitatory activity in a neuronal system. Furthermore, the similarity of results obtained with GFAP immunohistochemistry and three-dimensional reconstruction of astrocytes provides evidence that the short-term changes observed following cochlea removal represent the actual growth of glial processes. We speculate that modulations in glial processes as a function of afferent activity may act to influence synaptic efficacy.

Afferent Pathways↗

Correlation between auditory function and internal auditory canal pressure in patients with vestibular schwannomas.

OBJECT: Hearing loss is the most common presenting symptom in patients who harbor a vestibular schwannoma (VS). Although mechanical injury to the cochlear nerve and vascular compromise of the auditory apparatus have been proposed, the exact mechanism of this hearing loss remains unclear. To test whether pressure on the cochlear nerve from tumor growth in the internal auditory canal (IAC) is responsible for this clinical finding, the authors prospectively evaluated intracanalicular pressure (ICaP) in patients with VS and correlated this with preoperative brainstem response. METHODS: In 40 consecutive patients undergoing a retrosigmoid-transmeatal approach for tumor excision, ICaP was measured by inserting a pressure microsensor into the IAC before any tumor manipulation. Pressure recordings were correlated with tumor size and preoperative auditory evoked potential (AEP) recordings. The ICaP, which varied widely among patients (range 0-45 mm Hg), was significantly elevated in most patients (median 16 mm Hg). Although these pressure measurements directly correlated to the extension of tumor into the IAC (p = 0.001), they did not correlate to total tumor size (p = 0.2). In 20 patients in whom baseline AEP recordings were available, the ICaP directly correlated to wave V latency (p = 0.0001), suggesting that pressure from tumor growth in the IAC may be responsible for hearing loss in these patients. CONCLUSIONS: Tumor growth into the IAC results in elevation of ICaP and may play a role in hearing loss in patients with VS. The relevance of these findings to the surgical treatment of these tumors is discussed.

Adult↗

Familial dysautonomia (Riley-Day syndrome). Temporal bone findings and otolaryngological manifestations.

Familial dysautonomia, or Riley-Day syndrome, is inherited in an autosomal recessive fashion and occurs almost exclusively in Jewish families. This disorder is characterized by a smooth tongue devoid of fungiform papillae and of taste buds, and is clinically associated with poor taste discrimination. An unsteady gait and dizziness on change in position are also common presenting symptoms. This study reports the histopathological findings of eight temporal bones from four patients with documented familial dysautonomia. For the control series, 13 normal temporal bones were also studied. The most striking finding in the dysautonomic patients was an extreme paucity of geniculate ganglion cells (P less than 0.001). A statistically significant reduction in the number of neurons was also found both in the superior and in the inferior divisions of the vestibular nerve (P less than 0.001). The paucity of the geniculate ganglion cells correlates well with the impairment of the taste in dysautonomic individuals, since the afferent fibers leaving taste buds of the anterior two-thirds of the tongue run via the chorda tympani and have their cell bodies in the geniculate ganglion. Furthermore, the reduction in the number of Scarpa's ganglion cells observed in the dysautonomic patients studied here could account for a poor response to caloric test, positional vertigo and an unsteady gait in this condition.

Adolescent↗

The ultrastructure of the ganglionated nerve plexus in the nasal vestibular mucosa of the musk shrew (Suncus murinus, insectivora).

A ganglionated nerve plexus (GNP) found in the nasal vestibular mucosa of the adult musk shrew, and most likely belonging to the nervus terminalis, was studied by electron microscopy. The GNP, which contained ganglion cells and both myelinated and unmyelinated nerve fibers, was located in the subepithelial layer of the mesial vestibular mucosa of the snout processes. The ganglion cells were characterized by an eccentrically located round nucleus, dispersed mitochondria and Golgi apparatuses, and many small vesicles. Nissl bodies were rare. The ganglion cells, solitary or in a small group, were entirely covered with satellite cell sheaths. Semiserial sections suggested that a given ganglion cell directly extends one nerve process and plural modified cilia. There were no synaptic contacts between the ganglion cells and efferent nerve elements. On the other hand, it was seen that the epithelium overlying the GNP contained many nerve terminals which probably originated from the GNP. It is suggested that the ganglion cells in the nasal vestibular GNP of the musk shrew represent primary sensory neurons.

Animals↗

[Changes in the utricular otoconia of the chick embryo developed under 2G-gravity].

Whether or not vestibular adaptation occurs upon exposure to altered gravity is an important human problem. Studies have been performed to ascertain whether morphological changes in vestibular organs occur in animal models upon exposure to microgravity. On the other hand, the morphological changes which occur in vestibular organs under hypergravity have not yet been fully elucidated and morphological changes in the otoconia of the chick embryo exposed to hypergravity during the embryonic period remain to be thoroughly examined. The purpose of this paper is to clarify the effects of hypergravity on vestibular organs, especially its effects on otoconial formation in the developing chick embryo. Thus, we designed an apparatus which creates artificial gravity, creating approximately 2G gravity by means of centrifugation. The utricular macula was chosen for study because it can be prepared for examination with a minimum of dissection artifacts. The data presented show that morphological changes were confined to otoconial size alterations according to scanning electron microscopic observations. Giant otoconia were observed along the marginal zones of utricle .

Animals↗

Ultrastructural changes in contralateral superior vestibulo-ocular neurons one year after vestibular neurectomy in the cat.

Twenty contralateral superior vestibulo-ocular neurons (SVON) from 3 cats were studied morphologically one year after a right vestibular neurectomy. Eighteen SVON contained a smooth or slightly crenated nuclear membrane, a 63% loss of synaptic profiles (SP) and a 22% decrease in size compared to control SVON. Two cells contained nuclear membrane invaginations, a 40% loss of SP and a 31% size decrease compared to control SVON. The volume fractions of rough endoplasmic reticulum and ribosomes were decreased in these two cell groups but no change was noted in Golgi apparatus and mitochondria. These contralateral SVON reached a size, innervation density and content of organelles similar to ipsilateral SVON at one year following vestibular neurectomy.

Animals↗

Receptor synapses without synaptic ribbons in the cochlea of the cat.

This report describes recepto-neural junctions thought to be chemical synapses without synaptic ribbons or vesicle aggregates. Such synapses occur in the cat between the outer hair cells of the cochlea and auditory nerve fibers. These synapses are formed by flat or indented junctions having symmetric membrane complexes associated with smooth endoplasmic reticulum and coated vesicles in the outer hair cell cytoplasm. Inner hair cells have receptoneural junctions with asymmetric membrane complexes; synaptic ribbons and vesicles gather at one type of junction, while the other type associates with endoplasmic reticulum. Gap junctions are not seen at cochlear synapses but do link supporting cells. The results suggest that inner and outer hair cell synapses have different properties and raise questions about the role of synaptic vesicles and endoplasmic reticulum in the storage and release of transmitters.

Animals↗

An appliance for molar distalizatoin with intramandibular stabilization, applied after teeth extraction.

The extraoral appliance which is used for the treatment of patients after teeth extraction causes problems when there is lack of cooperation on the part of the patient. The appliance we present here consists of fabricated rings with brackets for the molars, lingual semicannulas, an outer arch, a lingual arch with a palatine button. The appliance distalizes the teeth by the action of NiTi coils placed lingually and vestibularly between the teeth to be distalized. The palatine button, situated behind the frontal teeth, ensures stability of the apparatus. The practical application of the appliance showed good clinical results, which allows us to recommend it in the practice as a method of choice.

Dentition↗

Air caloric test: irrigation technique.

The technique of using air to perform the caloric test is discussed. Greater temperature differences and larger volumes of air are needed to achieve stimulations equal to those caused by water irrigations. Special consideration must be given to the design and operation of air irrigation equipment. The effects of irrigating a wet canal and of misdirecting the air jet are discussed. A new air irrigation apparatus is described.

Air↗

[A morphological study of the mammalian parasolitary nucleus].

A comparative anatomical study of the parasolitary nucleus (Kohnstamm & Wolfstein, 1907) using Weigert-Pal-Carmine or Nissle sections of mammalian brain-stem was made to discover its precise topography and cytoarchitecture. In transverse planes, the nucleus is usually found on the ventral side of the solitary tract. The parasolitary cells can be found not only among the solitary cells, but in the solitary tract, and in the parvocellular reticular formation (Fig. 1 a-f & 4). The oval or drop shaped parasolitary cells can be easily identified because they are nearly as large as the hypoglossal cells (Table 1). The cells of the solitary nucleus and parvocellular reticular formation are only one half to two thirds as large as the parasolitary cells. In sagittal planes, the mammalian parasolitary nucleus is one to four fifths as long as the hypoglossal nucleus. Its most developed part can be found somewhat oral to the obex (Fig. 1 h & 5). A Golgi study of the cat parasolitary nucleus was also made, using Golgi-Rapid and Golgi-Cox serial sections. Three-dimensional reconstruction with serial sections was attempted as far as possible. The dendrites of the cat parasolitary cells are thick and straight with blunted tips. They show only a few ramifications. The longest dendrite extends as far as 700 micrometers. The directions of the dendrites are variable. Each cell has eight to ten dendrites. Few spines can be observed (Fig. 2 a, b). The dendritic field of the parasolitary nucleus, as a whole, extends dorsally into the middle layer of th solitary nucleus, ventrally into the parvocellular reticular formation, medially into the intercalate nucleus, and laterally into the inferior nucleus of the vestibular nerve.

Afferent Pathways↗