Hearing Loss with Semicircular Canal Transection and Pseudomonas Aeruginosa Otitis Media

Author:

Prevatt Angela R.12,Sedwick Jack D.12,Gajewski Byron J.12,Antonelli Patrick J.12

Affiliation:

1. Gainesville, Florida, and Kansas City, Kansas

2. Department of Otolaryngology, University of Florida and the University of Kansas Medical Center School of Nursing

Abstract

OBJECTIVE: To determine if Pseudomonas aeruginosa (PA) otitis media (OM) increases the risk of sensorineural hearing loss (SNHL) with semicircular canal transection in the guinea pig model. METHODS: PA was injected transtympanically into both middle ears of pigmented guinea pigs. Saline-injected animals served as controls. Two to 4 days after injection, one horizontal semicircular canal was transected and sealed. Hearing was tested using electrocochleography before and after transection. RESULTS: PA-OM was induced in all PA-injected ears. Five days after semicircular canal transection, click-evoked thresholds were significantly elevated in ears with PA-OM ( P = 0.00009) but not in saline-injected ears ( P = 0.398). CONCLUSION: Violation of the inner ear in the presence of PA-OM is associated with increased risk of SNHL in the guinea pig. SIGNIFICANCE: Factors unique to PA infection may be responsible for SNHL with labyrinthine injury in humans with chronic otitis media.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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