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Korean Journal of Anesthesiology 2005;49(4):523-527.
DOI: https://doi.org/10.4097/kjae.2005.49.4.523   
Protective Effect of Isoflurane on Noise-induced Hearing Loss in Mice.
Seung Woo Ku, Jin Woo Shin, Ji Yeon Lee, Joung Uk Kim, Su Keoung Lee, Jong Woo Chung, Eun Ho Lee
1Department of Anesthesiology and Pain Medicine, College of Medicine, University of Ulsan, Seoul, Korea. jukim@amc.seoul.kr
2Department of Otolarygology, College of Medicine, University of Ulsan, Seoul, Korea.
3Department of Anesthesiology and Pain Medicine, Eulji University College of Medicine, Daejeon, Korea.
Abstract
BACKGROUND
It is well known that the loud noise exposure can lead to noise-induced hearing loss (NIHL). Drilling during mastoid surgery may result in NIHL. The noise level produced by drilling of the mastoid bone can exceed 125 dB HL (hearing level); therefore, mastoid surgery itself is associated with a lower incidence of NIHL than expected. The aim of this study was to analyze the effects of isoflurane on NIHL and hair cell morphological changes.
METHODS
BALB/c mice were divided into 2 groups; a control group (n = 20) and an isoflurane group (n = 20). The mice of both groups were exposed to 120 dB SPL (sound pressure level) broadband white noise for 3 hours per day, for 3 consecutive days. The mice in the isoflurane group were anesthetized with isoflurane while exposed to the noise. The auditory brainstem response (ABR) thresholds were determined 1 day before and after the noise-exposure and then again after 7 days. Both cochlea were removed and stained using fluorescent isothiocyanate (FITC) phalloidin.
RESULTS
1 day prior to noise-exposure, the ABR thresholds were those of a normal hearing level in both the control and isoflurane groups. In the control group, the mean hearing threshold was 78.0+/-2.6 dB HL after 1 day of noise-exposure and 81.5+/-3.4 dB HL after 1 week; in the isoflurane group, the mean hearing threshold was 49+/-11.7 dB HL after 1 day and 30.5+/-9.3 dB HL after 1 week. The hearing thresholds after noise exposure in the control were significantly higher than those in the isoflurane group (P<0.05).
CONCLUSIONS
The occurrence of NIHL decreased and the hair cell damage suppressed in the mice exposed to intense noise while anesthetized by isoflurane.
Key Words: auditory brainstem response (ABR); hair cell; isoflurane; noise induced hearing loss


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