ABSTRACT
The current review gives a comprehensive overview of the recent development in Chinese medicine (CM) for treating several kinds of acquired nerve deafness and tinnitus, as well as links the traditional principle to well-established pharmacological mechanisms for future research. To date, about 24 herbal species and 40 related ingredients used in CM to treat hearing loss and tinnitus are reported for the treatment of endocochlear potential, endolymph growth, lowering toxic and provocative substance aggregation, inhibiting sensory cell death, and retaining sensory transfer. However, there are a few herbal species that can be used for medicinal purposes. Nevertheless, clinical studies have been hampered by a limited population sample, a deficiency of a suitable control research group, or contradictory results. Enhanced cochlear blood flow, antiinflammatory antioxidant, neuroprotective effects, and anti-apoptotic, as well as multi-target approach on different auditory sections of the inner ear, are all possible benefits of CM medications. There are numerous unknown natural products for aural ailment and tinnitus identified in CM that are expected to be examined in the future utilizing various aural ailment models and processes.
Subject(s)
Humans , Tinnitus/drug therapy , Medicine, Chinese Traditional , Hearing Loss/drug therapyABSTRACT
Objective To investigate the regrlative role of the cervical sympathetic ganglia on the cochlear blood flow and auditory function in guinea pig.Methods The horseradish peroxidase(HRP) was given to spiral modiolar artery locally for retrograde tracing in guinea pig. Immunohistochemical double-labeled technique was used in this study. The cochlear blood flow and auditory brainstem response(ABR) was measured a week after anilateral superior cervical sympathectony. The animal model of superior cervical sympathectomy following noise exposure in guinea pigs was estableshed to observe the auditory threshold shift.Results Retrogradely labeled neurons with HRP were found in the ipsilateral superior cervical ganglion(SCG). Most of HRP-labeled neurons in SCG were tyrosion hydroxylase(TH) positive. The blood flow of the capillaries of the stria vascularis on the experimental side a week ago were more aplenty than that of the opposite side, but the ABR threshold did not changed before and after ablation of the superior cervical ganglion.A protective role against noise injury was observed after surgical ablation of superior cervical ganglion.Conclusion The superior cervical sympathectomy can influence the cochlear blood flow and auditory function in guinea pig.
ABSTRACT
BACKGROUND AND OBJECTIVES: Cochlear blood flow is considered important as one of many causes of various inner ear diseases. Many studies have been performed to prove the decrease in cochlear blood flow as a cause of those diseases. This study was performed to determine the effects of cochlear ischemia induced by AICA occlusion on the relation of cochlear blood flow (CBF) in guinea pigs. MATERIALS AND METHODS: In 3 guinea pigs, the AICA was exposed through the basal portion of the skull with stable systemic blood pressure. The CBF of the basal area was monitored with laser Doppler flowmetry (LDF). The AICA was clamped for several minutes. With different durations, the LDF was measured under systemic blood pressure monitoring. RESULT: The vascular conductance in preocclusion state was 0.09+/-0.04 TPU (tissue perfusion unit)/mmHg. During occlusion of AICA for above 1 minute, abrupt decrease and following slow increase of CBF was observed. CONCLUSION: The autoregulation of CBF was identified, but it was incomplete even under the stable blood pressure. This study can be a good model for evalulation of hearing function during partial cochlear ischemia, but occulusion of labyrinthine artery will be a better choice for complete cochlea ischemia model.