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  • Title: Morphology changes in the cochlea of impulse noise-induced hidden hearing loss.
    Author: Qi G, Shi L, Qin H, Jiang Q, Guo W, Yu N, Han D, Yang S.
    Journal: Acta Otolaryngol; 2022 Jun; 142(6):455-462. PubMed ID: 35723705.
    Abstract:
    BACKGROUND: This study was focused on impulse noise induces hidden hearing loss. OBJECTIVES: This study was designed to determine the morphology changes of noise-induced hidden hearing loss (NIHHL). METHOD: Fifteen guinea pigs were divided into three groups: noise-induced hidden hearing loss (NIHHL) group, noise-induced hearing loss (NIHL) group, and normal control group. For the NIHHL group, guinea pigs were exposed to 15 times of impulse noise with peak intensity of 163 dB SPL at one time. For the NIHL group, animals were exposed to two rounds of 100 times impulse noise, and the time interval is 24 h. Auditory brain response (ABR) was tested before, immediately, 24 h, one week, and one month after noise exposure to evaluate cochlear physiology changes. One month after noise exposure, all guinea pigs in three groups were sacrificed, and basement membranes were carefully dissected immediately after ABR tests. The cochlea samples were observed by transmission electron microscopy (TEM) to find out the morphology changes. RESULT: The ABR results showed that 15 times of impulse noise exposure could cause NIHHL in guinea pigs and 200 times could cause completely hearing loss. Impulse noise exposure could cause a dramatic increase of mitochondria in the inner hair cell. The structures of ribbon synapse and heminode were also obviously impaired compared to the normal group. The nerve fiber and myelin sheath remained intact after impulse noise exposure. CONCLUSION: This research revealed that impulse noise could cause hidden hearing loss, and the changes in inner hair cells, ribbon synapse, and heminode all played a vital role in the pathogenesis of hidden hearing loss.
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