GLORIA

GEOMAR Library Ocean Research Information Access

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 1-9
    Abstract: 〈 i 〉 Conclusions: 〈 /i 〉 Endolymph homeostasis is thought to be mediated by the vasopressin-aquaporin-2 (VP-AQP2) system in the inner ear. Endolymphatic hydrops, the morphological characteristics of Ménière’s disease (MD), seems to reflect the malregulation of the VP-AQP2 system in inner ear fluid. The elevation of plasma vasopressin (p-VP) level, which is often observed in MD and its related diseases, might be one of the causative factors underlying these diseases. 〈 i 〉 Purpose of Review: 〈 /i 〉 Review of the role of the VP-AQP2 system in the inner ear fluid homeostasis and in the formation and development of endolymphatic hydrops. 〈 i 〉 Recent Clinical and Ex 〈 /i 〉 〈 i 〉 perimental Findings: 〈 /i 〉 A clinical survey has revealed that the p-VP level is often elevated in MD and its related diseases and that the increase in the p-VP level was closely linked to vertigo attacks in MD. Experimental studies have revealed that proteins and mRNAs of aquaporin-2 and vasopressin type 2 receptor were expressed in the stria vascularis of the cochlea and the epithelium of the endolymphatic sac, and that the volume of the endolymphatic compartment was mediated by the activity of the VP-AQP2 system in the inner ear.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 2
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 19-25
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 To investigate the relationship between endolymphatic hydrops and vestibular dysfunction. 〈 i 〉 Methods: 〈 /i 〉 20 pigmented guinea pigs were used: 15 for a hydrops group and 5 for a sham group. Endolymphatic hydrops was produced by electrocauterization of the endolymphatic sac on the left ears. In the horizontal vestibuloocular reflex (HVOR) study, HVOR responses were recorded before and 1, 2, and 4 weeks after surgery in 9 animals of the hydrops group and 5 animals of the sham group. HVOR gain under sinusoidal rotation with a maximal head velocity of 45°/s and frequencies of 0.05, 0.1, 0.2, 0.4 and 0.8 Hz was analyzed. In the nystagmus study, spontaneous nystagmus was recorded in all animals of the hydrops and the sham groups for 1 h in the dark and the maximum slow-phase velocity was measured before and 1, 2, 4 weeks after surgery. Morphological changes in the inner ear were measured light microscopically. 〈 i 〉 Results: 〈 /i 〉 In the hydrops group, the HVOR gains at all stimulation frequencies seemed to decrease 1 week after surgery and recover 2 or 4 weeks after surgery; however, there were no statistical differences among HVOR gains in any periods after surgery. The incidence of spontaneous nystagmus gradually increased after surgery and the direction and onset showed large variation. The duration of nystagmus was approximately 10 min. The degree of endolymphatic hydrops showed large variation. In the sham group, HVOR gains at all stimulation frequencies showed no statistically different change in any period after surgery. In the sham group, no animal showed spontaneous nystagmus. 〈 i 〉 Conclusion: 〈 /i 〉 Experimentally induced endolymphatic hydrops seems to contribute to vestibular dysfunction to some extent. We speculated that when endolymphatic hydrops is progressing, vestibular dysfunction might occur.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 3
    Online Resource
    Online Resource
    S. Karger AG ; 2008
    In:  ORL Vol. 70, No. 4 ( 2008), p. 215-223
    In: ORL, S. Karger AG, Vol. 70, No. 4 ( 2008), p. 215-223
    Abstract: We investigated facial palsy which was induced by the interruption of the petrosal artery in guinea pigs. Forty animals were observed for 2 months regarding their behavioral facial nerve function and assessed by the blink reflex. Morphological changes in the intratemporal portion were observed with transmission electron microscopy in 20 animals with an interrupted petrosal artery. Facial palsy developed in 85.0% within 3 days after the interruption. The degree of palsy varied from mild to severe. Remission of palsy required 2–3 months in severe cases, 3 weeks or less in mild/moderate cases. Histological studies revealed a striking difference in the degree of degenerative changes between severe cases and mild/moderate cases. Animals with severe palsy showed extensive axonal atrophy and myelin disruption from the early stage. Meanwhile, degenerative changes were slight in cases with mild/moderate palsy. Regenerating unmyelinated fibers appeared 1 week after the interruption, but diminished in number 4 weeks later. Thereafter, new myelin was reformed on fibers. In cases of severe nerve damage, however, this regeneration process did not always seem to work well. A decrease in number and an irregular shape of the fibers were noted in animals with incomplete recovery. This animal model may be helpful for understanding the pathophysiology of ischemic facial palsy.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2008
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 4
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 67-70
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 To locate fibroblast growth factor receptor (FGFRs) 1–4 in human chronic tympanic membrane (TM) perforation. 〈 i 〉 Methods: 〈 /i 〉 A sample of human chronic TM perforation was harvested during myringoplasty. The sample was immediately fixed in 4% paraformaldehyde and embedded in OCT compound. Immunohistochemistry was performed with FGFR 1–4 polyclonal antibodies. 〈 i 〉 Results: 〈 /i 〉 FGFRs 1–4 were strongly and weakly expressed in the epidermal and mucosal layer of the TM perforation, respectively. 〈 i 〉 Conclusions: 〈 /i 〉 As it is impossible to perform quantitative analysis based on the fluorescence intensity of each immunoreactivity, the presence of FGFRs 1–4 in the human chronic TM perforation is shown. The expressions of FGFRs 1–4 indicated that the clinical use of bFGF agent is useful for myringoplasty.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 5
    Online Resource
    Online Resource
    S. Karger AG ; 2009
    In:  ORL Vol. 71, No. Suppl. 1 ( 2009), p. 30-40
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 30-40
    Abstract: 〈 i 〉 Conclusion: 〈 /i 〉 Otoacoustic emissions (OAEs) could be detectable as cochlear AC potentials. Spontaneous otoacoustic emissions (SOAEs) were detected either electrically or acoustically, while evoked otoacoustic emissions (EOAEs) could be detected electrically but not acoustically. 〈 i 〉 Objective: 〈 /i 〉 Many lines of evidence support the hypothesis that SOAEs are produced by spontaneous mechanical oscillation within the cochlea, and perhaps motile properties of the outer hair cells. If this is the case, SOAEs, emitted acoustically in the external auditory meatus, could also be recorded electrically as cochlear AC potential. EOAE is also thought to be produced by vibration of the basilar membrane, generated by the backward-traveling waves. EOAE thus seems to be detectable electrically as cochlear AC potential. In the present study, SOAE and EOAE were recorded both acoustically and electrically in the guinea pigs to examine the correlation between electrically recorded SOAE (ER-SOAE) and acoustically recorded SOAE (AR-SOAE). In addition, a microphonics response (MPR) to tone pip was recorded to analyze the characteristics of the non-linear component and linear component of the AC responses. 〈 i 〉 Results: 〈 /i 〉 (1) In 4 out of 20 guinea pigs (20%), SOAE could be detected both acoustically and electrically. (2) Electrical signals of SOAE had a better S/N ratio than acoustical signals. Generally, only some ER-SOAE could be detected acoustically. (3) Almost without exception, the prominent frequencies of multiple ER-SOAEs corresponded to the intermodulation distortion product, or harmonics. (4) ER-SOAEs were suppressed by hypoxia or intense sound exposure and reappeared upon rebreathing or discontinuation of the external tone. During recovery, prominent frequencies showed a transient downward shift in frequency. (5) SOAEs were synchronized in phase with an external tone in the spectral neighborhood of SOAE. The averaged waveform of SOAE synchronized with the external tone was the same with either acoustic or electrical signals. (6) The MPR to tone pip is composed of two components with different frequency characteristics and input/output functions. (7) The non-linear component delayed to cochlear microphonics was markedly saturated at the intensity level of 40 dB peak equivalent SPL. This component was a phase-lock response, not a frequency-locked one. (8) The non-linear component could be separated with Probst’s non-linear differential extraction technique. In the MPR to a 4-kHz tone pip, high-cut filtration at 3.5 kHz produced a waveform similar to the non-linear component separated by Probst’s method.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 6
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 99-104
    Abstract: 〈 i 〉 Conclusion: 〈 /i 〉 The antidromic facial nerve response (AFNR) is recommended as a monitoring method to detect cases resulting in facial nerve degeneration within 1 week after onset in patients with Bell’s palsy and Hunt syndrome. 〈 i 〉 Objectives: 〈 /i 〉 The purpose of this study was to establish criteria for the AFNR to predict the prognosis of Bell’s palsy and Hunt syndrome in the early stages, not exceeding 1 week after onset. 〈 i 〉 Materials and Methods: 〈 /i 〉 54 patients, including 40 with Bell’s palsy and 14 with Hunt syndrome, were examined in this study. All patients were tested for the AFNR within 1 week after onset of paralysis and AFNR waveforms were analyzed. Four AFNR parameters, the total (peak-to-peak) amplitude (T-amp), the amplitudes of the positive wave (P-amp) and the negative wave (N-amp), and the N-amp/T-amp (N/T) ratio, were compared with the outcomes of facial paralysis. 〈 i 〉 Results: 〈 /i 〉 In most patients with poor outcomes, T-amp was 〈 4 µV and N-amp was 〈 2 µV. The mean value of the N/T ratio in patients with a poor outcome fell to 〈 0.4 after the 3rd day from onset, while that in patients with a good outcome was stable between 0.4 and 0.6 during the first week.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 7
    Online Resource
    Online Resource
    S. Karger AG ; 2009
    In:  ORL Vol. 71, No. Suppl. 1 ( 2009), p. 78-84
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 78-84
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 Auditory disorders of the contralateral ear in patients with unilateral acoustic neurinoma have previously been reported using the auditory brainstem response. From our survey of the literature, there is no reported result about electrocochleography (ECoG) in the contralateral ear of acoustic neurinoma cases. In the present study, we reported ECoG and pure-tone audiometric results of the contralateral ears in cases of unilateral acoustic neurinoma and the relationship between ECoG findings and tumor size was discussed. 〈 i 〉 Methods: 〈 /i 〉 ECoG and pure-tone audiometry were performed for the contralateral ears in 27 cases of unilateral acoustic neurinoma, and the relationships between tumor size and contralateral ECoG findings and between pure-tone threshold and ECoG findings were investigated. As for ECoG findings, the negative summating potential to the compound action potential ratio (–SP/AP ratio) was examined. The tumor size was assessed by magnetic resonance imaging. 〈 i 〉 Results: 〈 /i 〉 Abnormal –SP/AP ratio exceeding 0.40 of the upper limit of the normal range was found in 7 (25.9%) of 27 ears. Incidences of abnormal –SP/AP ratio were 30.0% in large tumors (n = 10), 33.3% in mid-size tumors (n = 6) and 18.2% in small tumors (n = 11). There was no correlation between the incidences of abnormal –SP/AP ratio and tumor size. Moreover, there was no correlation between the –SP/AP ratio and pure-tone threshold at the ECoG recording. 〈 i 〉 Conclusion: 〈 /i 〉 These results suggest that any size of acoustic neurinoma may affect contralateral electrocochleographic findings. One possible cause may be dysfunction of the olivocochlear efferent system and another may be endolymphatic hydrops (e.g. delayed endolymphatic hydrops). Currently, however, the causes of –SP/AP ratio increase are still unknown and further investigations are required.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 8
    In: Fetal Diagnosis and Therapy, S. Karger AG, Vol. 41, No. 2 ( 2017), p. 145-151
    Abstract: 〈 b 〉 〈 i 〉 Objective: 〈 /i 〉 〈 /b 〉 To clarify whether distinguishing between the uterine isthmus and cervix can improve the accuracy of diagnosing placenta previa at term. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 A multicenter prospective observational study was conducted among pregnant women with suspected placenta previa at 20-24 weeks' gestation. Subjects were divided into the open isthmus group and closed isthmus group. The accuracy of diagnosing placenta previa at term was compared between the 2 groups. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 We screened 9,341 patients, and 53 (0.6%) met the inclusion criteria. Nineteen cases with an open isthmus and 34 with a closed isthmus were followed. The accuracy for diagnosing placenta previa or a low-lying placenta at term was 94.7% in the open isthmus group and 26.5% in the closed isthmus group (p 〈 0.001). Elective or emergency Cesarean section was required in 100% of cases in the open isthmus group and 20.6% in the closed isthmus group (p 〈 0.001). 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 A high prediction rate of placenta previa was obtained by using transvaginal ultrasound at 20-24 weeks' gestation after the isthmus opened by carefully distinguishing between the cervix and isthmus.
    Type of Medium: Online Resource
    ISSN: 1015-3837 , 1421-9964
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2017
    detail.hit.zdb_id: 1482292-1
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 9
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 26-29
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 To investigate the relationship between the plasma antidiuretic hormone (p-ADH) level, electrocochleogram (ECoG), and the glycerol test in patients with endolymphatic hydrops (ELH). 〈 i 〉 Patients and Methods: 〈 /i 〉 The subjects were 60 patients, including 51 with Ménière’s disease (except for cochlear Ménière’s disease), 7 with delayed ELH, and 2 with syphilitic ELH. The time period for measurements of the p-ADH level, ECoG and the glycerol test was within 4 weeks. 〈 i 〉 Results: 〈 /i 〉 13 patients showed positive results for all tests. 58 patients showed positive results for at least one of three tests. Only 2 patients showed negative results for all tests. 〈 i 〉 Conclusion: 〈 /i 〉 The p-ADH level, ECoG and the glycerol test show different selectivity of ELH detection. It is useful to perform all three tests to diagnose ELH.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 10
    In: ORL, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 71-73
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 To introduce our modified procedures of type 1 tympanoplasty and to assess their efficacy. 〈 i 〉 Methods: 〈 /i 〉 We modified the surgical procedures of type 1 tympanoplasty and have used these procedures since September 1999. The modified points are enlargement of the facial recess approach, no elevation of the posterior meatal skin and the tympanic annulus, and endoaural repair of tympanic membrane perforation. 51 patients with simple chronic otitis media have undergone this modified type 1 tympanoplasty. Postoperative hearing was evaluated according to the criteria proposed by the Otological Society of Japan. 〈 i 〉 Results: 〈 /i 〉 The average follow-up period was 15 months (range 6–35). The hearing result was considered successful when the postoperative hearing level satisfied with at least one of three conditions as follows: (1) air-bone gap 〈 15 dB, (2) hearing gain 〉 15 dB, or (3) hearing level 〉 30 dB. The success rate was 94.1%. The average postoperative air-bone gap, hearing gain and hearing level were 3.9, 10.0 and 29.3 dB, respectively. 〈 i 〉 Conclusion: 〈 /i 〉 Our modified tympanoplasty is useful to achieve better postoperative hearing results.
    Type of Medium: Online Resource
    ISSN: 0301-1569 , 1423-0275
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483533-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...