<meta charset="utf8"></head><body>LISW 对小鼠耳蜗病理生理学影响的表征

<ol>
	<li>Arun, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Blast+exposure+causes+long-term+degeneration+of+neuronal+cytoskeletal+elements+in+the+cochlear+nucleus:+A+potential+mechanism+for+chronic+auditory+dysfunctions.">Blast exposure causes long-term degeneration of neuronal cytoskeletal elements in the cochlear nucleus: A potential mechanism for chronic auditory dysfunctions.</a> Front Neurol. 12, 652190 (2021).</li><li>Kurioka, T., Mizutari, K., Satoh, Y., Shiotani, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Correlation+of+blast-induced+tympanic+membrane+perforation+with+peripheral+cochlear+synaptopathy.">Correlation of blast-induced tympanic membrane perforation with peripheral cochlear synaptopathy.</a> J Neurotrauma. 39 (13-14), 999-1009 (2022).</li><li>Liberman, M. C., Epstein, M. J., Cleveland, S. S., Wang, H., Maison, S. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Toward+a+differential+diagnosis+of+hidden+hearing+loss+in+humans.">Toward a differential diagnosis of hidden hearing loss in humans.</a> PLoS One. 11 (9), e0162726 (2016).</li><li>Koizumi, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Y-27632,+a+rock+inhibitor,+improved+laser-induced+shock+wave+(lisw)-induced+cochlear+synaptopathy+in+mice.">Y-27632, a rock inhibitor, improved laser-induced shock wave (lisw)-induced cochlear synaptopathy in mice.</a> Mol Brain. 14 (1), 105 (2021).</li><li>Parthasarathy, A., Kujawa, S. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Synaptopathy+in+the+aging+cochlea:+Characterizing+early-neural+deficits+in+auditory+temporal+envelope+processing.">Synaptopathy in the aging cochlea: Characterizing early-neural deficits in auditory temporal envelope processing.</a> J Neurosci. 38 (32), 7108-7119 (2018).</li><li>Kurioka, T., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Characteristics+of+laser-induced+shock+wave+injury+to+the+inner+ear+of+rats.">Characteristics of laser-induced shock wave injury to the inner ear of rats.</a> J Biomed Opt. 19 (12), 125001 (2014).</li><li>Paik, C. B., Pei, M., Oghalai, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Review+of+blast+noise+and+the+auditory+system.">Review of blast noise and the auditory system.</a> Hear Res. 425, 108459 (2022).</li><li>Bryden, D. W., Tilghman, J. I., Hinds, S. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Blast-related+traumatic+brain+injury:+Current+concepts+and+research+considerations.">Blast-related traumatic brain injury: Current concepts and research considerations.</a> J Exp Neurosci. 13, 1179069519872213 (2019).</li><li>Ma, X., Aravind, A., Pfister, B. J., Chandra, N., Haorah, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Animal+models+of+traumatic+brain+injury+and+assessment+of+injury+severity.">Animal models of traumatic brain injury and assessment of injury severity.</a> Mol Neurobiol. 56 (8), 5332-5345 (2019).</li><li>Shao, N., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Central+and+peripheral+auditory+abnormalities+in+chinchilla+animal+model+of+blast-injury.">Central and peripheral auditory abnormalities in chinchilla animal model of blast-injury.</a> Hear Res. 407, 108273 (2021).</li><li>Ou, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Traumatic+brain+injury+induced+by+exposure+to+blast+overpressure+via+ear+canal.">Traumatic brain injury induced by exposure to blast overpressure via ear canal.</a> Neural Regen Res. 17 (1), 115-121 (2022).</li><li>Cho, S. I., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mechanisms+of+hearing+loss+after+blast+injury+to+the+ear.">Mechanisms of hearing loss after blast injury to the ear.</a> PLoS One. 8 (7), e67618 (2013).</li><li>Kurioka, T., Mizutari, K., Satoh, Y., Kobayashi, Y., Shiotani, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Blast-induced+central+auditory+neurodegeneration+affects+tinnitus+development+regardless+of+peripheral+cochlear+damage.">Blast-induced central auditory neurodegeneration affects tinnitus development regardless of peripheral cochlear damage.</a> J Neurotrauma. , (2023).</li><li>Niwa, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pathophysiology+of+the+inner+ear+after+blast+injury+caused+by+laser-induced+shock+wave.">Pathophysiology of the inner ear after blast injury caused by laser-induced shock wave.</a> Sci Rep. 6, 31754 (2016).</li><li>Kimura, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+shock+wave+power+spectrum+on+the+inner+ear+pathophysiology+in+blast-induced+hearing+loss.">Effect of shock wave power spectrum on the inner ear pathophysiology in blast-induced hearing loss.</a> Sci Rep. 11 (1), 14704 (2021).</li><li>Satoh, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pulmonary+blast+injury+in+mice:+A+novel+model+for+studying+blast+injury+in+the+laboratory+using+laser-induced+stress+waves.">Pulmonary blast injury in mice: A novel model for studying blast injury in the laboratory using laser-induced stress waves.</a> Lasers Surg Med. 42 (4), 313-318 (2010).</li><li>Kawauchi, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+of+isolated+and+combined+exposure+of+the+brain+and+lungs+to+a+laser-induced+shock+wave(s)+on+physiological+and+neurological+responses+in+rats.">Effects of isolated and combined exposure of the brain and lungs to a laser-induced shock wave(s) on physiological and neurological responses in rats.</a> J Neurotrauma. 39 (21-22), 1533-1546 (2022).</li><li>Cassinotti, L. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cochlear+neurotrophin-3+overexpression+at+mid-life+prevents+age-related+inner+hair+cell+synaptopathy+and+slows+age-related+hearing+loss.">Cochlear neurotrophin-3 overexpression at mid-life prevents age-related inner hair cell synaptopathy and slows age-related hearing loss.</a> Aging Cell. 21 (10), e13708 (2022).</li><li>Kujawa, S. G., Liberman, M. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Adding+insult+to+injury:+Cochlear+nerve+degeneration+after+&amp;#34;temporary&amp;#34;+noise-induced+hearing+loss.">Adding insult to injury: Cochlear nerve degeneration after &amp;#34;temporary&amp;#34; noise-induced hearing loss.</a> J Neurosci. 29 (45), 14077-14085 (2009).</li><li>Hickman, T. T., Smalt, C., Bobrow, J., Quatieri, T., Liberman, M. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Blast-induced+cochlear+synaptopathy+in+chinchillas.">Blast-induced cochlear synaptopathy in chinchillas.</a> Sci Rep. 8 (1), 10740 (2018).</li><li>Jiang, S., Sanders, S., Gan, R. Z. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hearing+protection+and+damage+mitigation+in+chinchillas+exposed+to+repeated+low-intensity+blasts.">Hearing protection and damage mitigation in chinchillas exposed to repeated low-intensity blasts.</a> Hear Res. 429, 108703 (2023).</li><li>Nakagawa, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mechanisms+of+primary+blast-induced+traumatic+brain+injury:+Insights+from+shock-wave+research.">Mechanisms of primary blast-induced traumatic brain injury: Insights from shock-wave research.</a> J Neurotrauma. 28 (6), 1101-1119 (2011).</li><li>Wu, P. Z., Liberman, M. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Age-related+stereocilia+pathology+in+the+human+cochlea.">Age-related stereocilia pathology in the human cochlea.</a> Hear Res. 422, 108551 (2022).</li><li>Kurabi, A., Keithley, E. M., Housley, G. D., Ryan, A. F., Wong, A. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cellular+mechanisms+of+noise-induced+hearing+loss.">Cellular mechanisms of noise-induced hearing loss.</a> Hear Res. 349, 129-137 (2017).</li><li>Kim, J., Xia, A., Grillet, N., Applegate, B. E., Oghalai, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Osmotic+stabilization+prevents+cochlear+synaptopathy+after+blast+trauma.">Osmotic stabilization prevents cochlear synaptopathy after blast trauma.</a> Proc Natl Acad Sci U S A. 115 (21), E4853-E4860 (2018).</li><li>Hu, N., Rutherford, M. A., Green, S. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Protection+of+cochlear+synapses+from+noise-induced+excitotoxic+trauma+by+blockade+of+ca(2+)-permeable+ampa+receptors.">Protection of cochlear synapses from noise-induced excitotoxic trauma by blockade of ca(2+)-permeable ampa receptors.</a> Proc Natl Acad Sci U S A. 117 (7), 3828-3838 (2020).</li><li>Wan, G., Gomez-Casati, M. E., Gigliello, A. R., Liberman, M. C., Corfas, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Neurotrophin-3+regulates+ribbon+synapse+density+in+the+cochlea+and+induces+synapse+regeneration+after+acoustic+trauma.">Neurotrophin-3 regulates ribbon synapse density in the cochlea and induces synapse regeneration after acoustic trauma.</a> Elife. 3, e03564 (2014).</li></ol>

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>532 nm Q-switched Nd:YAG laser&#160;</td>
			<td>Quantel</td>
			<td>Brilliant b</td>
			<td></td>
		</tr>
		<tr>
			<td>ABR peak analysis software</td>
			<td>Mass Eye and Ear</td>
			<td>N/A</td>
			<td>EPL Cochlear Function Test Suite</td>
		</tr>
		<tr>
			<td>Acrylic resin welding adhesive&#160;</td>
			<td>Acrysunday Co., Ltd</td>
			<td>N/A</td>
			<td></td>
		</tr>
		<tr>
			<td>confocal fluorescence microscopy</td>
			<td>Leica</td>
			<td>TCS SP8</td>
			<td></td>
		</tr>
		<tr>
			<td>cryosectioning compound</td>
			<td>Sakura</td>
			<td>Tissue-Tek O.C.T</td>
			<td></td>
		</tr>
		<tr>
			<td>CtBP2 antibody</td>
			<td>BD Transduction</td>
			<td>#612044</td>
			<td></td>
		</tr>
		<tr>
			<td>Dielectric multilayer mirrors</td>
			<td>SIGMAKOKI CO.,LTD</td>
			<td>TFMHP-50C08-532</td>
			<td>M1-M3</td>
		</tr>
		<tr>
			<td>Digital oscilloscope</td>
			<td>Tektronix</td>
			<td>DPO4104B</td>
			<td></td>
		</tr>
		<tr>
			<td>Earphone</td>
			<td>CUI</td>
			<td>CDMG15008-03A</td>
			<td></td>
		</tr>
		<tr>
			<td>Hydrophone</td>
			<td>RP acoustics e.K.</td>
			<td>FOPH2000</td>
			<td></td>
		</tr>
		<tr>
			<td>Image J software plug-in</td>
			<td>NIH</td>
			<td>measurement line</td>
			<td>https://myfiles.meei.harvard.edu/xythoswfs/webui/_xy-e693768_1-t_wC4oKeBD</td>
		</tr>
		<tr>
			<td>Light microscope</td>
			<td>Keyence Corporation</td>
			<td>BZ-X700</td>
			<td></td>
		</tr>
		<tr>
			<td>Myosin 7A antibody</td>
			<td>Proteus Biosciences</td>
			<td>#25&#8211;6790&#160;</td>
			<td></td>
		</tr>
		<tr>
			<td>Neurofilament antibody</td>
			<td>Sigma</td>
			<td>#AB5539</td>
			<td></td>
		</tr>
		<tr>
			<td>Plano-convex lens</td>
			<td>SIGMAKOKI CO.,LTD</td>
			<td>SLSQ-30-200PM</td>
			<td></td>
		</tr>
		<tr>
			<td>Prism software</td>
			<td>GraphPad</td>
			<td>N/A</td>
			<td>ver.8.2.1</td>
		</tr>
		<tr>
			<td>Scanning electron microscope</td>
			<td>JEOL Ltd</td>
			<td>JSM-6340F</td>
			<td></td>
		</tr>
		<tr>
			<td>Small digital endoscope</td>
			<td>AVS Co. Ltd</td>
			<td>AE-C1</td>
			<td></td>
		</tr>
		<tr>
			<td>Ultrasonic jelly</td>
			<td>Hitachi Aloka Medical</td>
			<td>N/A</td>
			<td></td>
		</tr>
		<tr>
			<td>Variable attenuator</td>
			<td>Showa Optronics Co.</td>
			<td>N/A</td>
			<td>Currenly avaiable successor: KYOCERA SOC Corporation, RWH-532HP II</td>
		</tr>
		<tr>
			<td>Water-soluble encapsulant&#160;</td>
			<td>Dako</td>
			<td>#S1964</td>
			<td></td>
		</tr>
	</tbody>
</table>

research application of laser-induced shock wave for studying blast-induced cochlear injury

Read this Scientific Article Protocol about Author Spotlight: Development of a Laser-Induced Shock Wave Animal Model Without Tympanic Membrane Perforation at JoVE.com

<meta charset="utf8"></head><body>作者聚焦：无鼓膜穿孔的激光诱导冲击波动物模型的开发

激光诱导冲击波在爆炸性耳蜗损伤研究中的应用

The ear is the organ most susceptible to explosion overpressure, and cochlear injuries frequently occur after blast exposure. Blast exposure can lead to ...

research-application-laser-induced-shock-wave-for-studying-blast

Research

JoVE Journal

Medicine

Research Application of Laser-Induced Shock Wave for Studying Blast-Induced Cochlear Injury

455 次观看.  National Defense Medical College. 评估原始细胞暴露引起的纯感觉神经耳蜗功能障碍导致鼓膜穿孔。我们使用剃刀诱导冲击波开发了一种爆炸诱导耳蜗损伤的实验动物模型。这种方法可以避免鼓膜穿孔和伴随的全身损伤，并在 LISW 暴露后以能量依赖性方式再现感觉神经听力损失成分的功能下降。这种动物模型可能是陈述 MALAST 诱导的耳蜗功能障碍的病理机制和探索潜在治疗方法?...

视频: 作者聚焦：无鼓膜穿孔的激光诱导冲击波动物模型的开发

Controlled Cortical Impact Model for Traumatic Brain Injury

Every year over a million Americans suffer a traumatic brain injury (TBI). Combined with the incidence of TBIs worldwide, the physical, emotional, social, and economical effects are staggering. Therefore, further research into the effects of TBI and effective treatments is necessary. The controlled cortical impact (CCI) model induces traumatic brain injuries ranging from mild to severe. This method uses a rigid impactor to deliver mechanical energy to an intact dura exposed following a craniectomy. Impact is made under precise parameters at a set velocity to achieve a pre-determined deformation depth. Although other TBI models, such as weight drop and fluid percussion, exist, CCI is more accurate, easier to control, and most importantly, produces traumatic brain injuries similar to those seen in humans. However, no TBI model is currently able to reproduce pathological changes identical to those seen in human patients. The CCI model allows investigation into the short-term and long-term effects of TBI, such as neuronal death, memory deficits, and cerebral edema, as well as potential therapeutic treatments for TBI.

Traumatic brain injuries (TBIs) remain a serious health problem. Using the controlled cortical impact surgery model, research on the effects of TBI and possible treatment methods may be performed.

控制皮层影响模型创伤性脑损伤

Every year over a million Americans suffer a traumatic brain injury (TBI).  Combined with the incidence of TBIs worldwide, the physical, emotional, ...

科研

医学

A Mouse Model for Laser-induced Choroidal Neovascularization

The mouse laser-induced choroidal neovascularization (CNV) model has been a crucial mainstay model for neovascular age-related macular degeneration (AMD) research. By administering targeted laser injury to the RPE and Bruch&#8217;s membrane, the procedure induces angiogenesis, modeling the hallmark pathology observed in neovascular AMD. 
First developed in non-human primates, the laser-induced CNV model has come to be implemented into many other species, the most recent of which being the mouse. Mouse experiments are advantageously more cost-effective, experiments can be executed on a much faster timeline, and they allow the use of various transgenic models. The miniature size of the mouse eye, however, poses a particular challenge when performing the procedure. Manipulation of the eye to visualize the retina requires practice of fine dexterity skills as well as simultaneous hand-eye-foot coordination to operate the laser. However, once mastered, the model can be applied to study many aspects of neovascular AMD such as molecular mechanisms, the effect of genetic manipulations, and drug treatment effects. 
The laser-induced CNV model, though useful, is not a perfect model of the disease. The wild-type mouse eye is otherwise healthy, and the chorio-retinal environment does not mimic the pathologic changes in human AMD. Furthermore, injury-induced angiogenesis does not reflect the same pathways as angiogenesis occurring in an age-related and chronic disease state as in AMD.
Despite its shortcomings, the laser-induced CNV model is one of the best methods currently available to study the debilitating pathology of neovascular AMD. Its implementation has led to a deeper understanding of the pathogenesis of AMD, as well as contributing to the development of many of the AMD therapies currently available.

Here, we present the mouse laser-induced choroidal neovascularization (CNV) protocol, an experimental model that re-creates the vascular hallmarks of neovascular age-related macular degeneration (AMD). Once mastered, it can reliably and effectively induce CNV as a model system to test various experimental measures.

小鼠模型的激光诱导脉络膜新生血管

The mouse laser-induced choroidal neovascularization (CNV) model has been a crucial mainstay model for neovascular age-related macular degeneration (AMD) ...

Modified Heterotopic Hindlimb Osteomyocutaneous Flap Model in the Rat for Translational Vascularized Composite Allotransplantation Research

Vascularized composite allotransplantation (VCA) is a relatively new field in the reconstructive surgery. Clinical achievements in human VCA include hand and face transplants and, more recently, abdominal wall, uterus, and urogenital transplants. Functional outcomes have exceeded initial expectations, and most recipients enjoy an improved quality of life. However, as clinical experience accumulates, chronic rejection and complications from the immunosuppression must be addressed. In many cases where grafts have failed, the causative pathology has been ischemic vasculopathy. <span style="font-size: 11pt; line-height: 115%; font-family: Arial, sans-serif; color: rgb(41, 43, 49); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">The biological mechanisms of the acute and chronic rejection associated with VCA, especially ischemic vasculopathy, are important areas of research. However, due to the very small number of VCA patients, the evaluation of proposed mechanisms is better addressed in an experimental model. Multiple groups have used animal models to address some of the relevant unsolved questions in VCA rejection and vasculopathy. Several model designs involving a variety of species are described in the literature. Here we present a reproducible model of VCA heterotopic hindlimb osteomyocutaneous flap in the rat that can be utilized for translational VCA research. This model allows for the serial evaluation of the graft, including biopsies and different imaging modalities, while maintaining a low level of morbidity.

Vascularized composite allograft offers life-altering benefits to transplant recipients, but the biological causes of graft rejection and vasculopathy remain poorly understood. The rodent surgical model presented here offers a reproducible, clinically relevant model of transplantation, allowing researchers to evaluate rejection events and potential therapeutic strategies to prevent their occurrence.

改良异位异体下肢骨皮瓣模型在大鼠转化血管化复合同种异体移植研究中的应用

Vascularized composite allotransplantation (VCA) is a relatively new field in the reconstructive surgery. Clinical achievements in human VCA include hand ...

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

In cases of cerebrospinal fluid (CSF) leaks, reliable detection of their origins is needed to seal the leak sufficiently and prevent complications, such as meningitis. A method is presented here using intrathecal administered fluorescein in a clinical case of bilateral congenital ear malformation. A fluorescent dye is administered intrathecally to achieve intraoperative visualization of CSF leaks. The dye is applied 20 min before surgery, and concentration of 5% is used. Per every 10 kg of body weight, 0.1 mL of the fluid is applied intrathecally. The fluorescein is visualized using a fully digital microscope. The origin of the fluid leak is identified in the stapes footplate. During primary surgery, it is sealed, and cochlea implantation is performed for hearing restoration. In this specific case, 6 weeks later, the implant was explanted due to acute meningitis, and the electrode array was left as a spacer. Postoperatively, in the aural smear, &#946;-transferrin was detected. During a revision mastoidectomy, dislocated coverage of the leak was found. The stapes was removed and oval window sealed. Five days after revision surgery, no &#946;-transferrin was detected in the aural smear. During the revision of cochlea implantation 6 months later, intact coverage of the oval niche was observed. Thus, intrathecal fluorescein application proves to be a reliable tool for the detection of CSF leaks. It facilitates the orientation in malformations and complicated or unknown surgical situs. In the literature, its use is described for CSF fistulas in endonasal surgery but is rarely described in skull base and mastoid surgeries. The method has been used successfully in several cases with CSF leaks, and the results confirm the feasibility of safely accessing the origin of the leak.

Intrathecally applied fluorescein is used to achieve intraoperative visualization of CSF leaks. This protocol describes a lumbar puncture, the application of 5% fluorescein, and intraoperative visualization using a fully digital microscope.

荧光染料在耳蜗畸形中识别脑脊液泄漏的内膜应用

In cases of cerebrospinal fluid (CSF) leaks, reliable detection of their origins is needed to seal the leak sufficiently and prevent complications, such ...

Performing Intracochlear Electrocochleography During Cochlear Implantation

Electrocochleography (ECochG) measures inner ear potentials generated in response to acoustic stimulation of the ear. These potentials reflect the residual function of the cochlea. In cochlear implant candidates with residual hearing, the implant electrode can directly measure ECochG responses during the implantation process. Various authors have described the ability to monitor the inner ear function by continuous ECochG measurements during the surgery. The measurement of ECochG signals during surgery is not trivial. There are no interpretable signals in up to 20% of cases. For a successful recording, a standardized procedure is recommended to achieve the highest measurement reliability and avoid possible pitfalls. Therefore, seamless collaboration between the CI surgeon and CI technician is key. This video consists of an overview of the system setup and a stepwise procedure of performing intracochlear ECochG measurements during CI surgery. It shows the surgeon's and the CI technician's roles in the process, and how a smooth collaboration between the two is made possible.

Electrocochleography (ECochG) measures inner ear potentials generated in response to acoustic stimulation. In cochlear implant (CI) candidates, such inner ear potentials can be measured directly with the implant electrodes. In this video, we systematically explain how to perform ECochG recordings during CI surgery.

在人工耳蜗植入过程中进行脑室内耳蜗电图检查

Electrocochleography (ECochG) measures inner ear potentials generated in response to acoustic stimulation of the ear. These potentials reflect the ...

Controlled Semi-Automated Laser-Induced Injuries for Studying Spinal Cord Regeneration in Zebrafish Larvae

Zebrafish larvae possess a fully functional central nervous system (CNS) with a high regenerative capacity only a few days after fertilization. This makes this animal model very useful for studying spinal cord injury and regeneration. The standard protocol for inducing such lesions is to transect the dorsal part of the trunk manually. However, this technique requires extensive training and damages additional tissues. A protocol was developed for laser-induced lesions to circumvent these limitations, allowing for high reproducibility and completeness of spinal cord transection over many animals and between different sessions, even for an untrained operator. Furthermore, tissue damage is mainly limited to the spinal cord itself, reducing confounding effects from injuring different tissues, e.g., skin, muscle, and CNS. Moreover, hemi-lesions of the spinal cord are possible. Improved preservation of tissue integrity after laser injury facilitates further dissections needed for additional analyses, such as electrophysiology. Hence, this method offers precise control of the injury extent that is unachievable manually. This allows for new experimental paradigms in this powerful model in the future.

The present protocol describes a method to induce tissue-specific and highly reproducible injuries in zebrafish larvae using a laser lesion system combined with an automated microfluidic platform for larvae handling.

受控半自动激光诱导损伤研究斑马鱼幼虫脊髓再生

Zebrafish larvae possess a fully functional central nervous system (CNS) with a high regenerative capacity only a few days after fertilization. This makes ...

Robotic Cochlear Implantation for Direct Cochlear Access

Robot-assisted systems offer great potential for gentler and more precise cochlear implantation. In this article, we provide a comprehensive overview of the clinical workflow for robotic cochlear implantation using a robotic system specifically developed for a minimally invasive, direct cochlear access. The clinical workflow involves experts from various disciplines and requires training to ensure a smooth and safe procedure. The protocol briefly summarizes the history of robotic cochlear implantation. The clinical sequence is explained in detail, beginning with the assessment of patient eligibility and covering surgical preparation, preoperative planning with the special planning software, drilling of the middle ear access, intraoperative imaging to confirm the trajectory, milling of the inner ear access, insertion of the electrode array, and implant management. The steps that require special attention are discussed. As an example, the postoperative outcome of robotic cochlear implantation in a patient with advanced otosclerosis is presented. Finally, the procedure is discussed in the context of the authors' experience.

Robotic cochlear implantation is a procedure for minimally invasive inner ear access. Compared to conventional surgery, robotic cochlear implantation involves additional steps that need to be carried out in the operating room. In this article we give a description of the procedure and highlight the important aspects of robotic cochlear implantation.

用于直接访问人工耳蜗的机器人人工耳蜗植入

Robot-assisted systems offer great potential for gentler and more precise cochlear implantation. In this article, we provide a comprehensive overview of ...

The Miniature Pig: A Large Animal Model for Cochlear Implant Research

Cochlear implants (CI) are the most effective method to treat people with severe-to-profound sensorineural hearing loss. Although CIs are used worldwide, no standard model exists for investigating the electrophysiology and histopathology in patients or animal models with a CI or for evaluating new models of electrode arrays. A large animal model with cochlea characteristics similar to those of humans may provide a research and evaluation platform for advanced and modified arrays before their use in humans. 
To this end, we established standard CI methods with Bama mini-pigs, whose inner ear anatomy is highly similar to that of humans. Arrays designed for human use were implanted into the mini pig cochlea through a round window membrane, and a surgical approach followed that was similar to that used for human CI recipients. Array insertion was followed by evoked compound action potential (ECAP) measurements to evaluate the function of the auditory nerve. This study describes the preparation of the animal, surgical steps, array insertion, and intraoperative electrophysiological measurements. 
The results indicated that the same CI used for humans could be easily implanted in mini-pigs via a standardized surgical approach and yielded similar electrophysiological outcomes as measured in human CI recipients. Mini-pigs could be a valuable animal model to provide initial evidence of the safety and potential performance of novel electrode arrays and surgical approaches before applying them to human beings.

Miniature pigs (mini-pigs) are an ideal large animal model for research into cochlear implants. Cochlear implantation surgery in mini-pigs can be utilized to provide initial evidence of the safety and potential performance of novel electrode arrays and surgical approaches in a living system similar to human beings.

微型猪：人工耳蜗研究的大型动物模型

Cochlear implants (CI) are the most effective method to treat people with severe-to-profound sensorineural hearing loss. Although CIs are used worldwide, ...

Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source

Focused shock waves have emerged as a highly effective noninvasive therapeutic option for the treatment of calcific tendinitis of the shoulder. There are three types of focused shock wave generators: electrohydraulic, electromagnetic, and piezoelectric. According to our literature search, there are no reports of results with the use of single-crystal piezoelectric generators in calcific tendinitis of the shoulder. In a consecutive retrospective series of 23 patients with G&#228;rtner type I and II calcifications of the rotator cuff, we performed three applications of high-energy piezoelectric focused waves (4,000 pulses per session with a frequency of 6 Hz). At the final follow-up (average of 14 months), 82.6% of the cases showed complete resorption of the calcification in radiographic controls. In 8.7% of the cases, partial disappearance of the calcification was achieved, and in the remaining 8.7% there were no significant changes. Single-crystal piezoelectric generators have a success rate comparable to those already reported with electrohydraulic and electromagnetic devices.

Calcific tendinitis of the shoulder is a relatively common condition with numerous treatment options. Here, we discuss the indications of focused shock waves generated by a single-crystal piezoelectric device, describe a treatment protocol, and present the preliminary results.

使用单晶压电聚焦冲击波源治疗肩袖钙化性肌腱炎的方案

Focused shock waves have emerged as a highly effective noninvasive therapeutic option for the treatment of calcific tendinitis of the shoulder. There are ...

<meta charset="utf8"></head><body>测量电诱发镫骨肌反射以拟合人工耳蜗

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process

Measuring the electrically evoked stapedius reflex during the fitting of cochlear implants (CIs) provides a reliable estimation of maximum comfort levels, resulting in the programming of the CI with high hearing comfort and good speech understanding. Detection of the stapedius reflex and the required stimulation level on each implant channel is already being performed during surgery, whereby intraoperative stapedius reflexes are observed through the surgical microscope. Intraoperative stapedius reflex detection is both an indicator that the auditory nerve is responding to electrical stimulation up to the brainstem and a test for the ability to perform postoperative stapedius reflex measurements. Postoperative stapedius reflex thresholds can be used to estimate upper stimulation levels in the CI fitting process. In particular, in children or patients unable to provide feedback on loudness perception, this method avoids inadequate stimulation with the CI, which can result in poor hearing performance. In addition, overstimulation can be avoided, which could even lead to refusal to use the device.

<meta charset="utf8"></head><body>人工耳蜗植入中电诱发镫骨肌反射测量及其在术后验配过程中的应用

The present protocol describes the measurement of the electrically evoked stapedius reflex (eSR) via cochlear implant (CI). Two applications are discussed: intraoperative detection of eSR for verification of the coupling between the cochlear implant and the auditory nerve and postoperative measurement of eSR thresholds (eSRT) for CI fitting.

人工耳蜗植入中电诱发镫骨肌反射测量及其在术后验配过程中的应用

Measuring the electrically evoked stapedius reflex during the fitting of cochlear implants (CIs) provides a reliable estimation of maximum comfort levels, ...