Korean J Otorhinolaryngol-Head Neck Surg.  2013 Apr;56(4):206-211. 10.3342/kjorl-hns.2013.56.4.206.

Changes of Cochlear Nerve Terminals after Temporary Noise-Induced Hearing Loss

Affiliations
  • 1Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jwchung@amc.seoul.kr
  • 2Asan Institute for Life Sciences, Seoul, Korea.
  • 3Department of Otolaryngology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Abstract

BACKGROUND AND OBJECTIVES
Overexposure to intense sound can cause temporary or permanent hearing loss. Post-exposure recovery of thresholds has been assumed to indicate reversal of damage to the inner ear without persistent consequences for auditory function. However, there was a report that acoustic overexposures causing moderate temporary threshold shift caused acute loss of afferent nerve terminals and delayed degeneration of the cochlear ganglion cells while cochlear sensory cells were intact. The purpose of the study was to evaluate the numerical changes of ribbon synapses and efferents to the outer hair cells in ears with temporary noise-induced threshold shifts.
MATERIALS AND METHODS
Four-week old CBA mice with normal Preyer's reflexes were used. Mice were exposed to white noise of 110 dB SPL for one hour. Auditory brainstem response (ABR) and distortion-product otoacoustic emission (DPOAE) were recorded before exposure and at four different post-exposure times, 1, 3, 5, and 7 days after noise exposure. Ribbon synapses and efferents near cochlear nerve terminals were stained and calculated in the control group mice at two post-exposure times, 3 and 5 days after the exposure.
RESULTS
In the noise-exposed ears, there was no loss of hair cells, in either inner hair cells or outer hair cells. ABR and DPOAE showed maximum threshold shifts after noise-exposure; they returned to the normal pre-exposure values by at day 5. The number of ribbon synapses tended to decrease at 3 days after noise-exposure, but the number of efferent fibers was not statistically different from those of the control mice.
CONCLUSION
Our results suggest that the loss of ribbon synapses could be related with the recovery course of temporary threshold shift, even to the point of full hearing recovery.

Keyword

Auditory hair cells; Noise-induced hearing loss; Presynaptic terminals; Synapses; Temporary threshold shifts

MeSH Terms

Acoustics
Animals
Cochlear Nerve
Ear
Ear, Inner
European Continental Ancestry Group
Evoked Potentials, Auditory, Brain Stem
Ganglion Cysts
Hair
Hair Cells, Auditory
Hearing
Hearing Loss
Hearing Loss, Noise-Induced
Humans
Mice
Mice, Inbred CBA
Noise
Presynaptic Terminals
Reflex
Synapses
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