To investigate whether the crossed olivo-cochlear bundle (COCB) functions in a protective manner, albino guinea pigs were exposed to sounds of varying intensity (110-130 dB SPL, 3-30 min) with or without electric stimulation of COCB, and the threshold shifts of the compound action potential (CAP) were examined. A statistically significant protective effect was observed in animals exposed to stimuli of intermediate intensity which induce threshold shifts of 50 to 55 dB on average. No protective effect was observed in the groups exposed to greater or milder stimuli. These results are discussed in the light of the available literature.
Electrocochleography (ECochG) was performed in 84 patients with sudden deafness which were classified into 3 groups according to the ECochG findings, i.e. the unchanged N1 latency, the prolonged N1 latency and the absence of N1 response. The cause of hearing loss in the first group was thought to be strial, postsynaptic or mild cochlear damage and that in the second to be vascular, sensory or neural damage. The first group showed a better prognosis than those of the other two.
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