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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 32(2); 1989 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1989;32(2): 245-51.
Effects of Increased Abdominal Pressure on the Perilymphatic Pressure
Ip Jin Chung, MD, Seung Hee Kim, MD, Young Bum Cho, MD, and In Won Chang, MD
Department of Otolaryngology, College of Medicine, Chonnam National University, Korea
복압상승이 외림프압에 미치는 영향에 대한 실험적 연구
정입진 · 김승희 · 조용범 · 장인원
전남대학교 의과대학 이비인후과학교실
ABSTRACT

Sudden hearing loss and vertigo after physical exertion has been uncommonly experienced clinically as perilymphatic fistula. The physical exertion may increase cerebrospinal pressure. The increased CSF pressure is transmitted to the perilymphatic system through the cochlear aqueduct, to a lesser extent, by way of the endolymphatic sac and duct, and internal auditory canal. This can result in damage of vestibule or cochlea of inner ear, such as a rupture of the round and oval window membrane, a dislocation of the annular ligament of stapes, the rupture of Reissner's membrane and collapse of membranous labyrinth. To clarify the effect of increased abdominal pressure, one of the physical exertions, on the perilymphatic pressure, this experimental study was performed. The following conclusions could be drawn from measurement of the perilymphatic pressure on increased abdominal pressure of Albino guinea pig. 1) The perilymphatic pressure of Albino guinea pig was 2.60±0.21mmHg under the restion state. 2) Increased abdominal pressure caused proportional increment of the perilymphatic pressure. 3) Perilymphatic leakage could be observed following repeatedly increased abdominal pressure. 

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