PMID- 27497390 OWN - NLM STAT- MEDLINE DCOM- 20170313 LR - 20181202 IS - 1872-8464 (Electronic) IS - 0165-5876 (Print) IS - 0165-5876 (Linking) VI - 88 DP - 2016 Sep TI - Morphological changes in the round window membrane associated with Haemophilus influenzae-induced acute otitis media in the chinchilla. PG - 74-81 LID - S0165-5876(16)30197-5 [pii] LID - 10.1016/j.ijporl.2016.06.049 [doi] AB - OBJECTIVE: The round window membrane (RWM) encloses the round window, the opening into the scala tympani (ST) from the middle ear. During the course of acute otitis media (AOM), structural changes of the RWM can occur that potentially affect sound transmission into and out of the cochlea. The relationship between such structural changes and conductive hearing loss during AOM has remained unclear. The focus of the current study was to compare the thickness distribution across the RWM surface between normal ears and those with AOM in the chinchilla. We assessed the occurrence of AOM-associated histological changes in this membrane compared to uninfected control animals after AOM of two relatively short durations. MATERIAL AND METHODS: AOM was induced by transbullar injection of the nontypeable Haemophilus influenzae strain 86-028NP into two groups of adult chinchillas (n = 3 each). Bullae were obtained from the two infected groups, at 4 days or 8 days post challenge. Structures and thickness of these RWMs were compared between the two infected treatment groups and to RWMs from uninfected control animals (n = 3) at seven different RWM locations. RESULTS: RWM thickness in infected chinchillas increased significantly at locations along the central line on the 4th day post bacterial challenge compared to values found for uninfected control animals. Lymphocyte infiltration and edema were the primary contributors to these thickness increases. No significant further increases in RWM thickness were observed when RWMs from chinchillas ears infected for 4 and 8 days were compared. Thickness and structural changes at the RWM lateral and medial areas were less visually obvious and not statistically significant among the three treatment groups. These latter RWM regions clearly were less affected during AOM than the central areas. CONCLUSIONS: This histological study establishes that H. influenzae-induced AOM causes significant acute changes in chinchilla RWM structure that are characterized by region-specific increases in thickness. Our new morphological findings comparing normal and diseased chinchilla RWMs identify yet another biomechanical mechanism by which nontypeable H. influenzae may contribute to hearing loss in AOM. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Jiang, Shangyuan AU - Jiang S AD - School of Aerospace and Mechanical Engineering and Biomedical Engineering Center, University of Oklahoma, Norman, OK, USA. FAU - Seale, Thomas W AU - Seale TW AD - Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Gan, Rong Z AU - Gan RZ AD - School of Aerospace and Mechanical Engineering and Biomedical Engineering Center, University of Oklahoma, Norman, OK, USA. Electronic address: rgan@ou.edu. LA - eng GR - R01 DC011585/DC/NIDCD NIH HHS/United States PT - Journal Article DEP - 20160630 PL - Ireland TA - Int J Pediatr Otorhinolaryngol JT - International journal of pediatric otorhinolaryngology JID - 8003603 SB - IM MH - Acute Disease MH - Animals MH - Case-Control Studies MH - Chinchilla MH - Edema/pathology MH - Haemophilus Infections/*pathology MH - Haemophilus influenzae MH - Lymphocytes/pathology MH - Otitis Media/*pathology MH - Round Window, Ear/*pathology PMC - PMC4978205 MID - NIHMS801908 OTO - NOTNLM OT - Acute otitis media OT - Chinchilla OT - Haemophilus influenzae OT - Histology OT - Round window membrane EDAT- 2016/08/09 06:00 MHDA- 2017/03/14 06:00 PMCR- 2017/09/01 CRDT- 2016/08/07 06:00 PHST- 2016/03/30 00:00 [received] PHST- 2016/06/28 00:00 [revised] PHST- 2016/06/28 00:00 [accepted] PHST- 2016/08/07 06:00 [entrez] PHST- 2016/08/09 06:00 [pubmed] PHST- 2017/03/14 06:00 [medline] PHST- 2017/09/01 00:00 [pmc-release] AID - S0165-5876(16)30197-5 [pii] AID - 10.1016/j.ijporl.2016.06.049 [doi] PST - ppublish SO - Int J Pediatr Otorhinolaryngol. 2016 Sep;88:74-81. doi: 10.1016/j.ijporl.2016.06.049. Epub 2016 Jun 30.