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THE PROTECTIVE EFFECT OF INTRATYMPANIC ALPHA LIPOIC ACID ON CISPLATIN-INDUCED OTOTOXICITY ON RATS

NİYAZİ ALTINTOPRAK, SEDAT AYDIN, ARİF ŞANLI, ZEKİYE EDA BİLMEZ, EBRU KÖSEMİHAL

The Journal of International Advanced Otology - 2014;10(3):217-221

Department of Otolaryngology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey (NA, SA, AS, ZEB)

 

OBJECTIVE: The objective of this study is to investigate the effect of intratympanic alpha lipoic acid (α-LA) on cisplatin-induced ototoxicity by using distortion product otoacoustic emission (DPOAE). MATERIALS and METHODS: A total of 24 Wistar albino rats were randomly divided into three groups: group 1 received intraperitoneal (IP) saline + intratympanic (IT) saline as a control group for 4 days (n=8), group 2 received IP cisplatin (20 mg/kg) + IT saline (0.1-0.3 mL) for 4 days (n=8), and group 3 received IP cisplatin (20 mg/kg) + IT α-LA (25 mg/mL) for 4 days (n=8). DPOAEs were performed prior to the procedure and at the end of the experiment on day 5. RESULTS: Statistically significant DPOAE amplitude reductions were found in the group 2 at all frequencies (2-9 kHz) that demonstrate severe cisplatin ototoxicity (p<0.01). IT α-LA injection provided a protective effect against cisplatin-induced ototoxicity at 3.2, 3.8, 4.5, 5.4, 6.3, and 7.6 kHz frequencies (p<0.05). CONCLUSION: In our study IT α-LA showed a protective effect against cisplatin-induced ototoxicity in a large frequency range.