원저

고실내 유도법에 의한 정상인의 전기와우도

전경명1, 고의경1, 왕수건1, 방의경1, 윤종근1, 홍대영1
Kyong Myong Chon1, Eui Kyung Goh1, Soo Geun Wang1, Eui Kyung Bang1, Jong Geun Yoon1, Dae Young Hong1
Author Information & Copyright
1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Pusan National University

© Copyright 1994 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Electrocochleography(ECoG) is a clinically useful method for diagnosis of endolymphatic hydrops. Transtympanic ECoG was performed on 21 normal persons for obtaining basic data to diagnose Meniere’s disease. We measured the SP, AP and SP/AP ratio, and evaluated the effect of stimulus rate & intensity on these parameters.

The results were as follows:

  1. As the stimulus rate was increased, the latencies of SP and that of AP were increased, the amplitude of AP was decreased due to adaptation, but the amplitude of SP was not changed.

  2. As the intensity was decreased, the amplitude of SP and AP were decreased and the latencies of SP and that of AP were lengthened. In normal persons, the amplitude of SP and that of AP were 3.70±1.56mV and 13.68±6.11mV respectively and the average of latencies of SP and AP are 1.36±0.06msec and 1.75±0.06msec respectively.

  3. The SP/AP ratio was 0.27±0.06.

Keywords: Transtympanic ECoG; Action potential; Summating; potential; SP/AP ratio


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

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응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 2.20(금)까지 개별 발송해 드리겠습니다.

 

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