Be. Sherman et Ra. Chole, Effect of pharmacological sympathectomy on osteoclastic activity in the gerbilline auditory bulla in vivo, ANN OTOL RH, 108(11), 1999, pp. 1078-1087
Bone destruction causes hearing loss in various middle ear disorders. The m
echanisms of such pathological remodeling are unknown. Unilateral surgical
sympathectomy-is known to induce resorption within mandibular and auditory
bulla bone. Explanation of the cause of this effect. however, may be confou
nded by hemodynamic changes induced by hemicranial sympathectomy and by unc
ertainty as to the neuroanatomical origins of sympathetic fibers. In this s
tudy, gerbils were infused with guanethidine sulfate (GS) to evaluate the i
n vivo effects of systemic sympatholysis on auditory bone remodeling. In ad
dition, to discount any direct osteolytic effect, GS was assessed of its bo
ne resorbing activity in vitro by means of the calvarial calcium release as
say. The in vitro study revealed GS to have no effect on calcium release. T
he in vivo study revealed GS to increase both the osteoclast surface and nu
mber. Guanethidine-induced sympathectomy has thus been shown to increase re
modeling in gerbilline auditory bone, while no direct osteolytic effect cou
ld be measured in vitro.