Evidence map›Paper›PMID 29038666›Full record

ArticleJournal of clinical medicine research2017

Study of Methylene Blue Ototoxicity in the Guinea Pig.

Sarah Belhassen, Musaed Alzahrani, Marc-Elie Nader, Louis Gaboury, Issam Saliba

Abstract read
In one paragraph

Article in Journal of clinical medicine research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sarah BelhassenDivision of Otolaryngology-Head and Neck Surgery, University of Montreal, Sainte-Justine University Hospital Center (CHU SJ), Montreal, Quebec, Canada.
Musaed AlzahraniDivision of Otolaryngology-Head and Neck Surgery, University of Montreal, Sainte-Justine University Hospital Center (CHU SJ), Montreal, Quebec, Canada.
Marc-Elie NaderDivision of Otolaryngology-Head and Neck Surgery, University of Montreal, Sainte-Justine University Hospital Center (CHU SJ), Montreal, Quebec, Canada.
Louis GabouryDepartment of Pathology, University of Montreal, Quebec, Canada.
Issam SalibaDivision of Otolaryngology-Head and Neck Surgery, University of Montreal, Sainte-Justine University Hospital Center (CHU SJ), Montreal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMethylene blue is widely used in the medical field, especially as a blue dye for staining. It is also used as a photosensitizing agent in antimicrobial photodynamic therapy, which once photoactivated is effective for the eradication of several multi-resistant bacteria. The objective of this study was to investigate the ototoxic potential of methylene blue and precise its use in otology.

methodsIt was a prospective animal study performed on guinea pigs in our tertiary medical center. We divided the animals into two groups: an experimental group and a control group, who underwent a series of three intratympanic (IT) injections. In the control group (n = 10), they received injections of gentamicin in one ear (positive control) and normal saline in the contralateral ear (negative control). The experimental group (n = 10) received injections of methylene blue in one ear, compared to injections of normal saline in the contralateral ear. We conducted auditory-evoked brainstem response (ABR) before and 1 week after the injection series. Once this is completed, the cochlea was dissected and caspase-3 was analyzed by immunohistochemistry.

resultsThe mean difference of hearing loss in the methylene blue group compared to normal saline was 1.50 dB, and it was not shown to be statistically significant (P = 0.688). For the positive control group, which received IT injections of gentamicin, the mean threshold of hearing loss difference for all the frequencies combined was 66.25 dB (P < 0.001). Furthermore, uptake of caspase-3 by immunohistochemistry (apoptotic marker) was negative in our group, which received injections of methylene blue.

conclusionIn light of our results, IT injections of methylene blue did not demonstrate an ototoxic potential. We recommend further studies to precise its use in the otologic field.

Indexed as

Hearing lossImmunohistochemistryIntratympanic injectionMethylene blueOtotoxicity

Identifiers

PMID29038666
PMCPMC5633089

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