The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental Study

Background: Ebselen is a neuroprotective drug that protects cellular components from oxidative damage by modulating enzymatic cofactors, metalloproteins, gene expression, antioxidant-anti-inflammatory effects, and immunological systems. Our goal was to compare the efficacy of Ebselen and methylpredn...

Full description

Saved in:
Bibliographic Details
Main Authors: Lütfü Şeneldir, Veysel Alparslan Gölcük, Gökçe Tanyeri Toker, Ayşegül Verim, Pembegül Güneş
Format: Article
Language:English
Published: AVES 2024-11-01
Series:Journal of International Advanced Otology
Online Access:https://www.advancedotology.org/en/the-effectiveness-of-ebselen-in-facial-nerve-crush-injury-an-experimental-study-131967
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832580345679052800
author Lütfü Şeneldir
Veysel Alparslan Gölcük
Gökçe Tanyeri Toker
Ayşegül Verim
Pembegül Güneş
author_facet Lütfü Şeneldir
Veysel Alparslan Gölcük
Gökçe Tanyeri Toker
Ayşegül Verim
Pembegül Güneş
author_sort Lütfü Şeneldir
collection DOAJ
description Background: Ebselen is a neuroprotective drug that protects cellular components from oxidative damage by modulating enzymatic cofactors, metalloproteins, gene expression, antioxidant-anti-inflammatory effects, and immunological systems. Our goal was to compare the efficacy of Ebselen and methylprednisolone on rat facial nerve crush injury. Methods: Thirty healthy male Wistar rats (mean weight of 245 g) were used in this study. The rats were randomly divided into four groups: Group 1 (ebselen group), Group 2 (methylprednisolone group), Group 3 (control group), and Group 4 (sham group (the right side of the control group)). Except for the sham group, all groups had their left facial nerve crushed. Three weeks after surgery, prospective functional, histologic, and electrophysiologic recovery was reported. Results: The ebselen group and methylprednisolone group had similar and more significant recovery at Nerve Excitability Thresholds (NET) at the end of three weeks. These groups also showed similar features in terms of histopathological parameters such as axonal degeneration, vascular congestion, axon diameter, and myelin thickness. Except for the macrovacuolization parameter, both showed statistically better results than the control group. Although there was an earlier improvement in the whiskers and blink tests in the ebselen group compared to the methylprednisolone and control groups, complete recovery was observed in all groups on the 21st day. Conclusion: Ebselen was found to be similarly effective to methylprednisolone in nerve regeneration in a rat model of experimental facial nerve crush. Considering that methylprednisolone has serious systemic side effects, ebselen may be a good alternative.
format Article
id doaj-art-5aa73678934246ff987438fa64b29fa3
institution Kabale University
issn 2148-3817
language English
publishDate 2024-11-01
publisher AVES
record_format Article
series Journal of International Advanced Otology
spelling doaj-art-5aa73678934246ff987438fa64b29fa32025-01-30T11:01:31ZengAVESJournal of International Advanced Otology2148-38172024-11-0120650751610.5152/iao.2024.231360The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental StudyLütfü Şeneldir0https://orcid.org/0000-0003-1744-1710Veysel Alparslan Gölcük1https://orcid.org/0000-0002-2248-2878Gökçe Tanyeri Toker2https://orcid.org/0000-0002-3023-0590Ayşegül Verim3https://orcid.org/0000-0002-6649-0837Pembegül Güneş4https://orcid.org/0000-0002-4982-5156Department of ENT, Haydarpaşa Training and Research Hospital, İstanbul, TürkiyeDepartment of ENT, Haydarpaşa Training and Research Hospital, İstanbul, TürkiyeDepartment of ENT, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, TürkiyeDepartment of ENT, Haydarpaşa Training and Research Hospital, İstanbul, TürkiyeDepartment of Pathology, Haydarpaşa Training and Research Hospital, İstanbul, TürkiyeBackground: Ebselen is a neuroprotective drug that protects cellular components from oxidative damage by modulating enzymatic cofactors, metalloproteins, gene expression, antioxidant-anti-inflammatory effects, and immunological systems. Our goal was to compare the efficacy of Ebselen and methylprednisolone on rat facial nerve crush injury. Methods: Thirty healthy male Wistar rats (mean weight of 245 g) were used in this study. The rats were randomly divided into four groups: Group 1 (ebselen group), Group 2 (methylprednisolone group), Group 3 (control group), and Group 4 (sham group (the right side of the control group)). Except for the sham group, all groups had their left facial nerve crushed. Three weeks after surgery, prospective functional, histologic, and electrophysiologic recovery was reported. Results: The ebselen group and methylprednisolone group had similar and more significant recovery at Nerve Excitability Thresholds (NET) at the end of three weeks. These groups also showed similar features in terms of histopathological parameters such as axonal degeneration, vascular congestion, axon diameter, and myelin thickness. Except for the macrovacuolization parameter, both showed statistically better results than the control group. Although there was an earlier improvement in the whiskers and blink tests in the ebselen group compared to the methylprednisolone and control groups, complete recovery was observed in all groups on the 21st day. Conclusion: Ebselen was found to be similarly effective to methylprednisolone in nerve regeneration in a rat model of experimental facial nerve crush. Considering that methylprednisolone has serious systemic side effects, ebselen may be a good alternative.https://www.advancedotology.org/en/the-effectiveness-of-ebselen-in-facial-nerve-crush-injury-an-experimental-study-131967
spellingShingle Lütfü Şeneldir
Veysel Alparslan Gölcük
Gökçe Tanyeri Toker
Ayşegül Verim
Pembegül Güneş
The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental Study
Journal of International Advanced Otology
title The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental Study
title_full The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental Study
title_fullStr The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental Study
title_full_unstemmed The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental Study
title_short The Effectiveness of Ebselen in Facial Nerve Crush Injury: An Experimental Study
title_sort effectiveness of ebselen in facial nerve crush injury an experimental study
url https://www.advancedotology.org/en/the-effectiveness-of-ebselen-in-facial-nerve-crush-injury-an-experimental-study-131967
work_keys_str_mv AT lutfuseneldir theeffectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT veyselalparslangolcuk theeffectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT gokcetanyeritoker theeffectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT aysegulverim theeffectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT pembegulgunes theeffectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT lutfuseneldir effectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT veyselalparslangolcuk effectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT gokcetanyeritoker effectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT aysegulverim effectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy
AT pembegulgunes effectivenessofebseleninfacialnervecrushinjuryanexperimentalstudy