Original Article

Morphologic Study of Effect of Fosfomycin and Pentoxifylline on Cisplatin Induced Ototoxicity in Guinea Pig

Chun Dong Kim, Soon Kwan Hong
Author Information & Copyright
Department of Otolaryngology, College of Medicine, Ewha Womans University, Korea.

Copyright ⓒ 1997. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015



The use of cis-platinum as therapeutic drug in malignant neoplasm has associated side effects such as nephrotoxicity and ototoxicity. The nephrotoxic effects of this drug is decreased by use of hydration method. The ototoxic effect, however, cause a irreversible sensorineural hearing loss and incidence of ototoxicity is not changed, so prevention of ototoxic effect is important.


The efficacies of fosfomycin, agent in ameliorating cisplatin induced ototoxicity, are investigated in guinea pig cochleas and the effects of pentoxifylline, agent in therapeutic drug of idiopathic sensorineural hearing loss, are evaluated anatomically by cochlear histology with scanning eletromicroscopy.


Protection against the distortion and injury of outer hair cell according to position of the cochlea caused by cicplatin was statistically significant in groups injected with fosfomycin. Also the injury of hair cells seen in groups injected with both pentoxifyllin and cisplatin was significantly higher than that of cisplatin only group.


Fosfomycin protects against cisplatin induced ototoxicity but pentoxifylline does not protect cesplatin induced ototoxicity.

Keywords: Ototoxicity; Cisplatin; Fosfomycin; Pentoxifylline