Abstract
It is recommended that the experiences of basic science with ototoxicity be applied to the development of specific clinical strategies for the treatment of the cochleovestibular complaints of hearing loss, tinnitus, vertigo, and ear blockage. The treatment goals are to maintain/improve function, namely, hearing and balance, as well as to control aberrant auditory and vestibular phenomena, for example, tinnitus and vertigo originating within the peripheral and/or central cochleovestibular system. It is hypothesized that a "common" neurochemical basis for "toxicity" exists, whatever the primary toxic etiology. It is also recommended that the neurochemical mechanisms of neuroprotection and apoptosis be considered for investigations of ototoxicity. Furthermore, it is suggested that ototoxicities are reflected in clinical manifestations of sensory cochleovestibular complaints of hearing loss, tinnitus, and vertigo, and affect complaints of stress, pain, and neuropsychiatric disorders.
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