“…Autoregulatory capabilities of the cochlear blood fl ow occur through the control of inner ear vasculature [Ren et al, 1994], sympathetic input to the cochlea [Carrasco et al, 1990;Laurikainen et al, 1993;Ren et al, 1993a, b] and the infl uence of various circulating vasoactive hormones and transmitters [Wright et al, 1985;Short et al, 1985;Miller et al, 1986;Sillman et al, 1989;Quirk et al, 1988;Ohlsen et al, 1991]. The aged ear has less capacity to maintain stable blood fl ow and thus may be more vulnerable to stress factors that affect cochlear function [Nakashima et al, 1995;Suzuki et al, 1998], starting with defi cits in OHCs.…”