Intratemporal facial nerve blood flow in guinea pigs.
OBJECTIVE
To investigate the effect of interruption of the stylomastoid artery and the petrosal artery on the facial nerve blood flow with the use of a laser Doppler flowmeter.


BACKGROUND
Ischemia of the facial nerve is thought to be one of the most possible causes in idiopathic facial palsy. The blood supply in the facial nerve has been studied morphologically in considerable detail; however, we have little information on its hemodynamics.


METHODS
The animals used were 20 guinea pigs. The blood flow in the facial nerve at the geniculate ganglion was measured using a laser Doppler flowmeter, and the change in the facial nerve blood flow between before and after interruption of the stylomastoid artery and the petrosal artery was investigated. The interruption of both arteries was carried out by electrical cauterization with a bipolar coagulator.


RESULTS
Interruption of the petrosal artery resulted in almost complete ischemia of the facial nerve at the geniculate ganglion. This decrease in the facial nerve blood flow was significant statistically (p < 0.001). But, interruption of the stylomastoid artery caused no change.


CONCLUSIONS
The blood flow in the geniculate ganglion of the facial nerve is thought to come not from the stylomastoid artery but mainly from the petrosal artery. Peripheral facial palsy following ligation of the middle meningeal artery or embolization of the maxillary artery or intra-arterial infusion of anticancer drug into the maxillary artery is likely to be attributed to facial nerve ischemia at the level of the geniculate ganglion.
Takeda
T
T
Department of Otolaryngology, Kochi Medical School, Japan.
Takeda
S
S
Kozakura
K
K
Saito
H
H
D000818:Animals; D002536:Cerebral Arteries / Q000601:surgery; D005154:Facial Nerve / Q000098:blood supply*; D005830:Geniculate Ganglion / Q000601:surgery; D006168:Guinea Pigs; D017078:Laser-Doppler Flowmetry