Temporal branch of facial nerve: a normative study of nerve conduction.
The temporal branch of the facial nerve is particularly vulnerable to traumatic injuries during surgical procedures. It may also be affected in clinical conditions. Electrodiagnostic studies may add additional information about the type and severity of injuries, thus allowing prognostic inferences. The objective of the present study was to develop and standardize an electrophysiological technique to specifically evaluate the temporal branch of the facial nerve.


METHODS
Healthy volunteers (n=115) underwent stimulation of two points along the nerve trajectory, on both sides of the face. The stimulated points were distal (on the temple, over the temporal branch) and proximal (in retro-auricular region). Activities were recorded on the ipsilateral frontalis muscle. The following variables were studied: amplitude (A), distal motor latency (DML) and conduction velocity (NCV).


RESULTS
Differences between the sides were not significant. The proposed reference values were: A > or = 0.4 mV, DML <3.9 ms and NCV > or = 40 m/s. Variation between hemifaces should account for less than 60% for amplitudes and latency, and should be inferior to 20% for conduction velocity.


CONCLUSIONS
These measurements are an adequate way for proposing normative values for the electrophysiological evaluation of the temporal branch.
Silva
Paula Fabiana Sobral da
PF
Instituto de Medicina Integral Professor Fernando Figueira. paulafsobral@yahoo.com.br
Lima
Maria Carolina Martins de
MC
Figueiroa
José Natal
JN
Lins
Otávio Gomes
OG
D000328:Adult; D000368:Aged; D004576:Electromyography; D005154:Facial Nerve / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009431:Neural Conduction / Q000502:physiology*; D011930:Reaction Time / Q000502:physiology*; D012016:Reference Values; D013703:Temporal Muscle / Q000294:innervation*; D055815:Young Adult