Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-24T06:39:29.007Z Has data issue: false hasContentIssue false
  • English
  • Français

Laser-Doppler blood flowmetry measurement of nasal mucosa blood flow after injection of the greater palatine canal

Published online by Cambridge University Press:  29 June 2007

Paul Gurr ,
Vincent Callanan  and
David Baldwin
Paul Gurr*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Southmead Hospital, Bristol BS10 5NB, UK.
Vincent Callanan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Southmead Hospital, Bristol BS10 5NB, UK.
David Baldwin
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Southmead Hospital, Bristol BS10 5NB, UK.
*
Address for correspondence: Mr Paul Gurr, F.R.C.S., Clinical Lecturer, Royal National Throat Nose and Ear Hospital, Grays Inn Road, London WC1X 8DA.
Get access Rights & Permissions [Opens in a new window]

Abstract

Laser-Doppler blood flowmetry was used to measure the mucosal blood flow of the inferior turbinate before and after injection of the greater palatine canal with 2 ml of a 0.5 per cent bupivicaine hydrochloride solution. Injection of the greater palatine canal is a useful technique in the control of posterior epistaxis. The arterial blood supply to the inferior turbinate is via a single descending branch of the sphenopalatine artery. We conjectured that injection of the pterygopalatine fossa, via the greater palatine canal, would result in a reduction of blood flow to the inferior turbinate. In this study injection of the pterygopalatine fossa caused only a 4.7 per cent decrease in blood flow to the inferior turbinate mucosa (p 0.571). Elevation of the head by an angle of 20 degrees reduced nasal mucosal blood flow by 38.3 per cent (p<0.0001). Depression of the head by an angle of 20 degrees increased nasal mucosal blood flow by 74.7 per cent (p<0.0001). We conclude that there is an adequate collateral blood circulation to the anterior portion of the inferior turbinate.

Keywords

FlowmetersTurbinates
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 2 , February 1996 , pp. 124 - 128
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bharadwaj, V. K., Novotny, G. M. (1986) Greater palatine canal injection: an alternative to the posterior nasal packing and arterial ligation in epistaxis. Journal of Otolaryngology 15: 94–100.Google Scholar
Burnham, H. H. (1935) An anatomical investigation of blood vessels of the lateral nasal wall and their relation to turbinates and sinuses. Journal of Laryngology and Otology 50: 569–593.CrossRefGoogle Scholar
Druce, H. M., Bonner, R. F., Patow, C., Choo, P., Summers, R. J., Kaliner, M. A. (1984) Response of nasal blood flow to neurohormones as measured by laser-Doppler velocimetry. Journal of Applied Physiology: Respiration, Environment and Exercise Physiology 57: 1276–1283.CrossRefGoogle ScholarPubMed
Druce, H. M. (1988) Measurement of nasal mucosal blood flow. Journal of Allergy and Clinical Immunology 81: 505–508.CrossRefGoogle ScholarPubMed
Druce, H. M. (1980) Allergy and respiratory disease. In Laser- Doppler Flowmetry (Shepherd, A. P., Oberg, P. A., eds.), Kluwer Academic Publishers, Norwell, Massachusetts, pp 252–253.Google Scholar
Kumlien, J., Perbeck, L. (1986) Fluoroscein flowmetry in human nasal mucosa. Acta Otolaryngologica (Stockholm) 101: 286–289.CrossRefGoogle Scholar
Nilsson, G. E. (1990) Perimed's LDV Flowmeter. In Laser- Doppler Flowmetry (Shepherd, A. P., Oberg, P. A., eds.), Kluwer Academic Publishers, Norwell, Massachusetts, pp 57–61.CrossRefGoogle Scholar
Olsson, P., Bende, M., Ohlin, P. (1985) The laser Doppler flowmeter for measuring microcirculation in human nasal mucosa. Acta Otolaryngologica (Stockholm) 99: 133–139.CrossRefGoogle ScholarPubMed
Olsson, P. (1986) A comparison between the '33Xe washout and laser Doppler techniques for estimation of nasal mucosal blood flow in humans. Acta Otolaryngologica (Stockholm) 102: 106–112.CrossRefGoogle Scholar
Padgham, N., Vaughan-Jones, R. (1991) Cadaver studies of the anatomy of arterial supply to the inferior turbinates. Journal of the Royal Society of Medicine 84: 728–730.CrossRefGoogle Scholar
Padrnos, R. E. (1968) A method for control of posterior nasal hemorrhage. Archives of Otolaryngology 87: 85–87.Google ScholarPubMed
Porter, M. J., Marais, J., Tolley, N. (1991) Comparison of cocaine alone or with adrenaline on nasal mucosal blood flow. Journal of Laryngology and Otology 105: 918–920.CrossRefGoogle ScholarPubMed
Shepherd, A. P. (1990) History of laser-Doppler blood flowmetry. InLaser-Doppler Flowmetry (Shepherd, A. P., Oberg, P. A., eds.), Kluwer Academic Publishers, Norwell, Massachusetts, pp 1–12.CrossRefGoogle Scholar
Stankiewicz, J. A. (1988) Greater palatine foramen injection made easy. Laryngoscope 98: 580–581.CrossRefGoogle ScholarPubMed
Weingarten, C. Z. (1972) Injection of the pterygopalatine fossa with glycerin for posterior epistaxis. Transactions of the American Academy of Ophthalmology and Otology 76: 932–937.Google ScholarPubMed
Williams, W. T., Ghorayeb, B. Y. (1990) Incisive canal and pterygopalatine fossa injection for hemostasis in septorhinoplasty. Laryngoscope 100: 1245–1247.CrossRefGoogle ScholarPubMed