Su W Y, Wang H W, Wang J Y
Department of Otolaryngology, Tri-Service General Hospital, Taiwan, Republic of China.
Arch Otorhinolaryngol. 1988;244(6):374-80. doi: 10.1007/BF00497469.
In this study, we have used noradrenergic histofluorescence and selective neurectomies of the vidian, ethmoid and caudal nasal nerves to evaluate the distribution of postganglionic sympathetic fibers in the canine nasal mucosa. In conjunction with the histochemical localization of the noradrenergic fibers in the nasal mucosa after vidian neurectomy, the norepinephrine content of the mucosa was also evaluated using high-performance liquid chromatography. Unilateral neurectomy of the superior cervical ganglion (SCG) resulted in the unilateral disappearance of all noradrenergic histofluorescence in the nasal mucosa, while no morphological changes in noradrenergic fibers could be identified after neurectomy of the cervical sympathetic trunk 1 cm below the SCG. Ethmoid neurectomy caused the disappearance of noradrenergic fibers of the upper third of the nasal mucosa, while vidian neurectomy resulted in a partial loss of noradrenergic fibers in the lower two-thirds of the nasal mucosa. The loss was chiefly in the area adjacent to venous sinusoids and was responsible for 50% of the norepinephrine content of this tissue. We concluded that all the postganglionic sympathetic fibers are from the ipsilateral SCG. Some of them travel via the ethmoid nerve and innervate the upper third of the nasal mucosa. The remaining fibers travel via the vidian nerve and perhaps the vessel walls of the supplying arteries and innervate the lower two-thirds of the nasal mucosa. The vidian nerve chiefly innervates the venous sinusoids of the lower two-thirds of the nasal mucosa.
在本研究中,我们采用去甲肾上腺素能组织荧光法以及对翼管神经、筛神经和鼻后神经进行选择性神经切除术,以评估犬鼻黏膜中节后交感神经纤维的分布情况。结合翼管神经切除术后鼻黏膜中去甲肾上腺素能纤维的组织化学定位,还使用高效液相色谱法评估了黏膜中的去甲肾上腺素含量。单侧切除颈上神经节(SCG)导致鼻黏膜中所有去甲肾上腺素能组织荧光单侧消失,而在SCG下方1 cm处切除颈交感干后,未发现去甲肾上腺素能纤维有形态学变化。筛神经切除术导致鼻黏膜上三分之一的去甲肾上腺素能纤维消失,而翼管神经切除术导致鼻黏膜下三分之二的去甲肾上腺素能纤维部分丧失。这种丧失主要发生在与静脉窦相邻的区域,占该组织去甲肾上腺素含量的50%。我们得出结论,所有节后交感神经纤维均来自同侧的SCG。其中一些纤维经筛神经走行,支配鼻黏膜的上三分之一。其余纤维经翼管神经,可能还经供应动脉的血管壁走行,支配鼻黏膜的下三分之二。翼管神经主要支配鼻黏膜下三分之二的静脉窦。