e-ISSN: 2618-0979     print ISSN: 2618-0960
COMPARATIVE CHARACTERISTICS OF THE INTRANEURAL STRUCTURE OF THE FACIAL NERVE BEFORE ENTERING AND AFTER EXITING THE EPONYMOUS CANAL
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Abstract

The purpose of the study was to investigate the intraneural structure of the facial nerve at its intracranial (cisternal) segment and at the region distal to its exit from the stylomastoid foramen.
Material and methods. The obtained samples were fixed in a solution composed of 2.5% glutaraldehyde, 2% paraformaldehyde, 4% sucrose, and 0.1% picric acid in 0.1 M phosphate buffer (pH = 7.4), and submitted to the Electron Microscopy Laboratory. Initially, the samples were removed from the fixative and rinsed three times (15 minutes each, total 45 minutes) in 0.1 M phosphate buffer (pH = 7.4). According to standard protocols for light and electron microscopy, the post post-fixation stage involved treating the tissue fragments in a mixed solution of 1% OsO ₄ , 0.1 M phosphate buffer, and 1.5% potassium ferricyanide for 1.5 hours.
The results of the study. In the intracranial portion of the facial nerve, the total area of myelinated nerve fibers was 16,290.91 μ m ², corresponding to 77.08% of the total fascicular area. A total of 50,528 myelinated fibers were identified. Among these, fibers with a diameter of 11–4 μ m com- prised 22.52% (11,379 fibers), with a mean diameter of 3.05 ± 0.07 μ m (range: 1.731.73–3.99 μ m); fibers of 44–8 μ m diameter accounted for 41.22% (20,828 fibers), mean diameter: 6.20 ± 0.12 μ m (range: 4.074.07–7.98 μ m); and fibers of 88–12 μ m diameter represented 36.26% (18,321 fibers), mean diameter: 9.11 ± 0.07 μ m (range: 8.018.01–11.55 μ m). After exiting the facial canal, the nerve consisted of multiple fascicles. The number of fascicles was on average 6.0 ± 0.51 on the right side and 6.5 ± 0.53 on the left. Myelinated fibers formed the primary structural component of the facial nerve, occupying 77.3 ± 40.6% of the total cross cross-sectional area on the right side. On the left side, this value was slightly lower. The total number of myelinated fibers was 5,982.5 ± 413.1 on the right and 5,277.3 ± 513.5 on the left.
Conclusion. We assume that there is as much a relationship between the degree of Bell's palsy and the cross cross-sectional diameter of the facial canal as possible. Thus, measuring only the diameter of the facial canal without measuring the diameter of the nerve can be confusing. For this reason, our research aiming to find this relationship will be more accurate.

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Keywords

üz siniri, üz kanalı, miyelinli sinir lifləri, sinir dəstəsi. Лицевой нерв, лицевой канал, миелиновые нервные волокна, нервный пучок. Facial nerve, facial canal, myelinated nerve fibers, nerve fascicle.
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