The role of the superficial temporal artery
At the heart of the matter lies the superficial temporal artery. This major blood vessel branches off the external carotid artery and runs along the side of the head, passing directly through the temple region. Because of its proximity to the skin's surface, the heat from the blood flowing through this artery is easily transferred and felt. This makes the temples a surprisingly reliable location for measuring core body temperature, especially with non-contact infrared thermometers, which were commonly used during the recent global health crisis.
Vascular differences across the face
While the temples have a prominent, superficial artery, the forehead’s vascular system is different. The arteries supplying the central forehead area are smaller and located deeper below the skin. This means the blood flow doesn't have the same heating effect on the surface skin as it does in the temples. Additionally, the skin on the forehead is often more exposed and has a higher density of sweat glands, which contributes to evaporative cooling. This combination of less prominent superficial blood vessels and more efficient cooling mechanisms results in a lower surface temperature compared to the temples.
Factors influencing facial skin temperature
Several physiological and environmental factors can influence the temperature variation between your temples and forehead. Understanding these factors provides a more complete picture of why you might feel this temperature difference.
- Blood flow and thermoregulation: The body regulates its temperature by controlling blood flow. When you are hot, your blood vessels dilate (vasodilation) to increase blood flow to the skin, helping to release heat. Conversely, they constrict (vasoconstriction) to conserve heat. Because the superficial temporal artery is so close to the skin, these changes in blood flow are more readily felt at the temples.
- Evaporative cooling: The forehead, being a large, relatively flat surface, is more susceptible to evaporative cooling from sweat. Even a slight breeze or air conditioning can cause sweat to evaporate quickly, which has a significant cooling effect on the skin's surface. This effect is less pronounced in the temples due to the higher underlying heat from the artery.
- Environmental exposure: Being in a cold environment, or having a fan blowing directly on your face, can cause the forehead's skin temperature to drop more rapidly than the temples. The temples, insulated by the constant flow of warm blood from the temporal artery, tend to maintain a more stable, higher temperature.
How forehead vs. temple temperature affects thermometer readings
The anatomical differences between the forehead and temples are why many infrared thermometers now recommend scanning the temple region. Historically, thermometers were aimed at the center of the forehead, but research has shown that measuring the temporal artery provides a more accurate and consistent reading of core body temperature. In fact, studies published by sources like the National Institutes of Health have compared these temperature readings, showing that the temples often report slightly higher median temperatures, closer to the body's true internal temperature, than the forehead.
Feature | Temples | Forehead |
---|---|---|
Primary Blood Vessel | Superficial temporal artery (close to surface) | Smaller, deeper arteries |
Proximity to Skin | Very close | Deeper |
Effect on Surface Temp | Heats skin from underneath | Less heating effect |
Evaporative Cooling | Less susceptible | More susceptible |
Reflects Core Temp? | Yes, more accurately | Less accurately |
Potential reasons for increased heat beyond normal
While a consistent temperature difference is normal, a sudden or significant increase in heat in the temple region could signify other issues. One of the most common is a fever. The temporal artery reading is considered a reliable way to detect a fever. Another possibility is a type of headache, such as a tension headache or migraine, which can cause local inflammation and increased blood flow to the temples, resulting in a feeling of warmth or throbbing. If the sensation is persistent, painful, or accompanied by other symptoms, it's always wise to consult a healthcare professional. You can read more about the accuracy of temporal thermometry in clinical practice here.
Conclusion
The reason why are temples hotter than the forehead is a fascinating display of human physiology. It’s a combination of anatomy—specifically the placement of the superficial temporal artery—and the natural processes of thermoregulation. The temples provide a window into our core body temperature, while the forehead, with its different vascular structure and susceptibility to evaporative cooling, remains a less consistent indicator. This difference is not a sign of concern but rather a testament to the intelligent design of our circulatory system.