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The parapharyngeal space (also termed the lateral pharyngeal space), is a potential space in the head and the neck. It has clinical importance in otolaryngology due to parapharyngeal space tumours and parapharyngeal abscess developing in this area. It is also a key anatomic landmark for localizing disease processes in the surrounding spaces of ...
A parapharyngeal abscess is a deep neck space abscess of the parapharyngeal space (or pharyngomaxillary space), which is lateral to the superior pharyngeal constrictor muscle and medial to the masseter muscle. [1] This space is divided by the styloid process into anterior and posterior compartments.
Fascial spaces (also termed fascial tissue spaces [1] or tissue spaces [2]) are potential spaces that exist between the fasciae and underlying organs and other tissues. [3] In health, these spaces do not exist; they are only created by pathology, e.g. the spread of pus or cellulitis in an infection.
Extensive spread in parapharyngeal space Carotid artery, Carotid sheath Metastasis to regional lymphnodes is common as the tonsil has a rich supply of lymphatics giving way to the tumor cells to metastasis to other lymph nodes (commonly the lymph nodes of neck) and cause lymphydenopathy.
A computed tomography (CT) scan is the definitive diagnostic imaging test. [4] X-ray of the neck often (80% of the time) shows swelling of the retropharyngeal space in affected individuals. If the retropharyngeal space is more than half of the size of the C2 vertebra, it may indicate retropharyngeal abscess. [5]
Behind the ostium of the eustachian tube (ostium pharyngeum tuba auditiva) is a deep recess, the pharyngeal recess (fossa of Rosenmüller). Clinical significance
Superiorly, the retropharyngeal space terminates at the base of the skull (more specifically, at the clivus [2]). [1] [5] Inferiorly, the true RPS terminates at a variable level along the upper thoracic spine with the fusion of alar fascia and visceral fascia; [1] sources either give the inferior termination of the true RPS as occurring at approximately the vertebral level of T4 [2] or at a ...
This space may be created by pathology, such as the spread of pus in an infection, e.g. odontogenic infections. A periapical abscess may spread into the sublingual space if the apex of the tooth is above the level of attachment of mylohyoid, and the infection erodes through the lingual cortical plate of the mandible.