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The submandibular space is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space , and is paired on either side, located on the superficial surface of the mylohyoid muscle between the anterior and posterior bellies of the digastric muscle . [ 1 ]
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.
If the infection originates below the mylohyoid's point of attachment, then the infection will spread to the submandibular space. The submental space is located behind the mentalis muscles, and infections spread to this space when the oral infection begins at the roots of the mandibular incisors because they are so long. [1]
The paired submandibular glands (historically known as submaxillary glands) are major salivary glands located beneath the floor of the mouth.In adult humans, they each weigh about 15 grams and contribute some 60–67% of unstimulated saliva secretion; on stimulation their contribution decreases in proportion as parotid gland secretion rises to 50%. [1]
The most usual source of the mucin spillage is the sublingual salivary gland, but ranulae may also arise from the submandibular duct or the minor salivary glands in the floor of the mouth. A cervical ranula occurs when the spilled mucin dissects its way through the mylohyoid muscle , [ 1 ] which separates the sublingual space from the ...
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An abscess originating from a tooth which has spread to involve the buccal space. Above, deformation of the cheek on the second day. Below, deformation on the third day. Sometimes the buccal space is reported to be the most commonly involved fascial space by dental abscesses, [2] although other sources report it is the submandibular space. [1]