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Retropharyngeal abscess (RPA) is an abscess located in the tissues in the back of the throat behind the posterior pharyngeal wall (the retropharyngeal space).Because RPAs typically occur in deep tissue, they are difficult to diagnose by physical examination alone.
The retropharyngeal space (abbreviated as "RPS" [1] [2]) is a potential space [2] [3] and deep compartment of the head and neck [1] situated posterior to the pharynx. [4] The RPS is bounded anteriorly by the buccopharyngeal fascia , posteriorly by the alar fascia , and laterally by the carotid sheath .
The retropharyngeal space is found anterior to the danger space, between the alar fascia and buccopharyngeal fascia. There exists a midline raphe in this space so some infections of this space appear unilateral. The retropharyngeal space drains into the superior mediastinum, whereas the danger space drains into the posterior mediastinum.
The retropharyngeal lymph nodes, from one to three in number, lie in the buccopharyngeal fascia, behind the upper part of the pharynx and in front of the arch of the atlas, being separated, however, from the latter by the longus capitis. Their afferents drain the nasal cavities, the nasal part of the pharynx, and the auditory tubes.
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 the neck; the direction of its displacement indirectly reflects the site of origin for masses or infection in ...
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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.
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