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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 ...
On its lateral wall is the pharyngeal opening of the auditory tube, somewhat triangular in shape and bounded behind by a firm prominence, the torus tubarius or cushion, caused by the medial end of the cartilage of the tube that elevates the mucous membrane. Two folds arise from the cartilaginous opening:
The torus tubarius is situated behind the pharyngeal orifice of the auditory tube. [ 1 ] The torus tubarius is very close to the tubal tonsil , [ 1 ] which is sometimes also referred to as the tonsil of (the) torus tubarius . [ 2 ]
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.
It is innervated by vagus nerve (cranial nerve X) via the pharyngeal plexus. It raises the pharynx and larynx during deglutition (swallowing) and laterally draws the pharyngeal walls up. It opens the pharyngeal orifice of the Eustachian tube during swallowing to allow for the equalization of pressure between it and the pharynx.
The hallmark of a masticatory space infection is trismus or infection in anterior compartment of lateral pharyngeal space results in trismus. If these infections are unchecked, can spread to various facial spaces of the head and neck and lead to serious complications such as cervical cellulitis or mediastinitis.
The guttural pouches connect the middle ear to the pharynx. The opening into the pharynx is called the nasopharyngeal ostium, which is composed of the pharyngeal wall laterally and a fibrocartilaginous fold medially. This opening leads to a short soft tissue passageway into the respective guttural pouch.
Behind the ostium of the eustachian tube (ostium pharyngeum tuba auditiva) is a deep recess, the pharyngeal recess (fossa of Rosenmüller). Clinical significance [ edit ]