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34 Cards in this Set

  • Front
  • Back
Parapharyngeal Space: bounds
skull base to hyoid bone
pharynx, parotid, mandible, pterygoid muscles
Prestyloid parapharyngeal space contains?
maxillary artery
inferior alveolar, lingual, auriculotemporal nerves
Poststyloid parapharyngeal space contains?
neurovascular bundle (carotid, IJ, sympathetic)
CN IX, X, XI
Symptoms of parapharyngeal space abscess
trismus
fever
muffled voice
dysphagia
drooling
Complications of parapharyngeal abscess
airway compromise
CN palsies
septic thrombophlebitis
carotid blowout
endocarditis
Boundaries of pterygopalatine foss
pyramidal space below apex orbit
Contents of pterygopalatine fossa
CN V2
vidian nerve
sphenopalatine nerve
greater and lesser palatine nerves
sphenopalatine ganglion
maxillary artery
Rx for pterygopalatine fossa abscess
drainage via Caldwell-Luc or alveobuccal sulcus approach
Compartments of Masticator Space
Masseteric
Pterygoid
Superficial Temporal
Deep temporal
Contents of Masticator Space
-muscles of mastication
-maxillary artery
-V3
Components of Sublingual space
-floor of mouth
-mylohyoid muscle
-contains sublingual gland, XII, Wharton's duct
Components of Submandibular Space
-contains submandibular gland, lingual nerve, facial artery
-communicates with sublingual and parapharyngeal spaces
Ludwig's Angina spaces
cellulitis of submandibular, sublingual, submental space
Symptoms and Signs of Ludwig's angina
-wooden floor of mouth
-neck swelling
-drooling
-respiratory distress
-trismus
-may progress quickly to airway compromise
Contents of Parotid Space
-parotid gland
-CN VII
-posterior facial vein
-external carotid artery
Treatment of Parotitis
hydration
sialogogues
oral hygeine
antibiotics
warm compresses
massage
Boundaries of Buccal Space
-buccinator
-cheek skin
-pterygomandibular raphe
-zygomatic arch
-inferior mandible
Symptoms of Buccal Space infection
may extend to eyelid (preseptal) and orbicularis oris
Complications of Buccal Space infection
cavernous sinus thrombosis
intracranial infection
extension to orbit
Boundaries of Carotid Sheath Space
base of skull to thoracic outlet
Contents of Carotid Sheath Space
carotid artery
internal jugular vein
CN X
Symptoms of carotid sheath space infection
torticollis (toward uninvolved side)
Boundaries of Visceral space
-pharyngeal constrictors
-hyoid to mediastinum
Contents of Visceral Space
pharynx
esophagus
larynx
trachea
thyroid
Symptoms of Visceral Space Infection
dysphagia
hoarseness
respiratory compromise
subcutaneous emphysema
Complications of Visceral Space Infection
mediastinitis
sepsis
pneumonia
laryngeal edema
Boundaries of Retropharyngeal Space
pharyngeal constrictor muscles
skull base to mediastinum
Contents of Retropharyngeal space
retropharyngeal lymphatics
Symptoms of retropharyngeal infection
odynophagia
hot potato voice
drooling
stiff neck
stridor
spiking fevers
Complications of retropharyngeal abscess
mediastinitis
respiratory distress
ruptured abscess
spread to danger and prevertebral space
Danger Space boundaries
alar and prevertebral fascia
skull base to diaphragm
Contents of Danger Space
loose areolar tissue (spreads fast)
Boundaries of Prevertebral Space
Extends from Skull base to Coccyx
What is a Pott's Abscess
tuberculosis osteomyelitis of the spine