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