Download - Fascial spaces
SURGICAL FASCIAL SURGICAL FASCIAL SPACESSPACES
Definit ionDefinit ion
The fascial spaces in head and neck are the The fascial spaces in head and neck are the potential spaces between the various layers of potential spaces between the various layers of fascia normally filled with loose connective tissue fascia normally filled with loose connective tissue (Shapiro) and bounded by anatomical barriers, (Shapiro) and bounded by anatomical barriers, usually of bone, muscle or fascial layers (Moore).usually of bone, muscle or fascial layers (Moore).
FASCIA OF HEAD AND NECKFASCIA OF HEAD AND NECK SUPERFICIAL FASCIASUPERFICIAL FASCIA DEEP CERVICAL FASCIA DEEP CERVICAL FASCIA A.A. ANTERIOR LAYERANTERIOR LAYER 1. Investing layer1. Investing layer 2. Parotideomesseteric2. Parotideomesseteric 3.Temporal3.Temporal B. MIDDLE LAYERB. MIDDLE LAYER 1.Sternohyoid-omohyoid division1.Sternohyoid-omohyoid division 2.Sternothyroid-thyrohyoid division2.Sternothyroid-thyrohyoid division 3.Visceral division3.Visceral division a. Buccopharyngeal a. Buccopharyngeal b. Pretracheal b. Pretracheal c.Retropharyngealc.Retropharyngeal C. POSTERIOR LAYERC. POSTERIOR LAYER a. Alar Divisiona. Alar Division b. Prevertebral division b. Prevertebral division
CLASSIFICATION OF FASCIAL CLASSIFICATION OF FASCIAL SPACESSPACES
MODE OFINVOLVEMENT
1º maxillaryspaces
1º mandibularspaces
2º fascialspaces
• Submental • Submandibular • Sublingual • Buccal
• Massetric • Pterygomandibular • Sup. & deep temp. • Lateral pharyngeal • Retropharyngeal • Prevertebral• Parotid space
•Canine • Buccal • Infratemporal
GRODINKSY & HOLYOKE
Space I Space II Space III Space IV
III IIIA
Space superficial & deep to platysma
Space behind anterior layer of deep cervical fascia
Pretracheal space
Viscero- vascular space
(Lincoln’s highway- Mosher)
Danger space – potential space between alar &
prevertebral fascia
PRIMARY MAXILLARY SPACESPRIMARY MAXILLARY SPACES
INFRAORBITAL OF CANINE INFRAORBITAL OF CANINE SPACE SPACE
BUCCAL SPACE BUCCAL SPACE
INFRATEMPORAL SPACEINFRATEMPORAL SPACE
PRIMARY MANDIBULAR PRIMARY MANDIBULAR SPACESSPACES
SUBMANDIBULAR SPACESUBMANDIBULAR SPACE
SUBLINGUAL SPACESUBLINGUAL SPACE
SUBMENTAL SPACESUBMENTAL SPACE
MASTICATORY SPACESMASTICATORY SPACES
SUB MASSETERIC SPACESUB MASSETERIC SPACE
PTERYGOMANDIBULAR PTERYGOMANDIBULAR SPACESPACE
SUPERFICIAL TEMPORAL SUPERFICIAL TEMPORAL SPACESPACE
SECONDARY FASCIAL SECONDARY FASCIAL SPACESSPACES
PERITONSILLAR SPACEPERITONSILLAR SPACE
RETROPHARYNGEAL SPACERETROPHARYNGEAL SPACE
PRE VERTEBRAL SPACEPRE VERTEBRAL SPACE
PARAPHARYNGEAL SPACEPARAPHARYNGEAL SPACE
PAROTID SPACEPAROTID SPACE
CAROTID SHEATH SPACECAROTID SHEATH SPACE
VESTIBULAR SPACEVESTIBULAR SPACE
CONCLUSIONCONCLUSION
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