4. Surgical anatomy of the areas and spaces in the maxillofacial area Flashcards

1
Q

Fascial spaces

A
  • Aka fascial tissue spaces or tissue spaces
  • Potential spaces that exist between the fasciae and underlying organs and other tissues
  • In healthy conditions=> do not exist
  • Created by pathological conditions such as the spread of pus or cellulitis in an infection.
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2
Q

How fascial spaces differ from fasciae

A
  • Fascial spaces are potential spaces that can form between tissues during infections
  • Fasciae are bands of connective tissue that surround and support structures like muscles
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3
Q

What facilitates the opening of fascial spaces

A
  • Pathogenic bacterial release of enzymes=>
  • Hyaluronidase and collagenase, which cause tissue lysis
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4
Q

Clefts in the context of fascial spaces

A

Fascial spaces filled with loose areolar connective tissue

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5
Q

What fascial spaces may contain based on their location

A
  • Salivary glands, blood vessels, nerves, and lymph nodes
  • Spaces containing neurovascular tissues (nerves and blood vessels) also be termed compartments.
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6
Q

How fascial spaces are classified in oral and maxillofacial surgery

A
  • Primary maxillary spaces
  • Primary mandibular spaces
  • Perimandibular spaces
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7
Q

The primary maxillary spaces

A
  • Canine space
  • Buccal space
  • Infratemporal space
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8
Q

The primary mandibular spaces

A
  • Submental space
  • Buccal space
  • Submandibular space
  • Sublingual space
  • Submasseteric space
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9
Q

The perimandibular spaces

A
  • Submandibular space
  • Submental space
  • Sublingual space
  • Mental space
  • Buccal space
  • Canine space (infra-orbital space)
  • Submasseteric space
  • Pterygomandibular space
  • Infratemporal space
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10
Q

Submandibular space

A
  • Potential space, paired on either side
  • Located on the superficial surface of the mylohyoid muscle=>
  • Between the anterior and posterior bellies of the digastric muscle.
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11
Q

Sublingual space

A
  • Potential space located below the mouth and above the mylohyoid muscle
  • Part of the suprahyoid group of fascial spaces
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12
Q

Submental space

A
  • Potential space located between the mylohyoid muscle superiorly and the platysma muscle inferiorly=>
  • Under the chin in the midline
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13
Q

Canine space (infra-orbital space)

A
  • Aka the infra-orbital space
  • Thin potential space on the face, paired on either side
  • Located between the levator anguli oris muscle inferiorly and the levator labii superioris muscle superiorly
  • infections from the maxillary canine tooth may spread to this space
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14
Q

Mental space

A
  • Potential space, bilaterally located in the chin=>
  • Between the mentalis muscle superiorly and the platysma muscle inferiorly
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15
Q

Submasseteric space

A
  • Potential space over the angle of the jaw, paired on each side
  • Located between the lateral aspect of the mandible and the medial aspect of the masseter muscle and its investing fascia
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16
Q

Pterygomandibular space

A
  • Potential space in the head, paired on each side
  • Located between the medial pterygoid muscle and the medial surface of the ramus of the mandible.
16
Q

Infratemporal space

A
  • Potential space on the side of the head, paired on either side
  • Located posterior to the maxilla, between the lateral pterygoid plate of the sphenoid bone medially=>
  • The base of the skull superiorly
17
Q

Buccal space

A
  • Potential space in the cheek, paired on each side
  • Superficial to the buccinator muscle and deep to the platysma muscle and the skin