Deep Neck Space Flashcards

1
Q

Pseudomass of the parapharyngeal space

A

Asymmetric terygoid venous plexus*

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2
Q

Congenital lesion of the parapharyngeal space

A

Atypical second branchial cyst

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3
Q

Inflammatory lesion of the parapharyngeal space

A

Abscess spread from adjacent deep facial spaces*:
PMS: adenoids, tonsillitis
Parotid space: Calculus disease
Masticator space: Odontogenic infection

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4
Q

Benign tumor of the parapharyngeal space

A

Pleomorphic adenopathy (benign mixed tumor) of salivary glands rest in the PPS

Lipoma

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5
Q

Malignant tumor of paraphrayngeal space

A

Mucoepidermoid and adenoid cystic carcinoma and malignant mixed tumor of salivary gland rest in the PPS

Direct spread of malignant tumor from adjacent deep facial space*:
PMS: Squamous cell carcinoma, non-Hodgkin lymphoma, minor salivary gland malignancy
Masticator space: Sarcoma
Parotid space: Mucoepidermoid carcinoma, adenoid cystic carcinoma

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6
Q

Pseudomass of the pharyngeal mucosal space

A

Asymmetric fossa of Rusenmuller

Mucosal inflammation from infectious or radiation-induced pharyngitis

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7
Q

Inflammatory lesion of the pharyngeal mucosal space

A
Adenoidal or faucial tonsil hpertrophy
Adenoidal or faucial tonsillitis
Adenoidal or faucial tonsil abscess
Post inflammatory dystrophic calcification
Post inflammatory retention cyst

*Note:
Just remember adenitis and tonsillitis

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8
Q

Benign tumor of the pharyngeal mucosal space

A

Benign mixed tumor of the minor salivary gland origin

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9
Q

Malignant tumor of the phrayngeal mucosal space

A

Squamous cell carcinoma
Non-Hodgkin lymphoma
Minor salivary gland malignancy

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10
Q

Miscellaneous lesion of the pharyngeal mucosal space

A

Tornwaldt’s cyst

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11
Q

Pseudotumor of the masticator space

A

Accessory parotid gland*
Benign masseteric hypertrophy*
Cranial nerve V3 denervation

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12
Q

Congenital lesion the masticator space

A

Hemangioma

Lymphangioma

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13
Q

Inflammatory lesion of the masticator space

A

Odontogenic abscess*

Mandibular osteomyelitis

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14
Q

Benign tumor of the masticator space

A

Osteoblastoma
Leiomyoma
Neural sheath tumor (neurofibroma, schwannoma)

*Note:
Bone, muscle, nerve

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15
Q

Malignant tumor of the masticator space

A

Sarcoma*:
Soft tissue
Chondrosarcoma
Osteosarcoma

Malignant schwannoma
Non-Hodgkin lymphoma*
Squamous cell carcinoma from oropharynx (retromolar trigone)*
Rhabdomyosarcoma (paediatric)*
Mandibular metastases
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16
Q

Congenital lesion of the parotid space mass

A

First branchial cleft cyst
Hemangioma (in the paediatric population)
Lymphangioma (in the paediatric population)

17
Q

Inflammatory lesion of the parotid space mass

A

Abscess or cellulitis
Benign lymphoepithelial cysts (AIDS)
Reactive adenopathy

18
Q

Benign tumor of the parotid space mass

A

Pleomorphic adenoma (benign mixed tumor)*
Warthin’s tumor (papillary cystadenoma lymphomatosum)*
Oncocytoma
Lipoma
Facial schwannoma

19
Q

Malignant tumor (primary) of the parotid mass

A
Mucoepidermoid carcinoma*
Adenoid cystic carcinoma*
Non-Hodgkin lymphoma
Acinous cell carcinoma
Malignant mixed tumor
Squamous cell carcinoma
20
Q

Malignant tumor (metastatic - within parotid nodes)

A

Skin squamous cell carcinoma*
Melanoma*
Non-Hodgkin lymphoma

*Notes:
Adjacent malignancy

21
Q

Multiple lesion of the parotid space which are Inflammatory or infectious lesions

A

Reactive lymphadenopathy
Benign lymphoepithelia lesions (AIDS)
Sarcoid

22
Q

Multiple lesions of the parotid space which are primary tumors

A

Warthin’s tumor
Acinic cell carcinoma
Non-Hodgkin lymphoma (within parenchyma)

23
Q

Multiple lesion of the parotid space which are nodal tumors

A
Metastatic tumor
Non-Hodgkin lymphoma (within parotid nodes)
Skin malignancy 
Squamous cell carcinoma
Melanoma
24
Q

Pseudomass of the carotid space

A

Ecstatic common or internal carotid artery*

Asymmetric internal jugular vein*

25
Q

Inflammatory lesion of the carotid space

A

Carotid space cellulitis or abscess

26
Q

Vascular lesions of carotid space

A

Jugular vein thrombosis or thrombophlebitis*
Internal carotid artery thrombosis, mural thrombus, aneurysm, or pseudoaneurysm*
Internal carotid artery dissection

27
Q

Benign tumor of the carotid space

A

Paraganglioma*:

  • Glomus jugulare
  • Glomus vagale
  • Carotid body tumor

Neural sheath tumor

  • Schwannoma*
  • Neurofibroma

Meningioma (from jugular foramen)

28
Q

Malignant tumor of the carotid space

A

Squamous cell carcinoma nodal metastasis*
Direct invasion by primary squamous cell carcinoma
Non-Hodgkin lymphoma

29
Q

Pseudomass of the retropharyngeal space

A

Tortuous carotid artery

Edema fluid or lymph spilling into the retropharyngeal space secondary to deep venous or lymphatic obstruction

30
Q

Congenital lesion of the retropharyngeal space

A

Hemangioma
Lymphangioma

*Note:
Same as in the masticator and parotid spaces

31
Q

Inflammatory lesion of the retropharyngeal space

A

Reactive adenopathy*
Cellulitis*
Suppurative adenopathy (intranodal abscess)*
Abscess*

32
Q

Benign tumor of the retropharyngeal space

A

Lipoma

33
Q

Malignant tumor of the retropharyngeal space

A

Nodal metastases

  • Squamous cell carcinoma of the head and neck origin (especially from the nasopharynx)*
  • Melanoma
  • Thyroid carcinoma

Nodal non-Hodgkin lymphoma*
Direct invasion from primary squamous cell carcinoma (especially posterior wall primary lesions)*

34
Q

Pseudomass of the perivertebral space

A
Vertebral body osteophyte*
Anterior disc herniation
Levator scapulae hypertrophy
Large or asymmetric transverse process
Cervical rib
Hypertrophic facet joint

*Notes:
Bone related

35
Q

Vascular lesion of the perivertebral space

A

Vertebral artery dissection
Aneurysm
Pseudoaneurysm

36
Q

Inflammatory lesion of the perivertebral space

A

Vertebral body osteomyelitis*

  • Pyogenic osteomyelitis
  • Tuberculous spondylitis
37
Q

Benign tumor of the perivertebral space

A

Schwannoma, neurofibroma (branchial plexus)

Vertebral body benign bony tumors

38
Q

Malignant tumors of the perivertebral space

A
Chordoma
Vertebral body or epidural metastasis*
Non-Hodgkin lymphoma
Direct invasion of squamous cell carcinoma
Vertebral body primary malignant tumor