Fascial Spaces

Question 1

Define Fascial Spaces

Answer 1

potential spaces b/w fascial layers (loose C.T.)

Question 2

What is the necessity of Fascial Spaces?

Answer 2

understand the spread of infection and complications of local anesthetics

Question 3

Maxillary Vestibular Space is located?

Answer 3

medial to the buccinators and lateral to oral mucosa

Question 4

Mandibular Vestibular Space is located?

IMPORTANT!

Answer 4

1. medial to the buccinators
2. lateral to the oral mucosa
3. **can communicate w/the body of mandible space

Question 5

Canine Space is located? IMPORTANT!

Answer 5

1. deep to skin, zygomaticus minor and levator labii superioris
2. canine fossa of the maxilla
3. can swell enough to close the eye
4. can communicate w/the buccal space

Question 6

Buccal Space is located?

Answer 6

1. lateral to buccinators
2. medial and anterior to masseter
3. b/w the buccinators and masseter
4. can communicate w/maxillary and mandibular posterior teeth

Question 7

Parotid Space is located?

Answer 7

1. around the parotid gland

2. contains external carotid, retromandibular vein and VII (facial nerve: going through it!)

Question 8

Facial nerve VII is in the Parotid Space but…

Answer 8

DOES NOT innervate it; it just goes through it!

Question 9

Mandibular Body Space is located?

Answer 9

1. encases mandible from symphysis (chin) to anterior edge of medial ptertygoid and masseter
2. can communicates w/many other spaces (vestibular space of mandible, and buccal, submental, submandibular, sublingual)

Question 10

The Communication is very easy when?

Answer 10

once the periosteum is breached (when it gets to the bone)

Question 11

Submental Space is located? IMPORTANT!

Answer 11

1. mylohyoid (is the roof or the submental space is inferior to the mylohyoid muscle)
2. anterior bellies of digastric (R/L side)
3. Superficial cervical fascia
4. superficial right underneath the chin
5. communicates w/other space of the body of mandible and the submandibular and sublingual space

Question 12

Submandibular Space is located?

Answer 12

1. mylohyoid-medial and inferior
2. mandible –superior
3. lateral and posterior to submental space (behind)
4. around by the submandibular gland

Question 13

Sublingual Space is located?

Answer 13

1. mylohyoid- inferior
2. mandible - side to side
3. oral mucosa and tongue -superior
4. underneath the tongue, above the mylohyoid muscle

Question 14

Ludwig’s Angina involves what spaces?

Answer 14

Submental and sublingual

Question 15

Ludwig’s Angina is a cellulitis of what space?

Answer 15

submandibular space