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Fascial Spaces of the Neck

Parapharyngeal Space: Boundaries, contents, and associated pathologies

The parapharyngeal space is a vital anatomical structure in the neck with significant clinical importance. Its boundaries, contents, and common pathologies should be well understood for accurate diagnosis and management.

6/7/20255 min read56 views
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Parapharyngeal Space: Anatomy and Pathologies

Fascial Spaces of the Neck

Parapharyngeal Space: Boundaries, Contents, and Associated Pathologies

The parapharyngeal space (PPS) is an essential deep neck space adjacent to the pharynx. Understanding its boundaries and contents is crucial in diagnosing and managing infections, tumors, and other pathological conditions.

Boundaries of the Parapharyngeal Space

  • Medial boundary: Pharyngeal mucosal space.
  • Lateral boundary: Carotid sheath and deep lobe of the parotid gland.
  • Superior boundary: Skull base.
  • Inferior boundary: Hyoid bone.

Contents of the Parapharyngeal Space

  • Fat tissue
  • Neurovascular structures (internal carotid artery, internal jugular vein, cranial nerves IX-XII)
  • Deep cervical lymph nodes

Common Pathologies Associated with PPS

Various diseases can affect the PPS, leading to clinical complications:

  • Infections: Abscess formation from odontogenic or pharyngeal infections.
  • Neoplasms: Parotid gland tumors, schwannomas, and lymphomas.
  • Vascular conditions: Carotid artery aneurysms.

Clinical Significance

PPS pathologies can manifest as dysphagia, neck swelling, and neurovascular complications. Imaging modalities like CT and MRI are essential for diagnosis and treatment planning.

Tags

#Parapharyngeal Space#Neck Anatomy#Medical Pathologies#Neurovascular Structures

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