Fascial Spaces: Pathways - Herring Flashcards

1
Q

typical sources of infections in the buccal space

A

maxillary molars & premolars

mandibular molars & premolars

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2
Q

what is the primary space the buccal space communicates with

A

canine space

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3
Q

typical source of infections in the canine (infra-orbital) space

A

anterior maxillary teeth - typically canines

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4
Q

what 2 spaces does the canine space typically communicate with

A

buccal space
cavernous sinus

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5
Q

odontogenic infection does not normally enter what space

A

parotid space

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6
Q

The parotid gland can be affected by infection spread along what?

A

parotid duct

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7
Q

if you see swelling with parotid space, what should you think and not think?

A

do NOT think dental infection, think cancer or other space occupying lesion

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8
Q

maxillary 3rd molars typically have roots in the ___________ if long enough

A

maxillary sinus

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9
Q

typical sources of infections in the masticator space

A

mandibular 3rd molars - #1 offender

1st and 2nd maxillary and mandibular molars & premolars

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10
Q

what spaces does the masticator space typically communicate with

A

parapharyngeal space
sublingual space
submandibular space
cavernous sinus
orbit

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11
Q

the masticator space is pretty close to what space

A

parapharyngeal

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12
Q

the masticator space communicates with the sublingual space via the _________ nerve

A

lingual

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13
Q

the masticator space communicates with the submandibular space in what way?

A

where the investing layer splits

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14
Q

the masticator space communicates with the cavernous sinus via the __________ plexus

A

pterygoid venous plexus

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15
Q

the masticator space communicates with the orbit via what 2 veins

A

angular vein
ophthalmic vein

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16
Q

an abscess in the _________ muscle in the masticator space is more common than _______ involvement

A

medial pterygoid ; masseter

17
Q

what is a potential space without a fascial lining? where is this space located between

A

sublingual space

between mylohyoid and mucosa

18
Q

typical sources of infections in the sublingual space

A

mandibular 1st molar & premolars

19
Q

the sublingual space communicates with what 2 spaces

A

sublingual –> parapharyngeal –> submandibular

20
Q

Teeth with roots superior to the mylohyoid attachment would risk infection getting into what space?

A

sublingual

21
Q

Teeth with roots inferior to the mylohyoid attachment would risk infection getting into what space?

A

submandibular

22
Q

typical sources of infections in the submandibular space

A

2nd & 3rd mandibular molars (because of slightly longer roots)

23
Q

what spaces communicates with the submandibular space

A

sublingual
submental
parapharyngeal

24
Q

typical sources of infections in the submental space

A

mandibular anterior teeth aka the mandibular incisors

25
what space communicates with the submental space
submandibular space
26
Ludwig's Angina ALWAYS involves what 2 spaces
sublingual & submandibular (often bilateral)
27
Regarding Ludwig's Angina, there is the presence of what 2 things and no presence of what 1 thing?
presence of gangrene and phlegm no presence of pus
28
Ludwig's Angina involves what 3 things but spares what structure?
connective tissue fascia muscle (mylohyoid) Spares glandular structures aka submandibular gland
29
How does Ludwig's Angina spread? Include how it doesn't spread/what system it won't go into
Spreads by contiguity of spaces NOT by lymphatics/won't go into lymphatic system
30
What is the most frequent secondary site
parapharyngeal space
31
typical sources of infections in the parapharyngeal space
maxillary & mandibular molars
32
what spaces does the parapharyngeal space communicate with
submandibular sublingual masticator retropharyngeal
33
The submandibular/sublingual/masticator spaces all go to what space secondarily
parapharyngeal space
34
the retropharyngeal space can spread directly into the __________ which is the danger space
mediastinum