Surgical fascial spaces

1. SURGICAL FASCIAL SPACES

2. Definition

The fascial spaces in head and neck are the
potential spaces between the various layers of fascia
normally filled with loose connective tissue (Shapiro)
and bounded by anatomical barriers, usually of
bone, muscle or fascial layers (Moore).

3. FASCIA OF HEAD AND NECK

SUPERFICIAL FASCIA
DEEP CERVICAL FASCIA
A. ANTERIOR LAYER
1. Investing layer
2. Parotideomesseteric
3.Temporal
B. MIDDLE LAYER
1.Sternohyoid-omohyoid division
2.Sternothyroid-thyrohyoid division
3.Visceral division
a. Buccopharyngeal
b. Pretracheal
c.Retropharyngeal
C. POSTERIOR LAYER
a. Alar Division
b. Prevertebral division

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7. CLASSIFICATION OF FASCIAL SPACES

MODE OF
INVOLVEMENT
1º maxillary
spaces
•Canine
• Buccal
• Infratemporal
1º mandibular
spaces
• Submental
• Submandibular
• Sublingual
• Buccal
2º fascial
spaces
• Massetric
• Pterygomandibular
• Sup. & deep temp.
• Lateral pharyngeal
• Retropharyngeal
• Prevertebral
• Parotid space

8.

GRODINKSY & HOLYOKE
Space I
Space II
Space III
III
Space superficial
& deep to platysma
Pretracheal
space
Space behind anterior layer
of deep cervical fascia
Space IV
IIIA
Viscero- vascular
space
(Lincoln’s highway
- Mosher)
Danger space –
potential space
between alar &
prevertebral fascia

9. PRIMARY MAXILLARY SPACES

10. INFRAORBITAL OF CANINE SPACE

11. BUCCAL SPACE

12. INFRATEMPORAL SPACE

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14. PRIMARY MANDIBULAR SPACES

15. SUBMANDIBULAR SPACE

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19. SUBLINGUAL SPACE

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21. SUBMENTAL SPACE

22. MASTICATORY SPACES

23. SUB MASSETERIC SPACE

24.

25. PTERYGOMANDIBULAR SPACE

26.

27. SUPERFICIAL TEMPORAL SPACE

28. SECONDARY FASCIAL SPACES

29. PERITONSILLAR SPACE

30. RETROPHARYNGEAL SPACE

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33. PRE VERTEBRAL SPACE

34. PARAPHARYNGEAL SPACE

35.

36. PAROTID SPACE

37. CAROTID SHEATH SPACE

38. VESTIBULAR SPACE

39. CONCLUSION

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43. THANK YOU