Lateral Pharyngeal Space
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Lateral Pharyngeal Space
The parapharyngeal space (also termed the lateral pharyngeal space), is a potential space in the head and the neck. It has clinical importance in otolaryngology due to parapharyngeal space tumours and parapharyngeal abscess developing in this area. It is also a key anatomic landmark for localizing disease processes in the surrounding spaces of the neck; the direction of its displacement indirectly reflects the site of origin for masses or infection in adjacent areas, and consequently their appropriate differential diagnosis. Anatomical boundaries The parapharyngeal space is shaped like an inverted pyramid. Lateral and inferior to the parapharyngeal space is the carotid sheath, containing the internal carotid artery and cranial nerves IX, X and XI. Behind both the parapharyngeal space and carotid space lies the retropharyngeal space, and deep to this a potential space known as the danger space. The danger space serves as an important pathway for complicated infections of the poste ...
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Potential Space
In anatomy, a potential space is a space between two adjacent structures that are normally pressed together (directly apposed). Many anatomic spaces are potential spaces, which means that they are potential rather than realized (with their realization being dynamic according to physiologic or pathophysiologic events). In other words, they are like an empty plastic bag that has not been opened (two walls collapsed against each other; no interior volume until opened) or a balloon that has not been inflated. The pleural space, between the visceral and parietal pleura of the lung, is a potential space. Though it only contains a small amount of fluid normally, it can sometimes accumulate fluid or air that widens the space. The pericardial space is another potential space that may fill with fluid (effusion) in certain disease states (e.g. pericarditis; a large pericardial effusion may result in cardiac tamponade. Examples * costodiaphragmatic recess * pericardial cavity *epidural space ...
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Endoscopy
An endoscopy is a procedure used in medicine to look inside the body. The endoscopy procedure uses an endoscope to examine the interior of a hollow organ or cavity of the body. Unlike many other medical imaging techniques, endoscopes are inserted directly into the organ. There are many types of endoscopies. Depending on the site in the body and type of procedure, an endoscopy may be performed by either a doctor or a surgeon. A patient may be fully conscious or anaesthesia, anaesthetised during the procedure. Most often, the term ''endoscopy'' is used to refer to an examination of the upper part of the human gastrointestinal tract, gastrointestinal tract, known as an esophagogastroduodenoscopy. For nonmedical use, similar instruments are called borescopes. History Adolf Kussmaul was fascinated by sword swallowers who would insert a sword down their throat without gagging. This drew inspiration to insert a camera, the next problem to solve was how to insert a source of light, as ...
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Medial Pterygoid Muscle
The medial pterygoid muscle (or internal pterygoid muscle), is a thick, quadrilateral muscle of the face. It is supplied by the mandibular branch of the trigeminal nerve (V). It is important in mastication (chewing). Structure The medial pterygoid muscle consists of two heads. The bulk of the muscle arises as a deep head from just above the medial surface of the lateral pterygoid plate. The smaller, superficial head originates from the maxillary tuberosity and the pyramidal process of the palatine bone. Its fibers pass downward, lateral, and posterior, and are inserted, by a strong tendinous lamina, into the lower and back part of the medial surface of the ramus and angle of the mandible, as high as the mandibular foramen. The insertion joins the masseter muscle to form a common tendinous sling which allows the medial pterygoid and masseter to be powerful elevators of the jaw. Nerve supply The medial pterygoid muscle is supplied by the medial pterygoid nerve, a branch of th ...
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Pterygomandibular Raphe
The pterygomandibular raphe (pterygomandibular ligament) is a ligamentous band of the buccopharyngeal fascia. It is attached superiorly to the pterygoid hamulus of the medial pterygoid plate, and inferiorly to the posterior end of the mylohyoid line of the mandible. It connects the buccinator muscle in front to the superior pharyngeal constrictor muscle behind. Structure The pterygomandibular raphe is a ligament that forms from the buccopharyngeal fascia. It is a paired structure, with one on each side of the mouth. Superiorly, it is attached to the pterygoid hamulus of the medial pterygoid plate of the sphenoid bone. Inferiorly, it is attached to the posterior end of the mylohyoid line of the mandible. * Its ''medial surface'' is covered by the mucous membrane of the mouth. * Its ''lateral surface'' is separated from the ramus of the mandible by a quantity of adipose tissue. * Its ''posterior border'' gives attachment to the superior pharyngeal constrictor muscle. * Its ''an ...
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Pharynx
The pharynx (plural: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the oesophagus and trachea (the tubes going down to the stomach and the lungs). It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food and air to the esophagus and larynx respectively. The flap of cartilage called the epiglottis stops food from entering the larynx. In humans, the pharynx is part of the digestive system and the conducting zone of the respiratory system. (The conducting zone—which also includes the nostrils of the nose, the larynx, trachea, bronchi, and bronchioles—filters, warms and moistens air and conducts it into the lungs). The human pharynx is conventionally divided into three sections: the nasopharynx, oropharynx, and laryngopharynx. It is also important in vocalization. In humans, two sets of pharyngeal muscles form the pharynx and determine the shape of its lumen. They are arranged as an ...
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Foramen Lacerum
The foramen lacerum ( la, lacerated piercing) is a triangular hole in the base of skull. It is located between the sphenoid bone, the apex of the petrous part of the temporal bone, and the basilar part of the occipital bone. Structure The foramen lacerum ( la, lacerated piercing) is a triangular hole in the base of skull. It is located between 3 bones: * the sphenoid bone, forming the anterior border. * the apex of petrous part of the temporal bone, forming the posterolateral border. * the basilar part of occipital bone, forming the posteromedial border. It is the junction point of 3 sutures of the skull: * the petroclival (petrooccipital) suture. * the sphenopetrosal suture. * the sphenooccipital suture. It is situated anteromedial to the carotid canal. Development The foramen lacerum fills with cartilage after birth. Function The foramen lacerum transmits many structures, including: * the artery of the pterygoid canal. * the recurrent artery of the foramen laceru ...
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Hypoglossal Canal
The hypoglossal canal is a foramen in the occipital bone of the skull. It is hidden medially and superiorly to each occipital condyle. It transmits the hypoglossal nerve. Structure The hypoglossal canal lies in the epiphyseal junction between the basiocciput and the jugular process of the occipital bone. Variation Embryonic variants sometimes lead to the presence of more than two canals as the occipital bone is formed. Development The hypoglossal canal is formed during the embryological stage of development in mammals. Function The hypoglossal canal transmits the hypoglossal nerve from its point of entry near the medulla oblongata to its exit from the base of the skull near the jugular foramen A jugular foramen is one of the two (left and right) large foramina (openings) in the base of the skull, located behind the carotid canal. It is formed by the temporal bone and the occipital bone. It allows many structures to pass, including the i .... Clinical significance ...
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Jugular
The jugular veins are veins that take deoxygenated blood from the head back to the heart via the superior vena cava. The internal jugular vein descends next to the internal carotid artery and continues posteriorly to the sternocleidomastoid muscle. Structure and Function There are two sets of jugular veins: external and internal. The left and right external jugular veins drain into the subclavian veins. The internal jugular veins join with the subclavian veins more medially to form the brachiocephalic veins. Finally, the left and right brachiocephalic veins join to form the superior vena cava, which delivers deoxygenated blood to the right atrium of the heart. The Jugular veins help carry blood from the heart to and from the brain. An average human brain weighs about 3 pounds, and gets about 15%-20% of the blood that the heart pumps out. It is important for the brain to get enough blood for many reasons. The jugular ...
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Temporal Bone
The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples, and house the structures of the ears. The lower seven cranial nerves and the major vessels to and from the brain traverse the temporal bone. Structure The temporal bone consists of four parts— the squamous, mastoid, petrous and tympanic parts. The squamous part is the largest and most superiorly positioned relative to the rest of the bone. The zygomatic process is a long, arched process projecting from the lower region of the squamous part and it articulates with the zygomatic bone. Posteroinferior to the squamous is the mastoid part. Fused with the squamous and mastoid parts and between the sphenoid and occipital bones lies the petrous part, which is shaped like a pyramid. The tympanic part is relatively small and lies inferior to the squamous part, anterior to the mast ...
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Sphenoid Bone
The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of occipital bone, basilar part of the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit (anatomy), orbit. Its shape somewhat resembles that of a butterfly or bat with its wings extended. Structure It is divided into the following parts: * a median portion, known as the body of sphenoid bone, containing the sella turcica, which houses the pituitary gland as well as the paired paranasal sinuses, the sphenoidal sinuses * two Greater wing of sphenoid bone, greater wings on the lateral side of the body and two Lesser wing of sphenoid bone, lesser wings from the anterior side. * Pterygoid processes of the sphenoides, directed downwards from the junction of the body and the greater wings. Two sphenoidal conchae are situated at the anterior and inferior part of the body. Intrinsic ligaments of ...
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Base Of Skull
The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria. Structure Structures found at the base of the skull are for example: Bones There are five bones that make up the base of the skull: *Ethmoid bone *Sphenoid bone *Occipital bone *Frontal bone *Temporal bone Sinuses *Occipital sinus *Superior sagittal sinus *Superior petrosal sinus Foramina of the skull * Foramen cecum *Optic foramen *Foramen lacerum *Foramen rotundum *Foramen magnum * Foramen ovale *Jugular foramen *Internal auditory meatus *Mastoid foramen *Sphenoidal emissary foramen *Foramen spinosum Sutures *Frontoethmoidal suture *Sphenofrontal suture *Sphenopetrosal suture *Sphenoethmoidal suture * Petrosquamous suture *Sphenosquamosal suture Other *Sphenoidal lingula *Subarcuate fossa *Dorsum sellae *Jugular process *Petro-occipital fissure *Condylar canal *Jugular tubercle *Tuberc ...
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Greater Cornu
The hyoid bone (lingual bone or tongue-bone) () is a horseshoe-shaped bone situated in the anterior midline of the neck between the chin and the thyroid cartilage. At rest, it lies between the base of the mandible and the third cervical vertebra. Unlike other bones, the hyoid is only distantly articulated to other bones by muscles or ligaments. It is the only bone in the human body that is not connected to any other bones nearby. The hyoid is anchored by muscles from the anterior, posterior and inferior directions, and aids in tongue movement and swallowing. The hyoid bone provides attachment to the muscles of the floor of the mouth and the tongue above, the larynx below, and the epiglottis and pharynx behind. Its name is derived . Structure The hyoid bone is classed as an irregular bone and consists of a central part called the body, and two pairs of horns, the greater and lesser horns. Body The body of the hyoid bone is the central part of the hyoid bone. *At the front, ...
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