Alar fascia

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Alar fascia
Gray384.png
Section of the neck at about the level of the sixth cervical vertebra. Showing the arrangement of the fascia coli.
Details
Identifiers
Latin lamina alaris fasciae cervicalis
Anatomical terminology

The alar fascia a portion or prevertebral fascia that may or may not be considered a distinct anatomical structure. [1] When acknowledged, it is described as anterior to the prevertebral fascia.

Contents

Anatomy

Superiorly, it extends to the base of the skull; inferiorly, it extends to the second thoracic vertebra. [2] Inferiorly, it unites with the visceral fascia of the neck. [1]

Anatomical relations

The alar fascia represents the posterior boundary of the retropharyngeal space. [3]

Research

In 2015, the anatomy of the alar fascia was revisited using dissection in conjunction with E12 plastination. The authors revealed that the alar fascia originated as a well defined midline structure at the level of C1 and does not reach the base of the skull. It is suggested that the area between C1 and the base of the skull is a potential entry into the danger space. [4]

See also

Related Research Articles

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<span class="mw-page-title-main">Superior thoracic aperture</span>

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<span class="mw-page-title-main">Stylopharyngeus muscle</span>

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<span class="mw-page-title-main">Carotid sheath</span>

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<span class="mw-page-title-main">Posterior triangle of the neck</span>

The posterior triangle is a region of the neck.

<span class="mw-page-title-main">Retropharyngeal space</span>

The retropharyngeal space is a potential space and deep compartment of the head and neck situated posterior to the pharynx. The RPS is bounded anteriorly by the buccopharyngeal fascia, posteriorly by the alar fascia, and laterally by the carotid sheath. It extends between the base of the skull superiorly, and the mediastinum inferiorly. It contains the retropharyngeal lymph nodes. Its function is to facilitate movements in the superoinferior axis of the larynx, pharynx, and esophagus in relation to the cervical spine.

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<span class="mw-page-title-main">Occipital condyles</span> Undersurface protuberances of the occipital bone in vertebrates

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<span class="mw-page-title-main">Arcuate line of rectus sheath</span>

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<span class="mw-page-title-main">Prevertebral fascia</span> Layer of deep cervical fascia that surrounds the vertebral column

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<span class="mw-page-title-main">Buccopharyngeal fascia</span>

The buccopharyngeal fascia is a fascia of the pharynx. It represents the posterior portion of the pretracheal fascia. It covers the superior pharyngeal constrictor muscles, and buccinator muscle.

<span class="mw-page-title-main">Danger space</span>

The danger space or alar space, is a region of the neck. The common name originates from the risk that an infection in this space can spread directly to the thorax, and, due to being a space continuous on the left and right, can furthermore allow infection to spread easily to either side.

<span class="mw-page-title-main">Prevertebral space</span>

The prevertebral space is a space in the neck.

<span class="mw-page-title-main">Parapharyngeal space</span>

The parapharyngeal 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.

References

  1. 1 2 Fehrenbach, Margaret J.; Herring, Susan W. (2017). Illustrated Anatomy of the Head and Neck (5th ed.). St. Louis: Elsevier. p. 267. ISBN   978-0-323-39634-9.
  2. Kyung Won, PhD. Chung (2005). Gross Anatomy (Board Review). Hagerstown, MD: Lippincott Williams & Wilkins. p. 362. ISBN   0-7817-5309-0.
  3. Mnatsakanian, Ani; Minutello, Katrina; Bordoni, Bruno (2022), "Anatomy, Head and Neck, Retropharyngeal Space", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID   30725729 , retrieved 2022-07-24
  4. Frank Scali; Lance G Nash; Matthew E Pontell (2015). "Defining the Morphology and Distribution of the Alar Fascia: A Sheet Plastination Investigation". Annals of Otology, Rhinology, and Laryngology. 124: 814–9. doi:10.1177/0003489415588129. PMID   25991834.