Infratemporal space

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Infratemporal space
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Lateral view of skull, with part of the zygomatic complex removed. The infratemporal space is inferior to the base of skull and lateral to the lateral pterygoid plate.
Anatomical terminology

The infratemporal space (also termed the infra-temporal space or the infra-temporal portion of the deep temporal space) [1] is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space in the side of the head, and is paired on either side. It is located posterior to the maxilla, between the lateral pterygoid plate of the sphenoid bone medially and by the base of skull superiorly. [2] The term is derived from infra- meaning below and temporal which refers to the temporalis muscle.

Contents

The infratemporal space is the inferior portion of the deep temporal space, which is one of the four compartments of the masticator space, along with the pterygomandibular space, the submasseteric space and the superficial temporal space. [2] The deep temporal space is separated from the pterygomandibular space by the lateral pterygoid muscle inferiorly and from the superficial temporal space by the temporalis muscle laterally. The deep temporal space and the superficial temporal space together make up the temporal spaces. [3]

The four compartents of the right masticator space. A Temporalis muscle, B Masseter muscle, C Lateral pterygoid muscle, D Medial ptaerygoid muscle, E Superficial temporal space, F Deep temporal space, G Submasseteric space, H Pterygomandibular space, I Approximate location of infratemporal space. Masticator space.png
The four compartents of the right masticator space. A Temporalis muscle, B Masseter muscle, C Lateral pterygoid muscle, D Medial ptaerygoid muscle, E Superficial temporal space, F Deep temporal space, G Submasseteric space, H Pterygomandibular space, I Approximate location of infratemporal space.

Location and structure

Anatomic boundaries

The boundaries of the infratemporal space are: [4]

Communications

The communications of the infratemporal space are: [4]

Contents

The contents of the infratemporal space are: [2]

Clinical relevance

Infections of the infratemporal space are rare. They may be significant however, as it is possible for infection to spread via emissary veins from the pterygoid plexus to the cavernous sinus, which may result in cavernous sinus thrombosis, a rare but life-threatening condition. [2] The signs and symptoms of an infratemporal space infection are swelling of the face in the region of the sigmoid notch, swelling of the mouth in the region of the maxillary tuberosity and marked trismus (difficulty opening the mouth), since some of the muscles of mastication are restricted by the swelling. [4] Treatment of an abscess of this space is usually by surgical incision and drainage, with the incision being placed on the face (a small horizontal incision posterior to the junction of the temporal and frontal process of the zygomatic bone. or both on the face and inside the mouth. [2]

Odontogenic infection

The spread of odontogenic infections may sometimes involve the infratemporal space. The most likely causative tooth is the maxillary third molar (upper wisdom tooth).

Related Research Articles

Articles related to anatomy include:

<span class="mw-page-title-main">Sphenoid bone</span> Bone of the neurocranium

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 the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit. Its shape somewhat resembles that of a butterfly or bat with its wings extended.

<span class="mw-page-title-main">Masseter muscle</span> One of the masticatory muscles in mammals

In anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it is the most superficial and one of the strongest.

<span class="mw-page-title-main">Lateral pterygoid muscle</span> Muscle of mastication

The lateral pterygoid muscle (or external pterygoid muscle) is a muscle of mastication. It has two heads. It lies superior to the medial pterygoid muscle. It is supplied by pterygoid branches of the maxillary artery, and the lateral pterygoid nerve (from the mandibular nerve, CN V3). It depresses and protrudes the mandible. When each muscle works independently, they can move the mandible side to side.

<span class="mw-page-title-main">Temporal fossa</span>

The temporal fossa is a fossa on the side of the skull bounded by the temporal lines above, and the zygomatic arch below. Its floor is formed by the outer surfaces of four bones of the skull. The fossa is filled by the temporalis muscle.

<span class="mw-page-title-main">Cavernous sinus</span> Sinus in the human head

The cavernous sinus within the human head is one of the dural venous sinuses creating a cavity called the lateral sellar compartment bordered by the temporal bone of the skull and the sphenoid bone, lateral to the sella turcica.

<span class="mw-page-title-main">Greater wing of sphenoid bone</span> Large part of the skull front behind the eye socket

The greater wing of the sphenoid bone, or alisphenoid, is a bony process of the sphenoid bone, positioned in the skull behind each eye. There is one on each side, extending from the side of the body of the sphenoid and curving upward, laterally, and backward.

<span class="mw-page-title-main">Pterygoid plexus</span>

The pterygoid plexus is a fine venous plexus upon and within the lateral pterygoid muscle. It drains by a short maxillary vein.

<span class="mw-page-title-main">Maxillary artery</span> Artery supplying face structures in humans

The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible.

<span class="mw-page-title-main">Infratemporal fossa</span> Cavity that is part of the skull

The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches.

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

The buccal space is a fascial space of the head and neck. It is a potential space in the cheek, and is paired on each side. The buccal space is superficial to the buccinator muscle and deep to the platysma muscle and the skin. The buccal space is part of the subcutaneous space, which is continuous from head to toe.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

Mouth infections, also known as oral infections, are a group of infections that occur around the oral cavity. They include dental infection, dental abscess, and Ludwig's angina. Mouth infections typically originate from dental caries at the root of molars and premolars that spread to adjacent structures. In otherwise healthy patients, removing the offending tooth to allow drainage will usually resolve the infection. In cases that spread to adjacent structures or in immunocompromised patients, surgical drainage and systemic antibiotics may be required in addition to tooth extraction. Since bacteria that normally reside in the oral cavity cause mouth infections, proper dental hygiene can prevent most cases of infection. As such, mouth infections are more common in populations with poor access to dental care or populations with health-related behaviors that damage one's teeth and oral mucosa. This is a common problem, representing nearly 36% of all encounters within the emergency department related to dental conditions.

<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.

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

The submandibular space is a fascial space of the head and neck. It is a potential space, and is paired on either side, located on the superficial surface of the mylohyoid muscle between the anterior and posterior bellies of the digastric muscle. The space corresponds to the anatomic region termed the submandibular triangle, part of the anterior triangle of the neck.

Fascial spaces are potential spaces that exist between the fasciae and underlying organs and other tissues. In health, these spaces do not exist; they are only created by pathology, e.g. the spread of pus or cellulitis in an infection. The fascial spaces can also be opened during the dissection of a cadaver. The fascial spaces are different from the fasciae themselves, which are bands of connective tissue that surround structures, e.g. muscles. The opening of fascial spaces may be facilitated by pathogenic bacterial release of enzymes which cause tissue lysis. The spaces filled with loose areolar connective tissue may also be termed clefts. Other contents such as salivary glands, blood vessels, nerves and lymph nodes are dependent upon the location of the space. Those containing neurovascular tissue may also be termed compartments.

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

The submasseterric space is a fascial space of the head and neck. It is a potential space in the face over the angle of the jaw, and is paired on each side. It is located between the lateral aspect of the mandible and the medial aspect of the masseter muscle and its investing fascia. The term is derived from sub- meaning "under" in Latin and masseteric which refers to the masseter muscle. The submasseteric space is one of the four compartments of the masticator space. Sometimes the submasseteric space is described as a series of spaces, created because the masseter muscle has multiple insertions that cover most of the lateral surface of the ramus of the mandible.

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

The pterygomandibular space is a fascial space of the head and neck. It is a potential space in the head and is paired on each side. It is located between the lateral pterygoid muscle and the medial surface of the ramus of the mandible. The pterygomandibular space is one of the four compartments of the masticator space.

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

The canine space, is a fascial space of the head and neck. It is a thin potential space on the face, and is paired on either side. It is located between the levator anguli oris muscle inferiorly and the levator labii superioris muscle superiorly. The term is derived from the fact that the space is in the region of the canine fossa, and that infections originating from the maxillary canine tooth may spread to involve the space. Infra-orbital is derived from infra- meaning below and orbit which refers to the eye socket.

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

The deep temporal space is a fascial space of the head and neck. It is a potential space in the side of the head, and is paired on either side. It is located deep to the temporalis muscle

References

  1. Topazian RG, Goldberg MH, Hupp JR (2002). Oral and maxillofacial infections (4. ed.). Philadelphia: W.B. Saunders. pp. 188–213. ISBN   978-0721692715.
  2. 1 2 3 4 5 Hupp JR, Ellis E, Tucker MR (2008). Contemporary oral and maxillofacial surgery (5th ed.). St. Louis, Mo.: Mosby Elsevier. pp.  317–333. ISBN   9780323049030.
  3. Hargreaves KM, Cohen S, eds. (2010). Cohen's pathways of the pulp. Berman LH (web editor) (10th ed.). St. Louis, Mo.: Mosby Elsevier. pp. 590–594. ISBN   978-0-323-06489-7.
  4. 1 2 3 Mani, K George Varghese, foreword by Varghese (2008). A practical guide to hospital dentistry. New Delhi: Jaypee Bros. Medical Pub. p. 64. ISBN   9788184482430.{{cite book}}: CS1 maint: multiple names: authors list (link)