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The danger space or alar space, is a region of the neck. [1] 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.
Fascial spaces (also termed fascial tissue spaces [1] or tissue spaces [2]) are potential spaces that exist between the fasciae and underlying organs and other tissues. [3] 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 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]
The retrovisceral space is divided into the retropharyngeal space and the danger space by the alar fascia. It is of particular clinical importance because it is a main route by which oropharyngeal infections can spread into the mediastinum. Some sources say the retrovisceral space is the same as the retropharyngeal space. [1]
Superiorly, the retropharyngeal space terminates at the base of the skull (more specifically, at the clivus [2]). [1] [5] Inferiorly, the true RPS terminates at a variable level along the upper thoracic spine with the fusion of alar fascia and visceral fascia; [1] sources either give the inferior termination of the true RPS as occurring at approximately the vertebral level of T4 [2] or at a ...
the cranium (8 bones: frontal, 2-parietal, occipital, 2-temporal, sphenoid, ethmoid), and; the facial bones (14 bones: 2-zygomatic, 2-maxillary, 2-palatine, 2-nasal, 2-lacrimal, vomer, 2-inferior conchae, mandible). The occipital bone joins with the atlas near the foramen magnum, a large hole at the base of the skull. The atlas joins with the ...
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 posterior pharynx to enter the chest and spinal column. Anterior to the parapharyngeal space is the masticator ...
This space is limited below by the fusion of the coracoclavicular fascia with the anterior wall of the axillary sheath. Inferiorly, the prevertebral layer blends with the endothoracic fascia peripherally and fuses with the anterior longitudinal ligament centrally at approximately the level of the T3 vertebra .