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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.
The retropharyngeal space (abbreviated as "RPS" [1] [2]) is a potential space [2] [3] and deep compartment of the head and neck [1] situated posterior to the pharynx. [4] The RPS is bounded anteriorly by the buccopharyngeal fascia , posteriorly by the alar fascia , and laterally by the carotid sheath .
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]
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 space which contains the lower dental row, muscles of mastication, the inferior alveolar nerve as well as branches of cranial nerve V .
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]
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