Knowledge (XXG)

Buccal space

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283:, although other sources report it is the submandibular space. Infections originating in either maxillary or mandibular teeth can spread into the buccal space, usually maxillary molars (most commonly) and premolars or mandibular premolars. Odontogenic infections which erode through the buccal cortical plate of the mandible or maxilla will either spread into the buccal vestibule (sulcus) and drain intra-orally, or into the buccal space, depending upon the level of the perforation in relation to the attachment of buccinator to the maxilla above and the mandible below (see diagrams). Frequently infection spreads in both directions as the buccinator is only a partial barrier. Infections associated with mandibular teeth with apices at a level inferior to the attachment, and maxillary teeth with apices at a level superior to the attachment are more likely to drain into the buccal space. 272: 219: 203: 238:
surgery. Buccal space abscesses typically cause a facial swelling over the cheek that may extend from the zygomatic arch above to the inferior border of the mandible below, and from the anterior border the masseter muscle posteriorly to the angle of the mouth anteriorly. Unless another space is also
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to avoid damage to the duct, and forceps are used to divide buccinator and insert a surgical drain into the buccal space. The drain is kept in place for a variable period of time following the procedure.
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An abscess originating from a tooth which has spread to involve the buccal space. Above, deformation of the cheek on the second day. Below, deformation on the third day.
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at the inferior of the space, near the inferior border of the mandible and the angle of the mouth. An untreated cutaneous sinus can cause disfiguring soft tissue
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Diagram showing the origin of the upper part of the buccinator muscle to the maxilla (the middle part originates from the
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Diagram showing the origin of the lower part of the buccinator muscle on the lateral surface of the mandible
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the platysma muscle, subcutaneous tissue and skin laterally (the space is deep to platysma).
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Sometimes the buccal space is reported to be the most commonly involved fascial space by
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involved, the tissues around the eye are not swollen. It is usually treated by surgical
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the buccinator muscle medially (the buccal space is superficial to the buccinator),
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the zygomatic process of the maxilla and the zygomaticus muscles superiorly,
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Long standing buccal abscesses tend to spontaneously drain via a
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and the attachment of the deep fascia to the mandible inferiorly,
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The buccal space is located superficial to buccinator muscle.
334:(5th ed.). St. Louis, Mo.: Mosby Elsevier. pp.  394:. Edinburgh : Churchill Livingstone. pp. 263–267. 366:. Oxford: Oxford University Press. pp. 374–375. 771: 698: 677: 623: 543: 510: 492: 449: 18: 357: 355: 85:and the skin. The buccal space is part of the 426: 390:Wray D, Stenhouse D, Lee D, Clark AJ (2003). 89:space, which is continuous from head to toe. 8: 321: 319: 317: 315: 385: 383: 330:Contemporary oral and maxillofacial surgery 313: 311: 309: 307: 305: 303: 301: 299: 297: 295: 433: 419: 411: 24: 230:may create the buccal space, e.g. due to 102:The boundaries of each buccal space are: 69:tissue spaces or tissue spaces). It is a 291: 193:the transverse facial artery and vein. 40: 15: 7: 392:Textbook of general and oral surgery 326:Hupp JR, Ellis E, Tucker MR (2008). 190:the anterior facial artery and vein, 106:the angle of the mouth anteriorly, 63:fascial space of the head and neck 14: 109:the masseter muscle posteriorly, 789:Plica semilunaris of the fauces 362:Kerawala C, Newlands C (2010). 172:In health, the space contains: 850:Oral and maxillofacial surgery 364:Oral and maxillofacial surgery 1: 210:, where buccinator joins the 117:depressor anguli oris muscle 259:, and the tract can become 212:superior constrictor muscle 156:infraorbital (canine) space 866: 474:Labial commissure of mouth 35: 23: 149:lateral pharyngeal space 669:Tubarial salivary gland 208:pterygomandibular raphe 137:pterygomandibular space 65:(sometimes also termed 756:Glossoepiglottic folds 276: 267:Odontogenic infections 223: 215: 37:Anatomical terminology 804:Palatopharyngeal arch 578:Mucogingival junction 573:Junctional epithelium 469:Frenulum of lower lip 274: 241:incision and drainage 221: 205: 198:Clinical significance 613:Periodontal ligament 845:Otorhinolaryngology 835:Human head and neck 751:Sublingual caruncle 645:Submandibular gland 583:Sulcular epithelium 553:Interdental papilla 145:submasseteric space 141:infratemporal space 799:Palatoglossal arch 277: 224: 216: 183:the parotid duct ( 822: 821: 79:buccinator muscle 57:(also termed the 51: 50: 46: 857: 657:Sublingual gland 535:Incisive papilla 459:Vermilion border 435: 428: 421: 412: 406: 405: 387: 378: 377: 359: 350: 349: 333: 323: 281:dental abscesses 81:and deep to the 59:buccinator space 43:edit on Wikidata 28: 16: 865: 864: 860: 859: 858: 856: 855: 854: 825: 824: 823: 818: 814:Palatine tonsil 809:Tonsillar fossa 767: 746:Fimbriated fold 731:Lingual tonsils 721:Terminal sulcus 694: 673: 619: 568:Gingival fibers 563:Gingival margin 558:Gingival sulcus 539: 506: 488: 445: 441:Anatomy of the 439: 409: 402: 389: 388: 381: 374: 361: 360: 353: 346: 325: 324: 293: 289: 269: 253:cutaneous sinus 245:parotid papilla 200: 170: 165: 147:or even to the 132: 100: 95: 83:platysma muscle 71:potential space 47: 31: 12: 11: 5: 863: 861: 853: 852: 847: 842: 837: 827: 826: 820: 819: 817: 816: 811: 806: 801: 796: 791: 786: 781: 775: 773: 769: 768: 766: 765: 764: 763: 761:Lingual septum 758: 753: 748: 743: 735: 734: 733: 728: 723: 718: 713: 704: 702: 696: 695: 693: 692: 683: 681: 675: 674: 672: 671: 666: 665: 664: 654: 653: 652: 642: 641: 640: 629: 627: 621: 620: 618: 617: 616: 615: 610: 605: 600: 590: 585: 580: 575: 570: 565: 560: 555: 549: 547: 541: 540: 538: 537: 532: 530:Palatine raphe 527: 522: 516: 514: 508: 507: 505: 504: 502:Buccal fat pad 498: 496: 490: 489: 487: 486: 481: 476: 471: 466: 461: 455: 453: 447: 446: 440: 438: 437: 430: 423: 415: 408: 407: 400: 379: 372: 351: 344: 290: 288: 285: 268: 265: 199: 196: 195: 194: 191: 188: 181: 178:buccal fat pad 169: 166: 164: 161: 160: 159: 152: 131: 130:Communications 128: 127: 126: 123: 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168:Contents 163:Function 608:Gingiva 263:lined. 154:to the 135:to the 73:in the 67:fascial 61:) is a 784:fauces 700:Tongue 625:Glands 512:Palate 398:  370:  342:  338:–333. 840:Mouth 794:Uvula 679:Teeth 494:Cheek 443:mouth 75:cheek 41:[ 707:Top 687:see 662:duct 650:duct 638:duct 545:Gums 396:ISBN 368:ISBN 340:ISBN 176:the 115:the 53:The 451:Lip 336:317 143:, 831:: 382:^ 354:^ 294:^ 226:A 187:), 139:, 434:e 427:t 420:v 404:. 376:. 348:. 214:) 180:, 45:]

Index


Anatomical terminology
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fascial space of the head and neck
fascial
potential space
cheek
buccinator muscle
platysma muscle
subcutaneous
depressor anguli oris muscle
pterygomandibular space
infratemporal space
submasseteric space
lateral pharyngeal space
infraorbital (canine) space
buccal fat pad
Stensen duct

pterygomandibular raphe
superior constrictor muscle

hematoma
hemorrhage
wisdom teeth
incision and drainage
parotid papilla
cutaneous sinus
fibrosis
epithelial

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