Deep temporal space

Deep Temporal Space refers to an anatomical compartment located in the side of the head. This space is significant in the context of oral and maxillofacial surgery, anatomy, and infectious diseases due to its potential role in the spread of infections and its relevance in surgical procedures.

Anatomy

The deep temporal space is bounded superiorly by the temporalis muscle and inferiorly by the mandible. Medially, it is bordered by the pterygoid muscles and laterally by the temporal bone. This space is divided into two compartments by the deep temporal fascia: the superficial temporal space and the deep temporal space proper. The deep temporal space contains the deep temporal nerves and blood vessels, which are branches of the maxillary artery and the mandibular nerve.

Clinical Significance

The deep temporal space is of particular interest in the spread of dental abscesses and infections. Infections in this area can spread from the molar teeth, especially the third molars, due to their roots' proximity to this space. Such infections can lead to significant complications, including trismus, facial swelling, and in severe cases, involvement of the orbit or intracranial space.

In the context of oral and maxillofacial surgery, knowledge of the deep temporal space is crucial for procedures such as temporomandibular joint (TMJ) surgeries, deep lobe parotid gland tumor excisions, and orthognathic surgery. Understanding the anatomy and potential complications associated with this space can aid in surgical planning and patient management.

Treatment and Management

Management of infections involving the deep temporal space typically involves antibiotics and, in some cases, surgical intervention to drain the abscess. Early diagnosis and treatment are critical to prevent the spread of infection to adjacent spaces and structures.

See Also

• Temporomandibular joint
• Maxillary artery
• Mandibular nerve
• Oral and maxillofacial surgery
• Dental abscess

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