Relation of the Pharynx

  • Posteriorly: Vertebral column, prevertebral muscle, and fascia
  • Anteriorly: Nasal cavity, mouth, larynx
  • Superiorly: Sphenoid and base of skull
  • Inferiorly: Continuous with esophagus

Parapharyngeal Space

  • Description: Potential space lateral to the pharynx, triangular in cross-section
  • Extent: From the base of the skull to the apex of the hyoid bone
  • Walls:
    • Anteromedial: Buccopharyngeal fascia
    • Posteromedial: Cervical vertebrae, prevertebral muscle, and fascia
    • Lateral: Mandible, pterygoid muscle, parotid gland (upper); sternomastoid muscle (lower)

Contents of Parapharyngeal Space

  • Prestyloid: Internal maxillary artery, fat, inferior alveolar, lingual, and auriculotemporal nerves
  • Poststyloid: Neurovascular bundle (carotid artery, internal jugular vein, sympathetic chain, CN IX, X, XI)

Retropharyngeal Space

  • Extent: From the base of the skull to the superior mediastinum
  • Location: Behind the pharynx
  • Anterior: posterior pharyngeal wall and its covering buccopharyngeal fascia
  • Posterior: cervical vertebrae and muscles and fascia
  • Contents: Retropharyngeal lymph nodes