man I had the pleasure of having Dr. Al-Shabrawey during dental school at Augusta. the guy is a legend. Now doing my OMFS residency, making me realize how importance his lectures are
You are a great teacher. Your work is going to play a big role is the making of highly knowledgeable physicians and surgeons. My utmost respect to you, sir! 🙏
Really loved your video, thank you. I understand there are many are spaces that are involved that are not discussed here but I really loved the content you delivered and your explanations were great.
Thanks for a very useful video! I have one question though - you draw the alar fascia merging with the deep layer of pre-vertebral fascia at T2 but I thought it merged anteriorly with the buccopharyngeal fascia ending the retropharyngeal space, and the danger space continued down to the level of the diaphragm?
anterior layer of prevertebral fascia is the alar fascia that extends to T3 or T4 and encloses dangerous space between it and the prevertebral fascia. Prevertebral fascia extends from skull base through almost the whole length of vertebral column. this explain in some diseases such as Tuberculosis, infection may extends to the pelvic region and form psoas abscess. I understand there is some confusion and apparent contradiction in the way the attachment of prevertebral fascia is presented in different books. some books referring to the lower attachment to T3 or T4.
Sorry if it was not clear. Once infection spread to buccal space whether from maxillary or mandibular, it could reach to parapharyngeal space. Keep in mind that buccinator is continuous posteriorly with the superior constrictor of pharynx with pterygomandibular ligament inbetween. Best wishes!
It is hardly to happen. However, lower teeth infection can indirectly spread to cavernous sinus and from there affecting the eyes. Remember that lower teeth drained by alveolar veins that go back to pterygoid venous plexus which has direct communication with cavernous sinus as well as ophthalmic veins.
@@EasyAnatomy thank you for replying. Ive been having a problem for 6 months now. Started with the feeling of something stuck in my throat. Food was getting stuck like something is blocking it. Then my ears started to feel like they had fluid in them, and i noticed my left tonsil was swollen. Then the left side of my face began to hurt, and to me it looks larger than the other side. I had my tonsols removed as well as my androids. I've had xrays, an mri, a ct scan. They say they see swelling but everything is fine. Ive been to an oral surgeon two times..i have been having pain in a tooth on my left side and sensitivity in my gums. My gums also bleed when i floss between that tooth and another. I saw him the second time a few days ago. He noted swelling and redness but said the tooth looks fine even with all the other symptoms I'm having. I am worried this is going to kill me. Ive been to tons of doctors with this issue and no one has yet to figure it out. Here recently my eye has started to hurt.I'll wake up with gunk in my eye. I went to the eye doctor and told her everything. She told me it was allergies. I have an appointment with an oral surgeon out of town. Hopeful he can help me.
@@amandanichols1988 I'm so sorry to hear about your pain and suffer. As you know there are multiple reasons for orofacial pain. Some of them, present with pain and some are associated with allergy like reaction such as nasal secretion and red eye. Inflammation of tonsils or pharynx (tonsilitis/pharyngitis) refer to ear because of glossopharyngeal nerve that supplies both pharynx and ear drum and may give the feeling of ear fullness. Swelling of face indeed indicates some sort of infection that may arise from maxilla (sinusitis), maxillary teeth or nose. Your symptoms together support the idea of infection. Maxillary sinusitis may give similar symptoms that could be confused with toothache or infection. I'm not sure if you have ever done MRI on maxillary sinus. I think following up with a dentist or Maxillofacial surgeon is good idea. I hope you do ok soon. feel free to contact me anytime.
@@elghachiai when we are talking about antibiotics we should know the type of bacteria caused the infection this can be achieved by taking a sample of the abcess(usually they are anaerobic bacteria) or by the doctors expirience ..usually they give amoxicilin or penicillin with metronidazole or clyndamycin Even cephalosporins
man I had the pleasure of having Dr. Al-Shabrawey during dental school at Augusta. the guy is a legend. Now doing my OMFS residency, making me realize how importance his lectures are
I am really humble before your kind words. You had been a great student and i am so proud of you!
It was never so easy for me...you are an excellent professor to put up it so logically in very simple and systematic way.salute to you.
Shreem Brzee thank you very much!
You are a great teacher. Your work is going to play a big role is the making of highly knowledgeable physicians and surgeons. My utmost respect to you, sir! 🙏
Peter Vesalius I really appreciate your kind words
So simple and understanding, thank you so much
Especially for the diagrams 🙏🏽🙏🏽
Thank you, you just saved me from failing ☺️
Excellent presentation. Thank you for sharing this.
Wow, excellent you taught it so simplistically, first time I understood it completely, thank you so much
تسلم يا دكتور ربنا يحفظك شرحك جميل واتمني ليك كل التوفيق والنجاح
I miss this type of teaching 💔 thnx dr for ur effort 😘
Still Watching and learning Dr. Shabrawey -your student
I am glad to hear from you Jamal! I hope you are doing well
It was very informative and comprehensive . Thank you so much for uploading🌸🌸
جميل يا دكتور شرح وافي ماشاء الله ربنا يجازيك خير 💓🌸
legendary , can never forget this
thankyou for making such a confusing topic so easy to understand.
Aditi Saxena glad it is helpful
love it ,very helpful and informative
keep up please .
جزاك الله كل خير دكتور على الشرح المميز و الوافى
you are a savior, thank you.
Thank you very much! Glade it helps
Really loved your video, thank you. I understand there are many are spaces that are involved that are not discussed here but I really loved the content you delivered and your explanations were great.
I agree, i will upload an animation that explains more the fascial spaces.
Tq.. you explained it very simplified manner...
I'm glad it helps.
wonderful explanation 🥺❤️
thank you ❤️❤️❤️🙏
Lovely explanation sir. Thank you heaps.
Jazakallah o khair Sir
You're a hero!
Thank you for your kind words!
U r great Sir 🙏🙏🙏🙏🙏🙏😍😍
الف شكر الك دكتور على هذا الشرح الرائع .
how nicely u have made it easy...thanks so much
Very clear explanation ! Thank you !!
very good video of anatomy... recommended ... helped me a lot
Thank u sir,, it made very easy to understand 😍😍
Glad to hear that
awesome anatomy teaching
AMAZING VIDEO! Extremely helful
Thank you so much. Really helpful ♥️
thanku for the video.. made the concept much easier to understand 👍
Too good 👌🏻
You are a wonderful person ❤️🌻
Thank you for explaining so wonderfully!
جزاك الله خيرا
Thank you for such easy layout of anatomy
Thanks for a very useful video! I have one question though - you draw the alar fascia merging with the deep layer of pre-vertebral fascia at T2 but I thought it merged anteriorly with the buccopharyngeal fascia ending the retropharyngeal space, and the danger space continued down to the level of the diaphragm?
thanks alot for making this video....thank you sir
Thank you so much ,,,, but please please change your pen it crashes and I can't focus with noisy voice
Please can you tell me the book you are learning from
@@user-eh1qt1rb5l Moor clinical anatomy, snell clinical anatomy.
Perfect 🥰💞
Thank you!
a great presantation
Thank you ❤️
thanku so much sir
informative.Thanks Legend!!!
nehal mainali thank you for your kind words !
well explained. thanks a lot
Thank you so much.it is very helpful
Thank you very much sir.
❤️beautiful
Really good video! Thank you so much :)
Fantastic
Big thanks
awsum...helped me alot...tysm
can u make a video if the venous drainage of the nose.thank u
Thanks a lot
pls sir a tutorial on the anterior triangle
Thank you so much you!!!!
thank you sir
Thank you for the lecture :)
19:31 in lasts anatomy it says that the prevertebral layer extends onlu upto t4 vertebra... Can u explain plz
anterior layer of prevertebral fascia is the alar fascia that extends to T3 or T4 and encloses dangerous space between it and the prevertebral fascia. Prevertebral fascia extends from skull base through almost the whole length of vertebral column. this explain in some diseases such as Tuberculosis, infection may extends to the pelvic region and form psoas abscess. I understand there is some confusion and apparent contradiction in the way the attachment of prevertebral fascia is presented in different books. some books referring to the lower attachment to T3 or T4.
@@EasyAnatomy thanku very much for the explanation sir.......your video series is very helpful
Why does buccal space infection from maxilla does not spread to para pharengeal space?
Sorry if it was not clear. Once infection spread to buccal space whether from maxillary or mandibular, it could reach to parapharyngeal space. Keep in mind that buccinator is continuous posteriorly with the superior constrictor of pharynx with pterygomandibular ligament inbetween. Best wishes!
Does a healthy person has fascial spaces?
Yes, they are present in everyone. They are potential spaces that provide routes for spread of infection from a region to a distant one.
what about mental space is it spread of infection from anterior or posterior mandibular teeth
from anterior and can be dangerous if becomes bilateral since it may cause Ledwig Angina
Easy Anatomy Thank you
Plz suggest name of anatomy book for students ...
Laskin
Can bottom tooth infection spread to eyes?
It is hardly to happen. However, lower teeth infection can indirectly spread to cavernous sinus and from there affecting the eyes. Remember that lower teeth drained by alveolar veins that go back to pterygoid venous plexus which has direct communication with cavernous sinus as well as ophthalmic veins.
@@EasyAnatomy thank you for replying. Ive been having a problem for 6 months now. Started with the feeling of something stuck in my throat. Food was getting stuck like something is blocking it. Then my ears started to feel like they had fluid in them, and i noticed my left tonsil was swollen. Then the left side of my face began to hurt, and to me it looks larger than the other side. I had my tonsols removed as well as my androids. I've had xrays, an mri, a ct scan. They say they see swelling but everything is fine. Ive been to an oral surgeon two times..i have been having pain in a tooth on my left side and sensitivity in my gums. My gums also bleed when i floss between that tooth and another. I saw him the second time a few days ago. He noted swelling and redness but said the tooth looks fine even with all the other symptoms I'm having. I am worried this is going to kill me. Ive been to tons of doctors with this issue and no one has yet to figure it out. Here recently my eye has started to hurt.I'll wake up with gunk in my eye. I went to the eye doctor and told her everything. She told me it was allergies. I have an appointment with an oral surgeon out of town. Hopeful he can help me.
Tonsils*
Around my nose also hurts. Right up under my eye.
@@amandanichols1988 I'm so sorry to hear about your pain and suffer. As you know there are multiple reasons for orofacial pain. Some of them, present with pain and some are associated with allergy like reaction such as nasal secretion and red eye. Inflammation of tonsils or pharynx (tonsilitis/pharyngitis) refer to ear because of glossopharyngeal nerve that supplies both pharynx and ear drum and may give the feeling of ear fullness.
Swelling of face indeed indicates some sort of infection that may arise from maxilla (sinusitis), maxillary teeth or nose.
Your symptoms together support the idea of infection. Maxillary sinusitis may give similar symptoms that could be confused with toothache or infection. I'm not sure if you have ever done MRI on maxillary sinus.
I think following up with a dentist or Maxillofacial surgeon is good idea. I hope you do ok soon. feel free to contact me anytime.
What should be done if infection spread to those spaces?
Incision and drainage of pus and put multiple drains put the patient under tri-antibiotic treatment and close care in i c u
@@ssalahnaggar what are those tri antibiotics please i might be suffering from it
@@elghachiai when we are talking about antibiotics we should know the type of bacteria caused the infection this can be achieved by taking a sample of the abcess(usually they are anaerobic bacteria) or by the doctors expirience ..usually they give amoxicilin or penicillin with metronidazole or clyndamycin
Even cephalosporins
عاوز اعرف الناس الا حط انها مش عاجبها ليش غل وحسد وخلاص
خررررررررا
Thank you sir
thanks a lot