A potential bursal space between the anterior investing fascia of the neck and the underlying pretracheal fascia, forming the anterior cervical fascial compartment boundary. It may accumulate fluid in anterior neck infections and deep cervical space abscesses.
The anterior cervical fascial bursa space is relevant in deep neck infection management where fascial plane infection requires surgical drainage. The anterior fascial planes of the neck communicate with the mediastinum via the pretracheal space, explaining how neck infections can descend to cause descending necrotising mediastinitis. CT identifies the extent of infection within this fascial space.
Anterior cervical fascial space infection from odontogenic or pharyngeal source tracking into the pretracheal space and mediastinum, a surgical emergency requiring wide neck and chest drainage.
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