The buccopharyngeal fascia is a thin layer covering the outside of the pharyngeal constrictor muscles, continuing forward over buccinator. It is part of the visceral layer of the deep cervical fascia and forms the front wall of the retropharyngeal space, which separates it from the alar fascia behind.
| Location | Outer surface of the pharynx and the buccinator |
|---|---|
| Boundaries |
|
Covers the pharyngeal muscles and forms the front wall of the retropharyngeal space.
In anterior cervical discectomy and fusion, the buccopharyngeal fascia is the last layer of the posterior pharyngeal wall traversed during the retropharyngeal approach. Scar formation in this fascia after anterior cervical surgery contributes to post-operative dysphagia.
Buccopharyngeal fascia adhesion to the anterior cervical plate following anterior cervical fusion, producing chronic dysphagia treated by revision of the plate or lysis of adhesions.
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