Emissary veins passing through the foramen ovale, jugular foramen, foramen lacerum, and hypoglossal canal. Because the emissary veins are valveless, they are an important part in selective brain cooling through bidirectional flow of cooler blood from the evaporating surface of the head. In general, blood flow is from external to internal but the flow can be altered by increased intracranial pressure. A type of emissary vein goes through the sphenoidal emissary foramen inferior to the zygomatic arch with the cavernous sinus on the inside of the skull. This is an important route for spread of infection because cranial nerve VI and the
Fascial spaces of the head and neck In the head and neck, potential spaces are primarily defined by the complex attachment of muscles, especially mylohyoid, buccinator, masseter, medial pterygoid, superior constrictor and orbicularis oris. Infections involving fascial spaces of the head and neck may give varying signs and symptoms depending upon the spaces involved. Trismus (difficulty opening the mouth) is a sign that the muscles of mastication (the muscles that move the jaw) are involved. Dysphagia (difficulty swallowing) and dyspnoea (difficulty breathing) may be a sign that the airway is being compressed by the swelling. Different classifications are used. One method distinguishes four anatomic groups: Since the