Retro pharyngeal space extends up to which of the following level? (D. REPEAT 2013)
**Core Concept**
The retropharyngeal space is a potential space in the neck that extends from the base of the skull to the level of the tracheal bifurcation. It is bounded by the prevertebral fascia anteriorly and the buccopharyngeal fascia posteriorly.
**Why the Correct Answer is Right**
The retropharyngeal space extends from the base of the skull (C1) to the level of the tracheal bifurcation (T4/T5), which is approximately the inferior border of the cricoid cartilage. This space is of clinical importance as it can become infected, leading to a retropharyngeal abscess. The spread of infection through this space can be facilitated by the presence of lymphatic vessels and the relatively loose connective tissue within the space.
**Why Each Wrong Option is Incorrect**
**Option A:** The retropharyngeal space does not extend up to the level of the hyoid bone. The hyoid bone is located at the level of C3 and marks the superior border of the pharynx, but it is not the superior limit of the retropharyngeal space.
**Option B:** The retropharyngeal space does not extend up to the level of the cricoid cartilage alone. While the cricoid cartilage is located at the level of the inferior border of the cricoid cartilage, the retropharyngeal space extends up to the level of the tracheal bifurcation.
**Clinical Pearl / High-Yield Fact**
The retropharyngeal space is a common site for the development of abscesses in children, particularly in those with a history of streptococcal pharyngitis. The presence of a retropharyngeal abscess can lead to significant morbidity and mortality if not promptly recognized and treated.
**Correct Answer:** D. The retropharyngeal space extends up to the level of the tracheal bifurcation.