The masticator space: from anatomy to pathology

The masticator space is a deep facial space with a complex anatomical structure. The purpose of the present study was to precisely define the masticator space to eliminate the use of obsolete and confusing terms to describe the area, and to illustrate the common mass syndromes. Primary tumors are uncommon, usually benign and of a vascular or neural origin. Adjacent lesions, mainly pharyngeal with secondary extension into the masticator space, are especially frequent. Metastases are rare, and infectious pathology is often odontogenic. The most frequent lesion of the masticator space is the odontogenic abscess. Multidetector CT and MRI enable precise study of the space, its communications with other deep spaces and the etiology of any mass syndrome. Understanding the anatomy of the masticator space and how it links up with the other deep facial spaces helps the radiologist to recognize the different lesions of this space and to avoid unnecessary surgery, or any other less than optimal management.