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ENT · Larynx and airway: pre-epiglottic space
Sample itemA tumour of the lingual surface of the epiglottis shows early extension through the epiglottic cartilage into a fat-filled space between the hyoid, thyrohyoid membrane and epiglottis. What is this space?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pre-epiglottic space
The pre-epiglottic space is bounded by the hyoid bone, the thyrohyoid membrane and the epiglottis, and contains fat. It communicates with the paraglottic spaces and allows tumour to spread without visible mucosal change. It is assessed by CT or MRI.
Option by option
A. Parapharyngeal space
The parapharyngeal space is lateral to the pharynx.
B. Paraglottic space
The paraglottic space is lateral to the vestibular folds.
C. Valleculae
The valleculae are mucosal pouches, not a fatty space.
D. Pre-epiglottic space (correct)
Correct. It lies in front of the epiglottis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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