11 - Embryology of midline Flashcards

1
Q

Where is the pituitary gland found?

A

In sella turcica, sphenoid bone

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2
Q

What are the two lobes of the pituitary gland and why are there two?

A

Anterior, endocrine, derived from ectoderm - Rathke’s pouch

Posterior, neuroendocrine, derived from neurectoderm - infundibulum

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3
Q

Describe the growth of infundibulum

A

Neural tube component
Downward growth of forebrain
Grows towards roof of pharynx

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4
Q

Describe the growth of Rathke’s pouch

A

Out-pouching of ectoderm of stomatodeum
Envagination of rood of pharynx
Grows dorsally towards forebrain

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5
Q

Describe how the tongue develops

A

2 lateral lingual swellings - 1st pharyngeal arch
3 median lingual swellings - Pharyngeal arches 1- tuberculum impar, 2-3 - cupola, 4 - epiglottal swelling
Lateral lingual swellings over grow tuberculum impar (1pa)
3rd arch part of cupola overgrows 2nd arch part
Extensive degeneration frees tongue from floor of oral cavity, connected only by lingual frenulum

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6
Q

Explain how the sensory innervation of tongue is linked to its development

A

Mucosa of anterior 2/3 derived from 1st and 3rd pharyngeal arches - innervated by CN V and IX
Taste buds develop in papillae - VII
Posterior 1/3 derived from 3rd and 4th pharyngeal arches - IX and X

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7
Q

Why does the chorda tympani pass through the middle ear if it is a derivative of the 2nd arch, CN VII?

A

Travels through the 1st p arch, so it passes through the middle ear

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8
Q

Why is the motor innervation of the tongue different to its sensory innervation?

A

Intrinsic and extrinsic muscles of the tongue develop from myogenic precursors outside the tongue and migrate in, so innervated by CN XII

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9
Q

How does the thyroid reach its final position?

A

Descends from the foramen cecum - floor of pharynx
Bifurcates and descends as a bilobed diverticulum connected by the isthmus
Travels anterior to hyoid bone and laryngeal cartilage
Remains connected to the tongue by thyroglossal duct

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10
Q

What abnormalities can form due to problems with the descent of the thyroid?

A

Thyroglossal cysts and fistulae

Ectopic thyroid tissue

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11
Q

What embryonic structures contribute to the development of the face?

A

Frontonasal prominence and 1-2nd pharyngeal arches

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12
Q

What structures must fuse to form the upper lip and jaw?

A

Frontonasal prominence and medial nasal prominence

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13
Q

How is the palate formed?

A

Palatal shelves from maxillary prominence grow medially into oral cavity
When mandible has enlarged enough that the tongue can drop, the palatal shelves meet in the midline and fuse

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14
Q

How do cleft lip/palates arise?

A

Failure of frontonasal prominence to fuse with maxillary prominence and failure of palatal shelves to fuse

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15
Q

What is the function of the neural crest in the development of the face?

A

Form cartilage bars that form the facial structure

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16
Q

What is Treacher-Collins syndrome?

A

Inherited, autosomal dominant condition - insufficiency of ‘treacle’ protein, prevents neural crest cells from migrating to the 1st pharyngeal arch
Causes hypoplasia of the mandible and facial bones

17
Q

What is Di-George syndrome?

A

Thymic aplasia and absence of parathyroid glands, due to abnormal neural crest development so 3rd-4th pharyngeal pouches develop abnormally

18
Q

What is charge syndrome?

A

Failure of CHD7 to be expressed so multipotent neural crest cells not produced