Branchial apparatus (arches, clefts, pouches) Flashcards

1
Q

Aortic arch derivatives

A

1-6

develop into arterial system

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2
Q

1st aortic arch

A

part of maxillary artery (branch of external carotid)

1st arch is MAXimal

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3
Q

2nd aortic arch

A

stapedial artery and hyoid artery

second=stapedial

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4
Q

3rd aortic arch

A

common carotid artery and proximal part of internal carotid

C is 3rd letter of alphabet

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5
Q

4th aortic arch

A

left - aortic arch
right- proximal part of right subclavian artery
4th arch = 4 limbs

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6
Q

5th aortic arch

A

degenerates

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7
Q

6th aortic arch

A

proximal part of pulmonary arteries and (on left only) ductus arteriosus

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8
Q

nerve that gets caught in aortic arches

A

recurrent laryngeal nerve
right- loops under right subclavian (4th arch)
left - loops under aortic arch, distal to ductus arteriosus

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9
Q

branchial clefts

A

derived from ectoderm

aka branchial grooves

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10
Q

branchial arches

A

derived from mesoderm (muscle, arteries) and neural crest (bones and cartilage

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11
Q

branchial pouches

A

derived from endoderm

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12
Q

order of branchial apparatus

A

CAP covers outside to inside
branchial clefts - ectoderm
branchial arches - mesoderm
branchial pouches - endoderm

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13
Q

1st cleft

A

external auditory meatus

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14
Q

2nd-4th clefts

A

temporary cervical sinuses

obliterated by proliferation of 2nd arch mesenchyme

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15
Q

persistent 2nd-4th clefts

A

persistent cervical sinus
branchial cleft cyst within lateral neck, doesn’t move
versus thyroglossal cysts - midline and moves with swallowing

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16
Q

branchial 1st arch

A

M+T+chew
CARTILAGE - meckel cartilage: mandible, malleus, incus, spheno-mandibular ligament
MUSCLE - muscles of mastication (temporalis, massester, lateral and medial pterygoids), mylohyoid, anterior belly of digastric, tensor tympani, tensor veli palatini
NERVES - CN V2 and V3

17
Q

branchial 2nd arch

A

S+smile
CARTILAGE - reichert cartilage: stapes, styloid process, lesser horn of hyoid, stylohyoid ligament
MUSCLE - muscles of facial expression, stapedius, stylohyoid, platysma, posterior belly of digastric
NERVES - CN VII (facial expression)

18
Q

branchial 3rd arch

A

pharynx+ swallow stylishly
CARTILAGE - greater horn of hyoid
MUSCLE - stylopharyngeus (innervated by glossopharyngeal nerve)
NERVES - CN IX

19
Q

branchial 4+6th arch

A

cricothyroid+ larynx+ simply swallow + speak
CARTILAGE - thyroid, cricoid, arytenoids, corniculate, cuneiform
MUSCLE - 4th: most pharyngeal constrictors, cricothyroid, levator veli palatini; 6th: all intrinsic muscles of larynx except cricothyroid
NERVES - 4th: CN X (superior laryngeal branch); 6th: CN X (recurrent laryngeal branch)

20
Q

Treacher Collins syndrome

A

1st arch neural crest fails to migrate -> mandibular hypoplasia, facial abnormalities

21
Q

Congential pharyngocutaneous fistula

A

persistence of cleft (2nd/3rd) and pouch -> fistula between tonsilar area and lateral neck

22
Q

posterior third tongue make up

A

arches 3 and 4

23
Q

branchial 5th arch

A

no major developmental contributions

24
Q

branchial 1st pouch

A

develops into middle ear cavity, eustachian tube, mastoid air cells
contributes to endoderm lined structures of ear

25
branchial 2nd pouch
develops into epithelial lining of palatine tonsil
26
branchial 3rd pouch
dorsal wings - develop into inferior parathyroids ventral wings - develop into thymus *3rd pouch contributes to 3 structures*
27
branchial 4th pouch
dorsal wings - develop into superior parathyroids
28
mnemonic for branchial pouches
ears, tonsils, bottom to top 1) ear 2) tonsils 3) dorsal bottom for inferior parathyroids 3) ventral (to=thymus) 4) top=superior parathyroids)