Development of Orofacial Structures Flashcards
What structure forms the forehead and dorsum+apex of the nose?
Frontal nasal prominence
What structure forms the alae of the nose?
Lateral nasal prominences
What structure forms the nasal septum, ethmoid bone, and cribriform plate?
Medial nasal prominences
What structure forms the upper cheek regions and lip?
Maxillary prominences
What structure forms the chin, lower lip, and cheek regions?
Mandibular prominences
Facial development depends on inductive interactions of what 3 areas?
Forebrain
Frontonasal region
Developing eye
The five facial primordia appear early in the ____ week as prominences around the ______
4th
Stomodeum
What are the 5 facial primordia?
2 maxillary prominences
2 mandibular prominences
1 frontonasal prominence
The facial primordia are separated from the cavity of the primordial pharynx by a bilaminar ____ _____ which ruptures at ~26 days
Oropharyngeal membrane
Facial development occurs during the 4th-8th weeks. _______ contains active growth centers. Pharyngeal arch 1 splits to form the maxillary and mandibular prominences.
The maxillary prominences form the lateral boundaries of the _______, which come from ____ and _____ neural crest cells. The mandibular prominences form the _____ boundary of the above structure.
Mesenchyme
Stomodeum; midbrain; hindbrain; caudal
What are the first parts of the face to form?
Lower jaw
Lower lip
The lower jaw and lower lip form as the ____ ____ disintegrates and there is extension and fusion of the ____ ____ toward/at the midline
Oropharyngeal membrane
Mandibular prominences
By the end of the 4th week, _____ ____ form on the inferolateral parts of the frontonasal prominence, characterized by bilateral oval thickenings of surface _____ that are primordia of the nasal epithelium
Nasal placodes; ectoderm
The nasal placodal edges proliferate, producing medial and lateral _____ _____
Nasal prominences
The nasal placodes remain in place as the medial and lateral nasal prominences grow, resulting in the formation of _____ _____
Nasal pits
The nasal placodes remain in place as the medial and lateral nasal prominences grow, resulting in the formation of nasal pits. The pits will form the ____ and ____ ___
Nostrils; nasal cavities
What do the lateral nasal prominences form?
The alae (sides) of the nose
The _____ ______ grow medially toward each other and the median nasal prominences which results in the median nasal prominences becoming more midline
Maxillary prominences
The lateral nasal prominence is separated from the maxillary prominence by a cleft called the ____ _____
Nasolacrimal groove
By the end of the 6th week, each maxillary prominence merges with the ____ ____ at the nasolacrimal groove; this establishes continuity between the sides of the nose and cheek region
Lateral nasal prominence
The primordia of the _____ (external part of the ears) develop by the end of the ____ week
Auricles; 5th
During ear development, 6 ____ _____ form around the first pharyngeal groove and the ____ ____ ___, consisting of 3 mesenchymal swellings on each side
Auricular hillocks; external acoustic meatus
T/F: Initially, the external ears are located in the neck region.
True; As the mandible develops, they become located on the side of the head at the level of the eyes
Between the 7th-10th weeks, the medial nasal prominences merge with what 2 structures?
Maxillary nasal prominences
Lateral nasal prominences
Merging of the medial nasal prominences with the maxillary and lateral nasal prominences results in the continuity of the upper jaw an dlip, and separation of the nasal pits from the _______.
As the medial nasal prominences merge, they form the ______ _____ which will become the ______ of the upper lip, premaxillary part of the maxilla, and the primary palate
Stomodeum
Intermaxillary segment; philtrum
Most of the upper lip, maxilla, and secondary palate form from the ____ _____, whih will merge laterally with the ____ ____
Maxillary prominences; mandibular prominences
Mesenchyme in pharyngeal arch ____ forms the facial muscles, innervated by the ______ nerve
2; facial
Mesenchyme in pharyngeal arch ____ forms the muscles of mastication (among others), and is innervated by ____ n.
1; trigeminal
Facial development occurs slowly during fetal period, including changes in proportion and relative positions of facial components. The nose is initially flat and the mandible is underdeveloped, reaching characteristic form by ____ weeks.
As the brain enlarges, the ____ ____ expands bilaterally, causing the _____ (oriented laterally) to assume a forward-facing orientation
Small appearance of the face prenatally results from rudimentary upper and lower jaws, un-erupted deciduous teeth, and small nasal cavities and maxillary sinuses
14
Cranial cavity; orbits
As the face develops, nasal placodes are depressed, forming ____ _____.
Expansion of median nasal prominences and lateral nasal prominence mesenchyme causes these to deepen, forming the right and left ____ ____ ___
Nasal pits
Primordial nasal sacs
Primordial nasal sacs grow dorsally and ventrally to the developing forebrain, separated from the oral cavity by the _____ _____, which ruptures by the end of the 6th week
Oronasal membrane
Continuous between the nasal and oral cavities are the _____ ____, which are openings from the nasal cavity into the nasal pharynx
Primordial choanae
The primordial choanae are relocated to nasal cavity/pharynx junction after the _____ _____ develops.
Superior, middle, and inferior ____ ____ are developing simultaneously
Secondary palate
Nasal conchae
Epithelium lining the roof of each nasal cavity specializes, forming the ______epithelium, where cells will differentiate into the olfactory _____
Olfactory; neurons
Palatogenesis begins in the ____ week and is completed by the beginning of the____ week (if not complete by this point there is high likelihood of palate malformation) = critical period
6th; 9th
Palatogenesis occurs beginning with merging of the medial nasal prominences to form the ____ ____ ___, or primary palate. This is made up of a wedge-shaped mass of mesenchyme between the _____ prominences, forming the _______ part of the maxilla
Median palatine process; maxillary; premaxillary
The ‘______ palate’ is the primordium of the hard and soft parts of the palate
Definitive
The secondary palate develops early in the 6th week from lateral palatine processes, or _____ ______, which are mesenchymal projections extending from internal aspects of the _______ prominences
These will project inferomedially on each side of the ______
Palatal shelves; maxillary
Tongue
As the jaws elongate, the tongue is pulled away from its root, moving inferiorly in the mouth. This allows the _____ ____ to assume a horizontal position above the tongue around the 7th-8th week
Palatal shelves (aka lateral palatine processes)
Bone gradually develops in the primary palate, forming the ______ part of the maxilla, which houses the incisor teeth. Bone extends from the maxillae and palatine bones into the lateral palatine processes to form the _____ ______.
The posterior portions do not ossify, but instead extend posteriorly and fuse, forming the ____ ____ and ______. The line of fusion is indicated by the ________
Premaxillary; hard palate
Soft palate; uvula; palatine raphe
Once the hard and soft palates have formed, the ____ _____ persists in the median plane, represented in the adult hard palate by the ______ fossa
Nasopalatine canal; incisive
Formation of a cleft palate has multifactorial causes, including the participation of _______ cells. It can be classified as anterior or posterior, and the anatomical landmark delineating the two is the ____ _____
Neural crest; incisive foramen