Embryology Flashcards

1
Q

Trilaminar Embryo: Layers

A

Ectoderm: neural tissue and surface epithelium
Mesoderm: most connective tissue of the body, muscle, bone, catiliage
Endoderm: lining epithelium of the gastrointestinal, urogenital, and respiratory tract
*all developed within 1-3 wks of development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Otic Vesicle Development

A
  1. evagination (folding out) and takes elongated shape
    - -> divides into utricular-saccular area and a tubular extension –> endolymphatic duct
  2. Week 4.5: portion of the otic vesicle connected to the endolymphatic duct can be recognized as the future vestibular portion of the labyrinth. Slender portion elongates from the saccular area as the future cochlea.
  3. End of Week 6: 3 arch-like out pockets are visible and will become the semicircular canals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ossicle Development: Branchial Arches

A

1st arch: responsible for of the body structure of the malleus and incus
2nd arch: lenticular process of the incus, handle of the malleus, and stapes.
8.5 weeks: malleus and incus have cartilaginous adult like form. stapes continues to develop into the 15th week

15-16 weeks: ossification of the malleus and incus occurs

18 weeks: ossification of the stapes—> continues throughout life, even after ossification is complete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Abnormalities

A

Genetic, Environmental, Unknown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Genetic Abnormalites

A

Developes within the first 2 weeks of development

  • chromosomal
  • translocation of chromosome segments
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Genetic Abnormalites

A

Developes within the first 2 weeks of development

  • chromosomal
  • translocation of chromosome segments
  • singe gene mutation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Environmental Abnormalities

A

Teratogens= maternal effects (smoking, alcohol, drugs)

  • bateria, virus, and parasites
  • hyperthermia environmental contaminants, and radiation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

External Ear Abnormalities

A

-low set or uneven ears= developmental abnormality of the head growth
-Thickened lobes= abnormal incus and stapes
-smaller cup ears w/o cartilage= mennonite absence of the incus and stapes
-absent superior crus=congenital ossicle fixation
Antonia— pharyngeal hillocks failing to form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

External Ab: Antonia

A
  • impacts external auditory meatus and middle ear bones
  • Genetic associations: 1. Mandibulofacial dyostosis- treacher collins syndrome 2. hemifacial microsomia 3. Congenital aural atresia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

External Ab: Treacher Collins

A
  • Downward slanting eyes
  • small jaw and chin
  • alters development of facial bones and tissues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

External Ear Ab: Auaral Atresia

A

No ear canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

External Ear Ab: Microtia

A

Small cup or over folded auricle.

  • 40 + different associations (including syndromes0
    • heairng and vison impairments
  • -neurological abnormalities
  • -clefting of the face and palate
  • -musculoskeletal abnormalities
  • may be caused by maternal drugs (thalidomidie, retinoic acid)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

External Ear Ab: Aurical Fistulas and Sinuses

A
  • harmless
  • in 1/4 births
    aurical appendages (tags) are common and not related to other developmental conditions
    Stenosis (abnormal narrowing) of the EAC= uncommon postnatally due to chronic otitis extrna or acquired atresia`
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

FAS

A
  • causes external ear abnormalities
  • -lower/uneven ear position
  • -“railroad track” ear= auricle ahas a curve at the top part of the ear
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

FASD

A

Fetal Alcohol Spectrum Disorders—effects that can occur in mothers who drank alcohol during pregnancy
Ex:
–physical, mental, behavioral, and leaning disabilities
–delayed auditory function, SNHL, and intermittent CHL (b/c of recurrent otitis media)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

FAE

A

Fetal Alcohol Effects

  • less obvious–> neurological effects without external physiologic features
  • -Learning difficulties or delayed milestones
17
Q

Middle Ear Abnormalities

A
  • -most affect the ossicle formation and can impact the facial nerve
    ex. Downs (trisomy 21) have HL due to conductive abnormalities
18
Q

ME AB: Absences of Ossicles

A
  • dwarfism and achondrogenesis (impact bone and cartilage development)
  • incus and stapes most common to be absent
  • stapes fixation= occur related to cochlear abnormalities of the oval window absence in multiple syndromes
    • – X-linked deafness, branchio-oto-renal syndrom, and Beckwith-wiedemann sundrome
19
Q

ME Ab: Persistent stapedial artery

A

in fetus
between the foramen of the stapes and gone before birth
-if not, can affect ossicular chain conduction
— seen in hemifacial microsomia
-middle ear can be delayed in formation or size—> various conduction effects (seen in BOR syndrome)

20
Q

Inner Ear Abnormalities

A

mostly related to genetic effects
-Trisomies
Michel aplasisa (RARE!! missing inner ear labyrinth)
-Pendred Syndrome- common syndrome for SNHL
–> abnormal cochlea, enlarged vestibular aqueduct, thyroid enlargement (goiter)

21
Q

Inner Ear Abs: Paternal Infections

A
  • Rubella- effects on cochlear duct and saccular development
  • Cytomegalovirus (CMV)
  • Toxoplasmosis- protist present in uncooked meat and cat feces