Embryology Of The Pharyngeal Apparatus Flashcards
What are the grooves made of?
Ectoderm
What are the pouches made from?
Endoderm
What are the pharyngeal membranes made of?
Ectoderm from groove
Endoderm from pouch
Mesenchyme from core
What is the core of pahryngeal arches made of?
Mesoderm and Mesenchyme
When do the pharyngeal arches form?
4th week
What do the 1st pair arches form?
Primordial jaws
What is the purpose fo the pharyngeal arches?
Support lateral walls of the primordial pharynx
Give rise to prominences of tissue that contribute to craniofacial development
What does the NCC derived Mesenchyme form from arches?
All CT in head as well as dermis and smooth muscle
What does the paraxial mesoderm do?
Populate each arch to form PA musculature
What does the lateral plate mesoderm do?
Angioplasty to endothelium
What does the Prechordal plate mesoderm do?
Extraocular musculature
What do arch artery arise from? What are they remodeled into?
Truncus arteriosus of primordial heart
Remodeled into great arteries of thorax and head/neck
What is a cervical cyst?
Remnant of cervical sinus (from 2- 4 grooves)
Persists and forms a slowly enlarging, painless, free-lying cyst in neck
Can accumulate fluid and cellular debris derived from desquamation of the epithelial linings
Mobile, typically painless, unattractive, drained or surgically excised
What is a cervical sinus?
How is it detected?
Failure of 2nd pa groove and cervical to go away
Detected due to discharge of mucus
What is a cervical fistula?
Abnormal canal that opens into tonsillar sinus and externally in the side of neck
Persistent of parts of 2nd groove and pouch
How is the thymus formed?
When is it complete?
From PA 3 endoderm (pouch)
Comprised of epithelial cords that grow into surrounding Mesenchyme forming lobules
They then become arranged around a central point forming thymic corpuscles
Thymus growth and development is still going on during childhood
How does the thyroid gland develop?
First endocrine gland to develop
From a median endodermal thickening in the floor of primordial pharynx
Descends into neck with tongue growth
Is conjected to tongue by narrow tube
How is the thyroid conjected to tongue during its descent down the throat?
What will this become?
Thyroglossal duct
Remnant is seen as foramen cecum
What happens to the 3rd pouch?
Caudally migrates due to growth of brain and cardiac regions
What will fuse with the Thryoid gland? What does it give rise to?
Ultimobranchial body
Gives rise to parafollicular cells (make c-cells)
What is first pharyngeal arch syndrome?
Present with?
Results from what?
Abnormal development of components of the first arch
Malformation of eyes, ears, mandible, and palate
Results from insufficient migration of NCC to 1st arch during wk. 4
What is Treacher Collins Syndrome?
Genetic wise? What does this cause?
First PA syndrome
Malar hypoplasia
Defects of external ears and lower eyelids
Autosomal dominant disorder with mutation in TCOF-1, truncated protein
Causes for increased apoptosis of cranial NCC
What is Pierre Robin sequence?
How does it occur?
Present?
Initiating defect?
1st PA syndrome
Occurs de novo
Hypoplasia of manidble, cleft palate, defects of eyes and ears
Small mandible is the initiating defect
What is agenesis of the thyroid gland?
Absence of a thyroid gland or one of its lobes
What is thyroid hemiagenesis?
Unilateral failure of formation
Left lobe more commonly absent
What is DiGeorge Syndrome?
Occurs from what?
Classic triad associated with it?
Agenesis of thymus and parathyroid glands
Occurs from breakdown of signaling form PA endoderm to NCC
22q11 chromosomal deletion
Loss of thymus, loss of parathyroid gland, congential heart defects
CATCH 22 (Congenital hypoparthyroidism, abnormal face, cardiac problems, hypocalcemia)
What is a brachial cleft cyst?
When are they first noticed?
Will it move?
Present as a neck mass
First noticed when they become infected
Fistula to skin may develop and ooze pus
Mass does not move with swallowing (=not thyroid)
What is a thyroglossal duct cyst?
Midline neck mass that MOVES
What forms from the:
1st groove? What is it made of?
External acoustic meatus
Ectoderm
What forms from the:
2nd-4th groove? What is it made of?
Cervical sinus
Ectoderm
What forms from the:
1st arch? What is it made of?
Meckel’s Cartilage Malleus Incus Mandible Sphenomandibular L. Anterior L. Of the mandible
NCC
What forms from the:
2nd arch? What is it made of?
From NCC
Reichert’s cartilage
Stapes
Styloid process of temporal bone
Lesser Cornu of hyoid bone
Stylohyoid L.
What forms from the:
3rd arch? What is it made of?
NCC
Greater Cornu of hyoid
Body of hyoid
What forms from the:
4th arch? What is it made of?
NCC
Epiglottis
What forms from the:
6th arch? What is it made of?
NCC
Laryngeal Cartilages
What forms from the:
1st arch muscles? What is it made of?
Mesoderm
Muscles of mastication
What forms from the:
2nd arch muscles? What is it made of?
Muscles of facial expression
What forms from the:
3rd arch muscles? What is it made of?
Mesoderm
Stylopharyngeus m.
What forms from the:
4th arch muscles? What is it made of?
Cricothyroid M.
Levator Veli Palatini
Pharyngeal Constrictors
What forms from the:
6th arch muscles? What is it made of?
Mesoderm
Intrinsic Ms. of the Larynx
What forms from the:
1st pouches? What is it made of?
Endoderm
Tympanic cavity
Mastoid antrum
Eustachian tube (Pharyngotympanic tube)
What forms from the:
2nd pouches? What is it made of?
Endoderm
Tonsillar sinus
Lymphoid tissue
What forms from the:
3rd pouches? What is it made of?
Endoderm
Inferior parathyroid glands
Thymus
What forms from the:
4th/6th pouches? What is it made of?
Endoderm
Superior parathyroid gland
Ultimobranchial body
What CN is associated with the:
1st arch?
CN V
What CN is associated with the:
2nd arch?
CN VII
What CN is associated with the:
3rd arch?
CN IX
What CN is associated with the:
4th/6th arch?
CN X
What forms from the:
1st pharyngeal membrane? What is it made of?
Endoderm, ectoderm, Mesenchyme
Tympanic Membrane