Exam 2 10/9 Fate of the Pharyngeal Grooves and Pouches Flashcards
How many pairs of pharyngeal grooves and pouches are there?
4
Pharyngeal membranes
Membrane between ectoderm of groove and endoderm of pouch
Pharyngeal clefts are lined with:
Ectoderm
____ is the only cleft normally not obliterated in development
Cleft 1
Cleft _____ can persist in abnormal situations
2-4
little spaces can persist and collect debris, can get infected, become fistula
How does fusion occur in the palate?
Involves breakdown of actual epithelium and the merging of connective tissues
Abnormal structures formed when clefts remain
- cysts
- sinus
- fistula
Cervical sinus can form in:
The neck
Pharyngeal cleft 1 gives rise to:
External auditory meatus
Pharyngeal anomaly in cleft 1
Congenital auricular sinuses (pits) and cysts in triangular area of skin anterior to the ear
What is a cyst?
sealed cavity filled with air, pus, fluid
What is a sinus?
Cavity within a tissue, can open externally
What is a fistula?
Abnormal connection between 2 structures
What pharyngeal anomalies can occur from Cleft 2?
Branchial sinuses, cysts, fistulas
- lateral cervical and internal branchial
Lateral cervical cyst/fistula
Uncommon, open externally in the neck
Caused by failure of second groove/cervical sinus to obliterate
Internal branchial fyst/fistula
Rare persistent second pouch, opens into intratonsillar cleft (into pharynx)
Region of lateral cervical cysts and fistulas
Anteriorly along length of SCM
What do you have if a lateral cervical cyst is continuous with the outside of the neck?
External branchial fistula
Pharyngeal pouches are lined with
Endoderm
Whereas clefts are mostly obliterated, pouches:
turn into things
Distal aspect of first pharyngeal pouch forms:
- tympanic membrane together with 1st cleft
- widens and forms tympanic cavity
Proximal aspect of 1st pharyngeal pouch forms:
auditory tube (stays narrow)
Ossicles are derived from:
Neural crest 1st and 2nd arch cartilage
Second pharyngeal pouch gives rise to:
lining of crypts in the palatine tonsils (epithelium that is continuous with lining of mouth)
Tonsils mostly composed of:
Mesoderm