Pharyngeal Apparatus and Derivatives Flashcards

1
Q

What are the components of the pharyngeal apparatus?

A

The pharyngeal apparatus consists of:

Pharyngeal (branchial) arches (mesoderm/mesenchyme)

Pharyngeal clefts (ectoderm)

Pharyngeal pouches (endoderm)

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2
Q

How many pharyngeal arches are there, and how many give rise to permanent structures?

A

There are 6 pharyngeal arches, but only 5 give rise to permanent structures. The 5th pharyngeal arch obliterates completely.

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3
Q

What are the derivatives of the 1st pharyngeal arch?

A

The 1st pharyngeal arch gives rise to:

Bones: Maxilla, mandible, zygomatic arch, temporal bone, incus, and malleus

Muscles: Muscles of mastication, mylohyoid, anterior belly of the digastric, tensor tympani, and tensor veli palatini

Nerve: CN V (Trigeminal nerve)

Artery: Maxillary artery (from the 1st aortic arch)

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4
Q

What are the malformations associated with the 1st pharyngeal arch?

A

First arch syndrome: Limited migration of neural crest cells into the 1st pharyngeal arch

Manifestations: Treacher Collins syndrome and Pierre Robin sequence

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5
Q

What are the derivatives of the 2nd pharyngeal arch?

A

Bones: Stapes, styloid process of the temporal bone, and part of the hyoid bone (lesser horn and body)

Muscles: Facial muscles, stapedius, stylohyoid, posterior belly of the digastric, and auricular muscles

Nerve: CN VII (Facial nerve)

Artery: Hyoid and stapedial arteries (from the 2nd aortic arch)

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6
Q

What are the derivatives of the 3rd pharyngeal arch?

A

Bones: Hyoid bone (Greater horn and lower part of the body)

Muscles: Stylopharyngeus

Nerve: CN IX (Glossopharyngeal nerve)

Artery: Common carotid and part of the internal carotid (from the 3rd aortic arch)

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7
Q

What are the derivatives of the 4th pharyngeal arch?

A

Cartilages: Thyroid, cricoid, arytenoid, corniculate, and cuneiform (laryngeal cartilages)

Muscles: Cricothyroid, levator palatini, and pharyngeal constrictors

Nerve: CN X (Vagus nerve, superior laryngeal branch)

Artery: Left side gives rise to the aortic arch, and the right side gives rise to the proximal portion of the right subclavian artery (from the 4th aortic arch)

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8
Q

What are the derivatives of the 6th pharyngeal arch?

A

Cartilages: Thyroid, cricoid, arytenoid, corniculate, and cuneiform (laryngeal cartilages)

Muscles: Intrinsic muscles of the larynx

Nerve: CN X (Vagus nerve, recurrent laryngeal branch)

Artery: Left side gives rise to the left pulmonary artery and the ductus arteriosus, and the right side gives rise to the right pulmonary artery (from the 6th aortic arch)

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9
Q

What are the derivatives of the 1st pharyngeal pouch?

A

Tubotympanic recess

Primitive tympanic (middle ear) cavity

Auditory (Eustachian) tube

Tympanic membrane/eardrum

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10
Q

What are the derivatives of the 2nd pharyngeal pouch?

A

Palatine tonsil primordium

Tonsillar fossa

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11
Q

What are the derivatives of the 3rd pharyngeal pouch?

A

Dorsal wing: Inferior parathyroid glands

Ventral wing: Thymus

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12
Q

What are the derivatives of the 4th pharyngeal pouch?

A

Dorsal wing: Superior parathyroid glands

Ventral wing: Ultimobranchial body (which gives rise to parafollicular cells in the thyroid gland)

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13
Q

What is the fate of the 1st pharyngeal cleft?

A

The 1st pharyngeal cleft forms the external auditory meatus.

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14
Q

What happens to the 2nd-4th pharyngeal clefts?

A

The 2nd-4th pharyngeal clefts merge and are incorporated into the cervical sinus.

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15
Q

What are some congenital anomalies associated with the pharyngeal apparatus?

A

First arch syndrome: Treacher Collins syndrome and Pierre Robin sequence

Branchial fistulas: Abnormal openings due to incomplete closure of pharyngeal clefts

Ectopic thymic tissue

Ectopic parathyroid glands

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16
Q

What role do neural crest cells play in the development of the pharyngeal arches?

A

Neural crest cells contribute to the formation of skeletal muscles of the face and migrate from rhombomeres in the hindbrain to the branchial arches.

17
Q

What controls the migration of neural crest cells from rhombomeres in the hind brain in the developing fetus

18
Q

What is the nerve associated with each pharyngeal arch?

A

1st arch: CN V (Trigeminal nerve)

2nd arch: CN VII (Facial nerve)

3rd arch: CN IX (Glossopharyngeal nerve)

4th arch: CN X (Vagus nerve, superior laryngeal branch)

6th arch: CN X (Vagus nerve, recurrent laryngeal branch)

19
Q

What are the aortic arch derivatives for each pharyngeal arch?

A

1st aortic arch: Maxillary artery

2nd aortic arch: Hyoid and stapedial arteries

3rd aortic arch: Common carotid and part of the internal carotid

4th aortic arch: Left side gives rise to the aortic arch, right side gives rise to the proximal portion of the right subclavian artery

6th aortic arch: Left side gives rise to the left pulmonary artery and ductus arteriosus, right side gives rise to the right pulmonary artery

20
Q

What are the cartilage derivatives of the 1st pharyngeal arch?

A

The 1st pharyngeal arch gives rise to Meckel’s cartilage, which forms the incus and malleus.

21
Q

What are the cartilage derivatives of the 2nd pharyngeal arch?

A

The 2nd pharyngeal arch gives rise to Reichert’s cartilage, which forms the stapes, styloid process, and part of the hyoid bone.

22
Q

What are the cartilage derivatives of the 3rd pharyngeal arch?

A

The 3rd pharyngeal arch gives rise to the hyoid bone (lesser horn and lower part of the body).

22
Q

What are the cartilage derivatives of the 4th-6th pharyngeal arches?

A

The 4th-6th pharyngeal arches give rise to the laryngeal cartilages: thyroid, cricoid, arytenoid, corniculate, and cuneiform.