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neuro 1 exam > pharyngeal arches > Flashcards

pharyngeal arches Flashcards

1
Q

what do pharyngeal arches contribute to?

A

formation of nasal cavities, oral cavitiy, tongue, larynx, pharynx, ear and neck.

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2
Q

when do the pharyngeal arches begin to develop?

A

4th week as neural crest cells begin to migrate towards the future head and neck region

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3
Q

what is the first set of pharangeal arches

A

the premordial jaw- they appear lateral to developing pharynx

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4
Q

what sets of pharangeal arches contribute to the head and neck regions?

A

arches 2-4

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5
Q

which sets of ph.arches are rudimentary or not visible on surface of embryo?

A

5-6

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6
Q

what composes the ph. arch core

A

meso derm ( head mesoderm dervived from paraxial mesoderm) and mesenchyme (embryonic CT derived form migratory neural crest cells)

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7
Q

what germ layer covers the ph. arch

A

ectoderm

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8
Q

what germ layer internally lines the pharyngeal arch?

A

endoderm

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9
Q

once formed, the pharangeal arches carry out what function?

A

support the lateral walls of the primitive pharynx, and give rise to facial prominences that contribute to craniofacial development

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10
Q

specifically what does NCC derived mesenchyme contribute to?

A

forms all CT in the head, including the dermis and smooth muscle

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11
Q

what does the paraxial mesoderm contribute to?

A

populates each arch to form PA musculature

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12
Q

what does the lateral plate mesoderm contribute to

A

angioblasts differentiate into endothelium

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13
Q

what does the prechordal plate mesoderm contribute to

A

extraocular musculature

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14
Q

what does the cartilagenous rod form?

A

skeletal elements

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15
Q

what does the muscular component form

A

muscles of the head and neck

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16
Q

what do the cranial nerves form

A

sensory and motor components

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17
Q

what does the arch artery form

A

vasculature of the head and neck

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18
Q

describe Meckel’s cartilage

A

cartilage for Arch 1
dorsal portion will form malleus and incus
perichondium –> anterior ligament of malleus and sphenomandibular llgament
ventral parts–>primordium of the mandible
bone forms laterally to mer

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19
Q

arch artery for PA1

A

terminal branch of maxillary artery

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20
Q

arch artery for PA2

A

stapedial artery (embryonic), caroticotympanic artery (adult)

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21
Q

arch artery for PA3

A

common carotid artery, root of internal carotid

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22
Q

arch artery for PA4

A

arch of aorta (left side); right subclavian artery (right side), original sprouts of pulmonary arteries

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23
Q

arch artery for PA6

A

ductus arteriosus, roots of definitive pulmonary arteries

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24
Q

PA1 cranial nerve

A

maxillary and mandibular divisions of trigeminal nerve (V), ***ophthalmic division does not supply any arch components

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25
Q

PA2 cranial nerve

A

facial nerve (VII)

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26
Q

PA3 cranial nerve

A

glossopharyngeal (IX)

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27
Q

PA4/6 cranial nerve

A

vagus (X)
4th - superior laryngeal and recurrent branch of vagus n.
6th - recurrent laryngeal branch of vagus n.

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28
Q

where does the epiglottis come from?

A

neural crest cell derived

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29
Q

What is the cartilage for PA2

A

Reichert’s cartilage: dorsal region contributes to stapes and styloid process of the temporal bone, remainder desintegrates; perichondrium –>stylohyoid ligament; ventral end ossifies–> forms lesser cornu/ horn

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30
Q

third arch cartilage

A

ossifies–> forms greater cornu of hyoid bone; body of the hyoid bone is formed by hypopharyngeal eminence - prominence in floor of embryonic pharynx (PA3 and PA4)

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31
Q

what type of ossification does the mandible go through?

A

membranous ossification- does not use a cartilage model that is why meckel’s cartilage desintegrates before then.

32
Q

4th arch cartilage

A

laryngeal cartilages including epiglottis (NCC derived)

33
Q

6th arch cartilage

A

laryngeal cartilage, but origin is uncertain

34
Q

first arch musculature

A

muscles of mastication (temporalis, masseter, medial and lateral pterygoids) ; mylohyoid, anterior belly of the digastric, tensor tympani, tensor tympani, tensor veli palatini (originate from head mesoderm)

35
Q

first arch ligaments

A

anterior ligament of malleus, spheno-mandibular ligament

36
Q

second arch cartilage

A

stapes, styloid process, lesser horns and part of body of hyoid (derived from the second-arch [Reichert’s] cartilage; originate from NCCs) stylohyoid ligament

37
Q

second arch musculature

A

stapedius and muscles of facial expression (buccinator, auricular muscles, occipitofrontalis, posterior belly of digastric, stylohyoid,

38
Q

third arch musculature

A

stylopharyngeus m.

39
Q

fourth arch cartilage

A

thyroid and epiglottal laryngeal cartilages (derived from the 4th arch cartilage; originate from NCCs)

40
Q

sixth arch cartilage

A

remaining laryngeal cartilages (derived form the 6th arch cartilage; uncertain whether they originate from Neural crest or mesoderm)

41
Q

where do the extraocular muscles arise from?

A

prechordal plate

42
Q

what is the innervation of the extraoccular muscles

A

SO(4) LR(6) remainder (3)
superior oblique - IV
lateral rectus- VI
levator palpebrae superioris; superior, medial and inferior recti; inferior oblique - III

43
Q

where does the tongue musculature arise from?

A

tongue itself is from the pharyngeal arches but the associated musculature comes from the occipital myotomes (superiormost segments of the paraxial mesoderm, different from the unsegmented paraxial mesoderm that populates the rest of the arches, cervical, thoracic, lumbar, and saccrococcygeal myotomes)

44
Q

4th arch musculature

A

cricothyroid, inferior pharyngeal constrictor

45
Q

6th arch musculature

A

intrinsic laryngeal muscles (except cricothyroid)

46
Q

first arch syndrome (umbrella term)

A

malformation of eyes, ears, mandible, and plate, which together constitute 1st arch syndrome
results from insufficient migration of NCC into the 1st arch during 4th week

47
Q

which arch is the biggest arch?

A

first arch

48
Q

treacher-collins syndrome (mandibulofacial dysostosis) - first arch syndrome

A

malar hypoplasia with down-slanting palpebral fissures, defects of lower eyelids, deformed external ears, and sometimes middle and internal ears
autosomal dominant; mutations in Treacher Collins-Franceschetti syndrome 1 gene (TCOF1)

49
Q

what does the protein TCOF1 do?

A

encodes for the protein TREACLE, involved in ribosome biogenesis (impairs protein synthesis); truncates in TCS leading to increase in apoptosis of cranial NCC

50
Q

pierre robin syndrome

A

typically de novo; associated with hypoplasia of the mandible, cleft palate and defects of the eyes and ears; initiating defect is a small mandible (micrognathia)–> results in posterior displacement of the tongue–> obstruction of full closure of the palate–> results in bilateral cleft palate

51
Q

grooves are covered with…

A

ectoderm

52
Q

pouches are covered with…

A

endoderm

53
Q

1st groove will form the…

A

external acoustic meatus

54
Q

which grooves lie within the cervical sinus

A

grooves 2-4

55
Q

what does the 1st pouch turn into?

A

expands into tympanic recess–> tympanic cavity and mastoid antrum; elongates to form pharyngotympanic tube; endoderm contacts 1st pharyngeal groove –> contributes to tympanic membrane

56
Q

what forms the tympanic membrane?

A

1st membrane and intervening mesenchyme

57
Q

what does the 2nd pouch give rise to?

A

portion of tonsillar sinus; endoderm will form tonsillar epithelium; mesenchyme will form lymphoid nodules of palatine tonsil

58
Q

what does the 3rd pouch give rise to?

A

dorsal portion differentiates into inferior parathyroid gland; ventral portions form the thymus; both migrate caudally due to growth of brain and cardiac regions

59
Q

what does the 4th pouch give rise to?

A

drosal portion differentiates into superior parathyroid glands; ultimobranchial body –> fuses with thyroid gland and gives rise to parafollicular cells

60
Q

parafollicular cells are… ()dermal in identity

A

endo-dermal

61
Q

branchial anomalies: external cervical sinus (typical)

A

failure of 2nd groove and cervical sinus to obliterate- detected due to discharge of mucus; commonly associated with auricular sinuses

62
Q

branchial anomalies: internal cervical sinus (rare)

A

persistence of 2nd pouch: opens into tonsillar sinus or near palatopharyngeal arch; ingrowth of the pouch, tonsillar tissue should fill in the pouch enough

63
Q

branchial anomalies: cervical cyst

A

remnants of cervical sinus or 2nd groove; slowly enlarging, painless, free-lying cyst in the neck, inferior to angle of the mandible; accumulation of fluid and cellular debris

64
Q

branchial anomalies: cervical fistula (most extreme)

A

canal that opens into tonsillar sinus and external side of the neck; persistence of parts of 2nd groove and pouch; ascends through subcutaneous tissue and platysma to reach carotid sheath; passes between carotids and opens into tonsillar sinus - fistula can be site of infection if pathogens pass through

65
Q

what is the first endocrine gland to develop and when?

A

thyroid gland begins to develop approx. 24 dpf –> thyroid primordium

66
Q

what gives rise to the thyroid gland?

A

forms from an endodermal thickening in floor of primordial pharynx

67
Q

describe the migration of the thyroid gland

A

descends in the neck as tongue grows–> ventral to hyoid bone and laryngeal cartilages - held in place temporarily by the duct

68
Q

what connects the thyroid gland and the tongue during development?

A

thyroglossal duct - will atrophy first then degenerate

69
Q

describe the thyroid gland development from the promodium?

A

primordium is hollow, but will become solid, cellular mass; divides into R/L lobes connected by the isthmus; definitive shape by 7 weeks and thryroglossal duct will degenerate

70
Q

thyroid gland anomalies: ectopic thyroid tissue

A

cervical , accessory and/or lingual can form along the course of the duct

71
Q

thyroid gland anomalies: sublingual thyroid gland

A

forms correctly but does not descend in the neck

72
Q

thyroid gland anomalies: thyroglossal duct cyst

A

form in tongue or anterior neck- critical to distinguish from ectopic thyroid prior to surgical removal

73
Q

congenital anomalies: agenesis of thyroid gland

A

abscence of a thyroid gland or one of its lobes

74
Q

congenital anomalies: thyroid hemiagenesis

A

unilateral failure of formation- left lobe is more commonly absent (mutations in the receptor for thyroid-stimulating hormone are likely involved)

75
Q

congenital anomalies: Digeorge syndrome

A

breakdown of signaling from PA endoderm to NCC (chromosome deletion 22Q11); agenesis of thymus and parathyroid glands; congenital hypothyroidism; shortened philtrum of upper lip, low set and notched ears; nasal clefts, thyroid hypoplasia; cardiac abnormalities (defects of the aortic arch and heart)

neuro 1 exam (4 decks)

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