Pharyngeal Derivatives And VISCERAL INNERVATION OF THE HEAD Flashcards
Embryonic development of the thyroid gland
Endoderm of the pharyngeal arches
From the foramen cecum, the cells migrate through the thyroglossal duct.
Anomalies of the thyroglossal duct and thyroid gland
thyroglossal cysts – located at the midline
Relationships of the thyroid gland
- Trachea
- Cricoid
- Infrahyoid muscles
- Lateral to the esophagus
- Recurrent laryngeal nerve
- Internal jugular vein, common carotid and vagus (lateral)
At which vertebral level does the cricoid finish?
C6
Where does the inferior thyroid artery branch from?
From the thyrocervical trunk (which comes from the subclavian artery).
Venous drainage of the thyroid gland
Inferior, middle and superior thyroid vein
On what system do the visceral fibers of the PS in glands act?
They control smooth muscle, they stimulate secretion
What kind of gland is the thyroid gland?
Endocrine as it releases hormones.
How are the sympathetic fibers (which come from the sympathetic trunk) that accompany vessels to the thyroid gland?
They are only vasomotor
Sympathetic ganglion start at T1: TRUE OR FALSE
FALSE
We have a sympathetic ganglion (with postganglionic neurons) at each vertebral level, even though the preganglionic neurons of the sympathetic trunk come from the spinal cord from T1-L2.
Pathway of the postganglionic fibers (sympathetic system) that innervate the face.
The postganglionic fibers that innervate the face come from the cervical ganglion (sympathetic trunk), and they accompany the arteries till the face.
Origin of external auditory meatus
1st pharyngeal cleft
Typical location of lateral cervical cysts
Along the medial border of the sternocleidomastoid muscle
What are the derivatives of the pharyngeal pouches?
Enlargements of the endodermal lining of the PAs
What does the 1st pharyngeal pouch develop into?
pharyngotympanic tube & tympanic membrane
What does the 2nd pharyngeal pouch develop into?
Palatine tonsil
What does the 3rd pharyngeal pouch develop into?
inf parathyroid glands, C cells and thymus
What does the 4th pharyngeal pouch develop into?
Superior parathyroid glands
DiGeorge Syndrome
DiGeorge syndrome, also known as 22q11.2 deletion syndrome, is a genetic condition that can affect many parts of your body and causes heart abnormalities, an impaired immune system and developmental delays.
Name the three greater salivary glands
Parotid, submandibular and sublingual
Name the lesser salivary glands
Palatine, buccal, labial, palatoglossal & lingual
Relationships of the parotid gland
external carotid artery and retromandibular vein
Parotid duct=
Stenon’s duct (se puede observar en espejo)
Where is the opening of the submandibular duct?
Sublingual papilla
Where is the parasympathetic innervation that innervates the glands of the head? (Preganglionic neurons)
Preganglionic PS neurons innervating the glands in the head are located in the brainstem
(PS VE travel with CNs)
PS innervation of glands
- Parotid gland – fibers that travel with the lesser petrosal nerve (IX CN) - otic ganglion- auriculotemporal nerve (V3)
- Submand/sublingual glands– fibers that travel with the chorda tympani (VII) – lingual nerve (V3) - submandibular ganglion
- Palatine and nasal mucosa - fibers that travel with the greater petrosal (VII) - nerve of the pterygoid canal -pterygopalatine ganglion
- Lacrimal gland – fibers that travel with the greater petrosal (VII) - n pterygoid canal- pterygoplatine ganglion - zygomatic (V2) – communicating branch - lacrimal (V1) to reach the gland
Where is the sympathetic innervation of the glands?
Sympathetic innervation of glands accompany the arteries to the glands
Innervation of constrictor m of the pupil and ciliary muscles
PS fibers with III CN - ciliary ganglion – short ciliary nerves
Innervation of dilator pupillae muscles
Sympathetic fibers with the ophthalmic artery – short & long ciliary nerves
What can happen if the thyroglossal duct does not fully obliterate?
It can lead to cysts at any point of the migratory pathway.
The thyroid gland is covered by … (3) muscles.
Sternothyroid, sternohyoid, omohyoid
When having a thyroid surgery, we have to be careful with the … nerve
Recurrent laryngeal: it passes between the esophagus and the trachea and the thyroid
BLOOD SUPPLY THYROID GLAND
- …: a branch of the thyrocervical trunk
-…: a branch of the external carotid artery
- inferior thyroid artery
- superior thyroid artery
VENOUS DRAINAGE THYROID GLAND
- Superior thyroid vein coming from…
- Middle thyroid vein coming from…
- Inferior thyroid vein coming from…
- Internal jugular vein
- Internal jugular vein
- Brachiocephalic vein
What kind of innervation do we find in the thyroid gland?
Sympathetic innervation: from middle and inferior cervical ganglia, they accompany the arteries and produce vasoconstriction
(SYMPATHETIC TRUNK)
1st pharyngeal cleft gives rise to…
External auditory meatus
2nd, 3rd and 4th pharyngeal clefts give rise to…
Cervical sinus which disappears
If cervical sinus does not diasappear, … are formed
Lateral cervical cysts
The endoderm of the arches proliferates and forms…
Pharyngeal pouches
1st pharyngeal pouch gives rise to…
pharyngotympanic tube & tympanic membrane
2nd pharyngeal pouch gives rise to…
Palatine tonsil