Pharyngeal Pouches and Clefts B&B Flashcards

1
Q

match: ectoderm/endoderm with pharyngeal cleft/pouch

A

pharyngeal pouches are on the interior - endoderm

pharyngeal clefts are on the exterior - ectoderm

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2
Q

what is derived from the 1st pharyngeal pouch?

A

inner ear structures - Eustachian tube, middle ear cavity, contributes to tympanic membrane

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3
Q

from which pharyngeal pouch is the Eustachian tube derived?

A

1st pharyngeal pouch

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4
Q

what is derived from the 2nd pharyngeal pouch?

A

lining of the palatine tonsils in the back of the throat

2nd pouch forms buds which are invaded my mesoderm and lymphatic tissue

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5
Q

from which pharyngeal pouch are the palatine tonsils derived?

A

2nd pharyngeal pouch - forms buds which are invaded my mesoderm and lymphatic tissue

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6
Q

what is derived from the 3rd pharyngeal pouch?

A

thymus (mediastinum) and inferior parathyroid glands (neck)

dorsal wings of pouch become parathyroid, ventral wings of pouch become thymus

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7
Q

from which pharyngeal pouch are the thymus and inferior parathyroid glands derived?

A

3rd pharyngeal pouch - dorsal wings of pouch become parathyroid, ventral wings of pouch become thymus

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8
Q

what is derived from the 4th pharyngeal pouch? (2)

A
  1. superior parathyroid glands
  2. ultimobranchial body - incorporates into thyroid gland and forms C-cells (calcitonin), which are derived from neural crest cells

dorsal wings forms parathyroid, ventral wings forms ultimobranchial body

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9
Q

from which pharyngeal pouch are the superior parathyroid glands and ultimobranchial body derived?

A

4th pharyngeal pouch - dorsal wings forms parathyroid, ventral wings forms ultimobranchial body

ultimobranchial body - incorporates into thyroid gland and forms C-cells (calcitonin), which are derived from neural crest cells

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10
Q

what is the major structure derived from the 1st - 4th pharyngeal pouches?

A

1st —> Eustachian tube
2nd —> palatine tonsils
3rd —> thymus + inferior parathyroid glands
4th —> ultimobranchial body (C-cells) + superior parathyroid glands

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11
Q

what is derived from the 1st - 4th pharyngeal clefts?

A

1st —> external auditory meatus

2nd, 3rd, 4th —> cervical sinus (temporary cavity)

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12
Q

what develops from the 1st pharyngeal cleft?

A

external auditory meatus

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13
Q

what type of branchial cleft cyst is most common? where would it be located?

A

aka cyst of embryonic pharyngeal cleft - 2nd cleft cysts are most common, located anterior to sternocleidomastoid

do not move with swallowing! (in contrast to thyroglossal duct cyst)

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14
Q

if a child presents with a neck mass, how can you differentiate a branchial cleft cyst from a thyroglossal duct cyst?

A

branchial cleft cysts (pharyngeal cleft) DO NOT MOVE with swallowing

thyroglossal duct cysts will move with swallowing

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15
Q

what is the most common craniofacial malformation?

A

cleft lip, often occurs with cleft palate

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16
Q

cleft lip occurs due to failure of ______ to fuse

cleft palate occurs due to failure of ______ to fuse

A

cleft lip occurs due to failure of nasal prominences to fuse (form philtrum)

cleft palate occurs due to failure of palatal shelves/processes to fuse