prenatal craniofacial development Flashcards

1
Q

what happens during the 4th week

A

ventral mesoderm condenses into a series of segmented bilaterally paired, mesenchymal swellings

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2
Q

initially FIVE prominences (tissue masses) surround the stomodeum
these are

A

frontonasal prominence
first arch (> mandibular process)
maxillary process (delayed appearance)

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3
Q

first (mandibular) arch and maxillary processes are both paired structures that grow

A

ventro-laterally around the OM (oropharyngeal membrane aka back of the mouth)

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4
Q

the majority of the growth and morphological change in facial tissue masses is driven by the invading

A

cranial neural crest-derived mesenchyme

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5
Q

maxillary processes originate

A

as separate (delayed) swellings rostral to the mandibular processes

invaded by distinct population of late migrating CNCC

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6
Q

the thickening of ectoderm in FNP (frontonasal prominence)

A

nasal placodes

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7
Q

two types of morphological processes for joining tissues

A
  1. merging: joining of two masses already partly in contact
  2. fusion: joining of two separate masses
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8
Q

two examples of merging

A
  1. merging of maxillary (MXP) and lateral nasal processes (LNP)
  2. medial merging of mand (MNP)
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9
Q

two examples of fusion

A

contact dependent fusion between MNP and MXP/LNP

MNP with MNP
MNP with MXP
MNP with LNP

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10
Q

another fusion event is with the secondary palate (future roof of mouth) during 10th week which arises later from the

A

medial aspects of the MXP >palatal shelves

(fusion event)

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11
Q

after immigration of cranial neural crest cells, growth and morphogenesis of the face is controlled by

A

ongoing epithelial-mesenchymal interactions

(controlled independently)

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12
Q

these cells primarily determine facial form/shape

A

cranial neural crest cells

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13
Q

neural expression of ______ precedes and required for the ectodermal expression

A

Shh/Fgf8

Shh= ventral facial ectoderm
Fgf8= dorsal facial ectoderm

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14
Q

secreted factors from the ____ can direct outgrowth of the underlying CNCC and determines D-V pattern of FNP.
But precise shape depends upon pattern information inherent in the _______

A

frontonasal ectoderm zone (FEZ)

neural crest

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15
Q

the ectoderm has a role and supports/directs =
and guides=
and facilitates=

A

outgrowth of the facial processes and
guides differentiation of CNC
and facilitates timely fusion of the facial processes

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16
Q

when does secondary palate form

A

10th week

(forms well after the primary palate/lip) 7th week

17
Q

what determines secondary palate formation:
1
2
3

A
  1. growth (either side of the tongue)
  2. elevation and rotation
  3. medial growth and fusion at midline with nasal septum
18
Q

ossification of the secondary palate (osteoblasts derived from CNCC) begins

A

just before palatal development complete

19
Q

what is the secondary palate

A

palatal shelves (condensations of CNCC mesenchyme)

20
Q

how can cleft secondary palate result from

A
  1. poor growth of shelves
  2. failed elevation
  3. failed fusion
21
Q

what is critical to allow the shelves to rotate to a position above the tongue

A

tongue lowers

22
Q

this can provide a physical barrier to secondary palate closure

A

macroglossia

23
Q

this also is associated with failed palatal fusion where the tongue sits too far back aka tongue forced backwards and elevated

A

small or retrognathic mandible

24
Q

this first appears in the mandible and shortly thereafter in the midface and cranial base. provides structural support for shaping the growing head!

A

craniofacial cartilage

25
leads up to aka precedes ossification
craniofacial cartilage [in the face, few cartilages are replaced by bone unlike the axial skeletion]
26
the cartilage of PA1 that arises during week 7 and forms the template for mandible
meckel's cartilage
27
PA1 also contributes to two ear ossicles which are parts of
malleus and incus
28
since most facial cartilages are not converted to bone, but rather parts degenerate with caudal aspects forming what part
part of middle ear bones
29
what is the ear formed from
independent embryonic structures
30
external and middle are derivatives of:
PA1 and PA2 -intervening pharyngeal CLEFT and pharyngeal POUCH
31
inner ear arise from
thickening of ectoderm (otic placode) dorsal to PA3 at level of hindbrain and subsequent invagination (otic pit)
32
inner and outer ear malformations often associate with
mandibular defects