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Head and Neck Embryology The most distinctive feature in development of the head and neck is the presence of pharyngeal arches (the old term for these structures is branchialarches because they somewhat resemble the gills [branchia] of a fish). These arches appear in the fourth and fifth weeks of development. they consist of bars of mesenchymal tissue separated by deep clefts known as pharyngeal cleft. With development of the arches and clefts, a number of outpocketings, the pharyngeal pouches are formed. Pharyngeal arches not only contribute to formation of the neck, but also play an important role in formation of the face. Each pharyngeal arch consists of a core of mesenchymal tissue covered on the outside by surface ectoderm and on the inside by epithelium of endodermal origin. each pharyngeal arch is characterized by its own muscular components.The muscular components of each arch have their own cranial nerve, and wherever the muscle cells migrate, they carry their nerve component with them. PHARYNGEAL POUCHE The human embryo has four pairs of pharyngeal pouches; the fifth is rudimentary. Since the epithelial endodermal lining of the pouches gives rise to a number of important organs. PHARYNGEAL CLEFTS The 5-week embryo is characterized by the presence of four pharyngeal clefts. of which only one contributes to the definative structure of the embryo. The dorsal part of the first cleft penetrates the underlying mesenchyme and gives rise to the external auditory meatus. The epithelial lining at the bottom of the meatus participates in formation of the eardrum. the second, third, and fourth clefts lose contact with the outside The clefts form a cavity lined with ectodermal epithelium, the cervical sinus, but with further development, this sinus disappears Thyroid• In 4th week begins as endodermal thickening in floor of • primitive pharynx • The thickening becomes an outpouching: thyroid diverticulum • Thyroid descends anterior to hyoid and thyroid cartilage • Connected to tongue by thyroglossal duct • Week 7: Thyroid reaches final position Thyroglossal duct has • degenerated Pyramidal lobe: Persistence of distal end of thyroglossal duct • Present in 50% of people • Tongue• 4th week: elevation on floor of pharynx, just rostral to foramen cecum: Median Tongue Bud (Tuberculum impar) Distal Tongue Buds develop just lateral to median tongue bud Both of the above originate in mesenchyme of first branchial arch • Tongue muscles originate from the occipital somites which • bring with them innervation (CN XII). • Innervation to tongue: • .... Ant 2/3: CN V • .... Post 1/3: CN IX Distal tongue buds overgrow the median tongue bud and merge with each other These form the ant 2/3 of the tongue Median tongue bud forms no adult structure. At same time 2 elevations develop caudal to foramen cecum: 1. Copula: from 2nd arch 2. Hypobranchial emminence: from 3rd & 4th arches The hypobranchial eminence overgrows the copula which disappears The post 1/3 of the tongue is formed bythe rostral part of the hypobranchial emminence (Arch 3) Caudal part of hypobranchial emminence(Arch 4) forms the epiglottis Teeth develop from epithelial– mesenchymal interactions between oral epithelium and neural crest–derived mesenchyme. Enamel is made by ameloblasts It lies on a thick layer of dentin produced by odontoblasts, a neural crest derivative. • Cementum is formed by cementoblasts, another mesenchymal derivative found in the root of the tooth. The first teeth (deciduous teeth or milk teeth) appear 6 to 24 months after birth, and the definitive or permanent teeth, which supplant the milk teeth, are formed during the third month of development Development of the Face Five facial primordia contribute to development of the • face: – The frontonasal prominence • – Paired Maxillary prominences • – Paired Mandibular prominences • • 4th week: thickening of ectoderm in the ventrolateral parts of the FNP: Nasal Placodes • Mesenchyme on the edges of the placodes proliferates to form: medial and lateral nasal prominences • As a result the nasal placodes now lie in a depression called nasal pits which enlarge dorsally to form the nasal cavities. • These nasal cavities are separated from the oral cavity by the oronasal membranes which rupture to form the primitive choana