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Pharyngeal arches The rostral and caudal pool are observed before gastrulation animation Neural crests formation animation In the facial region the neural crest cells form midfacial and pharyngeal arch skeletal structures and other tissues in this region such as cartilage, bone, dentin, tendom, dermis, pia and arachnoid matter, sensory neurons and glandular stroma. The neural crest cells which originate in neuroectoderm in the region of three first brain vesicles (forebrain, midbrain and hindbrain) migrate ventrally into the pharyngeal arches and rostrally around the forebrain and optic cup into the facial region. The mesenchyme of head region is derived from paraxial and lateral plate mesoderm, neural crests and ectodermal placodes (thickened regions of ectoderm) Somitomers (paraxial mesoderm) form the floor of the brain case and a small portion of the occipital region as weel as voluntary muscles of the craniofacial region, the dermis and connective tissues in the dorsal region of the head, meninges (caudally to the prosencephalon) The lateral plate mesoderm (in the rostral region of the embryo) forms the arytenoid and cricoid cartilages of the larynx as well as connective tissue in this region. The skull can be devided into: - the neurocranium (forms a protective case around the brain) - the viscerocranium (forms the skeleton of the face) The neurocranium can b devided into two portions: - the membranous part - consisting of flat bones - the chondrocranium – forms bones of the base of the skull The membranous portion of the skull is derived from neural crest cells and paraxial mesoderm The mesenchyme from these two sources invests the brain and undergoes membranous ossification – and form membranous bones that contain needle-like bone spicules (which progressively radiate from primary ossification centers toward the periphery). During fetal and posnatal life, membranous bones of neurocranium enlarge by apposition (formation of new layers of bone tissue on the outer surface) and by simultaneous osteoclastic resorption from the inside. The flat bones of neurocranium continue to grow after birth mainly because the brain grows. Microcephaly is usually an abnormality in which the brain fails to grow and the skull fails to expand. Many children with microcephaly are severely retarded. At birth the flat bones of the neurocranium are separated from each other by sutures - a narrow seams of connective tissue. At points where more than two bones meet, sutures are wide and are called frontanelles. Craniosynostosis – cranial abnormalities caused by premature closure of one or more sutures. The shape of the skull depends on which of the sutures closed prematurely. Early closure of the sagital suture results in frontal and occipital expansion – and the skull becomes long and narrow (scaphocephaly) Premature closure of the coronal suture results in a short, high skull – acrocephaly (tower skull) Plagiocephaly – asymmetric craniosynostosis – is a result of premature closure of coronal or lambdoid sutures on one side only. The chondrocranium of the skull initially consists of a number of separate cartilages. Those cartilages that lie in front of the rostral limit of the notochord (which ends at the level of the sella turcica) originate from neural crest cells. Those cartilages of chondrocranium which lie posterior to this limit arise from paraxial mesoderm and form the chordal chondrocranium. The base of the skull is formed when all cartilages of chondrocranium fuse and then ossify by endochondral ossification. The viscerocranium is formed mainly from the first pharyngeal arch - maxillary process (dorsal portion of the 1st pharyngeal arch) – gives rise to the maxilla, the zygomatic bone, part of the temporal bone - mandibular process (ventral portion of the 1st pharyngeal arch) – gives rise to the mandible At the begining of development the face is small in comparison with the neurocranium. During ontogenesis the jaws grow (mainly because teeth formation) and paranasal air sinuses develop – and the face loses its babyish characteristic. The pharyngeal arches The pharyngeal (branchial) arches appear in fourth and fifth weeks of human development, consist the lateral wall of the pharyngeal gut (the most cranial part of the foregut) and contribute to the characteristic external appearance of the embryo. The pharyngeal arches consist of bars of mesenchyme separated by deep clefts (grooves) from outer side and by pouches from interior. The pouches penetrate the surrounding mesenchyme, but do not establiskh an open communication with the external clefts. In addition to mesenchyme derived from the paraxial and lateral plate mesoderm, the core of each arch receives the neural crest cells, which migrate into the arches to contribute to skeletal components of the face. The mesoderm of the arches gives rise to the musculature of the face and neck – each arch is characterised by its own muscular component and has their own cranial nerve. Wherever the miocytes migrate, they carry their nerve component with them. Each arch has also its own arterial component. First pharyngeal arch At the end of fourth week, th e center of the face is formed by stomodeum, surrounded by the first pair of pharyngeal arches. When the embryo is 42 days old, the stomodeum is surrounded by five mesenchymal prominences: frontonasal prominence, two maxullary prominences and two mandibular prominences. The maxillary process is a dorsal portion of the 1st pharyngeal arch - extends beneath the region of the eye and gives rise to the premaxilla, maxilla, zygomatic bone and a part of temporal bone (though membranous ossification) The mandibular process is a ventral portion of the 1st pharyngeal arch – contains Meckel’s cartilage – mesenchyme surrounding this cartilage form the mandible by membranous ossification. Meckel’s cartilage finally disappears except for two small portions – at dorsal end – which form the incus and the maleus. Muscular component of the 1st pharyngeal arch forms the muscles of mastication, anterior belly of digastric muscle, mylohyoid, tensor tympani and tensor palatini – innervated by mandibular branch of trigeminal nerve. Dermis of the face is supply by ophtalmic, maxillary and mandibular branches of the trigeminal nerve. Second pharyngeal arch The Reichert’s cartilage - cartilage of 2nd pharyngeal arch (hyoid arche) gives rise to the stapes, styloid process of the temporal bone, stylohyoid ligament, lesser horn and upper part of the body of the hyoid bone. Muscles of the 2nd pharyngeal arch (stapedius, stylohyoid, posterior belly of digastric, auricular, and muscles of facial expression) are supplied by facial nerve Third pharyngeal arch The cartilage of the 3rd pharyngeal arch gives rise to the lower part of the body and greater horn of the hyoid bone. From muscular component of this arch originates stylopharyngeus muscles – innervated by glossopharyngeal nerve. Fourth and sixth pharyngeal arches The cartilaginous components of those arches fuse and form cartilages of the larynx ( thyroid, cricoid, arytenoid, corniculate and cuneiform). Muscles of fouth arch (cricothyroid, elevator palatini, constrictor of the pharynx) are innervated by superior laryngeal branch of the vagus. Intrinsic muscles of the larynx are innervated by the recurrent laryngeal branch of the vagus (the nerve of sixth arch) Pharyngeal clefts Only first cleft contributes to the definitive structureof the embryo – penetrates the underlying mesenhyme and and gives rise to the external auditory meatus. The epithelium lining the bottom of the meatus particitates in formation of the eardrum. The cervical sinus – ectodermal epithelium of 2nd, 3rd and fourth clefts form common cavity that lose the contact with the outside and finally disappears. Lateral cervical cyst Treacher Collins syndrome (TCS) or mandibulofacial dysostosis found in about 1 in 50,000 births a rare autosomal dominant congenital disorder characterized by craniofacial deformities, such as absent cheekbones. downward-slanting eyes micrognathia (a small lower jaw) conductive hearing loss underdeveloped zygoma drooping part of the lateral lower eyelids malformed or absent ears Mutations in the TCOF1, POLR1C, or POLR1D genes can cause Treacher Collins syndrome TCOF1 codes for treacle protein Haploinsufficiency of the treacle protein leads to a depletion of the neural crest cell precursor, which leads to a reduced number of crest cells migrating to the first and second pharyngeal arches. These crest cells play an important role in the development of the craniofacial appearance DiGeorge syndrome (DGS) a syndrome caused by the deletion of a small piece of chromosome 22 Cardiac abnormality (especially tetralogy of Fallot) Abnormal facies Thymic aplasia Cleft palate Hypocalcemia/Hypoparathyroidism Pierre Robin syndrome (PRS) is a congenital condition of facial abnormalities in humans. The 3 main features are - cleft palate - micrognathia (a small jaw) - glossoptosis (airway obstruction caused by backwards displacement of the tongue base) genetic anomalies at chromosomes 2, 11, or 17 Pharyngeal pouches First pharyngeal pouch forms a stalklike diverticulum – tubotympanic recess – which comes in contact with the epithelium lining the first pharygeal cleft (the future external auditory meatus). Finally 1st pharyngeal puch forms the middle ear cavity, auditory (eustachian) tube and partially eardrum. Second pharyngeal pouch forms the palatine tonsil and tonsilar fossa Third pharyngeal pouch branches into dorsal and ventral wings The dorsal wing of 3rd pharyngeal pouch differentates into the inferior parathyroid gland, the ventral wing of this pouch forms the thymus. Both primodia lose their connection with pharyngeal wall and start to migrate in a caudal and medial direction. Fourth pharyngeal pouch Epithelium of the dorsal wing of the fourth pharyngeal pouch forms the superior parathyroid gland, epithelium of ventral wing (which originates from fifth pharyngeal pouch) of this pouch gives rise into ultimobranchial body, which incorporates into thyroid gland and differentiate into C cells producing calcitonin. The tongue Thyroid formation animation Lingual thyroid