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EMBRYOLOGY OF THE PHARYNGEAL APPARATUS, TONGUE &THYROID GLAND STEVEN J. ZEHREN, PH.D. PHARYNGEAL APPARATUS Site of midbrain Pharyngeal (branchial) arches Lens placode Somites Max. prom. 1 Nasal placode 2 3 4 Mand. prom. A Stomodeum Heart PHARYNGEAL ARCHES FORM DURING 4TH WEEK. ECTODERMAL GROOVES SEPARATE ARCHES ON OUTSIDE. Slide 10.1 STOMODEUM & OROPHARYNGEAL MEMBRANE Endoderm of pharynx Oropharyngeal membrane Ectoderm Stomodeum (primitive oral cavity) Frontonasal prominence Eye Maxillary prominence Entrance to stomodeum Mandibular prominence Second pharyngeal arch Umbilical vein Third pharyngeal arch Fourth pharyngeal arch Entrance to intraembryonic coelom Spinal cord Slide 10.31 SCANNING EM OF EMBRYO (5TH WEEK) 1st pharyngeal pouch Midbrain Aortic arches (1st to 4th) Esophagus Level of section C Lung bud Dorsal aorta Esophagus B Thyroid diverticulum Heart (primordium of thyroid gland) Truncus arteriosus (common arterial trunk from heart) Germ Layer Derivatives Mesoderm Endoderm Ectoderm ENDODERMAL PHARYNGEAL POUCHES SEPARATE ARCHES ON INSIDE Slide 10.2 Mandibular (1st) arch 1st arch (Meckel) 1st pharyngeal (branchial) membrane Cartilages 2nd arch (Reichert) Hyoid (2nd) arch Nerve 2nd pharyngeal pouch Muscle 3rd aortic arch C 3rd pharyngeal pouch Mesodermal core of 4th arch Germ Layer Derivatives Ectoderm Slide 10.3 Endoderm Mesoderm COMPONENTS OF A PHARYNGEAL ARCH PHARYNGEL ARCH CARTILAGES: DERIVATIVES ZYGOMATIC MAXILLA SQUAMOUS TEMPORAL MANDIBLE MEMBRANE BONES OF ARCH 1 PHARYNGEAL ARCH MUSCLES: DERIVATIVES (Arch 2) (Arches 4 &6) (Arch 1) (Arch 1) (Arch 3) PHARYNGEAL ARCH NERVES 3rd, 4th, and 6th aortic arches Spinal cord Midbrain Pulmonary artery Dorsal aorta Aortic sac Yolk stalk Yolk sac C PHARYNGEAL ARCH ARTERIES (AORTIC ARCHES) Slide 14.56 3rd aortic arch 4th aortic arch 6th aortic arch Truncus arteriosus Aortic sac Dorsal aortae Left dorsal aorta Left dorsal aorta External carotid artery Internal carotid artery Right 3 3 4 5 6 Aortic arches Truncus arteriosus (partly divided aortic and pulmonary arteries) Aortic sac 4 5 6 Right subclavian artery Aortic sac Ductus arteriosus Left dorsal aorta Pulmonary arteries Left subclavian artery 7th intersegmental artery A 6 WKS B 7 WKS TRANSFORMATION OF AORTIC ARCHES (VENTRAL VIEW) Slide 14.57 3rd aortic arch 4th aortic arch 6th aortic arch Truncus arteriosus Aortic sac Dorsal aortae Internal carotid arteries Left common carotid artery External carotid arteries Right Brachiocephalic artery Left subclavian artery Subclavian arteries Arch of aorta Ascending aorta Right pulmonary artery Ligamentum arteriosum Ductus arteriosus Left pulmonary artery Ascending aorta Descending aorta C Pulmonary trunk 8 WKS D 6 MO. INFANT TRANSFORMATION OF AORTIC ARCHES (VENTRAL VIEW) Slide 14.58 PHARYNGEAL POUCHES, GROOVES & MEMBRANES Opercular flap A B PHARYNGEAL POUCHES, GROOVES & MEMBRANES Foramen cecum of tongue Tongue Tract of thyroglossal duct Auditory tube (pharyngotympanic tube) and tympanic cavity (pouch I) Tonsillar sinus and surface epithelium of palatine tonsil (pouch II) Larynx Pouch IV Ultimobranchial body (pouch IV) Pouch III Parathyroid glands Thyroid gland Thymus (pouch III) 20 FETUS SHOWING DERIVATIVES OF PHARYNGEAL POUCHES Slide WEEK 10.13 Hyoid bone Undescended parathyroid gland Persistent thyroglossal duct Accessory thymic tissue Thyroid cartilage Thyroid gland Trachea Manubrium of sternum Retrosternal thymus Superior parathyroid glands Persistent cord of thymic tissue Ectopic inferior parathyroid gland Body of sternum Slide 10.19 CONGENITAL ANOMALIES OF THYROID, THYMUS & PARATHYROID GLANDS LATERAL CERVICAL CYSTS (REMNANTS OF CERVICAL SINUS) Epicardial ridge (SCM develops in it) A B C LATERAL CERVICAL CYST. NOTE ITS POSITION ANTERIOR TO SCM MUSCLE. Sternocleidomastoid muscle Swelling formed by branchial cyst Tendon of sternocleidomastoid muscle Slide 10.16 TONGUE Distal tongue bud Arches: Migration of third arch mesoderm 1 Median tongue bud 2 Hypobranchial eminence Foramen cecum of tongue 3 4 Copula Hypobranchial eminence A Esophagus Rima glottidis (opening to vocal apparatus) B Laryngotracheal groove 5 WKS Median sulcus 4 WKS Oral part of tongue Circumvallate papillae Terminal sulcus Pharyngeal part of tongue Foramen cecum of tongue C Epiglottis ADULT Arch Derivatives of Tongue 1st pharyngeal arch (CN V-mandibular division) 3rd pharyngeal arch (CN IX-glossopharyngeal) Slide 10.26 2nd pharyngeal arch (CN VII-chorda tympani) 4th pharyngeal arch (CN X-vagus) DEVELOPMENT OF TONGUE Temporalis Orbicularis oculi Frontalis Auricularis Occipital myotomes Buccinator Occipitalis Stylohyoid Orbicularis oris Stylopharyngeus Masseter Anterior and posterior bellies of digastric muscle Mylohyoid B A Pharyngeal muscles Sternocleidomastoid First arch muscles Second arch muscles Third arch muscles Platysma Clavicle Fourth and sixth arch muscles ALL TONGUE MUSCLES (EXCEPT PALATOGLOSSUS) DEVELOP FROM OCCIPITAL MYOTOMES Slide 10.9 THYROID GLAND Pharyngeal pouches Primordial pharynx Thyroid diverticulum 4 WKS A Esophagus Oropharyngeal membrane Heart Pharyngeal arches Laryngotracheal diverticulum Foramen cecum of tongue Tongue Thyroglossal duct Thyroid diverticulum 5 WKS Esophagus B Former site of oropharyngeal membrane Slide 10.20 Stomodeum Developing hyoid bone DEVELOPMENT OF THYROID GLAND (EARLY) Foramen cecum Thyroglossal duct Site of atrophy of duct C Trachea 6 WKS Thyroid gland Hyoid bone Tongue Hard palate Soft palate Foramen cecum of tongue Former tract of thyroglossal duct Hyoid bone Pyramidal lobe of thyroid gland ADULT Larynx Thyroid gland D Slide 10.21 DEVELOPMENT OF THYROID GLAND (LATER) Foramen cecum of tongue Lingual thyroglossal duct cyst Hyoid bone Hyoid bone Thyroid cartilage Thyroglossal duct cyst A Opening of thyroglossal duct sinus Thyroid gland B Cervical thyroglossal duct cyst THYROGLOSSAL DUCT CYSTS AND FISTULA (SINUS) NOTE MIDLINE POSITION OF CYSTS Slide 10.22 END OF LECTURE