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EMBRYOLOGY
                    BY
Dr. THAAER MOHAMMED DAHER ALSAAD
     SPECIALIST IN GENERAL SURGERY
   M.B.Ch.B. (MBBS) F.I.B.M.S. )Ph.D.)
            SENIOR LECTURER
                IMS MSU
The
Pharyngeal
  Arches
Highlights
•   Introduction
•   Derivatives of the skeletal elements
•   Nerves and muscle of the arches
•   Fate of ectodermal cleft
•   Fate of endodermal pouches
•   Development of the thymus
•   Development of the parathyroid gland
•   Development of thyroid gland
•   Timetable of some mentioned events
Highlights      (continue)



• Pharyngeal arches?
• Are rod-like thickening of mesoderm present in
  the wall of the foregut.
• How many arches are there?
• At first they are six aches. The fifth arch
  disappears and only five remain.
• Where the aches meet?
• The ventral ends of the arches of the right and
  left sides meet in the middle line in the floor of
  the pharynx.
Highlights    (continue)



• Endodermal /pharyngeal pouches
• In the interval between any two arches, the
  endoderm is pushed outwards to form a series
  of pouches.
• Ectodermal cleft
• The surface ectoderm dips inwards opposite
  each pouch.
Highlights       (continue)


• Each pharyngeal arch contains :
     1. a skeletal element (cartilage).
     2. Striated muscle (supplied by a nerve of the arch
        and an arterial arch.
• The cartilage of the 1st arch (Meckle’s cartilage)
  gives rise to the incus and malleus.
• The cartilage of the 2nd arch forms
     a. The stapes.
     b. The styloid process.
     c. Part of the hyoid bone.
Highlights           (continue)

• The cartilage of the 3rd arch forms the greater
  part of the hyoid bone.
• The cartilage of 4th and 6th arches give rise to the
  cartilage of the larynx.
• Nerves of the arches:
      •   1st arch -----------------------mandibular.
      •   2nd arch ----------------------facial.
      •   3rd arch ---------------------- glossopharyngeal.
      •   4th arch ---------------------- superior laryngeal.
      •   5th arch ---------------------- recurrent laryngeal.
      The muscles are supplied by these nerves
       are derived from the mesoderm of the
       arch concerned.
Highlights             (continue)



• The external acoustic meatus develops from the 1st ectodermal
  cleft.
• Tubotympanic recess develops from the 1st and 2nd endodermal
  pouch.
• The middle ear and the auditory tube develops from the tubotympanic recess.
• The palatine tonsil arises from the 2nd pouch.
• The inferior parathyroid gland and the thymus are derived from
  the 3rd pouch.
• The superior thyroid gland is derived from the 4th pouch.
• The thyroid gland develops mainly from the thyroglossalduct.
• Thyroglossal duct is formed as a median diverticulum arising from the floor of
  the pharynx (at the foramen caecum0.
Introduction
• After establishment of the head fold, the foregut is bounded ventrally by
  pericardium and dorsally by developing brain.
• Cranially, it is separated at first separated from the stomatodaeum by
  the buccopharyngeal membrane.
• When this membrane breaks down, the foregut opens to the exterior
  through the stomatodaeum.
• At this stage, the head is represented by the bulging caused by the
  developing brain, and
• While the pericardium occupying the future thorax,
• The two are separated by the stomatodaeum which is the future mouth.
• The neck is not yet present//////////
• The neck is formed by the elongation of the region between the
  stomatodaeum and the pericardium
Introduction       (continue)



•   The elongation is due to the appearance of the pharyngeal/ or branchial arches
    (the mesodermal thickening).
•   At this stage, the wall of the foregut is separate from the surface ectoderm by a
    layer of mesoderm.
•   The mesoderm comes to arrange in the form of six bars.
•   These bars run dorsoventrally in the side wall of the foregut.
•   Each of these “bars” grows ventrally in the floor of the developing pharynx and
    fuses with the corresponding “bar” of the opposite side to form a PHARYNGEAL or
    BRANCHIAL ARCH.
•   In the interval between any two adjoining arches, the endoderm extends
    outwards in the form of a pouch (endodermal or pharyngeal pouch) to meet the
    ectoderm which dips into this interval as an ECTODERMAL CLEFT.
•   The 1st arch is also called
    he mandibular arch;
•   The 2dn arch is called,
     the hyoid arch.
•   The 3rd , 4th ,and 6th arches do not have special names.
• The 5th arch disappears soon after its formation, so that only five
  arches remain.
Introduction   (continue)




• The following structures are formed
  in the mesoderm of each arch:
1.Skeletal element.
2.Striated muscle.
3.Arterial arch.
Introduction           (continue)



• A skeletal element:
• This is cartilaginous to begin with.
        • It may remain cartilaginous,
        • It may develop to bone,
       • It may disappear.

• Striated muscle:
       • Supplied by nerve to the arch.
       • May , or may not, retain its attachment to the skeletal
         elements derived from the arch.
       • May subdivide to form a number of distinct muscles, which
         may migrate away from the pharyngeal region.
       • When they do so, they carry their nerve with them,
       • And their embryological origin can determined from their
         nerve supply.
Introduction (continue)

• An arterial arch:
• Ventral aorta develops ventral to the foregut.
• Dorsal aorta develops dorsal to the foregut.
• Aortic arches (a series of arches) connect ventral and dorsal
    aortae.
• One arterial arch lies in each pharyngeal arch.
•   The arrangement of these arteries will be greatly modified ( will be discussed later).

• Each pharyngeal arch is supplied by a nerve.
• In addition to supplying the skeletal muscle of the arch, it
  supplies sensory branch to the overlying ectoderm and
  endoderm.
Introduction
(continue)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! You can skip it!!!


• In the human embryo, a double innervation is seen only in the
  1st pharyngeal arch.
• In some lower animals, each arch is supplied by two nerves:
       A. Post-trematic nerve.
       B. Pre-trematic nerve.
       (Trema = trench).
       The nerve that runs along the cranial border of the arch
           is called the post-termatic nerve.
       The nerve that runs along the caudal border of the arch
           is called the pre-termatic nerve.
Derivative of the
   Skeletal
   Elements
1. First Arch Derivatives

1. The cartilage of the 1st arch is called Meckel’s cartilage:
     the following structures are formed from the dorsal end
     cartilage of the 1st arch:
a) Incus
b) Malleus
c) Anterior ligament of the malleus
d) Sphenomandibular ligament
e) Bone (the maxilla, the mandible, the zygomatic bone, the
      palatine bone, and part of the temporal bone).
 ///// The ventral part of the cartilage is absorbed.
(it is surrounded by the developing mandible and is absorbed)
2. Second Arch derivatives


the following structures 5S are formed from
   the cartilage of the 2nd arch:
A. Stapes
B. Styloid process
C. Stylohyoid ligament (from sheath)
D. Smaller (lesser) cornu of hyoid bone
E. Superior part of body of hyoid bone
3. 3rd Arch derivatives
• the following structures are formed from the
  cartilage of the 3rd arch:


a) Greater cornu of hyoid bone

b) Lower part of the body oh hyoid bone
4. The cartilages of the larynx
• are derived from the 4th and 6th arches

• with possible contribution from the 5th arch


• but, their exact derivation is controversial.
Nerves and Muscles of the Arches
• All muscles derived from a pharyngeal arch are supplied by the nerve
  of the arch.
• Muscles can be identified by their nerve supply.
• The nerves supply :
       • muscles,
       • parts of skin
       • and mucous membrane derived from the arch.
• The 1st arch has a double nerve supply; (anterior 2/3rd tongue)
• Mandibular nerve is the post-terematic nerve of the 1st arch.
• Chorda tympani is the pre-trematic nerve of the 1st arch
• Anterior 2/3rd of the tongue is derived from the ventral   part   of the
  1st arch.
Arch     Nerve of the Arch     Muscles of the Arch




First    Mandibular            Medial + lateral pterygoid, Masseter,
                               Temporalis, Mylohyoid, Anterior belly
                               of digastric, Tensor tympani, Tensor
                               palati.
Second   Facial                Muscles of the face, Occipitofrontalis,
                               Platysma, stylohyoid, Posterior belly of
                               digasrtic, Stapedius, Auricular muscles

Third    Glossopharyngeal Stylopharyngeus
Fourth
Sixth
         Superior laryngeal Muscles of the larynx and pharynx
         Recurrent laryngeal
Fate of Ectodermal Clefts

• 1st cleft:
• The ventral part is obliterated.
• The dorsal part:
      1. Epithelium lining of the external auditory meatus.
      2. Pinna
• 2nd arch,
• Grows much faster than the succeeding arch and comes
  overhand them.
• The space between the overhanging 2nd arch and the 3rd, 4th,
  and 6th arches is called cervical sinus.
Fate of Ectodermal Clefts

• Cervical sinus;
• The lower overhanging border of the 2ns arch fuses with
  tissues caudal to the arches.
• The side of the neck becomes smooth.
• The cavity of cervical sinus become normally obliterated.
• Part of it may persist and give rise to branchial cyst.
• The cyst may open onto the surface ---- branchial fistula.
• Rarely it may open into the lumen of the pharynx in the
  region of the tonsil.
Fate of Endodermal Pouches
• 1st pouch;
• The dorsal part is obliterated by formation of the tongue.
• The ventral part receives contribution from the 2nd pouch,
•   These two form a diverticulum, called;
•   Tubotympanic recess. (proximal and distal part).
•   Proximal part --- auditory tube (pharyngotympanic).
•   Distal part ----- middle ear cavity (including the tympanic
    antrum).
The derivatives of the branchial pouches. Note that the inferior parathyroid migrates
downwards from the 3rd pouch whereas the superior parathyroid (4th pouch) remains stationary.
Fate of Endodermal Pouches (continue)

2nd pouch
• The epithelium of the ventral part contributes to the
  formation of the tonsil.
• The dorsal part    --- tubotympanic recess.
3rd pouch
 gives rise to the inferior parathyroid glands.
4th puoch
o Gives origin to the superior parathyroid glands.
o May contribute to the thyroid gland.
Fate of Endodermal Pouches (continue)

• 5th = ultimobranchial pouch
• Seen for a brief period during development.
• In some species it gives rise to the ultimobranchial body.

• Its fate is controversial in human.
• Generally it is believed to be incorporated into the 4th pouch.
• 4th + 5th pouches form the
• Caudal pharyngeal complex. This gives rise to the:
    1. Superior parathyroid glands.
    2. Parafollicular cells of the thyroid gland.
Development of the Thymus
•   Arise from the epithelium of the 3rd pharyngeal pouch.
•   Relatively large at birth.
•   Continues to increase in weight till puberty.
•   Then it gradually undergoes atrophy.
•   Early in development, the 3rd pouch is cut off, both from the pharyngeal wall
    and from the surface ectoderm.
•   After separating from the inferior parathyroid rudiment, each thymic rudiment
    has;
•   Thinner cranial part and broader caudal part.
•   Thinner portion forms the cervical part of the thymus;
•   Boarder parts of both sides enter the thorax and become united to each other
    by connective tissue.
•   Thymic endoderm is invaded by vascular mesoderm.
•   Vascular mesoderm contains numerous lymphoblasts.
•   Mesenchymal invading breaks up the thymic tissue into isolated masses, and
    gives the thymus its lobulated appearance.
•   Accessory thymic tissue may develop from fragmentation oh the cervical part.
•   Accessory thymic tissue, present in relation to the SPG, and is believed to rise
    from the 4th pouch.
Development of Parathyroid Glands

• Inferior parathyroid glands; parathyroid III
• Develop from endoderm of the 3rd pharyngeal pouch.
• Superior parathyroid glands; parathyroid IV.
• Develop from endoderm of the 4th pharyngeal pouch.
• Superior parathyroid glands are constant in position.
• Inferior parathyroid glands are carried caudally due to
  its closely related to thymus.
• As thymus descends caudally parathyroidIII becomes
  caudal to parathyroid IV.
The normal sites of the parathyroid glands (posterior aspect).
Development of Thyroid Gland
• Thyroid gland develops mainly from the thyroglossal duct.
• Parafollicular cells are derived from the caudal pharyngeal
  complex (from 4th and 5th pharyngeal pouch).
• After formation of the pharyngeal arches, the medial ends of
  the two mandibular arches are separated by
• Tuberculum impar =
  A midline structure in the floor of the pharynx.
• Immediately the tuberculum impar the epithelium of the
  floor of the pharynx shows a thickening.
• This thickening is soon depressed to form a diverticulum
  called the thyroglossal duct.
Development of Thyroid Gland (continue)

• The site of the diverticulum is now seen as a depression called
  the foramen caecum.
• The diverticulum grows down in the midline into the neck.
• Its tip bifurcates.
• Proliferation of the cells of this bifid end gives rise to the
• Two lobes of the thyroid gland.
• The developing thyroid gland comes into intimate contact with
The caudal pharyngeal complex and fuses with it.
• Cells arising from this complex are believed to give origin to the
  parafollicular cells of the thyroid.
Anomalies of the Thyroid gland
1.   Anomalies of the shape.
2.   Anomalies of the position.
3.   Ectopic thyroid tissue.
4.   Remnants of the thyroglossal duct.
Anomalies of the shape
1. Isthmus may be absent
2. One of the lobe may be very small, or absent
3. Pyramidal lobe:
  a) Regarded as a normal structure.
  b) May arise from the isthmus, or from one of the
     lobes.
  c) May have no connection with rest of the thyroid.
  d) May be divided into two or more parts.
  e) Its extent vary from a short stump to a process
     reaching the hyoid bone.
Anomalies of the position
1.   Lingual thyroid.
2.   Intra-lingual thyroid.
3.   Suprahyoid thyroid.
4.   Infrahyoid thyroid.
5.   Intrathoracic thyroid.
       when thyroid tissue is present in the
     anomalous position, an additional thyroid
     may or may not be present at the normal site.
Normal and abnormal sites of the parathyroid glands (lateral view).
Ectopic thyroid tissue
• Small masses of thyroid tissue may be present at abnormal sites.
• Thyroid tissue may be observed in the:
      • Larynx, trachea.
      • Esophagus.
      • Pons.
      • Pleura.
      • Pericardium.
      • Ovaries.
      Lateral aberrant thyroids =
      Masses of ectopic thyroid tissue have been described in
        relation to the deep cervical lymph node.
Remnants of the thyroglossal duct
• These remnant may persist and lead to the
  formation of the following:
1. Thyroglossal cyst, that may be anywhere along
   the course of the duct.
2. Thyroglossal fistula, internal papilla (opening)
   at foramen caecum.
3. Carcinoma of the thyroglossal cyst.
Timetable of Some Events Mentioned
           in this Chapter
        Age             Developmental events
4th week (22nd day)   Appearance of the 1st and
                      2nd arches
5th week (29th day)   Four arches are seen
                      Thyroid, parathyroid and
                      thymus are start forming

7th week              Thyroid gland reaches its
                      definitive position
pharyngeal arch derivatives
• The mesodermal core of each pharyngeal arch differentiates
  into three main types of tissue, and each arch becomes
  associated with a particular cranial nerve.
• The tissues are:
• Skeletal tissue
  (eg: cartilage, bone, ligaments).
• Muscle tissue
  (striated musculature, but not all under voluntary control).
• Arterial arch
(which may or may not be converted into a definitive major artery).
pharyngeal pouches
• on the inside of the embryonic pharyngeal region
  are endodermally-lined grooves between
  adjacent pharyngeal arches.
• They contribute to the development of a
  surprising diversity of structures, ranging from
  the middle ear cavity to endocrine glands and
  components of the lymphatic system.
• The last two pouches are difficult to distinguish
  clearly, and are often considered as a single unit.
pharyngeal clefts
• are ectodermally-lined grooves on the outside of
  the embryonic pharynx.
• Only the first cleft is important - it develops into
  the external auditory meatus of the ear and
  provides the outer epithelium of the tympanic
  membrane.
• (It used to be believed that the remaining clefts
  were ‘submerged' beneath overgrowing folds
  and then disappeared, but more recent work
  shows that the clefts simply ‘fill out' by
  proliferation of the underlying mesoderm).!!!!!!!
Pouch Derivatives
• 1st middle ear cavity, endodermal aspect of tympanic membrane,
   pharyngotympanic tube.

• 2nd palatine tonsil.
• 3rd inferior parathyroid gland, thymus.
• 4th & 5th superior parathyroid gland, parafollicular cells of
  thyroid gland.

• Cleft Derivatives
• 1st external auditory meatus, ectodermal aspect of tympanic
  membrane.

• 2nd – 4          cervical sinus.
Stapes




Incus
         Malleus
Thank you

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Lecture 11 Pharyngeal Aches Chapter 9 Pdf

  • 1. EMBRYOLOGY BY Dr. THAAER MOHAMMED DAHER ALSAAD SPECIALIST IN GENERAL SURGERY M.B.Ch.B. (MBBS) F.I.B.M.S. )Ph.D.) SENIOR LECTURER IMS MSU
  • 3.
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  • 5.
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  • 7.
  • 8.
  • 9. Highlights • Introduction • Derivatives of the skeletal elements • Nerves and muscle of the arches • Fate of ectodermal cleft • Fate of endodermal pouches • Development of the thymus • Development of the parathyroid gland • Development of thyroid gland • Timetable of some mentioned events
  • 10. Highlights (continue) • Pharyngeal arches? • Are rod-like thickening of mesoderm present in the wall of the foregut. • How many arches are there? • At first they are six aches. The fifth arch disappears and only five remain. • Where the aches meet? • The ventral ends of the arches of the right and left sides meet in the middle line in the floor of the pharynx.
  • 11. Highlights (continue) • Endodermal /pharyngeal pouches • In the interval between any two arches, the endoderm is pushed outwards to form a series of pouches. • Ectodermal cleft • The surface ectoderm dips inwards opposite each pouch.
  • 12. Highlights (continue) • Each pharyngeal arch contains : 1. a skeletal element (cartilage). 2. Striated muscle (supplied by a nerve of the arch and an arterial arch. • The cartilage of the 1st arch (Meckle’s cartilage) gives rise to the incus and malleus. • The cartilage of the 2nd arch forms a. The stapes. b. The styloid process. c. Part of the hyoid bone.
  • 13. Highlights (continue) • The cartilage of the 3rd arch forms the greater part of the hyoid bone. • The cartilage of 4th and 6th arches give rise to the cartilage of the larynx. • Nerves of the arches: • 1st arch -----------------------mandibular. • 2nd arch ----------------------facial. • 3rd arch ---------------------- glossopharyngeal. • 4th arch ---------------------- superior laryngeal. • 5th arch ---------------------- recurrent laryngeal. The muscles are supplied by these nerves are derived from the mesoderm of the arch concerned.
  • 14. Highlights (continue) • The external acoustic meatus develops from the 1st ectodermal cleft. • Tubotympanic recess develops from the 1st and 2nd endodermal pouch. • The middle ear and the auditory tube develops from the tubotympanic recess. • The palatine tonsil arises from the 2nd pouch. • The inferior parathyroid gland and the thymus are derived from the 3rd pouch. • The superior thyroid gland is derived from the 4th pouch. • The thyroid gland develops mainly from the thyroglossalduct. • Thyroglossal duct is formed as a median diverticulum arising from the floor of the pharynx (at the foramen caecum0.
  • 15. Introduction • After establishment of the head fold, the foregut is bounded ventrally by pericardium and dorsally by developing brain. • Cranially, it is separated at first separated from the stomatodaeum by the buccopharyngeal membrane. • When this membrane breaks down, the foregut opens to the exterior through the stomatodaeum. • At this stage, the head is represented by the bulging caused by the developing brain, and • While the pericardium occupying the future thorax, • The two are separated by the stomatodaeum which is the future mouth. • The neck is not yet present////////// • The neck is formed by the elongation of the region between the stomatodaeum and the pericardium
  • 16. Introduction (continue) • The elongation is due to the appearance of the pharyngeal/ or branchial arches (the mesodermal thickening). • At this stage, the wall of the foregut is separate from the surface ectoderm by a layer of mesoderm. • The mesoderm comes to arrange in the form of six bars. • These bars run dorsoventrally in the side wall of the foregut. • Each of these “bars” grows ventrally in the floor of the developing pharynx and fuses with the corresponding “bar” of the opposite side to form a PHARYNGEAL or BRANCHIAL ARCH. • In the interval between any two adjoining arches, the endoderm extends outwards in the form of a pouch (endodermal or pharyngeal pouch) to meet the ectoderm which dips into this interval as an ECTODERMAL CLEFT. • The 1st arch is also called he mandibular arch; • The 2dn arch is called, the hyoid arch. • The 3rd , 4th ,and 6th arches do not have special names. • The 5th arch disappears soon after its formation, so that only five arches remain.
  • 17. Introduction (continue) • The following structures are formed in the mesoderm of each arch: 1.Skeletal element. 2.Striated muscle. 3.Arterial arch.
  • 18. Introduction (continue) • A skeletal element: • This is cartilaginous to begin with. • It may remain cartilaginous, • It may develop to bone, • It may disappear. • Striated muscle: • Supplied by nerve to the arch. • May , or may not, retain its attachment to the skeletal elements derived from the arch. • May subdivide to form a number of distinct muscles, which may migrate away from the pharyngeal region. • When they do so, they carry their nerve with them, • And their embryological origin can determined from their nerve supply.
  • 19. Introduction (continue) • An arterial arch: • Ventral aorta develops ventral to the foregut. • Dorsal aorta develops dorsal to the foregut. • Aortic arches (a series of arches) connect ventral and dorsal aortae. • One arterial arch lies in each pharyngeal arch. • The arrangement of these arteries will be greatly modified ( will be discussed later). • Each pharyngeal arch is supplied by a nerve. • In addition to supplying the skeletal muscle of the arch, it supplies sensory branch to the overlying ectoderm and endoderm.
  • 20. Introduction (continue)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! You can skip it!!! • In the human embryo, a double innervation is seen only in the 1st pharyngeal arch. • In some lower animals, each arch is supplied by two nerves: A. Post-trematic nerve. B. Pre-trematic nerve. (Trema = trench). The nerve that runs along the cranial border of the arch is called the post-termatic nerve. The nerve that runs along the caudal border of the arch is called the pre-termatic nerve.
  • 21. Derivative of the Skeletal Elements
  • 22. 1. First Arch Derivatives 1. The cartilage of the 1st arch is called Meckel’s cartilage: the following structures are formed from the dorsal end cartilage of the 1st arch: a) Incus b) Malleus c) Anterior ligament of the malleus d) Sphenomandibular ligament e) Bone (the maxilla, the mandible, the zygomatic bone, the palatine bone, and part of the temporal bone). ///// The ventral part of the cartilage is absorbed. (it is surrounded by the developing mandible and is absorbed)
  • 23.
  • 24. 2. Second Arch derivatives the following structures 5S are formed from the cartilage of the 2nd arch: A. Stapes B. Styloid process C. Stylohyoid ligament (from sheath) D. Smaller (lesser) cornu of hyoid bone E. Superior part of body of hyoid bone
  • 25. 3. 3rd Arch derivatives • the following structures are formed from the cartilage of the 3rd arch: a) Greater cornu of hyoid bone b) Lower part of the body oh hyoid bone
  • 26. 4. The cartilages of the larynx • are derived from the 4th and 6th arches • with possible contribution from the 5th arch • but, their exact derivation is controversial.
  • 27. Nerves and Muscles of the Arches • All muscles derived from a pharyngeal arch are supplied by the nerve of the arch. • Muscles can be identified by their nerve supply. • The nerves supply : • muscles, • parts of skin • and mucous membrane derived from the arch. • The 1st arch has a double nerve supply; (anterior 2/3rd tongue) • Mandibular nerve is the post-terematic nerve of the 1st arch. • Chorda tympani is the pre-trematic nerve of the 1st arch • Anterior 2/3rd of the tongue is derived from the ventral part of the 1st arch.
  • 28. Arch Nerve of the Arch Muscles of the Arch First Mandibular Medial + lateral pterygoid, Masseter, Temporalis, Mylohyoid, Anterior belly of digastric, Tensor tympani, Tensor palati. Second Facial Muscles of the face, Occipitofrontalis, Platysma, stylohyoid, Posterior belly of digasrtic, Stapedius, Auricular muscles Third Glossopharyngeal Stylopharyngeus Fourth Sixth Superior laryngeal Muscles of the larynx and pharynx Recurrent laryngeal
  • 29.
  • 30.
  • 31. Fate of Ectodermal Clefts • 1st cleft: • The ventral part is obliterated. • The dorsal part: 1. Epithelium lining of the external auditory meatus. 2. Pinna • 2nd arch, • Grows much faster than the succeeding arch and comes overhand them. • The space between the overhanging 2nd arch and the 3rd, 4th, and 6th arches is called cervical sinus.
  • 32. Fate of Ectodermal Clefts • Cervical sinus; • The lower overhanging border of the 2ns arch fuses with tissues caudal to the arches. • The side of the neck becomes smooth. • The cavity of cervical sinus become normally obliterated. • Part of it may persist and give rise to branchial cyst. • The cyst may open onto the surface ---- branchial fistula. • Rarely it may open into the lumen of the pharynx in the region of the tonsil.
  • 33. Fate of Endodermal Pouches • 1st pouch; • The dorsal part is obliterated by formation of the tongue. • The ventral part receives contribution from the 2nd pouch, • These two form a diverticulum, called; • Tubotympanic recess. (proximal and distal part). • Proximal part --- auditory tube (pharyngotympanic). • Distal part ----- middle ear cavity (including the tympanic antrum).
  • 34. The derivatives of the branchial pouches. Note that the inferior parathyroid migrates downwards from the 3rd pouch whereas the superior parathyroid (4th pouch) remains stationary.
  • 35. Fate of Endodermal Pouches (continue) 2nd pouch • The epithelium of the ventral part contributes to the formation of the tonsil. • The dorsal part --- tubotympanic recess. 3rd pouch  gives rise to the inferior parathyroid glands. 4th puoch o Gives origin to the superior parathyroid glands. o May contribute to the thyroid gland.
  • 36. Fate of Endodermal Pouches (continue) • 5th = ultimobranchial pouch • Seen for a brief period during development. • In some species it gives rise to the ultimobranchial body. • Its fate is controversial in human. • Generally it is believed to be incorporated into the 4th pouch. • 4th + 5th pouches form the • Caudal pharyngeal complex. This gives rise to the: 1. Superior parathyroid glands. 2. Parafollicular cells of the thyroid gland.
  • 37. Development of the Thymus • Arise from the epithelium of the 3rd pharyngeal pouch. • Relatively large at birth. • Continues to increase in weight till puberty. • Then it gradually undergoes atrophy. • Early in development, the 3rd pouch is cut off, both from the pharyngeal wall and from the surface ectoderm. • After separating from the inferior parathyroid rudiment, each thymic rudiment has; • Thinner cranial part and broader caudal part. • Thinner portion forms the cervical part of the thymus; • Boarder parts of both sides enter the thorax and become united to each other by connective tissue. • Thymic endoderm is invaded by vascular mesoderm. • Vascular mesoderm contains numerous lymphoblasts. • Mesenchymal invading breaks up the thymic tissue into isolated masses, and gives the thymus its lobulated appearance. • Accessory thymic tissue may develop from fragmentation oh the cervical part. • Accessory thymic tissue, present in relation to the SPG, and is believed to rise from the 4th pouch.
  • 38. Development of Parathyroid Glands • Inferior parathyroid glands; parathyroid III • Develop from endoderm of the 3rd pharyngeal pouch. • Superior parathyroid glands; parathyroid IV. • Develop from endoderm of the 4th pharyngeal pouch. • Superior parathyroid glands are constant in position. • Inferior parathyroid glands are carried caudally due to its closely related to thymus. • As thymus descends caudally parathyroidIII becomes caudal to parathyroid IV.
  • 39. The normal sites of the parathyroid glands (posterior aspect).
  • 40. Development of Thyroid Gland • Thyroid gland develops mainly from the thyroglossal duct. • Parafollicular cells are derived from the caudal pharyngeal complex (from 4th and 5th pharyngeal pouch). • After formation of the pharyngeal arches, the medial ends of the two mandibular arches are separated by • Tuberculum impar = A midline structure in the floor of the pharynx. • Immediately the tuberculum impar the epithelium of the floor of the pharynx shows a thickening. • This thickening is soon depressed to form a diverticulum called the thyroglossal duct.
  • 41. Development of Thyroid Gland (continue) • The site of the diverticulum is now seen as a depression called the foramen caecum. • The diverticulum grows down in the midline into the neck. • Its tip bifurcates. • Proliferation of the cells of this bifid end gives rise to the • Two lobes of the thyroid gland. • The developing thyroid gland comes into intimate contact with The caudal pharyngeal complex and fuses with it. • Cells arising from this complex are believed to give origin to the parafollicular cells of the thyroid.
  • 42. Anomalies of the Thyroid gland 1. Anomalies of the shape. 2. Anomalies of the position. 3. Ectopic thyroid tissue. 4. Remnants of the thyroglossal duct.
  • 43. Anomalies of the shape 1. Isthmus may be absent 2. One of the lobe may be very small, or absent 3. Pyramidal lobe: a) Regarded as a normal structure. b) May arise from the isthmus, or from one of the lobes. c) May have no connection with rest of the thyroid. d) May be divided into two or more parts. e) Its extent vary from a short stump to a process reaching the hyoid bone.
  • 44. Anomalies of the position 1. Lingual thyroid. 2. Intra-lingual thyroid. 3. Suprahyoid thyroid. 4. Infrahyoid thyroid. 5. Intrathoracic thyroid. when thyroid tissue is present in the anomalous position, an additional thyroid may or may not be present at the normal site.
  • 45. Normal and abnormal sites of the parathyroid glands (lateral view).
  • 46.
  • 47. Ectopic thyroid tissue • Small masses of thyroid tissue may be present at abnormal sites. • Thyroid tissue may be observed in the: • Larynx, trachea. • Esophagus. • Pons. • Pleura. • Pericardium. • Ovaries. Lateral aberrant thyroids = Masses of ectopic thyroid tissue have been described in relation to the deep cervical lymph node.
  • 48. Remnants of the thyroglossal duct • These remnant may persist and lead to the formation of the following: 1. Thyroglossal cyst, that may be anywhere along the course of the duct. 2. Thyroglossal fistula, internal papilla (opening) at foramen caecum. 3. Carcinoma of the thyroglossal cyst.
  • 49. Timetable of Some Events Mentioned in this Chapter Age Developmental events 4th week (22nd day) Appearance of the 1st and 2nd arches 5th week (29th day) Four arches are seen Thyroid, parathyroid and thymus are start forming 7th week Thyroid gland reaches its definitive position
  • 50. pharyngeal arch derivatives • The mesodermal core of each pharyngeal arch differentiates into three main types of tissue, and each arch becomes associated with a particular cranial nerve. • The tissues are: • Skeletal tissue (eg: cartilage, bone, ligaments). • Muscle tissue (striated musculature, but not all under voluntary control). • Arterial arch (which may or may not be converted into a definitive major artery).
  • 51. pharyngeal pouches • on the inside of the embryonic pharyngeal region are endodermally-lined grooves between adjacent pharyngeal arches. • They contribute to the development of a surprising diversity of structures, ranging from the middle ear cavity to endocrine glands and components of the lymphatic system. • The last two pouches are difficult to distinguish clearly, and are often considered as a single unit.
  • 52. pharyngeal clefts • are ectodermally-lined grooves on the outside of the embryonic pharynx. • Only the first cleft is important - it develops into the external auditory meatus of the ear and provides the outer epithelium of the tympanic membrane. • (It used to be believed that the remaining clefts were ‘submerged' beneath overgrowing folds and then disappeared, but more recent work shows that the clefts simply ‘fill out' by proliferation of the underlying mesoderm).!!!!!!!
  • 53. Pouch Derivatives • 1st middle ear cavity, endodermal aspect of tympanic membrane, pharyngotympanic tube. • 2nd palatine tonsil. • 3rd inferior parathyroid gland, thymus. • 4th & 5th superior parathyroid gland, parafollicular cells of thyroid gland. • Cleft Derivatives • 1st external auditory meatus, ectodermal aspect of tympanic membrane. • 2nd – 4 cervical sinus.
  • 54. Stapes Incus Malleus