Branchial Arches F11 SV Revised(1)

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    Learning ObjectivesLearning Objectives

    Upon completion of this lecture, the student should be able to:Upon completion of this lecture, the student should be able to:

    Understand the fundamental organization of the pharyngealUnderstand the fundamental organization of the pharyngealregion.region.

    Understand the steps in the formation of the pharyngealUnderstand the steps in the formation of the pharyngeal(branchial) arches.(branchial) arches.

    Know the name and or numbering of the pharyngealKnow the name and or numbering of the pharyngealarches.arches.

    Know the nerves, muscles, cartilage, branch of the aortaKnow the nerves, muscles, cartilage, branch of the aortaand skeletal components associated with each pharyngealand skeletal components associated with each pharyngealarch.arch.

    Describe the structures formed by the pharyngeal arches,Describe the structures formed by the pharyngeal arches,pouches and grooves.pouches and grooves.

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    Suggested ReadingsSuggested Readings

    Chapter 16, pages 265-275Chapter 16, pages 265-275

    Langmans Medical EmbryologyLangmans Medical Embryology

    1111thth edition., 2010edition., 2010

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    It is now the 23rd day after fertilization. TheIt is now the 23rd day after fertilization. The

    heart just started to beat. Mesoderm has justheart just started to beat. Mesoderm has just

    developed into somites and somitomeres. At thedeveloped into somites and somitomeres. At the

    front of the embryo, the brain is just developing,front of the embryo, the brain is just developing,and with it, the rest of the head...and with it, the rest of the head...

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    The Embryonic GutThe Embryonic Gut

    The story of branchial arches begins with the gut tubeThe story of branchial arches begins with the gut tube

    itself.itself.

    It is pulled anteriorly with the oral (buccopharyngeal)It is pulled anteriorly with the oral (buccopharyngeal)

    plate during the early part of neural development.plate during the early part of neural development.

    As it pulls forwards, it pulls into a tube whichAs it pulls forwards, it pulls into a tube which

    elongates.elongates.

    The embryonic pharynx is the part closest to the oralThe embryonic pharynx is the part closest to the oral

    plate itself.plate itself.

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    As the brain grows rostrally, the gut tube is pulledAs the brain grows rostrally, the gut tube is pulled

    anteriorly.anteriorly.

    Gut Tube FormationGut Tube Formation

    Septum

    Transversum

    Early Heart

    Tube

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    Expansion and DifferentiationExpansion and Differentiation

    The gut tube then differentiates as it expands.The gut tube then differentiates as it expands.Here, we see:Here, we see:

    ForegutForegut

    MidgutMidgut

    HindgutHindgut

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    The Pharynx.The Pharynx.

    TheThe pharynxpharynx is in the anterior-most region.is in the anterior-most region.

    Yolk Sac Connecting Stalk

    Allantois

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    Humble Beginnings of the ArchesHumble Beginnings of the Arches

    The arches develop as small columns of tissue onThe arches develop as small columns of tissue on

    either side of the embryonic pharynx.either side of the embryonic pharynx.

    First branchial arch develops first.First branchial arch develops first.

    SecondSecond

    branchialbranchialarcharch

    developsdevelops

    next.next.

    RostralRostral

    neuroporeneuropore

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    Early embryo (Neurula stage) showingEarly embryo (Neurula stage) showing

    arches, plus eye and ear.arches, plus eye and ear.

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    The Arches GrowThe Arches Grow

    The first arch bendsThe first arch bends

    around the oral platearound the oral plate

    and forms two parts:and forms two parts:

    Maxillary divisionMaxillary division

    Mandibular divisionMandibular division

    The second archThe second arch

    develops behind itdevelops behind it

    Followed by the thirdFollowed by the third

    archarch

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    The Arches GrowThe Arches Grow

    The stomodeum is surrounded by branchial arch 1

    structures.

    structures. It splits open as the embryo undergoes

    further develop.

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    This shows the remaining branchial archesThis shows the remaining branchial arches

    developing.developing.

    Continued Development of the ArchesContinued Development of the Arches

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    This shows how the branchial arches develop as the rest ofThis shows how the branchial arches develop as the rest of

    the embryo grows. Note that the first two arches formthe embryo grows. Note that the first two arches form

    while the cranial neuropore is still open. (Langman,while the cranial neuropore is still open. (Langman,

    Medical embryology).Medical embryology).

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    To view the next stage,To view the next stage,the head is sectionedthe head is sectioned

    right through theright through the

    pharynx, and the toppharynx, and the top

    removed.removed.

    We will be lookingWe will be looking

    down on the floor ofdown on the floor of

    the embryonic pharynxthe embryonic pharynx

    from the inside.from the inside.

    Continued Development of the ArchesContinued Development of the Arches

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    Inside the Embryonic PharynxInside the Embryonic Pharynx

    The pharynx is seen fromThe pharynx is seen fromaboveabove

    contains midlinecontains midline

    structures (developingstructures (developing

    tongue, larynx, etc.) astongue, larynx, etc.) as

    well as branchial arches.well as branchial arches.

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    Midline StructuresMidline Structures

    Stomodeum (mouth)Stomodeum (mouth)

    Anterior 2/3 of tongueAnterior 2/3 of tongue

    Foramen cecumForamen cecum

    Posterior 1/3 of tonguePosterior 1/3 of tongue

    Epiglottic swellingEpiglottic swelling

    Laryngotracheal grooveLaryngotracheal groove

    EsophagusEsophagus

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    Orientation to Branchial archesOrientation to Branchial arches

    BA I Maxillary partBA I Maxillary part

    BA I Mandibular partBA I Mandibular part

    BA II (Hyoid)BA II (Hyoid)

    BA IIIBA III

    BA IVBA IV

    note, no BA Vnote, no BA V

    BA VIBA VI

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    Structures within the Branchial ArchesStructures within the Branchial Arches

    CartilageCartilage

    Aortic archAortic arch

    Cranial nerveCranial nerve

    MuscleMuscle

    Pharyngeal pouchPharyngeal pouch

    Branchial grooveBranchial groove

    (cleft)(cleft)

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    Aortic Arch DerivativesAortic Arch Derivatives

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    Aortic Arch DerivativesAortic Arch Derivatives

    AA 1: degeneratesAA 1: degenerates

    AA 2: degeneratesAA 2: degenerates

    AA 3: Carotid arteriesAA 3: Carotid arteries

    AA 4:AA 4:

    Left-arch of aortaLeft-arch of aorta

    Right-subclavianRight-subclavian

    AA 6: Pulmonary AAAA 6: Pulmonary AA

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    Aortic Arch DerivativesAortic Arch Derivatives

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    Aortic Arch DerivativesAortic Arch Derivatives

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    Aortic arches and pharyngeal pouches in an

    embryo. (Langman, Medical Embryology)

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    Cranial Nerve DerivativesCranial Nerve Derivatives

    BA 1:BA 1: MaxillaryMaxillary divisiondivision

    of trigeminalof trigeminal

    BA 1:BA 1: MandibularMandibular

    division of trigeminaldivision of trigeminal

    BA 2 Facial NerveBA 2 Facial Nerve

    BA 3: GlossopharyngealBA 3: GlossopharyngealNerveNerve

    BA 4/6: Vagus NerveBA 4/6: Vagus Nerve

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    Cranial nerves in the developing embryo.

    Langman, Medical Embryology.

    M l D i i

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    Muscle DerivativesMuscle Derivatives

    BA 1: Muscles ofBA 1: Muscles of

    MasticationMastication

    BA 2: Muscles of facialBA 2: Muscles of facial

    expressionexpression

    BA 3: StylopharyngeusBA 3: Stylopharyngeus

    MuscleMuscle

    BA 4: Muscles of larynxBA 4: Muscles of larynx

    and pharynx.and pharynx.

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    Bone and CartilageBone and Cartilage

    Bones which develop include facial bones as wellBones which develop include facial bones as well

    as bones and cartilage in the visceral part of theas bones and cartilage in the visceral part of theneck.neck.

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    Bone and CartilageBone and Cartilage

    Bones which develop include facial bones as wellBones which develop include facial bones as well

    as bones and cartilage in the visceral part of theas bones and cartilage in the visceral part of theneck.neck.

    Branchial Groo e/Phar ngeal Po chBranchial Groove/Pharyngeal Pouch

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    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

    DerivativesDerivatives

    PharyngealPharyngeal

    pouch 1:pouch 1:

    middle earmiddle earand auditoryand auditory

    tube.tube.

    BranchialBranchial

    groove 1:groove 1:

    externalexternal

    auditoryauditory

    meatusmeatus

    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

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    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

    DerivativesDerivatives PharyngealPharyngeal

    pouch 2:pouch 2:Palatine tonsilPalatine tonsil

    Behind 2ndBehind 2nd

    arch, branchialarch, branchial

    grooves fusegrooves fuse

    into a cervicalinto a cervical

    sinus, whichsinus, which

    disappearsdisappears

    (occasionally(occasionally

    forms cyst)forms cyst)

    PharyngealPharyngeal

    pouch 3:pouch 3:Parathyroid,Parathyroid,

    thymusthymus

    PharyngealPharyngeal

    pouch 4/5:pouch 4/5:

    Parathyroid,Parathyroid,

    C-cells ofC-cells of

    thyroidthyroid

    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

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    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

    DerivativesDerivatives

    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

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    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

    DerivativesDerivatives

    Tympanic cavityTympanic cavity Auditory tubeAuditory tube

    ExternalExternal

    auditoryauditory

    meatusmeatus

    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

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    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

    DerivativesDerivatives

    Palatine TonsilPalatine Tonsil

    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

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    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

    DerivativesDerivatives

    Parathyroid (inferior)Parathyroid (inferior)

    CervicalCervical

    sinussinus

    ThymusThymus

    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

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    Branchial Groove/Pharyngeal PouchBranchial Groove/Pharyngeal Pouch

    DerivativesDerivatives

    ParathyroidParathyroid

    (superior)(superior)Ultimobranchial bodyUltimobranchial body

    Branchial Groove/Pharyngeal Pouch DerivativesBranchial Groove/Pharyngeal Pouch Derivatives

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    Branchial Groove/Pharyngeal Pouch DerivativesBranchial Groove/Pharyngeal Pouch Derivatives