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APPARATUS
Mothers worry
A four year old boy presented
with a swelling in the neck
region. O/E it was small, non
tender and mobile located
along anterior border of
sternocleidomastoid.
O/E of oral cavity, a discharge
was seen coming out from the
area of palatine tonsil
What is your diagnosis?
What is embryological basis of this
condition?
PHARYNGEAL
ARCHES
PHARYNGEAL ARCHES
4th week of development
characteristic external appearance of
embryo
bars of mesenchymal tissue
First three arches
5th weeks of development
Last two arches
Roman numerals
I,II,III,IV, VI
4, 6
PHARYNGEAL ARCHES
Ectoderm externally
Mesenchymal core
Endoderm internally
1st arch
2nd arch
3rd arch
4th arch
1st cleft
PHARYNGEAL ARCHES
Each arch separated by:
1st pouch
artery
1st arch
2nd arch
nerve
1st cleft
3rd arch
4th arch
cartilage
PHARYNGEAL ARCHES
Each arch in the
mesenchyme
contains:
cartilage
aortic arch
cranial nerve
1st pouch
Artery
1st arch
2nd arch
ncartilage
1st cleft
3rd arch
4th arch
nerve
Sources of Mesenchyme
connective tissue
Paraxial mesoderm
First four occipital somites & Cephalic somitomeres
Neural crest cells
Ectomesenchyme
Midfacial and pharyngeal arch skeletal structures
All other tissues:
cartilage, bone, dentin, tendon, dermis, pia and
arachnoid, sensory neurons, and glandular stroma.
Ectodermal placodes
5th, 7th, 9th & 10th cranial sensory ganglia.
Arch component
Skeletal component
Cartilaginous rod from ecto
-mesenchyme (neural crest
cells)
Muscular component
Striated muscles
Original mesoderm of arch
Cranial nerve
Neuroectoderm of primodial brain
Motor branches muscles
Sensory branches skin and CT
Arterial component
Aortic arches connecting heart
to dorsal aorta
Maxillary prominences
Two in number
Cartilagenous bar
Quadrate cartilage
Disappear
Intramembranous
ossification;
Maxilla
Zygomatic
Squamous part of
Temporal bone
Mandibular Prominences
Contains Meckels cartilage
Middle part of cartilage
disappears
Perichondrium persists
Sphenomandibular ligament
Anterior ligament of malleus
Posterior part
Intracartilagenous
ossification
incus & malleus
Anterior part
Intramembranous
ossification
Mandible
Muscles of
mastication,
Mylohyoid
Anterior belly of
digastric
Tensor tympni
Tensor palatini
Trigeminal nerve
supply
Hyoid arch
Contains Reicherts cartilage
lesser horn & upper part of body
of hyoid bone
Styloid process of temporal bone
stylohyoid ligament; b/w above
two, formed by perichondrium
Stapes
Muscles of the hyoid arch
muscles of facial expression.
stapedius, stylohyoid, posterior
belly of digastric, auricular
muscles
Facial nerve
Supplies muscles.
Musculature
stylopharyngeus
muscle.
Glossopharyngeal
nerve
nerve of third arch
Cartilaginous components
Thyroid
Arytenoid
cricoid
corniculate
cuneiform cartilages
Muscles (4th )
constrictors of pharynx
cricothyroid
levator veli palatini
superior laryngeal branch of
vagus
Muscles (6th)
Intrinsic muscles of larynx
recurrent laryngeal branch of
vagus
1st pouch
1st arch
2
nd
arch
3rd arch
4th arch
cervical
sinus
external
auditory
meatus
auditory
tube
Ectoderm
1st Arch
skin
Over maxilla, mandible
Around ear and External auditory meatus
salivary glands
enamel of teeth
epithelium of buccal cavity
epithelium over anterior body of tongue
Ectoderm
Second Arch
Epithelium over part of external auditory
meatus
some epithelium behind the ear
QUESTIONS? ? ?