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Questions and Answers

Which set of processes is required for proper palate development?

  • Fusion of the mandibular processes with the hyoid arch.
  • Fusion of the primary and secondary palates with the frontonasal prominence.
  • Fusion of the nasomedial process at the midline, fusion of the primary and secondary palates, and fusion of maxillary processes at the palatal raphe. (correct)
  • Fusion of the frontonasal prominence with the maxillary processes.

The frontonasal prominence primarily gives rise to structures of the mandible.

False (B)

What developmental defect results from the failure of fusion between the nasomedial and maxillary processes?

Cleft lip

Pharyngeal arches are ______ in nature, while pharyngeal pouches are ______ in nature.

<p>mesodermal; endodermal</p> Signup and view all the answers

Match the following cranial nerves with the corresponding pharyngeal arch.

<p>First pharyngeal arch = CN V (Trigeminal nerve) Second pharyngeal arch = CN VII (Facial nerve) Third pharyngeal arch = CN IX (Glossopharyngeal nerve) Fourth pharyngeal arch = CN X (Vagus nerve)</p> Signup and view all the answers

The middle ear is primarily derived from which structures?

<p>The first pharyngeal groove and first pharyngeal pouch. (B)</p> Signup and view all the answers

Somatosensory innervation of the posterior 1/3 of the tongue is mainly supplied by CN VII (Facial nerve).

<p>False (B)</p> Signup and view all the answers

What structure extends from the foramen cecum to the superficial pharynx before it atrophies?

<p>Thyroglossal duct</p> Signup and view all the answers

The tympanic membrane is a combination of first pharyngeal groove ______, ______, and first pharyngeal pouch ______.

<p>ectoderm; mesoderm; endoderm</p> Signup and view all the answers

Match the following eye structures with their germ layer origin:

<p>Sclera = Mesoderm Retina = Ectoderm Corneal Endothelium = Neural crest cells migration</p> Signup and view all the answers

Which of the following structures is NOT derived from the first pharyngeal arch?

<p>Ectopic Thyroid (B)</p> Signup and view all the answers

The primary palate is formed by the fusion of palatal shelves.

<p>False (B)</p> Signup and view all the answers

What specific signal induces the overlying ectoderm to thicken and form the otic field during ear development?

<p>Notochord</p> Signup and view all the answers

The invaginated otic placode is known as the ______, which pinches off to form the ______.

<p>otic pit; otic vesicle</p> Signup and view all the answers

A failure in the fusion of the choroidal fissure results in:

<p>Uveal coloboma (B)</p> Signup and view all the answers

Proper development of the palate is dependent on what?

<p>Fusion of the nasomedial process at the midline, fusion of the primary and secondary palates, fusion of maxillary processes at the palatal raphe.</p> Signup and view all the answers

What occurs if the nasomedial and maxillary processes do not fully fuse?

<p>Cleft lip &amp; Cleft palate</p> Signup and view all the answers

The forehead is primarily a derivative of which structures?

<p>Frontonasal Prominence</p> Signup and view all the answers

What process best describes unilateral cleft lip?

<p>Failure of fusion between the nasomedial and maxillary processes on one side of the face</p> Signup and view all the answers

Where do the pharyngeal arches appear on an embryo?

<p>Between the head and the heart</p> Signup and view all the answers

The fourth pharyngeal arch gives rise to the what?

<p>Epiglottis</p> Signup and view all the answers

Somatosensory innervation of the anterior 2/3 of the tongue is supplied by what cranial nerve?

<p>CN V</p> Signup and view all the answers

Taste sensation of the anterior 2/3 of the tongue is supplied by what cranial nerve?

<p>CN VII</p> Signup and view all the answers

The internal, endodermal depressions between pharyngeal arches are known as what?

<p>Pharyngeal pouches</p> Signup and view all the answers

Pharyngeal arches refer to the external bumps on an embryo's throat, while the dimples between each arch are known as what?

<p>Pharyngeal grooves</p> Signup and view all the answers

The first pharyngeal arch gives rise to all of the following, except:

<p>Stapedius (A)</p> Signup and view all the answers

Pharyngeal and laryngeal muscles are a derivative of which pharyngeal arch(es)?

<p>Fourth &amp; Sixth pharyngeal arches</p> Signup and view all the answers

Which structure elongates into the eustachian (auditory) tube?

<p>First Pharyngeal pouch</p> Signup and view all the answers

Pharyngeal arch structures include which of the following germ layers?

<p>embryonic ectoderm, mesoderm, and endoderm.</p> Signup and view all the answers

What is the cause of thyroid dysgenesis?

<p>Improper atrophy of the thyroglossal duct</p> Signup and view all the answers

Why is the somatosensory sensation of the anterior 2/3 of the tongue supplied by CN V, but its taste innervation is supplied by CN VII?

<p>Tissue from the second pharyngeal arch (CN VII) merges with tissue from the first pharyngeal arch (CN V) to form the anterior 2/3 of the tongue.</p> Signup and view all the answers

The first pharyngeal arch gives rise to which nerve?

<p>CN V</p> Signup and view all the answers

The second pharyngeal arch gives rise to which nerve?

<p>CN VII</p> Signup and view all the answers

The third pharyngeal arch gives rise to what structure of the tongue?

<p>Posterior 1/3</p> Signup and view all the answers

The ear canal is derived from what groove?

<p>First pharyngeal groove</p> Signup and view all the answers

All motor innervation of the tongue is supplied by which nerve?

<p>CN XII</p> Signup and view all the answers

The tympanic membrane is a combination of which three structures?

<p>First pharyngeal groove ectoderm, mesoderm, and first pharyngeal pouch endoderm</p> Signup and view all the answers

The incus and malleus are derivatives of the _____ , while the stapes is a derivative of the _____.

<p>First pharyngeal arch; second pharyngeal arch</p> Signup and view all the answers

The hyoid, stylohyoid ligament, and muscles of facial expression are all derivatives of which pharyngeal arch(es)?

<p>Second pharyngeal arch</p> Signup and view all the answers

The thymus and parathyroid glands are most often derivatives of what?

<p>Pharyngeal pouches 2-4</p> Signup and view all the answers

The thyroid is a derivative of which structure?

<p>1st pharyngeal pouch</p> Signup and view all the answers

Which of the following is not a derivative of the first pharyngeal arch?

<p>Ectopic Thyroid (D)</p> Signup and view all the answers

What structure lies between the nasolateral process and maxillary process?

<p>Nasolacrimal groove</p> Signup and view all the answers

Failure of fusion between palatal shelves at the palatal raphe is known as what condition?

<p>Midline palatal cleft</p> Signup and view all the answers

Dacryostenosis occurs as a result of abnormal development and obstruction of the what?

<p>Nasolacrimal groove</p> Signup and view all the answers

Proper closure of the bridge of the nose requires full fusion of which structures?

<p>Nasomedial processes</p> Signup and view all the answers

Proper development of the lips and upper palate require full fusion of the what processes?

<p>Nasomedial and maxillary processes</p> Signup and view all the answers

An open palate may have been due to what?

<p>Failure of fusion of between palatal shelves</p> Signup and view all the answers

A wide distance between the eyes may be as a result of what?

<p>Frontonasal dysplasia</p> Signup and view all the answers

What structures fuse to form the primary palate?

<p>Nasomedial processes</p> Signup and view all the answers

Palatal shelves formed by _____ fuse at the palatal raphe to form the secondary palate.

<p>Maxillary processes</p> Signup and view all the answers

Failure of fusion between nasomedial and maxillary processes on both sides of the face is known as?

<p>Bilateral cleft lip</p> Signup and view all the answers

What structures are important for proper oral development? Which of the following does not contribute to the tympanic membrane?

<p>All contribute (D)</p> Signup and view all the answers

What structures contribute to the tympanic membrane?

<p>First pharyngeal groove ectoderm, First pharyngeal pouch endoderm, and mesoderm</p> Signup and view all the answers

What signals the overlying ectoderm to thicken into the otic field?

<p>Notochord</p> Signup and view all the answers

Hearing loss as a result of hair cell or CN VIII damage describes what?

<p>Sensorineural congenital deafness</p> Signup and view all the answers

What is the middle ear primarily derived from?

<p>1st pharyngeal groove and 1st pharyngeal pouch</p> Signup and view all the answers

What does the otic field thicken into?

<p>Otic Placode</p> Signup and view all the answers

The statoacoustic ganglion gives rise to what?

<p>Vestibulocochlear nerve (CN VIII)</p> Signup and view all the answers

Which structure is the cochlea derived from?

<p>Pars inferior</p> Signup and view all the answers

The _____ is external to the tympanic membrane and typically degenerates by week 28?

<p>Meatal plug</p> Signup and view all the answers

In inner ear development, the otocyst splits into what?

<p>Pars inferior, endolymphatic appendage, and pars superior</p> Signup and view all the answers

Neurons from what structure projects to hair cells in the semicircular canals?

<p>Vestibular Ganglion</p> Signup and view all the answers

Which of the following is not a derivative of the mesoderm?

<p>eustachian tube (B)</p> Signup and view all the answers

The otic pit pinches off from the overlying ectoderm, creating what structures?

<p>Otic vesicle</p> Signup and view all the answers

Which structures are derivatives of the otocyst?

<p>Semicircular canals, endolymphatic sac, and cochlea</p> Signup and view all the answers

_____ Six merge to form the shape of the external pinna.

<p>Auricullar hillocks</p> Signup and view all the answers

The invaginated otic placode is known as the what?

<p>Otic pit</p> Signup and view all the answers

The pars superior gives rise to the what?

<p>Semicircular canals and utricle</p> Signup and view all the answers

What best describes the formation of the 8th cranial nerve?

<p>Projections from the vestibular and cochlear ganglia converge on their way to the central nervous system</p> Signup and view all the answers

What is the a highly vascularized layer of eye tissue?

<p>Choroid</p> Signup and view all the answers

Eye development primarily occurs in which germ layer?

<p>Embryonic ectoderm</p> Signup and view all the answers

What is defined as bulges that laterally appear from the neural tube in the diencephalon area?

<p>Optic grooves</p> Signup and view all the answers

In fetal development, vascularization occurs from _____ to _____.

<p>Central; peripheral</p> Signup and view all the answers

The pigment and neural layers of the retina are derivatives of which structure?

<p>Optic Vesicle</p> Signup and view all the answers

The cornea is composed of which layers?

<p>Corneal endothelium, Dehydrated corneal stroma, and cranial epithelium</p> Signup and view all the answers

The outer layer of the optic vesicle will form which layer of the retina?

<p>Pigment layer</p> Signup and view all the answers

What causes a uveal coloboma?

<p>Caused by a failure of fusion of the choroidal fissure</p> Signup and view all the answers

In the cornea, a signal from the corneal endothelium causes water to follow sodium out of what structure?

<p>Corneal stroma</p> Signup and view all the answers

What supports visual transparency?

<p>Nutrient supplementation by the vitreous humor in the retinal space</p> Signup and view all the answers

What results in rhegmatogenous retinal detachment?

<p>A small break or tear in the retina</p> Signup and view all the answers

What is common of congenital cataract?

<p>Typically causes clouding of the lens</p> Signup and view all the answers

From what germ layer is the sclera?

<p>Derived from the mesoderm</p> Signup and view all the answers

What structure in the cornea is formed when neural crest cells migrate between the lens and ectodermal matrix?

<p>Corneal Endothelium</p> Signup and view all the answers

Once a lens placode invaginates it becomes a _____, which will bud off of overlying ectoderm to become a _____.

<p>Lens pit; lens vesicle</p> Signup and view all the answers

What is the function of the ciliary body?

<p>It is responsible for the production of the aqueous humor</p> Signup and view all the answers

Retinopathy of prematurity may result in what?

<p>Development of an avascular zone that adversely affects visual ability</p> Signup and view all the answers

What artery initially supplies the lens vesicle?

<p>Hyaloid artery</p> Signup and view all the answers

In fetal eye development, when do more blood vessels develop?

<p>When oxygen levels are low</p> Signup and view all the answers

In the cornea, neural crest cells migrate between the ectoderm and corneal endothelium to form the _____.

<p>Corneal stroma</p> Signup and view all the answers

As optic grooves enlarge, they turn into what?

<p>Optic vesicles</p> Signup and view all the answers

From what structures does the iris develop from?

<p>Pigment and neural layers of the retina</p> Signup and view all the answers

The inner layer will form which layer of the retina?

<p>Neural layer</p> Signup and view all the answers

The posterior face of the lens gives rise to which of the following structures?

<p>Primary lens fibers</p> Signup and view all the answers

Which of the following structures is directly formed by the pharyngeal arches?

<p>The inner ear ossicles (C)</p> Signup and view all the answers

Which pharyngeal arch is associated with the recurrent laryngeal nerve?

<p>Fourth and sixth pharyngeal arches (D)</p> Signup and view all the answers

From what germ layer does the core of the pharyngeal arch derive?

<p>Mesoderm (A)</p> Signup and view all the answers

The first pharyngeal groove persists as which adult structure?

<p>The external acoustic meatus (A)</p> Signup and view all the answers

What condition results from the failure of the 2nd, 3rd, and 4th pharyngeal grooves to obliterate?

<p>Branchial cysts (C)</p> Signup and view all the answers

From which pharyngeal pouch does the thymus develop?

<p>Third pharyngeal pouch (B)</p> Signup and view all the answers

What adult structure(s) result(s) from the expansion of the first pharyngeal pouch?

<p>Tubotympanic recess (C)</p> Signup and view all the answers

What structures are derived from the mesoderm of the pharyngeal arches?

<p>Cartilage and muscle (C)</p> Signup and view all the answers

The anterior 2/3 of the tongue is formed from the proliferation of mesenchyme from which pharyngeal arch?

<p>First pharyngeal arch (D)</p> Signup and view all the answers

What is a common clinical manifestation of an ectopic thyroid?

<p>Swallowing and breathing difficulties (B)</p> Signup and view all the answers

Which of the following nerves is associated with the 3rd pharyngeal arch?

<p>Glossopharyngeal nerve (CN IX) (C)</p> Signup and view all the answers

What is the embryological origin of the thyroid gland?

<p>Endodermal floor of the pharynx (D)</p> Signup and view all the answers

From which pharyngeal arch artery does the common carotid artery primarily originate?

<p>Third pharyngeal arch (A)</p> Signup and view all the answers

Which of the following muscles is innervated by the nerve associated with the first pharyngeal arch?

<p>Mylohyoid (A)</p> Signup and view all the answers

A thyroglossal duct cyst is most commonly found in what location?

<p>Inferior to the hyoid bone (A)</p> Signup and view all the answers

The muscles of facial expression are derived from which pharyngeal arch?

<p>Second pharyngeal arch (B)</p> Signup and view all the answers

What is the term for the embryological remnant that may persist as the pyramidal lobe of the thyroid gland?

<p>Thyroglossal duct (D)</p> Signup and view all the answers

The definitive pharynx is formed from the contribution of which structure?

<p>Pharyngeal arches (D)</p> Signup and view all the answers

What tissues are created through the fusion of the ultimobranchial body with the thyroid gland?

<p>C cells (D)</p> Signup and view all the answers

What is the origin of most of the tongue's musculature?

<p>Occipital myotomes (C)</p> Signup and view all the answers

A patient presents with a small, asymptomatic opening along the anterior border of the sternocleidomastoid muscle. This is most likely caused by what?

<p>Branchial Sinus (C)</p> Signup and view all the answers

From which of the following does the submandibular duct form?

<p>From closure of a linear groove lateral to the tongue (A)</p> Signup and view all the answers

Which of the following does not arise from the 4th and 6th pharyngeal arches?

<p>Stylopharyngeus muscle (A)</p> Signup and view all the answers

Which arch is thought to be rudimentary or transient in development?

<p>Fifth arch (A)</p> Signup and view all the answers

What occurs during week 6 of development?

<p>Parotid glands appears (C)</p> Signup and view all the answers

During tongue development, what structure disappears as a result of being overgrown?

<p>Copula (C)</p> Signup and view all the answers

Branchial is derived from the Greek word for what structure?

<p>Gills (A)</p> Signup and view all the answers

Which arch is primarily involved in the development of the hyoid bone?

<p>Second Arch (A)</p> Signup and view all the answers

Which CN innervates the muscles derived from the fourth and sixth pharyngeal arches, contributing to the formation of the larynx?

<p>CN X Vagus (B)</p> Signup and view all the answers

Which of the following is a derivative of the first pharyngeal membrane?

<p>Tympanic Membrane (A)</p> Signup and view all the answers

Which structures are commonly associated with 1st arch syndrome, such as Mandibulofacial dystosis?

<p>Underdevelopment of zygomatic bones and defects of the eyelids and ears (B)</p> Signup and view all the answers

In the context of pharyngeal arch development, what is the significance of neural crest cells?

<p>They contribute to the formation of neurons of cranial sensory ganglia. (B)</p> Signup and view all the answers

What is the fate of the cervical sinus during embryonic development?

<p>It disappears, contributing to the smooth contour of the neck. (A)</p> Signup and view all the answers

A newborn presents with congenital heart defects, hypocalcemia, and thymic aplasia. Which developmental abnormality is most likely responsible for this presentation?

<p>Third and fourth pharyngeal pouch syndrome (A)</p> Signup and view all the answers

What is the critical timeframe during embryogenesis when the pharyngeal arches begin to develop?

<p>Early in the 4th week (C)</p> Signup and view all the answers

Assuming normal development, what becomes of the aortic sac?

<p>They terminate in the dorsal aorta. (A)</p> Signup and view all the answers

A patient is diagnosed with Treacher Collins syndrome. What symptom is not seen?

<p>Cardiac malformations (C)</p> Signup and view all the answers

A surgeon is preparing to resect a thyroglossal duct cyst from a child. Before the procedure, what is the most important consideration regarding the thyroid gland?

<p>Confirm that there is normal thyroid tissue present in the usual location (A)</p> Signup and view all the answers

In a developing embryo, which germ layer gives rise to the epithelial lining of the pharyngeal pouches?

<p>Endoderm (A)</p> Signup and view all the answers

What vascular anomaly arises from persistence of part of the 6th arch in development?

<p>Ductus Arteriosus (C)</p> Signup and view all the answers

What structures primarily comprise the facial prominences during embryonic development?

<p>Neural crest-derived mesenchyme (B)</p> Signup and view all the answers

During facial development, what marks the beginning of the 5th week?

<p>Formation of the nasolacrimal groove (D)</p> Signup and view all the answers

What structures merge to form the intermaxillary segment?

<p>The medial nasal prominences (B)</p> Signup and view all the answers

What definitive structure does the intermaxillary segment give rise to?

<p>The philtrum of the upper lip (A)</p> Signup and view all the answers

Between what weeks of development does palatogenesis primarily occur?

<p>Between the 5th and 9th week (C)</p> Signup and view all the answers

The secondary palate, which forms the majority of the hard and soft palate, is derived from what specific structure?

<p>The palatine shelves (A)</p> Signup and view all the answers

What process is crucial for the palatine shelves to elevate from a vertical to a horizontal position during palate development?

<p>Hydration of hyaluronic acid in mesenchymal cells (D)</p> Signup and view all the answers

Facial clefts result from which developmental deficiency?

<p>Failure of facial prominences to fuse (D)</p> Signup and view all the answers

An anterior cleft palate occurs when the palatine shelves fail to fuse with which structure?

<p>The primary palate (C)</p> Signup and view all the answers

From the perspective of nasal cavity development, at which week does communication between the nasal and oral cavities become established?

<p>7 weeks (D)</p> Signup and view all the answers

What typically develops late in fetal life, contributing to the final development of the face?

<p>Paranasal sinuses (maxillary sinuses) (A)</p> Signup and view all the answers

During the final stages of facial development in the fetal period, what change occurs regarding the proportion and position of facial components?

<p>The face undergoes changes in proportion and relative positions (A)</p> Signup and view all the answers

What is a potential feeding problem associated with oral-facial clefts?

<p>Milk coming out of the nose while feeding (A)</p> Signup and view all the answers

In development of the face, at what point is the nasal placode apparent?

<p>On both sides of the Frontonasal Prominence (A)</p> Signup and view all the answers

What is the first step in treating an infant that has a cleft lip?

<p>Surgical repair (B)</p> Signup and view all the answers

A child with an anterior cleft palate would have difficulty with which process?

<p>Appearance (B)</p> Signup and view all the answers

A child is born without an opening to drain tears through the nasolacrimal duct? What structure is not functioning?

<p>Hasner Valve (B)</p> Signup and view all the answers

The frontal part of the frontonasal prominence becomes what structure?

<p>The forehead (D)</p> Signup and view all the answers

When maxillary prominences merge medially toward each other, facial structure(s) develop?

<p>Cheeks. (B)</p> Signup and view all the answers

During which week of development does the solid epithelial cord separate from the ectoderm and sink into the underlying mesenchyme during formation of the nasolacrimal duct?

<p>5th week (A)</p> Signup and view all the answers

The merging of the medial nasal and maxillary prominences results in the continuity of which structures?

<p>Separation of the nasal pits from the stomodeum. (D)</p> Signup and view all the answers

What is one potential cause for malformation related to oblique facial clefts?

<p>The maxillary prominence fails to merge with the lateral nasal prominence. (A)</p> Signup and view all the answers

What dental problem can result from a cleft palate?

<p>All of the above (D)</p> Signup and view all the answers

In the development of the face, what is the direct consequence of the joining of maxillary processes and the mandibular arch moving medially?

<p>The width of the mouth is reduced, contributing to cheek formation. (A)</p> Signup and view all the answers

During what time period does the forehead bulge forward as the brain enlarges?

<p>Between 7 to 8 weeks (D)</p> Signup and view all the answers

What structure is shown?

<p>Nasal placode (D)</p> Signup and view all the answers

Which statement best describes the development of the upper lip?

<p>It is formed by the merging of the medial nasal and maxillary prominences. (C)</p> Signup and view all the answers

A pregnant woman is concerned about cleft lip because she has taken a medication that inhibits cell migration. What tissue type is most likely affected?

<p>Neural crest tissue. (D)</p> Signup and view all the answers

As the face develops, the external acoustic meatus ascends to the side of the head during which weeks of development?

<p>10-14 weeks (B)</p> Signup and view all the answers

If there is a defect to the tongue, what is not properly formed?

<p>Oropharynx (A)</p> Signup and view all the answers

Anterior cleft palates are distinguished by their failure to fuse with the incisive foramen and are primarily associated with malformation of the ______.

<p>Primary palate (C)</p> Signup and view all the answers

A woman has a child with atresia of the nasolacrimal duct, and is partially corrected. What structure must the tear drop into to be fully corrected?

<p>Inferior meatus (B)</p> Signup and view all the answers

What key event takes place during the 6th week of nasal cavity development?

<p>Rupturing of the oronasal membrane (A)</p> Signup and view all the answers

What is the most likely course of treatment for a baby who's milk comes out of the nose when breast feeding?

<p>Obturator palate (C)</p> Signup and view all the answers

A researcher is studying fetal development and observes that a particular embryo is failing to form a complete nasolacrimal duct. Further investigation reveals that the solid epithelial cord, which usually canalizes to create the duct, remains solid. Which cellular process is most likely impaired?

<p>Apoptosis (C)</p> Signup and view all the answers

What embryological structure gives rise to the tympanic cavity?

<p>First pharyngeal pouch (B)</p> Signup and view all the answers

From what structure is the endolymphatic duct and sac derived?

<p>Otic vesicle (A)</p> Signup and view all the answers

The malleus is derived from which pharyngeal arch?

<p>First pharyngeal arch. (A)</p> Signup and view all the answers

What structures are derived from the ventral saccular portion of the otic vesicle?

<p>Saccule and cochlear duct (C)</p> Signup and view all the answers

When does ossification of the auditory ossicles typically complete?

<p>By 26 weeks gestation (B)</p> Signup and view all the answers

The auricle or pinna develops from tissue derived from what?

<p>First and second pharyngeal arches (A)</p> Signup and view all the answers

What is the origin of the intermediate layer of the tympanic membrane?

<p>Mesoderm (D)</p> Signup and view all the answers

The inner ear reaches adult size and shape by what point in gestation?

<p>The middle of the fetal period (B)</p> Signup and view all the answers

What stimulates the mesenchyme to differentiate into a cartilaginous otic capsule?

<p>The otic vesicle (A)</p> Signup and view all the answers

When does the meatal plug typically dissolve in the developing external auditory meatus?

<p>At the end of the seventh month (A)</p> Signup and view all the answers

What part of the ear continues it's growth through puberty?

<p>The middle ear. (A)</p> Signup and view all the answers

The ossicles are embedded in loose mesenchyme from which structure?

<p>First pharyngeal pouch (C)</p> Signup and view all the answers

Which of the following defects is considered the most common congenital ear defect associated with hearing loss in children?

<p>Enlargement of the vestibular aqueduct and endolymphatic duct (B)</p> Signup and view all the answers

The formation of the tympanic cavity has it's beginnings in which month of gestation?

<p>The 3rd month. (C)</p> Signup and view all the answers

What structure participates in formation of the definitive eardrum?

<p>Floor of the meatus (A)</p> Signup and view all the answers

What is the result of the meatal plug persisting until birth?

<p>Congenital deafness. (B)</p> Signup and view all the answers

What is the function of HOXA2 in auricle development?

<p>Regulates molecular pathways. (D)</p> Signup and view all the answers

What part of the ear is derived from the first pharyngeal groove?

<p>External auditory meatus (B)</p> Signup and view all the answers

Which of the following is least likely to result in congenital ear malformations?

<p>Elevated Vitamin D levels (A)</p> Signup and view all the answers

What is the role of retinoic acid and transforming growth factor β1 in the development of the cochlear duct?

<p>Regulating the ossification of the cartilaginous otic capsule (D)</p> Signup and view all the answers

What is the first step in the development of the otic vesicle?

<p>Stimulation of the surface ectoderm (A)</p> Signup and view all the answers

The spiral ganglion contains ganglion cells for which nerve?

<p>Vestibulocochlear nerve (D)</p> Signup and view all the answers

What is the significance of the surface ectoderm in the development of the Otic Placodes? (select the best answer)

<p>Inductive influences from the notochord and paraxial mesoderm stimulate the surface ectoderm to form the otic placodes. (C)</p> Signup and view all the answers

True or False: Functional hearing occurs by approximately gestation week 20.

<p>False. (B)</p> Signup and view all the answers

Flashcards

Proper palate development depends on?

Fusion of the nasomedial process at the midline, fusion of the primary and secondary palates, fusion of maxillary processes at the palatal raphe

What causes cleft lip?

Failure of fusion between the nasomedial and maxillary processes.

What causes unilateral cleft lip?

Failure of fusion between the nasomedial and maxillary processes on one side of the face

Where do the pharyngeal arches appear?

Between the head and the heart

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What does the fourth pharyngeal arch give rise to?

Epiglottis

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Pharyngeal arches vs. pouches nature?

Mesodermal; endodermal

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Anterior 2/3 tongue somatosensory innervation?

CN V

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Posterior 1/3 tongue innervation?

The somatosensory innervation is supplied by CN IX

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Internal depressions between pharyngeal arches?

Pharyngeal pouches

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What contributes to the tympanic membrane?

First pharyngeal groove ectoderm, mesoderm, and first pharyngeal pouch endoderm

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Signals to thicken otic field?

Notochord

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What are derivatives of the otocyst?

Semicircular canals, endolymphatic sac, and cochlea

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What merges to form the external pinna?

Auricullar hillocks

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The invaginated otic placode is known as the?

Otic pit

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Between nasolateral and maxillary process?

Nasolacrimal groove

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Frontonasal Prominence

The forehead is primarily derived from this structure during development.

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Pharyngeal Pouches

Endodermal outpouchings between pharyngeal arches.

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CN VII

Taste sensation of the anterior 2/3 supplied by this cranial nerve.

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Pharyngeal pouches

The internal, endodermal depressions between pharyngeal arches are known as:

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Pharyngeal grooves

External bumps on an embryo's throat are called pharyngeal arches, the dimples between each arch are known as:

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1st Pharyngeal pouch

Structure that elongates into the eustachian (auditory) tube.

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Thyroglossal duct

Structure extends from the foramen cecum to the superficial pharynx before it atrophies.

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Thyroid dysgenesis

Improper atrophy of the thyroglossal duct leads to

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Pharyngeal arch composition

What germ layers are pharyngeal arch structures composed of?

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First pharyngeal arch

Arches that give rise to the incus and malleus.

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Second pharyngeal arch

Arches that give rise to the stapes.

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1st pharyngeal pouch

The thyroid gland is a derivative of which structure?

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Optic grooves

Bulges that laterally appear from the neural tube in the diencephalon area during eye development.

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Lens Pit and Lens Vesicle

Once a lens placode invaginates it becomes a _______; which will bud off of the overlying ectoderm to become a _______.

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Ciliary Body

Structure responsible for the production of the aqueous humor.

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Pharyngeal Apparatus

Structures in vertebrate embryos that form face, neck, and related structures.

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Pharyngeal Arches

Contribute to the formation of face, nasal cavities, mouth, larynx, pharynx, and neck.

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Pharyngeal Arch Components

Structures including aortic arches, cartilages, muscles, and nerves associated with pharyngeal arches.

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Pharyngeal Membranes

These form where ectoderm and endoderm closely meet in the pharyngeal arches.

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Branchial

A synonym for pharyngeal, relating to gills in fish.

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Trigeminal Nerve (CN V)

Cranial nerve associated with the first pharyngeal arch.

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Facial Nerve (CN VII)

Cranial nerve associated with the 2nd pharyngeal arch.

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Glossopharyngeal Nerve (CN IX)

Cranial nerve associated with the 3rd pharyngeal arch.

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Vagus Nerve (CN X)

Cranial nerve associated with the 4th & 6th pharyngeal arches.

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Pharyngeal (Branchial) Cyst

Failure of 2nd-4th pharyngeal grooves to obliterate, forming a sac.

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Pharyngeal (Branchial) Fistula

Abnormal canal from tonsillar area to external neck; persistence of pouch 2/groove 2.

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Pharyngeal (Branchial) Sinuses

Failure of 2nd pharyngeal groove and cervical sinus to obliterate.

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1st Aortic Arch Derivatives

Remnants of this arch form parts of the maxillary artery.

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2nd Aortic Arch Derivatives

This arch gives rise to the stapedial artery.

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3rd Aortic Arch Derivatives

This arch contributes to the common and internal carotid arteries.

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Left 4th Aortic Arch Derivatives

This arch contributes to the part of the aorta.

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Right 4th Aortic Arch Derivatives

The proximal portion of the right subclavian.

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Left 6th Aortic Arch Derivatives

Proximal part of left pulmonary artery and ductus arteriosus.

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Muscles of Mastication

First arch musculature

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3rd and 4th pharyngeal pouches syndrome

Failure to differentiate into thymus and parathyroid glands.

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Typical pharyngeal arch

Structure composed of ectoderm externally and endoderm internally.

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Pharyngeal Arches

Structure contributes to the formation of the face, nasal cavities, mouth, larynx, pharynx and neck.

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Thyroid gland

Originates from the endodermal floor of the pharynx.

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Development of Tongue

Proliferation of mesenchyme of the 1st pharyngeal arch.

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Abnormal thyroid conditions

Agenesis and hemiagenesis, clinical correlation

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Development of Salivary Gland

Parotid gland formation

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Parotid formation

Closure of the linear groove, development of structures

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Sublingual glad formation

Last salivary gland to form, 8th week.

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Facial Prominences Time Frame

Facial primordia formations appearing early in the 4th week.

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Frontonasal Prominence Components

Frontal part becomes forehead, nasal part forms nose boundary.

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Facial Prominences Composition

Formed from neural crest-derived mesenchyme.

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Nasal Placodes Appearance

They appear on either side of the frontonasal prominence.

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Nasal Prominences Role

Gives rise to the nose.

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Lower jaw and lip formation.

Mandibular prominences

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Naso-optic Groove Description

Furrow between lateral-nasal and maxillary processes.

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Nasolacrimal Groove Timing

Early in the 5th week

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Nasolacrimal Duct Development

From ectoderm, canalizes via apoptosis.

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Intermaxillary Segment Formation

Medial nasal prominences merge.

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Merged Prominences Result

Upper jaw and lip continuity.

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Median Palatine Process Outcome

Gives rise to the intermaxillary segment.

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Ear Canal Origin

External acoustic meatus (1st pharyngeal groove).

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Ear Tubercle Movement

Ascends to the side of the head.

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Palate Development

Fusion of primary and secondary palates

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Palate Origin

Primary and secondary palates.

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Palatogenesis Timing

End of the 5th to 9th week.

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Primary Palate Forms

Premaxillary part of the maxilla.

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Secondary Palate Forms

Primordium of hard and soft parts of the palate.

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Palatine Shelves Position

Hyaluronic acid hydration in mesenchymal cells.

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Palatine Shelves Fate

Fuse with each other and the nasal septum.

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Cleft Palate Cause

Failure of palatine shelves to fuse.

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Anterior Cleft Palate Location

Anterior to the incisive foramen.

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Posterior Cleft Palate Location

Posterior to the incisive foramen.

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Oblique Facial Cleft Cause

Maxillary prominence fails to merge with lateral nasal.

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Oral-Facial Clefts Correction

Surgery is needed.

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Cleft Lip Repair Timing

3 months.

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Cleft Palate Repair Timing

9 and 18 months.

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Cleft Palate Aid

An obturator.

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Oronasal Membrane Origin

Surface ectoderm

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Nasal Cavity Communication Timing

Between nasal and oral cavities.

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Final Face Development Timing

Slowly during the fetal period.

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Final Face Development Character

Changes in proportions and relative positions.

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What is the ear?

The organ responsible for both balance and hearing.

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Otic Placode Formation

The process where inductive signals stimulate the surface ectoderm to form otic placodes.

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What is an otic pit?

Invaginated otic placode that sinks beneath the surface ectoderm.

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What is the otic vesicle (otocyst)?

A structure derived from the Dorsal utricular portion and Ventral saccular portion which develops into the membranous labyrinth of the inner ear.

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What is the Dorsal utricular portion?

Formed from Dorsal utricular portion gives rise to the small endolymphatic ducts, utricles, and semicircular ducts

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What is the Ventral saccular portion?

Portion of the otic vesicle, gives rise to the saccule and cochlear duct.

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Cartilaginous otic capsule

The mesenchyme differentiates into this structure following inductive influences from the otic vesicle; later ossifies.

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Perilymphatic space

The membranous labyrinth is suspended within this space.

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What is the spiral ganglion?

Ganglion cells migrate into the cochlea, extend nerve processes to hair cells.

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What are the maculae?

Located in membranous labyrinth, senses head and linear movement.

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Cristae ampullares

Located in ampulla of semicircular ducts, sensitive to angular acceleration.

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Organ of Corti

The sensory receptor for sound.

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What is the tympanic cavity?

Derived from the first pharyngeal pouch.

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What is the tubotympanic recess?

It widens to form the primitive tympanic cavity.

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Proximal part of pouch

Forms the auditory tube (Eustachian tube); connects tympanic cavity to nasopharynx

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When does the tympanic cavity form?

Begins in the third month and is completed by the eighth month.

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Malleus and incus origin

Develop from the first pharyngeal arch cartilage.

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What is the stapes’ origin?

Develop from the second pharyngeal arch cartilage.

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Ossification of ossicles

Begins at 16 weeks and completed by 26 weeks.

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What is the eardrum?

Handle of malleus touches it; stapes touch membrane in oval window.

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External Auditory Meatus Development

Develops from the first pharyngeal arch.

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Tympanic Membrane Composition

Surface ectoderm, endoderm, and connective tissue contribute to this structure

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What is the auricle (pinna)?

Derived from neural crest, first & second pharyngeal arches; HOXA2 critical.

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External Auditory Meatus Abnormalities

Meatal persists until birth; results in congenital deafness.

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What is Microtia?

Suppressed development of auricular hillocks causing anomalies.

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Study Notes

Development of the Ear

  • The ear functions as the organ of balance and hearing.

Inner Ear Development

  • Inductive influences from the notochord and paraxial mesoderm stimulate the surface ectoderm to form the otic placodes.
  • Fibroblast growth factors initiate specification of the otic-progenitors.
  • Further inner ear development involves Pa2GH4, transcription factors Fox 1/3, Pax2/8, the Wnt, and Notch pathways.
  • Each otic placode soon invaginates and sinks, forming an otic pit.
  • The edges of the otic pit come together and fuse to form an otic vesicle.
  • The otic vesicle loses its connection with the surface ectoderm.
  • Successive stages in development transforms the otic vesicle into the membranous labyrinth from the 5th to 8th weeks of development.
  • A diverticulum grows from the vesicle and elongates to form the endolymphatic duct and sac.
  • The dorsal utricular portion forms the small endolymphatic ducts, utricles, and semicircular ducts.
  • The ventral saccular portion gives rise to the saccule and cochlear duct.
  • Inductive influences from the otic vesicle stimulate the mesenchyme to differentiate into a cartilaginous otic capsule.
  • The cartilaginous otic capsule ossifies to form the bony labyrinth.
  • Retinoic acid and transforming growth factor β1 have a role in cochlear duct and perilymphatic space development.
  • Vacuoles appear in the cartilaginous otic capsule as the membranous labyrinth enlarges, forming the perilymphatic space
  • The membranous labyrinth is now suspended in the perilymphatic space.
  • Around the cochlear duct, the scala tympani and scala vestibuli are formed.
  • The internal ear reaches its adult size and shape by the middle of the fetal period (20–22 weeks).
  • Functional hearing occurs by approximately week 26.
  • Ganglion cells of the 8th cranial nerve cells migrate into the cochlea, forming the spiral ganglion.
  • Nerve processes extend and terminate on hair cells of the spiral organ, and the cells remain bipolar neurons.
  • Specialized sensory receptors are located in six regions of the membranous labyrinth.
  • The 2 maculae sense the position of the head and linear movement through macula of saccule (vertical) and macule of utricle (horizontal)
  • The 3 cristae ampullaris are located in the ampulla of the semicircular ducts and are sensitive to angular acceleration.
  • The spiral organ of Corti is the sound receptor.

Middle Ear Development

  • The tympanic cavity, derived from the first pharyngeal pouch, originates in the endoderm.
  • The distal part of the pouch, the tubotympanic recess, widens and gives rise to the primitive tympanic cavity.
  • The proximal part remains narrow and forms the auditory (Eustachian) tube, through which the tympanic cavity communicates with the nasopharynx.
  • Formation of the tympanic cavity starts in the 3rd month and finishes by the 8th month.
  • The malleus and incus develop from cartilage in the first pharyngeal arch.
  • The stapes develop from the second pharyngeal arch.
  • Ossification of the auditory ossicles starts at 16 weeks and finishes by 26 weeks.
  • Expansion of the tympanic cavity gives rise to the mastoid antrum, in the temporal bone.
  • At birth, the antrum is almost adult size and the middle ear continues to grow through puberty.
  • The handle of the malleus makes contact with the eardrum.
  • The stapes establish contact with the membrane in the oval window.

External Ear Development

  • Structures include the external auditory meatus, tympanic membrane, and auricle (pinna).
  • The external auditory meatus develops from the first pharyngeal arch as an invagination of the ectoderm.
  • The tympanic cavity separates from the tympanic membrane (eardrum).
  • During the 3rd month, the meatal plug forms and dissolves in the 7th month, while the floor of the meatus participates in the definitive eardrum formation.
  • Occasionally, the meatal plug persists until birth, resulting in congenital deafness.
  • The eardrum or tympanic membrane is made of: 1) surface ectodermal epithelium at the bottom of the external auditory meatus, 2) endodermal epithelial lining of the tympanic cavity
    1. an intermediate layer of connective tissue (fibrous stratum).
  • The auricle (pinna) develops from proliferation of tissues derived from the neural crest at the dorsal ends of the 1st and 2nd pharyngeal arches.
  • The process involves molecular pathways regulating HOXA2 expression, which appears critical for auricle development and reaches adult form by 22 weeks.
  • Mutations in genes involved in these pathways cause many external ear malformations, often in combination with abnormalities in structures, such as the face, skull, and heart.

Ear Malformations

  • Microtia (small auricle) results from suppressed auricular hillocks development.
  • Absence of the external acoustic meatus results from inward expansion failure of the 1st pharyngeal groove, or meatal plug failing to disappear. Absence of the external acoustic meatus results in Atresia or blockage results from failure of meatal plug to canalize.
  • Additional associations include first arch syndrome and autosomal dominant inheritance.
  • Congenital deafness affects 1 in 1000 infants with severe hearing loss
  • Congenital deafness can result from maldevelopment of the sound conducting apparatus (external middle ear) or the neurosensory structures of the inner ear.
  • Enlargement of the vestibular aqueduct and endolymphatic duct is the most common congenital ear defect in children with hearing loss, presenting bilaterally with autosomal recessive condition.
  • Rubella infection in the sensitive period affects the formation of the spiral organ (organ of Corti) and also causes deafness.

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