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1
Pharyngeal Arches, Pouches 
and Clefts 
MUHAMMAD RAMZAN UL REHMAN 
2
Pharyngeal Apparatus 3 
 The head and neck region of four week human embryo 
somewhat resemble these regions of a fish embryo of 
comparable stage 
 This explains the former use of designation branchial 
apparatus 
 Branchial is derived from the Greek word branchia or gill
Pharyngeal Apparatus 4 
Pharyngeal apparatus consists of: 
 Pharyngeal arches 
 Pharyngeal pouches 
 Pharyngeal grooves 
 Pharyngeal membrane
Pharyngeal Arches 5 
 Pharyngeal arches begin to develop early in 
the fourth week as neural crest cells migrate 
into the head and neck region 
 The first pair of pharyngeal arches 
(primordium of jaws) appears as a surface 
elevations lateral to the developing pharynx 
 Soon other arches appear as obliquely 
disposed, rounded ridges on each side of 
the future head and neck regions
6
Pharyngeal Arches 7 
 By the end of the fourth week, four pairs of 
pharyngeal arches are visible externally 
 The fifth and sixth arches are rudimentary and 
are not visible on the surface of the embryo 
 The pharyngeal arches are separated from 
each other by fissures called pharyngeal 
grooves 
 They are numbered in craniocaudal sequence
Pharyngeal Arch Components 8 
 Each pharyngeal arch consists of a core of 
mesenchyme 
 Is covered externally by ectoderm and 
internally by endoderm 
 In the third week the original mesenchyme is 
derived from mesoderm 
 During the fourth week most of the 
mesenchyme is derived from neural crest 
cells that migrate into the pharyngeal 
arches
Fate of Pharyngeal Arches 9 
 The pharyngeal arches contribute 
exclusively to the formation the face, nasal 
cavities, mouth, larynx, pharynx and neck 
 During the fifth week, the second 
pharyngeal arch enlarges and overgrows 
the third and fourth arches, forming the 
ectodermal depression called cervical sinus 
 By the end of seventh week the second to 
fourth pharyngeal grooves and the cervical 
sinus have disappeared, giving the neck a 
smooth contour
10
Fate of Pharyngeal Arches 11 
A typical pharyngeal arch contains: 
 An aortic arch, an artery that arises from the truncus 
arteriosus of the primordial heart 
 A cartilaginous rod that forms the skeleton of the 
arch 
 A muscular component that differentiates into 
muscles in the head and neck 
 A nerve that supplies the mucosa and muscles 
derived from the arch
12
Pharyngeal Arches 13 
 The first pharyngeal arch (mandibular arch) develops maxillary 
and mandibular prominences 
 The first pair of pharyngeal arches plays a major role in facial 
development 
 The second pharyngeal arch (hyoid arch) contributes to the 
formation of hyoid bone
14
Derivatives of Pharyngeal Arch Cartilages 15 
 The dorsal end of first arch cartilage (Meckel 
cartilage) ossifies to form malleus and incus 
 The middle part of cartilage forms anterior 
ligament of malleus sphenomandibular 
ligament 
 Ventral part of the first arch cartilages form 
primordium of the mandible 
 The cartilage disappears as mandible 
develops around it
16
Derivatives of Pharyngeal Arch Cartilages 17 
 The dorsal end of second arch cartilage 
(Reichert cartilage) ossifies to form the stapes 
and styloid process of the temporal bone 
 The ventral end of second arch cartilage 
ossifies to form the lesser cornu and superior 
part of the body of the hyoid bone 
 Its perichondrium forms the stylohyoid ligament
Derivatives of Pharyngeal Arch Cartilages 18 
 The third arch cartilage ossifies to form the 
greater cornu and the inferior part of the 
body of the hyoid bone 
 The fourth and sixth arch cartilages fuse to 
form the laryngeal cartilages except 
epiglottis which develops from 
hypopharyngeal eminence 
 The fifth pharyngeal arch is rudimentary and 
has no derivatives
Derivatives of Pharyngeal Arch Muscles 19 
 The musculature of the first pharyngeal arch forms 
the muscles of mastication 
 The second pharyngeal arch forms the stapedius, 
stylohyoid, posterior belly of digastric, auricular and 
muscles of facial expression 
 The third arch forms the stylopharyngeus 
 The fourth arch forms cricothyroid, levator veli 
palatini and constrictors of pharynx 
 Sixth pharyngeal arch forms the intrinsic muscles of 
the larynx
20
Derivatives of Pharyngeal Arch Nerves 21 
 Caudal two branches of Trigeminal nerve (maxillary 
and mandibular) supply derivatives of the first 
pharyngeal arch 
 The facial, glossopharyngeal and vagus nerves 
supply the second, third and caudal (fourth to sixth) 
arches respectively 
 The fourth arch is supplied by superior laryngeal 
branch of vagus nerve 
 The sixth arch is supplied by its recurrent laryngeal 
branch
22
Pharyngeal Pouches 23 
 The primordial pharynx, derived from the 
foregut, widens cranially where it joins the 
primordial mouth or stomodeum 
 It narrows caudally where it joins the 
esophagus 
 The endoderm of the pharynx lines the 
internal aspects of pharyngeal arches and 
passes into balloonlike diverticula called 
pharyngeal pouches
24
Pharyngeal Pouches 25 
 The pairs of pouches develop in a craniocaudal 
sequence between the arches 
 The first pair of pouches lies between the first 
and second pharyngeal arches 
 There are four well defined pairs of pharyngeal 
pouches 
 The fifth pair is absent or rudimentary
Pharyngeal Pouches 26 
 The endoderm of the pouches contacts the ectoderm of the 
pharyngeal grooves and together they form the double 
layered pharyngeal membranes that separate the 
pharyngeal pouches from the pharyngeal grooves
Derivatives of First Pharyngeal Pouch 27 
 The first pharyngeal pouch expands into an 
elongate tubotympanic recess 
 The expanded distal part of this recess contacts 
the first pharyngeal groove, where it contributes 
to the formation of the tympanic membrane 
(eardrum) 
 The cavity of the tubotympanic recess gives rise 
to the tympanic cavity and mastoid antrum
28
Derivatives of Second Pharyngeal Pouch 29 
 The second pharyngeal pouch is largely 
obliterated as the palatine tonsils develop 
 Part of the cavity of this pouch remains as 
the tonsillar sinus or fossa 
 The endoderm of the pouch proliferates and 
grows into the underlying mesenchyme 
 The central parts of these buds form crypts
30
Derivatives of Second Pharyngeal Pouch 31 
 The pouch endoderm forms the surface epithelium and the 
lining of the tonsillar crypts 
 At about 20 weeks the mesenchyme around the crypts 
differentiates into lymphoid tissue 
 These tissues soon organizes into the lymphatic nodules of the 
palatine tonsil
Derivatives of Third Pharyngeal Pouch 32 
 The third pharyngeal pouch expands and 
develops a solid, dorsal bulbar part and a 
hollow elongate ventral part 
 Its connection with the pharynx is reduced 
to a narrow duct that soon degenerates 
 By the sixth week the epithelium of each 
dorsal bulbar part begins to differentiate 
into inferior parathyroid gland
Derivatives of Third Pharyngeal Pouch 33 
 The epithelium of the elongate ventral parts of third 
pharyngeal pouch proliferates and their cavities 
obliterate 
 These bilateral primordia of thymus come together 
in the median plane to form thymus 
 It descends into the superior mediastenum 
 The bilobed form of thymus remains throughout life 
 Discretely encapsulated and each lobe has its own 
blood supply, lymphatic drainage and nerve supply
34
Derivatives of Third Pharyngeal Pouch 35 
 The primordia of thymus and parathyroid glands lose their 
connections with the pharynx and migrate into the neck 
 Later the parathyroid glands separate from the thymus and lie 
on the dorsal surface of the thyroid gland
Derivatives of Fourth Pharyngeal Pouch 36 
 The fourth pharyngeal pouch also expands into 
dorsal bulbar and elongate ventral parts 
 Its connection with the pharynx is reduced to a 
narrow duct that soon degenerates 
 By the sixth week, each dorsal part develops 
into a superior parathyroid gland 
 It lies on the dorsal surface of the thyroid gland
37
Derivatives of Fourth Pharyngeal Pouch 38 
 The parathyroid glands derived from the third pouches 
descend with the thymus and are carried to a more inferior 
position than the parathyroid derived from the fourth pouches 
 This explains why the parathyroid glands derived from the 
third pair of pouches are located inferior to those from the 
fourth pouches
Histogenesis of Parathyroid Gland 39 
 The epithelium of the dorsal parts of the third and fourth 
pouches proliferates during the fifth week 
 Forms small nodules on the dorsal aspect of each pouch 
 Vascular mesenchyme soon grows into these nodules, 
forming capillary network 
 The chief or principal cells differentiate during the 
embryonic period and regulate fetal calcium 
metabolism 
 The oxiphil cells differentiate 5 to 7 years after birth
Histogenesis of Parathyroid Gland 40 
 The elongated ventral part of each fourth 
pouch develops into ultimopharyngeal 
body 
 Its cells disseminate within the thyroid gland, 
giving rise to parafollicular cells 
 They are also called “C” cells because they 
produce calcitonin that regulate normal 
calcium level in body fluids 
 “C” cells differentiate from neural crest cells
The Fifth Pharyngeal Pouch 41 
 When this develops, this rudimentary pouch becomes part of 
the fourth pharyngeal pouch and helps to form the 
ultimopharyngeal body
Pharyngeal Grooves 42 
 During the fourth and fifth weeks, head and 
neck region of the human embryo exhibit 
four pharyngeal grooves or clefts on each 
side 
 These grooves separate the pharyngeal 
arches externally 
 Only first pair persists as the external 
acoustic meatus 
 The other grooves normally obliterated with 
the cervical sinus as the neck develops
Pharyngeal Membranes 43 
 Pharyngeal membranes appear in the floor 
of the pharyngeal grooves 
 These membranes form where the epithelia 
of the grooves and pouches approach 
each other 
 The endoderm of the pouches and 
ectoderm of the grooves are soon 
separated by mesenchyme 
 Only first pharyngeal membrane becomes 
the tympanic membrane, others obliterate
Thanks 
44

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Pharyngeal arches pouches and clefts

  • 1. 1
  • 2. Pharyngeal Arches, Pouches and Clefts MUHAMMAD RAMZAN UL REHMAN 2
  • 3. Pharyngeal Apparatus 3  The head and neck region of four week human embryo somewhat resemble these regions of a fish embryo of comparable stage  This explains the former use of designation branchial apparatus  Branchial is derived from the Greek word branchia or gill
  • 4. Pharyngeal Apparatus 4 Pharyngeal apparatus consists of:  Pharyngeal arches  Pharyngeal pouches  Pharyngeal grooves  Pharyngeal membrane
  • 5. Pharyngeal Arches 5  Pharyngeal arches begin to develop early in the fourth week as neural crest cells migrate into the head and neck region  The first pair of pharyngeal arches (primordium of jaws) appears as a surface elevations lateral to the developing pharynx  Soon other arches appear as obliquely disposed, rounded ridges on each side of the future head and neck regions
  • 6. 6
  • 7. Pharyngeal Arches 7  By the end of the fourth week, four pairs of pharyngeal arches are visible externally  The fifth and sixth arches are rudimentary and are not visible on the surface of the embryo  The pharyngeal arches are separated from each other by fissures called pharyngeal grooves  They are numbered in craniocaudal sequence
  • 8. Pharyngeal Arch Components 8  Each pharyngeal arch consists of a core of mesenchyme  Is covered externally by ectoderm and internally by endoderm  In the third week the original mesenchyme is derived from mesoderm  During the fourth week most of the mesenchyme is derived from neural crest cells that migrate into the pharyngeal arches
  • 9. Fate of Pharyngeal Arches 9  The pharyngeal arches contribute exclusively to the formation the face, nasal cavities, mouth, larynx, pharynx and neck  During the fifth week, the second pharyngeal arch enlarges and overgrows the third and fourth arches, forming the ectodermal depression called cervical sinus  By the end of seventh week the second to fourth pharyngeal grooves and the cervical sinus have disappeared, giving the neck a smooth contour
  • 10. 10
  • 11. Fate of Pharyngeal Arches 11 A typical pharyngeal arch contains:  An aortic arch, an artery that arises from the truncus arteriosus of the primordial heart  A cartilaginous rod that forms the skeleton of the arch  A muscular component that differentiates into muscles in the head and neck  A nerve that supplies the mucosa and muscles derived from the arch
  • 12. 12
  • 13. Pharyngeal Arches 13  The first pharyngeal arch (mandibular arch) develops maxillary and mandibular prominences  The first pair of pharyngeal arches plays a major role in facial development  The second pharyngeal arch (hyoid arch) contributes to the formation of hyoid bone
  • 14. 14
  • 15. Derivatives of Pharyngeal Arch Cartilages 15  The dorsal end of first arch cartilage (Meckel cartilage) ossifies to form malleus and incus  The middle part of cartilage forms anterior ligament of malleus sphenomandibular ligament  Ventral part of the first arch cartilages form primordium of the mandible  The cartilage disappears as mandible develops around it
  • 16. 16
  • 17. Derivatives of Pharyngeal Arch Cartilages 17  The dorsal end of second arch cartilage (Reichert cartilage) ossifies to form the stapes and styloid process of the temporal bone  The ventral end of second arch cartilage ossifies to form the lesser cornu and superior part of the body of the hyoid bone  Its perichondrium forms the stylohyoid ligament
  • 18. Derivatives of Pharyngeal Arch Cartilages 18  The third arch cartilage ossifies to form the greater cornu and the inferior part of the body of the hyoid bone  The fourth and sixth arch cartilages fuse to form the laryngeal cartilages except epiglottis which develops from hypopharyngeal eminence  The fifth pharyngeal arch is rudimentary and has no derivatives
  • 19. Derivatives of Pharyngeal Arch Muscles 19  The musculature of the first pharyngeal arch forms the muscles of mastication  The second pharyngeal arch forms the stapedius, stylohyoid, posterior belly of digastric, auricular and muscles of facial expression  The third arch forms the stylopharyngeus  The fourth arch forms cricothyroid, levator veli palatini and constrictors of pharynx  Sixth pharyngeal arch forms the intrinsic muscles of the larynx
  • 20. 20
  • 21. Derivatives of Pharyngeal Arch Nerves 21  Caudal two branches of Trigeminal nerve (maxillary and mandibular) supply derivatives of the first pharyngeal arch  The facial, glossopharyngeal and vagus nerves supply the second, third and caudal (fourth to sixth) arches respectively  The fourth arch is supplied by superior laryngeal branch of vagus nerve  The sixth arch is supplied by its recurrent laryngeal branch
  • 22. 22
  • 23. Pharyngeal Pouches 23  The primordial pharynx, derived from the foregut, widens cranially where it joins the primordial mouth or stomodeum  It narrows caudally where it joins the esophagus  The endoderm of the pharynx lines the internal aspects of pharyngeal arches and passes into balloonlike diverticula called pharyngeal pouches
  • 24. 24
  • 25. Pharyngeal Pouches 25  The pairs of pouches develop in a craniocaudal sequence between the arches  The first pair of pouches lies between the first and second pharyngeal arches  There are four well defined pairs of pharyngeal pouches  The fifth pair is absent or rudimentary
  • 26. Pharyngeal Pouches 26  The endoderm of the pouches contacts the ectoderm of the pharyngeal grooves and together they form the double layered pharyngeal membranes that separate the pharyngeal pouches from the pharyngeal grooves
  • 27. Derivatives of First Pharyngeal Pouch 27  The first pharyngeal pouch expands into an elongate tubotympanic recess  The expanded distal part of this recess contacts the first pharyngeal groove, where it contributes to the formation of the tympanic membrane (eardrum)  The cavity of the tubotympanic recess gives rise to the tympanic cavity and mastoid antrum
  • 28. 28
  • 29. Derivatives of Second Pharyngeal Pouch 29  The second pharyngeal pouch is largely obliterated as the palatine tonsils develop  Part of the cavity of this pouch remains as the tonsillar sinus or fossa  The endoderm of the pouch proliferates and grows into the underlying mesenchyme  The central parts of these buds form crypts
  • 30. 30
  • 31. Derivatives of Second Pharyngeal Pouch 31  The pouch endoderm forms the surface epithelium and the lining of the tonsillar crypts  At about 20 weeks the mesenchyme around the crypts differentiates into lymphoid tissue  These tissues soon organizes into the lymphatic nodules of the palatine tonsil
  • 32. Derivatives of Third Pharyngeal Pouch 32  The third pharyngeal pouch expands and develops a solid, dorsal bulbar part and a hollow elongate ventral part  Its connection with the pharynx is reduced to a narrow duct that soon degenerates  By the sixth week the epithelium of each dorsal bulbar part begins to differentiate into inferior parathyroid gland
  • 33. Derivatives of Third Pharyngeal Pouch 33  The epithelium of the elongate ventral parts of third pharyngeal pouch proliferates and their cavities obliterate  These bilateral primordia of thymus come together in the median plane to form thymus  It descends into the superior mediastenum  The bilobed form of thymus remains throughout life  Discretely encapsulated and each lobe has its own blood supply, lymphatic drainage and nerve supply
  • 34. 34
  • 35. Derivatives of Third Pharyngeal Pouch 35  The primordia of thymus and parathyroid glands lose their connections with the pharynx and migrate into the neck  Later the parathyroid glands separate from the thymus and lie on the dorsal surface of the thyroid gland
  • 36. Derivatives of Fourth Pharyngeal Pouch 36  The fourth pharyngeal pouch also expands into dorsal bulbar and elongate ventral parts  Its connection with the pharynx is reduced to a narrow duct that soon degenerates  By the sixth week, each dorsal part develops into a superior parathyroid gland  It lies on the dorsal surface of the thyroid gland
  • 37. 37
  • 38. Derivatives of Fourth Pharyngeal Pouch 38  The parathyroid glands derived from the third pouches descend with the thymus and are carried to a more inferior position than the parathyroid derived from the fourth pouches  This explains why the parathyroid glands derived from the third pair of pouches are located inferior to those from the fourth pouches
  • 39. Histogenesis of Parathyroid Gland 39  The epithelium of the dorsal parts of the third and fourth pouches proliferates during the fifth week  Forms small nodules on the dorsal aspect of each pouch  Vascular mesenchyme soon grows into these nodules, forming capillary network  The chief or principal cells differentiate during the embryonic period and regulate fetal calcium metabolism  The oxiphil cells differentiate 5 to 7 years after birth
  • 40. Histogenesis of Parathyroid Gland 40  The elongated ventral part of each fourth pouch develops into ultimopharyngeal body  Its cells disseminate within the thyroid gland, giving rise to parafollicular cells  They are also called “C” cells because they produce calcitonin that regulate normal calcium level in body fluids  “C” cells differentiate from neural crest cells
  • 41. The Fifth Pharyngeal Pouch 41  When this develops, this rudimentary pouch becomes part of the fourth pharyngeal pouch and helps to form the ultimopharyngeal body
  • 42. Pharyngeal Grooves 42  During the fourth and fifth weeks, head and neck region of the human embryo exhibit four pharyngeal grooves or clefts on each side  These grooves separate the pharyngeal arches externally  Only first pair persists as the external acoustic meatus  The other grooves normally obliterated with the cervical sinus as the neck develops
  • 43. Pharyngeal Membranes 43  Pharyngeal membranes appear in the floor of the pharyngeal grooves  These membranes form where the epithelia of the grooves and pouches approach each other  The endoderm of the pouches and ectoderm of the grooves are soon separated by mesenchyme  Only first pharyngeal membrane becomes the tympanic membrane, others obliterate