Pharyngeal Arches

Author
Date Released
Mike
06/07/2020

Knowing the development of the pharyngeal (brachial) arches, provides us with a fundamental understanding of the relationships the head and neck structures have with one another. Therefore, when things stray from the norm, we have a greater understanding which structures are likely to have been affected. Thank you to @mydentalnotebook for the wonderful images.

Recap:

In the previous lesson we looked at how two haploid cells (sperm and ova) develop into three germ layers; trilaminar disc. These layers consist of ectoderm, mesoderm and endoderm, each destined for specific structures and functions. These layers further differentiated and migrated to produce the neural tube, neural crest cells and somites (among others). As the embryo grows and cells proliferate, it folds and is moulded into the foetus. In this lesson we will look at how the pharyngeal arches form, and relate them to the anatomy of the adult head and neck.

Key germ cells:

Neural Crest Cells:

  • Cranial nerves and sensory ganglia
  • Structures:Adrenal medulla and many connective tissue types of the head and neck e.g. bone, dentine, PDL.
  • Migration of the neural crest cells is an essential process for normal development of the face (and teeth). If this fails to occur we see facial deformities occurring for example: Treacher Collins Syndrome. If the neural crest cells are affected during development, there is a high probability dental abnormalities will be present as well.

Mesenchyme:

  • Derived from mesoderm (head and neck - mainly paraxial mesoderm)
  • Structure: connective tissue of the body

Ectomesenchyme

  • Derived from the neural crest cells
  • When in the head and neck region mesenchyme is known as ectomesenchyme. This is because of the neuroectoderm origin.

Pharyngeal Arches:

Molecular guidance and instructions are vast and if you wish to explore this further in more detail, please see the references below and third party reading. Intra cellular signalling controls, proliferation, migration, differentiation, maintenance and apoptosis. Some important genes and transcription factors include Homeobox genes: Otx, Mxs, Dlx and Barx. Common local signally pathways include sonic hedgehog (Shh), Fibroblast growth factor (Fgf), Bone mophorgenetic proteins (BMP) and vascular endothelial growth factor (VEGF).

If we were to look down on the embryo from above around week 4, small bulges called rhombomeres would be developed laterally from the developing hindbrain. With various molecular guidance and gene expression they migrate forward from the "back of the head" to where the "face and front of neck" would be, to provide the majority of the ectomesenchyme to the development of the pharyngeal structures. The arches proliferate and migrate forward till they meet their counterpart and eventually separate the head from the cardiac bulge.

Arch Anatomy:

5 Pharyngeal arches Numbered 1-6 (the 5th arch is transient and doesn't exist)

Each arch consists of:

Germ layers:

  • Ectoderm (outer layer)
  • Mesoderm (middle layer) - head neck: infiltrated by ectomesenchyme
  • Endoderm (inner layer)

Note: Arch one develops anterior to the buccopharyngeal membrane therefore doesn't have an endoderm component and its inner lining is formed of ectoderm (dental example: enamel formation). The imaginary line is considered to be just posterior to the third molar teeth where ectoderm becomes endoderm.

The arches also contain:

  • Artery
  • Cranial Nerve
  • Skeletal cartilage (support network)
  • Skeletal muscle
  • Separated by a pouch (inner) and a cleft (outer) - note: no mesoderm in these areas.

Note:
Arches 1,2 and 3 are the main arches to contribute to the face, oral cavity and tongue. (see next lesson)

The arches ectomesenchyme proliferate and migrate to contribute to the 5 facial processes/ prominences:

  • Frontal
  • Maxillary (x2)
  • Mandibular (x2)

Therefore, when we go on to describe the development of the face and various structures in the head, (see next lesson) we will be referring to the above processes (swelling/ prominences), which have derived from particular arches. Further migration, proliferation, elimination and fusion allows the facial features take form and function.

Arches, Clefts and Pouches - What does each develop into?

Tip: Remember the cranial nerve

No. Arch bone/ cartilageArch MusculatureCleftPouchCranial
Nerve
Adult Vessel
1Mandible

Maxilla
Zygoma
Squamous portion of the temporal bone


Meckel's cartilage:
Incus
Malleus
Sphenomandibular ligament
Muscle of mastication

Mylohyoid

Anterior belly of digastric

Tensor tympani

Tensor veli palatani
EAMTympanic membrane and cavity

Eustachian Tube
Trigeminal (Vb Vc)Maxillary artery
2Reichert's cartilage:
Stapes
Styloid process
Styloid ligament
Lesser Horn of hyoid bone
Upper body of the hyoid bone
Stapaedius

Muscles of facial expression

Posterior belly of digastric

Stylohyoid

Platysma
-Contributes to the palatine tonsilsFacial
(VII)

Stapedial: this embryonic artery connects the precursors of the internal carotid, maxillary and middle meningeal arteries. It is not present at birth.

Caroticotympanic
3Lower body of hyoid bone
Greater horns of the hyoid bone
Stylopharyngeus muscle-Inferior parathyroid glands
Thymus
Glossopharyngeal
(IX)
Common carotids
4Larynx cartilages:
Thyroid c.
Corniculate
Cuneiform
Pharyngeal constrictors

Levator veli palatini

Cricothyroid
-Superior parathyroid glands
Ultimobranchial body (Parafollicular cells of the Thyroid-C cells these cells secrete calcitonin)
Superior laryngeal - Vagus
(X)
Right side: subclavian

Left side: aortic arch
6Cricoid cartilage
Arytenoid cartilages
Intrinsic muscles of the larynx (note: NOT the cricothyroid)--Recurrent Laryngeal - Vagus
(X)
Right: pulmonary arteries

Left: Ductus arteriosus

- obliterated with development or transient
Note: if the clefts aren't fully obliterated, a brachial fistula can remain.

Note: Dependent of the text you are reading the cartilage components of arches four and six seem to interchange.

Somites:

Recap: The mesoderm divides into the paraxial, intermediate and lateral plates. The paraxial mesoderm further divides into somites consisting of the myotome, dermatome and sclerotome.

In the area of the hind brain occipital somites begin to develop. The myotome constituents migrate to the area of the future lounge, taking with them what will become the hypoglossal nerve. The sclerotome constituents migrate and contribute to the posterior skull, including: occipital bone, parietal bones and the petrous part of the temporal bone.

In the area of the forebrain and midbrain, paraxial mesoderm differentiates into somatomeres which migrate to contribute to the extra-ocular muscles. They take with them what will become the trochlear and oculomotor nerve. The dermatome segments of the eye is supplied by the ophthalmic branch of the trigeminal nerve (Va).

Conclusion

If you remember the nerve that goes with the each arch, you will be able to figure out the majority of the other structures within it. The majority of the facial skeleton is derived from ectomesenchyme (neural crest) with the posterior cranial vault and base derived from mesodermal somites. In the next lesson we will look at how the face develops and the main structures it contains.

References

Berkovitz BK, Holland GR, Moxham BJ. Oral Anatomy, Histology and Embryology E-Book. Elsevier Health Sciences; 2017 Jul 11.

Nanci A. Ten Cate's Oral Histology-e-book: development, structure, and function. Elsevier Health Sciences; 2017 Aug 15.

Tortora GJ, Derrickson BH. Principles of anatomy and physiology. John Wiley & Sons; 2018 May 15.

Marieb EN, Keller SM. Essentials of Human Anatomy and Physiology: Books a la Carte Edition. Benjamin-Cummings; 2011.

Norton NS. Netter's head and neck anatomy for dentistry e-book. Elsevier Health Sciences; 2016 Sep 13.

Logan BM, Reynolds P, Rice S, Hutchings RT. McMinn's Color Atlas of Head and Neck Anatomy E-Book. Elsevier Health Sciences; 2016 Oct 21.

Atkinson ME. Anatomy for dental students. Oxford University Press; 2013 Mar 14.

 

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