facial development shabeel
TRANSCRIPT
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Development of face
• Dr shabeel pn
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MECHANISMS OF DEVELOPMENT 1
Cells proliferate to: Increase a cell mass, to cover a growing surface, or to create or increase the stratification of a layer or structure
Cells differentiate to specialized forms, e.g., mesenchymal cells to osteoblasts & cementoblasts
Cells migrate to new positions ,e.g., neural crest cells
Cells produce extracellular materials: fibers, matrix, cuticle, etc
Cell die by apoptosis and/ or digest their surroundings, so that some structures regress in size and disappear, e.g., Meckel’s cartilage, Hertwig’s root sheath
Differential growth of tissues, e.g., mesenchyme growing more than overlying ectoderm to yield protrusions or ridges, with clefts in between them
GENERAL
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MECHANISMS OF DEVELOPMENT 2
Differential growth of tissues, e.g., mesenchyme growing more than overlying ectoderm to yield protrusions or ridges, with clefts in between them
ECTODERM
MESENCHYME
Mesenchyme has grown more & unevenly
Surface is greater so that some ectodermal proliferation must have occurred
Basal lamina is important, but not shown GENERAL
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MECHANISMS OF DEVELOPMENT 3
Fate of clefts between ridges: (i) the cleft may deepen by further growth in the bulges; (ii) the cleft may be eradicated by disproportionate growth beneath it
GENERAL
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MECHANISMS OF DEVELOPMENT 4Fate of clefts between ridges: (iii) the cleft may be bridged or covered over to form a duct-like structure, e.g., groove becoming a duct
Fusion
mark most growth
GENERAL
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MECHANISMS OF DEVELOPMENT
Figs show that: (I) the duct thus formed is lined by ectoderm; (ii) the ectodermal cells (& endodermal) can attach to each other when meeting cells approaching from another direction
Fusion
This kind of fusion is very important in developmentGENERAL
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MECHANISMS OF DEVELOPMENT 5Fate of clefts between ridges: (iv) base of the cleft forms a cord that separates, then is canalized -- constructs a tube , e.g., to form the nasolacrimal duct
Fusion
Cord canalizes
Proliferation a cord of cells
Loss of connection
GENERAL
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MECHANISMS OF DEVELOPMENT 6
Fate of fused ectoderm I Creation of epithelial diaphragm
Creation of epithelial diaphragm
Which may later disappear, e.g., bucconasal membrane
GENERAL
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MECHANISMS OF DEVELOPMENT 7
Fate of fused ectoderm II Penetration of dissolving fused ectoderm by mesenchyme
E.g., fusion of palatal processes
GENERAL
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MECHANISMS OF DEVELOPMENT 8
Fate of fused ectoderm II Penetration of dissolving fused ectoderm by mesenchyme
Mesenchyme later becomes bone
& CT
Some ectodermal cells become mesenchymal - an epithelio-mesenchymal conversion
Others die by apoptosis
GENERAL
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MECHANISMS OF DEVELOPMENT 9
Downgrowth of ectoderm into mesenchyme
Relies on an INDUCTIVE exchange of chemical messages between mesenchyme and ectoderm
Mitotic areaBUD CORD
e.g., for gland or hair follicle
LAMINA (sheet) e.g., dental or bucco-labial
OR
GENERAL
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MECHANISMS OF DEVELOPMENT 10
Ectodermal laminae can be used: LAMINA
At discrete points only, for making dental organs of tooth germs. The remainder of the lamina then breaks up and disappears, but a few ectodermal cells may remain as epithelial rests or pearls
The whole sheet may split to form a furrow lined by ectodermal epithelium on both sides, e.g., formation of vestibule from bucco-labial/vestibular lamina
Split
Split involves loss of cell-cell adhesion, apoptosis & continued proliferation
GENERAL
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The whole sheet may split to form a furrow lined by ectodermal epithelium on both sides, e.g., formation of vestibule from bucco-labial/vestibular lamina
Split
Split involves loss of cell-cell adhesion, apoptosis & continued proliferation
GENERAL
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MECHANISMS OF DEVELOPMENT 11
Ectodermal cells can differentiate
Cord cells into DUCT & SECRETORY cells within a gland
Dental organ cells into outer epithelium, inner epithelium, stellate reticulum, & stratum intermedium cells
Stroma
TOOTH GERM
DENTAL LAMINA
Outer dental epithelium
Stellate reticulum
Inner dental epithelium
Stratum intermedium
GENERAL
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MECHANISMS OF DEVELOPMENT 12
Fate of diffferentiated cells (Not confined to ectodermal cells)
Might go back to a less active/differentiated state, e.g., cementoblasts to resting cementoblasts
May remain as they are, e.g., odontoblasts
May be resorbed or commit suicide/ apoptosis, e.g., root sheath cells
May fuse with other cells and lose their identity, e.g., reduced dental epithelium fuses with the gingival epithelium in eruption
GENERAL
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CARDIAC BULGE
Remains of FRONTONASAL PROMINENCE after development of nasal placodes
OPTIC PLACODE
NASAL PLACODE
MAXILLARY PROCESS
MANDIBULAR ARCH
HYOID ARCH
STOMODEUM with perforating membrane
4-w/3.5mm EMBRYO Full-face
FACE
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FACIAL DEVELOPMENT 1-7 wks
The slides to follow cannot convey the increase in size involved
First shown is the external story of the face, but this will be matched in subsequent slides by the internal oral developments for tongue, palate, etc
The change is continuous so that the Figs represent a just few ‘baby pictures’ as the elaborate events unfold FACE
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FACIAL DEVELOPMENT 1-7 wks
At each ‘stage’ be able to analyze the view for its parts, and for what will happen to each part in transforming to the next ‘stage’
The change is continuous so that the Figs represent a just few ‘baby pictures’ as the elaborate events unfold
Stories for face, nasal cavity, palates, jaws & teeth, & tongue
FACE
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FRONTONASAL PROMINENCE Brain developing behind
NASAL & OPTIC PLACODES thickenings of ectoderm
MANDIBULAR ARCH formed by early fusion of mandibular processes
CARDIAC BULGE
STOMODEUM oral depression - part that did not grow forward - with bucco/oro-pharyngeal membrane at bottom
4-w/3.5mm EMBRYO Full-face
FACE
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OPTIC PLACODE
NASAL PLACODES are prime movers
CARDIAC BULGE
deepen to form NASAL PITS defi ning lateral from medial nasal processes These move medially allowing maxillary processes to move from sides of head to a frontal position & allowing eyes to move from sides to a more frontal position
Lateral processes will become alae of nose
Medial processes form midline nose & contribute to lip, central upper jaw & primary palate
4-w/3.5mm EMBRYO
FACE
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CARDIAC BULGE
5.5-w/9mm EMBRYO
OLFACTORY/NASAL PIT
EYE
NASOMEDIAL PROCESS
NASO-OPTIC GROOVE
MANDIBULAR ARCH
HYOID ARCH
MAXILLARY PROCESS
Stomodeum
FACE
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5.5-w/9mm EMBRYO
NASOLATERAL PROCESS
NASO-OPTIC GROOVE
or furrow between lateral-nasal & maxillary processes will later be covered over to form part of the nasolacrimal duct
MAXILLARY PROCESS
Stomodeum
FACE
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5.5-w/9mm EMBRYO
NASOMEDIAL PROCESS
MAXILLARY PROCESS
grow to meet just off the midline, which is occupied by the fusing medial nasal processes
&
FACE
FRONTONASAL REGION gets squeezed back by merging nasomedial processes
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7-w/19mm EMBRYO
EAR TUBERCLES
EYE
FOREHEAD
MOUTH
LOWER JAW
HYOID BONE
MAXILLARY PROCESS
LARYNGEAL CARTILAGESFACE
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7-w/19mm EMBRYO
EAR TUBERCLES Ear will move posteriorly
FOREHEAD bulges forward as brain enlarges
MOUTH
MAXILLARY PROCESS
Joining of maxillary processes & mandibular arch moving medially reduces width of the mouth & contributes to cheek
LOWER JAW
FACE
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7-w/19mm EMBRYO
becomes INTER-MAXILLARY SEGMENT(i) Philtrum of lip
(ii) Upper jaw region carrying 4 incisor teeth
(iii) Triangular primary palate
FACE
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INTERMAXILLARY SEGMENT Sagittal cut
BRAIN
PHILTRUM of LIP
PRIMARY PALATE
LIP
4-INCISOR MAXILLA = INTER-MAXILLARY SEGMENT
12
3
PALATE
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MATURE FACE: Sources
FRONTONASAL PROMINENCE
OPTIC PLACODE
NASAL PLACODE central part inside as olfactory mucosa
MAXILLARY PROCESS
MANDIBULAR ARCH
HYOID and
STOMODEUM
NASOMEDIAL PROCESS
NASOLATERAL PROCESSNASAL PIT
MANDIBULAR ARCHES
FACE
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FACIAL DEFECTS: Developmental
OBLIQUE FACIAL CLEFT
MEDIAN CLEFT JAW
UNILATERAL MACROSTOMIA mouth too wide
(microstomia - too small)
MEDIAN CLEFT LIP Nose may also be cleft
UNILATERAL CLEFT LIP
FACE
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FACIAL DEFECTS: Failures of processes to fuse
OBLIQUE FACIAL CLEFT
MEDIAN CLEFT JAW UNILATERAL MACROSTOMIA
MEDIAN CLEFT LIP
UNILATERAL CLEFT LIP
Mandibular & Maxillary
Maxillary & Nasolateral
Nasomedial & Nasomedial
Mandibular & Mandibular
Maxillary & Nasomedial
FACE
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FACIAL DEVELOPMENT 1-7 wks
MOSTLY BY ALTERING PROPORTIONS
FACE
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CHEEK
HAIRY SKIN
BUCCAL MUCOSA thick strat squam ep
BUCCAL GLAND mucous
MUSCLE
ADIPOSE TISSUE
MUSCLE Buccinator
CONNECTIVE TISSUE
GENERAL
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BUCCAL MUCOSA
SKIN
MUSCLE
ADIPOSE TISSUE
MUSCLE Buccinator
CHEEK: Germ-layer Origins
MUSCLE migrated somitic MESODERM
BUCCAL MUCOSA Oral ECTODERM
SKIN Surface ECTODERM
CONNECTIVE TISSUE Neural crest MESECTODERM
GENERAL
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FACIAL STRUCTURES thus depart from body plan
MUSCLE migrated somitic MESODERM
BUCCAL MUCOSA Oral ECTODERM
SKIN Surface ECTODERM
CONNECTIVE TISSUE Neural crest MESECTODERM
ECTODERM
MESODERM
ENDODERM
SKIN
GENERAL
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FACIAL & ORAL STRUCTURES More sources
Neural crest MESECTODERM also forms cartilage, bone & some periodontal tissues
ORAL ECTODERM
also forms anterior salivary glands, dental organs & enamel
GENERAL
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Mid-sagittal section
BRAIN
HEART
I II
CORD
CARDIAC BULGE
Full-face view 4-w embryo
What is going on inside the cranial end of the embryo? E.g., plans for nose & mouth?
GENERAL
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PHARYNGEAL ARCHES covered by ectoderm & demarcated by
PHARYNGEAL GROOVES
Mid-sagittal section of 4-w embryo
BRAIN
HEART
ESOPHAGUS
MESECTODERM
PHARYNGEAL POUCHES lined by endoderm
AORTA
I II
CORD
CARDIAC BULGE
GENERAL
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Mid-sagittal section of 1-m embryo
OLFACTORY PLACODE off the midline
STOMODEUM
FRONTONASAL PROMINENCE
BRAIN
PHARYNGEAL ARCHES covered by ectoderm
I II
NOSE
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OLFACTORY PLACODE Lens & Otic similar
BRAIN ECTODERM
OLFACTORY PLACODE
Neural crest MESECTODERM
OLFACTORY PLACODE’s rims rise, so creating & deepening the nasal pit & forming two processes
NOSE
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BRAIN WALL
NASAL PIT
ORAL CAVITY
NASOLATERAL PROCESS
NASOMEDIAL PROCESS
ORONASAL MEMBRANE
MANDIBULAR ARCH
TONGUE
START OF NASAL CAVITY & NOSTRIL (Naris)
NOSE
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ORONASAL MEMBRANE breaks down, creating a passage - primitive choana - between nasal & oral spaces
BRAIN WALL
ORAL CAVITY
NASOMEDIAL PROCESS moves to fuse with its fellow & start primary palate
MANDIBULAR ARCH protrudes with the support of Meckel’s cartilage
TONGUE
NASAL CAVITY- next events
Upper nasal lining differentiates into olfactory mucosa
NOSE
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TONGUE
Secondary PALATE will grow from maxillary process toward the midline
NASAL SEPTUM grows down in midline from frontonasal prominence
Nasomedial processes forming tip of nose & intermaxillary segment
NASAL CAVITY- more events & slightly later 1
nasal-
oral cavityPrimary palate growing back
NARIS
primitive choana NOSE
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TONGUE
Protrusions for NASAL CONCHAE grow in from lateral nasal process
Respiratory mucosa diffferentiating
NASAL CAVITY- more events & slightly later 2
nasal
oral
NOSE
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NASAL CAVITY at 3-m, just off the midline
TONGUE
LIP
BRAINNASAL CONCHAE
Olfactory bulb
JAW
SECONDARY PALATE
NARIS
LIP
PHARYNX
Hence no nasal septum
olfactory mucosa
NOSE
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INTERMAXILLARY SEGMENT Sagittal
BRAIN
PHILTRUM of LIP
PRIMARY PALATE
LIP
4-INCISOR MAXILLA = INTER-MAXILLARY SEGMENT
12
3
PALATE
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EYE
NASAL SEPTUM grows down in midline from frontonasal prominence & nasomedial process?
BRAIN
LATERAL PALATINE SHELF/PALATAL PROCESS
TONGUE
MECKEL’S CARTILAGE
PALATE
FRONTAL SECTION at 6-w
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PALATE
EYE develops
NASAL SEPTUM grows down durther
BRAIN
LATERAL PALATINE
SHELVES grow inwards & elevate
TONGUE
MECKEL’S CARTILAGE
degenerates to be replaced by mandibular bone
PALATE
FRONTAL SECTION at 6-w: next events
TONGUE drops below meeting palatine processes
LATERAL WALL grows in as conchae
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PALATE
EYE
PALATE
FRONTAL SECTION at 8-w
TOOTH BUD
NASAL SEPTUM
LATERAL PALATINE SHELF
MECKEL’S CARTILAGE
mandibular bone
NASAL CONCHAE
Maxillary bone
* Site for meeting and fusion of nasal septum & palatal shelves
BRAIN
TONGUE*
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MECHANISMS OF DEVELOPMENT 7
Fate of fused ectoderm II Penetration of dissolving fused ectoderm by mesenchyme
E.g., fusion of palatal processes
GENERAL
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PALATE
PROXIMITY
Epithelial disintegration & conversion Mesenchymal continuity
FUSION
Epithelial & Mesenchymal differentiation
STEPS IN PALATAL-NASAL FUSION
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PALATE
TONGUE
X
X
X
X
X
X
Mandibular bone
NASAL CONCHAE
FACIAL REINFORCEMENT
SEPTAL CARTILAGE
Maxillary bone
TOOTH BUD not seen in every section
HARD PALATE
VESTIBULAR LAMINA
X Skeletal muscle starting Tongue gets larger, develops papillae
XX
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NARIS
INTER-MAXILLARY SEGMENT
PALATE FROM BELOW
GUM
LATERAL PALATINE PROCESS/SHELF
PRIMARY PALATE/ Median palatine process
NASAL SEPTUM (mostly from median nasal processes)
UPPER LIP
PALATE
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LATERAL PALATINE PROCESS/SHELF
PRIMARY PALATE/ Median palatine process
Once the primary palate is fused in place, the lateral shelves meet & fuse zipper-like towards the rear
PALATE FROM BELOW
Fusion between
PALATE
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PALATE FROM BELOW a little later
LATERAL PALATINE PROCESS/SHELF
PRIMARY PALATE/ Median palatine process
Once the primary palate is fused in place, the lateral shelves meet & fuse zipper-like towards the rear
fuses with
NASAL SEPTUM partly hidden by palate
Incisive foramen
PALATE
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PALATE FROM BELOW 12-w
GUM
SOFT PALATE
UPPER LIP
HARD PALATE
PALATE
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PALATE FROM BELOW 12-w
SOFT PALATE
Uvula last site to fuse
UPPER LIP
Developing 10 Incisors not yet erupted
Raphe of HARD PALATE
Incisive papilla
GUM Frenulum of
PALATE
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PALATAL DEFECTS I: Partial failures to fuse
UNILATERAL CLEFT LIP
Lateral palatines
Maxillary & Nasomedial
PALATE
CLEFT UVULA/ BIFID UVULA
ANTERIOR CLEFT PALATE Incomplete & UnilateralPrimary & Lateral palatines
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PALATAL DEFECTS II: Failures to fuse
POSTERIOR CLEFT PALATE Complete
COMPLETE UNILATERAL ANTERIOR CLEFT Palate & Lip
Primary & Lateral palatines
PALATE
Can occur independently; can be partial; anterior can be bilateral
Maxillary & Nasomedial
AND
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Mid-sagittal section of 1-m embryo
ORO/BUCCO-PHARYNGEAL MEMBRANE
FRONTONASAL PROMINENCE
STOMODEUM
BRAINI II
TONGUE
PHARYNGEAL ARCHES covered by ectoderm
PHARYNGEAL POUCHES lined by endoderm
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Mid-sagittal section of 1-m embryo
Next slides will schematize & simplify floor of Arches I-IV
TONGUE
BRAINI II
Pouch pattern is more complicated & does not quite match arch pattern
PHARYNGEAL ARCHES covered by ectoderm
PHARYNGEAL POUCHES lined by endoderm
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Endodermal lining of pharyngeal pouch
ARCH I
II
Pharyngeal groove I
III
IV
Site of Tongue development: inside
Endodermal lining of pharyngeal pouch
Ectodermal covering
Mesenchymal coreArch cut intoTONGUE
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MECHANISMS OF DEVELOPMENT 2
Differential growth of tissues, e.g., mesenchyme growing more than overlying ectoderm to yield protrusions/ buds
ECTODERM
MESENCHYME
Mesenchyme has grown more & unevenly
Surface is greater so that some ectodermal proliferation must have occurred
GENERAL
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Sources of Tongue development I
provides growing power to produce bulges/buds
Mesenchymal core
ARCH
I
II
III
IV
TUBERCULUM IMPAR Median tongue bud
LATERAL LINGUAL SWELLINGS
COPULA
HYPOBRANCHIAL EMINENCE
OCCIPITAL MYOTOMES muscle core
TONGUE
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Sources of Tongue development
but not Arch II; & some structures lag & are incorporated
ARCH
I
II
III
IV
ARCH I
ARCH III
Terminal sulcus
TONGUE
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Sources of Tongue development II
ARCH
I
II
III
IV
LATERAL LINGUAL SWELLINGS
HYPOBRANCHIAL EMINENCE
OCCIPITAL MYOTOMES muscle core
TUBERCULUM IMPAR & COPULA leave no adult markTONGUE
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TONGUE MALFORMATIONS I
ARCH
I
II
III
IV
LATERAL LINGUAL SWELLINGS
Failure of these to fuse properly causes a DEEP MEDIAL SULCUS or at worst a BIFID TONGUE
Overgrowth - MACROGLOSSIA
Undergrowth - MICROGLOSSIA
TONGUE
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TONGUE MALFORMATIONS II
FORAMEN CECUM from whence the thyroglossal duct set out to create the thyroid gland
Remnant of duct epithelium forms a LINGUAL CYST
Part of duct opens back to foramen -
“FISTULA”
TONGUE
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TONGUE MALFORMATIONS III: Ankyloglossia
normal LINGUAL FRENULUM
short LINGUAL FRENULUM restricts tongue protrusion
Ankyloglossia = Tongue-tied
TONGUE
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Tongue Innervation
TONGUE
Trigeminal V
ARCH
I
II
III
IV
Facial VII
Glossopharyngeal IX
OCCIPITAL MYOTOMES muscle core
Hypoglossal XII
Vagus X
CRANIAL NERVE
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Tongue Innervation
TONGUE
OCCIPITAL MYOTOMES muscle core
Trigeminal V I
II
III
IV
Facial VII
Glossopharyngeal IX
Hypoglossal XII
Vagus X
Mandibular Trigeminal SENSORY
Hypoglossal MOTOR
Glossopharyngeal& Facial
TASTE
Vagus