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DEVELOPMENT OF TONGUE THYROID GLAND, FACE AND PALATE. Dr Samina Anjum. PHARYNGEAL ARCHES. Taste Buds Anterior 2/3 tongue - Cranial nerve VII Posterior 1/3 tongue - Cranial nerve IX Most posterior part & Epiglottis - Cranial nerve X. TONGUE TIE. Development of Thyroid.
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DEVELOPMENT OF TONGUE THYROID GLAND, FACE AND PALATE Dr Samina Anjum
Taste Buds • Anterior 2/3 tongue - Cranial nerve VII • Posterior 1/3 tongue - Cranial nerve IX • Most posterior part & Epiglottis - Cranial nerve X
Development of Thyroid • The thyroid gland is the first endocrine gland to develop in embryo. • It begins to form about 24 days after fertilization • It develops from a median endodermal thickening in the floor of a primordial pharynx • Thickening soon forms a small outpouching called thyroid primordium
Cont…. • As the embryo and tongue grow, the developing thyroid gland descends in the neck, passing ventral to the developing hyoid bone and laryngeal cartilages • For a short time the thyroid gland is connected to the tongue by a narrow tube, the thyroglossal duct, disappears later
Cont… • At first the thyroid primordium is hollow but it soon becomes solid and divides into right and left lobes. • The two lobes are connected by the isthmus of the thyroid gland. • Isthmus lies anterior to the developing second and third tracheal rings.
Cont… • By seventh week it has reached its final site in the neck • The proximal opening of the thyroglossal duct persists as a small pit in the tongue, the foramen cecum • A pyramidal lobe extends upward from the isthmus in about 50% of people • The pyramidal lobe and the associated smooth muscle represent a persistent part of the distal end of the thyroglossal duct
Thyroglossal Duct Cysts & Sinuses Following infection of a cyst, a perforation of the skin occurs forming a thyroglossal duct sinus
DEVELOPMENT OF FACE • STOMODIUM: Is the depression between five elevations. Opposed to the primitive pharynx by buccopharyngeal membrane, which will break down later, then stomodeum communicates with the foregut.
Craniofascial Defects • Treacher Collin’s syndrome • Robbin’s sequence • Digeorge anomaly • Goldenhar syndrome
First Arch Syndrome Two Major types; both result in extensive facial abnormalites • Treacher Collins Syndrome • Pierre Robin Syndrome
Treacher Collins Syndrome • Autosomal dominant trait/teratogens • Malar hypoplasia • Mandibular hypoplasia • Down slanting palpepebral fissures • Malformed external ears
Pierre Robin Syndrome • Genetic or envoirmental factors • Mandibular hypoplasia • Micrognathia • Cleft palate
Digeorge anomaly • Disturbance of cervical neural crest migration. • Absence of thymus and parathyroid glands • Immunological deficiency, Hypocalcaemia, Poor prognosis
Intermaxillary Segment Forms • Labial Components (Philtrum) • Maxilla Component (Alveolus + 4 Incisors) • Palatal Component (Triangular Primary Palate)
Congenital malformations 1) cleft lip: a. unilateral cleft lip: results from failure of the maxillary prominence to merge with medial nasal prominence on the affected side
b. bilateral cleft lip : results from failure of the maxillary prominences to merge with the medial nasal prominence on both sides c. median cleft lip: results from failure of the medial nasal prominences to merge and form the intermaxillary segments
2) oblique facial cleft: results from failure of the maxillary prominence to fuse with the lateral nasal prominence