Pharyngeal Arches

• There are 5 pharyngeal arches, numbered 1 – 4 and then 6.

• They comprise:
• Aortic arches, the arterial connections between the ventral and dorsal aortae.
• Skeletal structures (derived from neural crest cells).
• Muscle (derived from mesoderm).
• Cranial nerves (derived from neural crest cells).

• Telencephalon
• Diencephalon
• Mesencephalon
• Metencephalon
• Myelencephalon

• The notochord induces the overlying ectoderm to differentiate into the neural tube.
• There are 5 pharyngeal arches, from cranial to caudal: 1, 2, 3, 4, (skip 5) and then 6 [No 5th Pharyngeal Arch exists!]

• CN 5 (the trigeminal nerve) migrates into arch 1
• CN 7 (the facial nerve) migrates into arch 2
• CN 9 (the glossopharyngeal nerve) migrates into arch 3
• CN 10 (the vagus nerve) migrates into arches 4 and 6 – the superior laryngeal branch lies within the 4th pharyngeal arch and the recurrent laryngeal branch lies within the 6th pharyngeal arch.

• The mandibular prominence forms pharyngeal arch 1 (if we know CN 5's role in mastication, this will help us remember the association between this arch and nerve).
• Although the maxillary prominence is sometimes listed as a portion of pharyngeal arch 1, indicate that it actually lies rostral to the 1st arch.

• At the nasal prominence, lies the olfactory placode, which derives the olfactory epithelium and olfactory nerve (CN 1).
• The optic placode forms the optic nerve (CN 2); it originates from the diencephalon.
• The otic placode forms the vestibulocochlear nerve (CN 8); it originates from the hindbrain.

• The long endodermal tube follows the cephalic bend ventral to the notochord.
• Cranially, lies the pharynx.
• Caudally, label the esophagus.
• The trachea branches from the endodermal tube anterior to the esophagus.

• The pouches are outpouchings of endoderm that fill the pharyngeal grooves; we'll understand this anatomy better in part 2 of our diagram in which we draw the pharyngeal apparatus in coronal view.

• Each pharyngeal arch has an aortic arch that runs within it.
• From the heart emanates the truncus arteriosus, aortic sac, and the ventral aorta.
• The dorsal aorta bifurcates to become the bilateral internal carotid arteries, cranially – they form the primary supply of blood to the brain (the anterior 2/3rds of the brain's vascular supply). For reference, the posterior blood supply to the brain comes from the basilar artery, which is supplied by the vertebral arteries.
• Connect the ventral and dorsal aortae with the aortic arches that pass in between the pharyngeal pouches and specify the 1st aortic arch (these are sometimes referred to simply as the arch arteries) – they connect the dorsal and ventral aortae.

• Rathke's pouch is an ectodermal placode along the roof of the stomodeum (the site of the future mouth – the cranial opening of the pharyngeal apparatus). Rathke's pouch stretches towards the floor of the 3rd ventricle (the infundibulum). Later, it disconnects from the stomodeum and its stalk regresses: ultimately, forming the anterior pituitary gland. And the infundibulum descends and develops into the posterior pituitary gland.
• Clinical Correlation: Craniopharyngioma

• The thyroid primordium lies in between the 1st and 2nd pharyngeal pouches, along the ventral surface of the pharyngeal apparatus, draw. It forms at the apex (the ventral tip) of the foramen cecum.
• The thyroid primordium develops into the thyroid gland, which descends within the thyroglossal duct (which quickly breaks down) and then migrates beneath the thyroid cartilage to its ultimate anatomical site: beneath the cricoid cartilage.

Comprises the maxillary artery (its terminal branch), maxillary cartilage and the incus and malleus of the middle ear canal, muscles of mastication, and the trigeminal nerve (CN 5).

• This helps us tie together that the 1st arch comprises: the maxillary artery, maxillary cartilage, muscles of mastication, which CN 5 innervates.

Comprises the stapedial artery, the upper hyoid, the stapes of the middle ear canal, the muscles of facial expression, and the facial nerve (CN 7).

• This helps us tie together that the 2nd arch comprises the stapedial artery, stapes, and the muscles of facial expression, which CN 7 innervates.

Comprises the common carotid and internal carotid root, the lower hyoid, stylopharyngeus, and the glossopharyngeal nerve (CN 9).

• This helps us tie together that the 3rd arch comprises the carotid arterial vessels and stylopharyngeus, which CN 9 innervates.

Comprises the arch of the aorta (on the left) and subclavian artery (on the right), the upper laryngeal cartilages – thyroid and epiglottal, pharyngeal constrictor muscles, and the vagus nerve (CN 10)'s superior laryngeal branch. Comprises the ductus arteriosus and pulmonary arteries, the lower laryngeal cartilages: for instance, the cricoid cartilage (which we learned in the first part, sits just above the thyroid gland), the laryngeal intrinsics (remember that extrinsic muscles, also exist), and the vagus nerve (CN 10)'s recurrent laryngeal branch.

• The vagus nerve receives the aortic bodies, so we remember the arch of the aorta, the vagus nerve innervates pharyngeal and laryngeal musculature, and the pharynx lies above the larynx, so we can infer that the 4th arch comprises pharyngeal constrictor muscles, whereas the 6th comprises laryngeal intrinsics just like we can infer that the upper laryngeal cartilages are part of the 4th arch and the lower laryngeal cartilages are part of the 6th!