Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Facial development begins during the fourth week of prenatal development.
The rapidly growing brain bulges over the oropharyngeal membrane and heart.
Figure 4-1 (Visual depiction of the embryo's development).
The formation of the primitive mouth, mandibular arch, maxillary process, frontonasal process, and nose occurs during this stage.
Five facial processes (prominences) surround the primitive mouth:
Frontonasal process (single)
Maxillary processes (paired)
Mandibular processes (paired)
Figure 4-3 (Illustration showing adult face compared to embryonic structures).
Facial tissues primarily develop by fusing swellings on the embryo's surface.
Initially, clefts or furrows between adjacent swellings appear due to proliferation and morphogenesis.
Figure 4-4 (Visual representation of facial fusion).
During facial fusion, furrows are eliminated as mesenchyme migrates into the furrows, smoothing the facial surface.
This migration happens as mesenchyme grows and merges beneath the ectoderm.
The primitive mouth is known as the stomodeum, appearing as a shallow depression before week four.
The stomodeum is limited in depth by the oropharyngeal membrane.
The oropharyngeal membrane separates the stomodeum from the primitive pharynx (cranial part of the foregut).
Disintegration of the oropharyngeal membrane enlarges the stomodeum, enabling access between the primitive mouth and pharynx.
Mandibular processes fuse to form the mandibular arch below the stomodeum.
Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Two tissue bulges appear as the mandibular processes beneath the primitive mouth.
These processes consist of mesenchyme, partly originating from neural crest cells, and are covered by ectoderm and endoderm.
The paired mandibular processes fuse at the midline to become the mandibular arch, the precursor to the lower dental arch and mandible.
Following fusion, the mandibular arch extends below the stomodeum and lies between the developing brain and heart.
The mandibular symphysis indicates where the mandible is formed by the fusion of the left and right mandibular processes.
The mandibular arch forms the lower face and lower lip, contributing to the mandible and its associated teeth and tissues.
A bulge of tissue, the frontonasal process, develops at the upper facial area by the fourth week as the cranial boundary of the stomodeum.
Placodes (thickened ectoderm) on the embryo’s outer surface mark the sites of developing special sense organs.
Tissue around the nasal placodes on the frontonasal process begins growing, leading to nose development.
Nasal placodes become submerged, forming nasal pits (olfactory pits).
Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
The area around the nasal placodes shows crescent-shaped swellings:
Medial nasal processes (located between nasal pits)
Lateral nasal processes (located on the outer side of the nasal pits).
The intermaxillary segment develops from the fused medial nasal processes within the stomodeum.
Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
A maxillary process, formed from the mandibular arch, grows around the stomodeum during the fourth week, moving superiorly and anteriorly.
The upper lip forms when each maxillary process fuses with each medial nasal process on both sides of the stomodeum, influenced by the growth of the mesenchyme.
The maxillary processes shape the sides of the upper lip, while the medial nasal processes form the philtrum.
The foregut develops into the primitive pharynx, which will subsequently form the oropharynx.
Figure 4-10 (Illustration related to pharynx development).
During the fourth week, bilateral tissue swellings appear under the stomodeum, forming the branchial arches, with the mandibular arch being the first.
Figure 4-11 (Illustration showing branchial arches and their derivatives).
Each paired branchial arch has its cartilage, nerve, vascular, and muscular components.
The first two pairs of arches are the most prominent, while the third has unnamed cartilage contributing to the hyoid bone structure.
Branchial grooves appear between the branchial arches; only the first groove contributes to a mature structure in the head and neck.
Four pairs of pharyngeal pouches develop as endodermal evaginations lining the pharynx, forming balloon-like structures between branchial arches.