Cervical sinus

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Cervical sinus
Kiemenbogen.jpg
Scheme of the pharyngeal arches
I–IV: pharyngeal arches
1–4: pharyngeal pouches (inside) and/or pharyngeal grooves (outside)
a: Tuberculum laterale
b: Tuberculum impar
c: Foramen cecum
d: Ductus thyreoglossus
e: Sinus cervicalis
Details
Identifiers
Latin sinus cervicalis
Anatomical terminology

The cervical sinus is a structure formed during embryonic development. It is a deep depression found on each side of the neck. It is formed as the second pharyngeal arch (hyoid arch) grows faster than the other pharyngeal arches, so they become covered. The first pharyngeal arch (mandibular arch) also grows slightly faster. It may fail to obliterate, forming a branchial cleft cyst or fistula, which is prone to infection.

Contents

Structure

The cervical sinus is bounded in front by the second pharyngeal arch (hyoid arch), and behind by the thoracic wall. The second pharyngeal arch (hyoid arch) grows faster than the other pharyngeal arches, so they become covered. It is ultimately obliterated by the fusion of its walls by the 7th week of gestation.

Clinical significance

Sometimes, the cervical sinus can fail to obliterate and thus remains as a branchial cleft cyst.[ citation needed ] The second pharyngeal arch may also not grow over the lower pharyngeal arches. [1] This may be found anterior to the sternocleidomastoid muscle. [1] It can also communicate with the skin as an external cervical fistula or with the pharynx as an internal cervical fistula.[ citation needed ] It is prone to infection. Medical ultrasound may be used to diagnose them. [1]

Additional images

Related Research Articles

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<span class="mw-page-title-main">Hyoid bone</span> Bone situated in the neck between the chin and the thyroid cartilage

The hyoid bone is a horseshoe-shaped bone situated in the anterior midline of the neck between the chin and the thyroid cartilage. At rest, it lies between the base of the mandible and the third cervical vertebra.

<span class="mw-page-title-main">Thyroglossal cyst</span> Medical condition

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The mylohyoid muscle or diaphragma oris is a paired muscle of the neck. It runs from the mandible to the hyoid bone, forming the floor of the oral cavity of the mouth. It is named after its two attachments near the molar teeth. It forms the floor of the submental triangle. It elevates the hyoid bone and the tongue, important during swallowing and speaking.

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<span class="mw-page-title-main">Sternothyroid muscle</span>

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<span class="mw-page-title-main">Pharyngeal groove</span>

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<span class="mw-page-title-main">Aortic arches</span>

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A persistent thyroglossal duct is a usually benign medical condition in which the thyroglossal duct, a structure usually only found during embryonic development, fails to atrophy. The duct persists as a midline structure forming an open connection between the back of the tongue and the thyroid gland. This opening can lead to fluid accumulation and infection, which necessitate the removal of the duct.

<span class="mw-page-title-main">Branchial cleft cyst</span> Medical condition

A branchial cleft cyst or simply branchial cyst is a cyst as a swelling in the upper part of neck anterior to sternocleidomastoid. It can, but does not necessarily, have an opening to the skin surface, called a fistula. The cause is usually a developmental abnormality arising in the early prenatal period, typically failure of obliteration of the second, third, and fourth branchial cleft, i.e. failure of fusion of the second branchial arches and epicardial ridge in lower part of the neck. Branchial cleft cysts account for almost 20% of neck masses in children. Less commonly, the cysts can develop from the first, third, or fourth clefts, and their location and the location of associated fistulas differs accordingly.

<span class="mw-page-title-main">Human embryonic development</span> Development and formation of the human embryo

Human embryonic development or human embryogenesis is the development and formation of the human embryo. It is characterised by the processes of cell division and cellular differentiation of the embryo that occurs during the early stages of development. In biological terms, the development of the human body entails growth from a one-celled zygote to an adult human being. Fertilization occurs when the sperm cell successfully enters and fuses with an egg cell (ovum). The genetic material of the sperm and egg then combine to form the single cell zygote and the germinal stage of development commences. Embryonic development in the human, covers the first eight weeks of development; at the beginning of the ninth week the embryo is termed a fetus. The eight weeks has 23 stages.

<span class="mw-page-title-main">Pharynx</span> Part of the throat that is behind the mouth and nasal cavity

The pharynx is the part of the throat behind the mouth and nasal cavity, and above the esophagus and trachea. It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food to the esophagus and air to the larynx. The flap of cartilage called the epiglottis stops food from entering the larynx.

<span class="mw-page-title-main">Preauricular sinus and cyst</span> Medical condition

Preauricular sinuses and preauricular cysts are two common congenital malformations. Each involves the external ear. The difference between them is that a cyst does not connect with the skin, but a sinus does. Frequency of preauricular sinus differs depending the population: 0.1–0.9% in the US, 0.9% in the UK, and 4–10% in Asia and parts of Africa.

<span class="mw-page-title-main">Congenital cartilaginous rest of the neck</span> Medical condition

Congenital cartilaginous rest of the neck (CCRN) is a minor and very rare congenital cutaneous condition characterized by branchial arch remnants that are considered to be the cervical variant of accessory tragus. It resembles a rudimentary pinna that in most cases is located in the lower anterior part of the neck.

The face and neck development of the human embryo refers to the development of the structures from the third to eighth week that give rise to the future head and neck. They consist of three layers, the ectoderm, mesoderm and endoderm, which form the mesenchyme, neural crest and neural placodes. The paraxial mesoderm forms structures named somites and somitomeres that contribute to the development of the floor of the brain and voluntary muscles of the craniofacial region. The lateral plate mesoderm consists of the laryngeal cartilages. The three tissue layers give rise to the pharyngeal apparatus, formed by six pairs of pharyngeal arches, a set of pharyngeal pouches and pharyngeal grooves, which are the most typical feature in development of the head and neck. The formation of each region of the face and neck is due to the migration of the neural crest cells which come from the ectoderm. These cells determine the future structure to develop in each pharyngeal arch. Eventually, they also form the neurectoderm, which forms the forebrain, midbrain and hindbrain, cartilage, bone, dentin, tendon, dermis, pia mater and arachnoid mater, sensory neurons, and glandular stroma.

References

PD-icon.svgThis article incorporates text in the public domain from page 67 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 Hosokawa, Takahiro; Yamada, Yoshitake; Sato, Yumiko; Tanami, Yutaka; Amano, Hizuru; Fujiogi, Michimasa; Kawashima, Hiroshi; Oguma, Eiji (2015-10-01). "Lateral cervical sinus: specific sonographic findings in two pediatric cases". Journal of Medical Ultrasonics. 42 (4): 595–599. doi:10.1007/s10396-015-0650-4. ISSN   1613-2254. PMID   26576989. S2CID   26352153.