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Congenital anomalies of the branchial apparatus: embryology and pathologic anatomy.

Various congenital anomalies of branchial origin are found in the neck region. Understanding the varied radiologic appearances of these anomalies is greatly aided by familiarity with their embryologic origins. By considering the anatomic location and radiologic appearance, the precise embryologic origin can be accurately predicted. Defects of the branchial apparatus include branchial, thymic, and parathyroid anomalies, which may manifest as cysts, sinuses, fistulas, and ectopic glands. The embryologic model is used to explain the origins of all branchial apparatus anomalies. The most accepted theory proposes that vestigial remnants result from incomplete obliteration of the branchial apparatus or buried cell rests, and, thus, if cells are trapped in the branchial apparatus during the embryologic stage, they can form branchial cysts later in life. By understanding the embryologic basis for these defects, the radiologist is better able to interpret the findings encountered with the various imaging modalities used in the evaluation of these anomalies.

Branchial Region↗

Craniofacial dermoids: an embryological theory unifying nasal dermoid sinus cysts.

OBJECTIVE: The nasal dermoid sinus cyst (NDSC) is an uncommon congenital lesion presenting as a large panel of midline craniofacial anomalies. The objective of this study was to review and reanalyze embryological hypotheses concerning NDSCs and to propose an embryological theory unifying the various anatomical characteristics of these lesions. The first case of frontal localization of a NDSC extending within the diploetic bone in a 9-month-old boy, presenting as a median frontal fistula with recurrent frontal swelling, 6 months after a mild frontal trauma is presented. RESULTS: Complete surgical removal was performed, and there was no evidence of either persistent or recurrent disease 2 years after his surgery. The embryological and anatomical origins of NDSCs are reviewed. This article reexamines and discusses major embryological theories on NDSC pathogenesis and proposes to refute the "prenasal space" theory of Grunwald and rehabilitate a forgotten embryological hypothesis, which unifies the main various clinical presentations of NDSCs.

Dermoid Cyst↗

Wolff and Müller: fundamental eponyms of embryology, nephrology and urology.

PURPOSE: Kaspar Friedrich Wolff and Johannes Petrus Müller, German physicians in the 18th and 19th centuries, respectively, contributed significantly to the study of the biological sciences, specifically embryology and the development of the genitourinary tract. Their eponyms are a part of daily conversation in medical education, practice and research. We reviewed their lives and works. MATERIALS AND METHODS: Commentaries on the works of these scientists as well as available English translations of their works were analyzed. RESULTS: Wolff and Müller were pioneers in their fields. Wolff gained renown for his Theoria Generatonis, a great embryological treatise, produced in 1759. Müller performed significant studies in the fields of anatomy, pathology, physiology and embryology. In 1834 he became editor of the physiology journal that later came to be known as Müller's Archiv. CONCLUSIONS: Studies of and inferences about the development of the urogenital system a century apart by these 2 men contributed greatly to the current understanding of embryology. Their names remain a part of everyday medical dialogue.

Embryology↗

Embryology and evolution 1920-1960: worlds apart?

During the early part of the 20th century most embryologists were skeptical about the significance of Mendelian genetics to embryological development. A few embryologists began to study the developmental effects of Mendelian genes around 1940. Such work was a necessary step on the path to modern developmental biology. It occurred during the time when the Evolutionary Synthesis was integrating Mendelian and population genetics into a unified evolutionary theory. Why did the first embryological geneticists begin their study at that particular time? One possible explanation is that developmental genetics was a potential avenue of alliance between embryology and evolutionary biology, two fields that had been separated since the 1890s. To assess this possible motive it is necessary to explore the methodological contrasts that obtained between embryology and both Mendelian-chromosomal genetics and neo-Darwinian evolutionary theory. Some of these contrasts persist to the present day.

Animals↗

[History of embryology in Strasbourg].

The Alsatian medieval chronicles report numerous examples of monstrous births; with the development of printing, fly sheets appear in order to relate exceptional phenomena. In 1652, a chair of anatomy was created; embryology and teratology, at that time solely morphological sciences, depended on anatomy. In 1670, the first anatomical theatre was built, and as early as 1672, a meticulous dissection, exceptional at that time, was performed on a thoracodymus double monster born in Strasbourg. In 1919, when the Faculty of Medicine was reorganized after Alsace was restored to France, for the first time in France, a specific chair and an institute of embryology and teratology were created. This is the beginning of the famous experimental embryology. In 1945, a chair of zoology and experimental embryology was created at the Faculty of Sciences. F. Keibel (1861-1929), P. Ancel (1873-1961), P. Vintemberger (1891-1983), J. Benoit (1896-1982), and E. Wolff, were among the famous embryologists who worked in Strasbourg.

Congenital Abnormalities↗

[The origins of embryology. Epistemologic and cultural viewpoints].

Embryology is exemplar from an epistemologic point of view, due to its close relation with philosophy as studying an immediately accessible link in the process of generation. It has evolved to its present form following the development of the microscopical techniques at the end of the 18th century, but remains close to the ancient approaches of generation. The roots of modern Embryology are still to be found in the presocratic philosophers, and the works of Aristotle represent a major step in its foundation. Embryology also had a prominent place in the reappraisal of Aristotle's work by Albertus Magnus in the middle ages, following the islamic influences. This reappraisal opened the way to the scientific movement of the Renaissance, when Leonardo da Vinci played an essential role, approaching the development of the human embryo. Embryology is therefore linked to the major influence exerted by Aristotle on occidental civilization, it has then a prominent place from a cultural point of view.

Animals↗

More questions than answers? R v Human Fertilisation and Embryology Authority ex parte Blood The Times 7th February 1997.

The recent Court of Appeal decision in R v Human Fertilisation and Embryology Authority ex parte Blood (1997), was an attempt to reconcile media driven support for a widow's desire to have a child using sperm obtained from her comatose husband immediately prior to his death. The Court of Appeal held that the written consent of the husband had not been obtained in respect to the storage of his sperm and this was contrary to the requirements of the Human Embryology and Fertilisation Act 1990. However in the present case it was right that once the sperm had been removed, it was preserved and stored pending a ruling as there appeared to be some uncertainty surrounding the situation. The Court also held that the Human Fertilisation and Embryology Authority had failed to exercise its discretion correctly in refusing to give Mrs Blood permission to export the sperm to Belgium where the written consent of the donor to storage of gametes is not required. The Court of Appeal stated that there was no question of a precedent being set as this was a unique situation which should not arise again in the future.

Female↗

[Is there new knowledge on embryology and functional anatomy of human mimetic muscles and the upper lip? A contribution to point selection, skin incision and muscle reconstruction in primary lip-nose reconstruction of uni- and bilateral lip-jaw-palatal clefts].

BACKGROUND: The great variety of primary cheiloplastic procedures in CLP patients shows that there is disagreement regarding the embryological development of this part of the face, the point selection, skin incision philosophy, and the macroscopic and microscopic functional anatomy of the human muscles of facial expression. We suppose from findings in Asian and African populations that the real embryological development of the upper lip differs from current textbook descriptions. Our own anatomical and embryological investigations serve as a basis for a critical discussion of different techniques of muscle reconstruction, point selection, and skin incision and for a description of an embryologically, functionally, and anatomically oriented operation technique for different entities of CLP. METHODS: The findings of this study result from investigations of the embryonal and early fetal development from the 26th to the 112th i.u. day in REM pictures of the Anatomical Institute of the University of Göttingen (n = 8) and serial histological investigations of the Carnegie and Hooker-Humphrey Collections at the Armed Forces Institute of Pathology, Washington, D.C. (n = 40). Furthermore, we carried out microsurgical dissections of the muscles of facial expression, the osseous and cartilaginous parts of the nose, and the midfacial sutures in two adult heads without congenital disorders and one newborn head with a primary unilateral complete cleft of the lip and alveolus. RESULTS AND DISCUSSION: The formation of the lower third of the upper lip is the result of contact of the maxillary bulges in the midline below the prolabium. According to this finding, the point selections and skin incisions have to be modified in the midline region in different types of uni- and bilateral CLP. Our technique of primary dissection, reorientation, and suturing of the muscles of facial expression is presented. The muscle reconstruction has to be performed independently from the skin preparation.

Cleft Lip↗

The anatomy and embryology of posterior urethral valves.

PURPOSE: We reviewed the literature to better elucidate the history behind our understanding of the anatomy, classification and embryology of posterior urethral valves. MATERIALS AND METHODS: A directed MEDLINE literature review of the anatomy, classification and embryology of posterior urethral valves was performed. An effort was made to focus on the most frequently cited historical articles as well as those including detailed anatomical analyses of fetal specimens. Also included was the analysis of a specimen obtained at our institution in a novel manner that to our knowledge has not been previously described in the literature with respect to the anatomy of posterior urethral valves. RESULTS: The precise origins regarding the anatomy and embryology of posterior urethral valves remain undefined. However, the literature is abundant in theories regarding the origin of posterior urethral valves, based primarily on small uncontrolled series or case reports. There are a limited number of reports of the anatomy of posterior urethral valves in methodical fashion using reproducible scientific techniques such as histopathology. These reports are invaluable for providing a foundation of how to properly study and define the origins of posterior urethral valves. CONCLUSIONS: Elucidating this most fundamental feature of a congenital condition central to the practice of pediatric urology is essential. More well designed studies specifically with this goal in mind are necessary. Incorporating new reconstructive imaging modalities may assist us in pinpointing the elusive origins of the embryology and anatomy of posterior urethral valves.

Humans↗

Embryological observations on the female genital tract.

The embryology of the genital tract and urinary system is described, and the hypothesis is advanced that the vagina is an organ embryologically derived from the mesonephric or Wolffian ducts in addition to the Müllerian tubercle. This is based on experimental studies and case reports in the literature and our own cases of genital malformations, especially in patients with unilateral renal agenesis and an ipsilateral blind vagina. The importance of the mesonephric ducts as guides or 'inductor' elements for adequate Müllerian development is emphasized. A new embryological classification of female genital malformations is proposed, based on these embryological concepts.

Female↗

Volume maintenance of onlay bone grafts in the craniofacial skeleton: micro-architecture versus embryologic origin.

The superior volume maintenance of membranous over endochondral bone has been shown in several studies and provides the basis for its preferred clinical use as an onlay grafting material in the craniofacial skeleton. The scientific rationale for this seeming embryologic advantage, however, has never been proven. Our hypothesis is that the pattern of onlay bone graft resorption is primarily determined by a graft's micro-architecture (relative cortical and cancellous composition) rather than its embryologic origin (membranous versus endochondral). Twenty-five adult New Zealand, White rabbits were used for this study. Eight animals were killed at 3 weeks, eight animals at 8 weeks, and nine animals at 16 weeks. Three graft types were placed onto each rabbit cranium: cortical bone graft of membranous origin and cortical and cancellous bone graft of endochondral origin. Fluorochrome markers were injected into all living rabbits at 1, 6, and 14 weeks. Microcomputed tomography scanning was performed on all of the bone grafts to determine postsacrifice volumes and to obtain detailed information regarding the bone graft's trabecular architecture. In addition, specimens were examined histologically. Volume analysis showed a statistically greater resorption rate in the cancellous endochondral bone graft than in either the endochondral or membranous cortical bone grafts (p < 0.05) for all time points. In addition there was no significant difference in the resorption rates between the endochondral and membranous cortical bone grafts. A post-test power analysis (alpha = 5 percent) of the volume data comparing the two types of cortical bone grafts showed that a difference in resorption of 8.9 percent would be detected with a 90-percent probability. Previous studies, which have shown a seeming superiority of membranous over endochondral bone grafts, used composite grafts composed of both cortical and cancellous portions. By separating these components, we have shown that cortical bone grafts maintain their volumes significantly better than cancellous bone grafts. In addition, we found no statistical difference in the resorption rates between the two cortical onlay bone grafts of different embryologic origins, a finding that has never been previously published. From our results, we believe cortical bone to be a superior onlay grafting material, independent of its embryologic origin. We believe these results challenge the currently accepted theories of bone graft dynamics and may lead to a change in the way clinicians approach bone graft selections for craniofacial surgery.

Animals↗

Congenital isolated midline sinus of the upper lip: clinical and embryological approaches.

OBJECTIVES: Congenital sinuses or fistulas of the lip are uncommon malformations, yet true medial upper-lip fistulas (MULFs) are extremely rare. We present a new case of congenital upper-lip fistula located in the midline of the philtrum of an 8-month-old girl. INTERVENTION: Complete surgical removal was performed with a combined extra- and intraoral approach. Histological examination revealed that the fistula was lined by squamous epithelium with sebaceous and mucous glands and hair follicles. RESULTS: Several embryological hypotheses have been proposed concerning these anomalies. This article reexamines and discusses major embryological theories on pathogenesis of sinuses or fistulas of the upper lip. We propose that early ectodermal inclusion events may occur in the medial fusion area during formation of the intermaxillary process. This embryological approach is highly concordant with our recent hypothesis on nasal dermoid sinus cysts (NDSCs) pathogenesis, in which we proposed an embryological hypothesis with early ectodermal inclusion phenomenon in the midline suture area to explain NDSCs pathogenesis. CONCLUSIONS: Common early ectodermal inclusion phenomena could be involved in both NDSCs and MULFs pathogenesis.

Cutaneous Fistula↗

A history of normal plates, tables and stages in vertebrate embryology.

Developmental biology is today unimaginable without the normal stages that define standard divisions of development. This history of normal stages, and the related normal plates and normal tables, shows how these standards have shaped and been shaped by disciplinary change in vertebrate embryology. The article highlights the Normal Plates of the Development of the Vertebrates edited by the German anatomist Franz Keibel (16 volumes, 1897-1938). These were a major response to problems in the relations between ontogeny and phylogeny that amounted in practical terms to a crisis in staging embryos, not just between, but (for some) also within species. Keibel's design adapted a plate by Wilhelm His and tables by Albert Oppel in order to go beyond the already controversial comparative plates of the Darwinist propagandist Ernst Haeckel. The project responded to local pressures, including intense concern with individual variation, but recruited internationally and mapped an embryological empire. Though theoretically inconclusive, the plates became standard laboratory tools and forged a network within which the Institut International d'Embryologie (today the International Society of Developmental Biologists) was founded in 1911. After World War I, experimentalists, led by Ross Harrison and Viktor Hamburger, and human embryologists, especially George Streeter at the Carnegie Department of Embryology, transformed Keibel's complex, bulky tomes to suit their own contrasting demands. In developmental biology after World War II, normal stages-reduced to a few journal pages-helped domesticate model organisms. Staging systems had emerged from discussions that questioned the very possibility of assigning an embryo to a stage. The historical issues resonate today as developmental biologists work to improve and extend stage series, to make results from different laboratories easier to compare and to take individual variation into account.

Anatomy, Artistic↗

Contribution of the Belgian school of embryology to the concept of neural induction by the organizer.

Albert BRACHET, founder of the Brussels School of embryology, conducted delicate experiments in which he selectively destroyed zones of the grey crescent with heated needles. This allowed him to observe, in 1923, that the median region of the grey crescent of the blastula is a area of spontaneous differentiation and that this "primary self-differentiation centre" organizes the axial organs in anurans. It is thus fair to say that A. BRACHET contributed significantly to the emergence of the organizer concept. Albert DALCQ and Jean PASTEELS, successors of A. BRACHET, trying to solve the problem of the organizer's determination, proposed their famous quantitative theory of embryonic development resulting in the concept of morphogenetic potential, which increases with the CV concentration, a combination of a cortical constituent C and a vegetal substance V. Jean BRACHET, the younger son of A. BRACHET and one of the founding father of molecular biology and embryology, was soon convinced that the organizer owes its inducing power to a chemical substance. Being the first to suggest the role of RNA in protein synthesis, he first imagined that RNA could be the active substance in induction but became convinced afterwards that the inducer must have a proteic nature. His interest in the molecular aspects of induction stimulated research that was to make chemical embryology molecular.

Animals↗

A history of mammalian embryological research.

Although Reinier DE GRAAF (1641-1673) can be considered the founder of modern reproductive biology, scientific knowledge of mammalian development did not progress significantly until the XlXth century. Determining contributions to this progress were the discovery of the ovum by Karl von BAER (1792-1876), his meticulous observations of the stages of embryogenesis, and, half a century later, the remarkable descriptions made by Edouard VAN BENEDEN (1845-1910) of egg development in rabbits and bats. Yet mammalian embryology remained a purely descriptive discipline until the second half of the XXth century, when a handful of exceptional scientists (notably including John D. BIGGERS, Ralph BRINSTER, Anne McLAREN, and W. WHITTEN) managed to obtain reproducibly the development of mouse eggs in a chemically defined medium and to transfer the eggs to the uterine horns of pseudopregnant females. Around the same time (1959), M.C. CHANG was the first to obtain a mammal (a rabbit) by in vitro fertilisation, thus opening the way to assisted procreation. This was achieved in our species in 1978, by Robert EDWARDS and Patrick STEPTOE. With these feats, mammalian embryology could at last become causal, as A. BRACHET already in 1912 had hoped it would. New concepts soon emerged from the delicate manipulations performed on mouse eggs by scientists such as A. TARKOWSKI, B. MINTZ, J. MULNARD, and R. GARDNER, concepts such as the oustside-inside hypothesis proposed to explain the determination of the ICM and trophectoderm or the clonal theory of cell determination during development. These new ideas were soon to become the focus of intense study. Other investigators, interested in the synthesis and roles of macromolecules, contributed in the late 1960's most of our knowledge on global trends in gene expression during the first stages of development. As for the many unfruitful attempts to obtain artificial parthenogenetic development in mice, these would lead to the discovery of parental genetic imprinting. In the 1950's, Leroy STEVENS and Barry PIERCE made famous a very rare tumour, the teratocarcinoma. This tumour soon became a model for studying mammalian development, adopted by an increasing number of research groups. It became the source of a first generation of pluripotent cells culturable in vitro: embryonal carcinoma (EC) cells. In the 1980's came the next generation: embryonic stem (ES) cells derived from the ICM of blastocysts, whose advent coincided with that of the first transgenic mice. Then came the era of knockout mice and cloning. Scientists now envisage with enthusiasm applications that were unimaginable just a few years ago. Such is the legacy of those few pioneers of the experimental embryology of mammals who, in the late fifties, were striving to make the wish expressed by A. Brachet in 1912 come true at last.

Animals↗

[Study on pregnancy & embryology in Tibetan medicine].

The author has studied the materials on menstruation, gestational course, embryonic development and hygiene during pregnancy recorded in ancient Tibetan medical literatures, and compared them with that in Han medicine, generally known as TCM. The article points out that Tibetan and Han medicine share some common views in pregnancy and embryology, but, in the aspects of observation and knowledge in menstruation and embryology, Tibetan medicine seems more unique. Tibetan medicine not only recorded foetal shape week by week for 38 weeks, but also presented them in color pictures to illustrate the "fish-tortois-pig" stages in its course of embryonic development which is absent in Han medicine. Tibetan medicine is very creative in its knowledge on pregnant physiology and embryology.

China↗

[A model for the embryological instruction of the branchial arteries].

It is difficult to teach students about the embryological transformation of the branchial arteries. In mammals, six pairs of branchial arteries develop, but all are not present at the same embryological stage. The first, second, fifth and a part of right sixth branchial artery disappear early in embryological development. The remaining third, fourth and sixth branchial arteries mainly constitute the arterial system of the breast. The aorta and pulmonary trunk are derived from the truncus arteriosus. Because of the complexity of this developmental process, we have devised a user-friendly model in order to assist with educational presentations. In this model, the shrinkage of a vessel has been represented by inserting a wire inside of the hose representing the artery. Degenerated or disappearing parts of the vessel are removable by using hooks and Velcro tape. Branchial arteries, truncus arteriosus, aortic sac and dorsal arteries are represented by different colors. The descent of the heart is represented by the relational change between larynx and heart. Additionally we represented the vagus nerve and recurrent laryngeal nerve by using strings. The right vagus nerve can move dorsally and the left ventrally by rotating the digestive tract. The right recurrent laryngeal nerve can move superiorly to hook around the right subclavian artery, and left recurrent laryngeal nerve can hook around the ductus arteriosus formed by the left sixth branchial artery.

Arteries↗

The UK Human Fertilisation and Embryology Act 1990--how well is it functioning?

The Human Fertilisation and Embryology Act became law in the UK in 1990, and a statutory body, the Human Fertilisation and Embryology Authority, was established to administer the Act. The opinions of those persons responsible for licensed activity under the Act were canvassed anonymously to assess the initial effect of the Act on their activities, and the administration of the Act by the 'Authority'. The views expressed reflect the opinions of 80% of the 'responsible persons' and are thus likely to be of value to those responsible for administration of the Act and also those planning legislation in this field of human endeavour.

Embryo Research↗