RT Book, Section A1 Derkay, Craig S. A1 Cunningham, Michael J. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7034330 T1 Chapter 372. The Head, Face, and Neck T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7034330 RD 2024/04/19 AB The critical period of cervicofacial growth and differentiation occurs between weeks 4 through 8 of embryologic development.1 The beginning of this stage is characterized by the appearance of the frontonasal process—the precursor of the forebrain and upper face—with development soon thereafter of the optic and otic vesicles; the nasal placodes; the primitive mouth, or stomodeum; and five ridges on the ventrolateral surface of the embryonic head, which is known as the branchial system. Many of the symmetrically paired skeletal and neuromuscular structures of the head and neck arise from the first (mandibular), second (hyoid), third (pharyngeal), and fourth (laryngeal) arches of this fetal branchial system (Table 372-1). The skull, facial, and neck bones have begun to ossify by the end of the eighth fetal week, which coincides with a recognizable human embryonic face with easily discernible ears, eyelids, cheeks, nose, and upper and lower lips.