The pharyngeal arches develop in the fourth week as neural crest cells migrate into the head and neck region. Four pairs of pharyngeal arches form externally by the end of the fourth week. Each arch contains mesenchyme, ectoderm, endoderm, an aortic arch, nerve, cartilage, and muscles. The arches give rise to many structures in the head and neck through their derivatives. Pharyngeal pouches and clefts also form and contribute to various structures such as the parathyroid glands, thymus, and thyroid gland. Anomalies can occur in the development of these structures.