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HUMAN ANATOMY
• EMBRYOLOGY
• DEVELOPMENT OF THE
RESPIRATORY SYSTEM
• Dr. Chongo Shapi, (BSc. HB, MBChB)
• Medical Doctor
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 1
FORMATION OF THE LUNG BUDS
• In 4 weeks old embryo, the respiratory
diverticulum (lung bud) appears as an outgrowth
from the ventral wall of the foregut.
• Epithelium of the internal lining of the larynx,
trachea, and bronchi, as well as that of the lungs,
is entirely of endodermal origin.
2
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 2
3
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 3
FORMATION OF THE LUNG BUDS
• The cartilaginous, muscular, and connective tissue
components of the trachea and lungs are derived
from splanchnic mesoderm surrounding the
foregut.
• Two tracheoesophageal folds fuse to form the
tracheoesophageal septum which divides the
foregut into a dorsal portion, the esophagus, and
a ventral portion, the trachea and lung buds.
• This septum divides the cranial part of the foregut
into a ventral part, the laryngotracheal tube and a
dorsal part, oropharynx and esophagus
4
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 4
5
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 5
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 6
DEVELOPMENT OF LARYNX
• The internal lining of the larynx: From
Endoderm
• The cartilages and muscles: From
mesenchyme of the 4th and 6th Pharyngeal
arches.
• Proliferating mesenchyme of the two arches
transforms into the thyroid, cricoid, and
arytenoid cartilages.
• Temporary occlusion of the laryngeal lumen
occurs due to the proliferation of laryngeal
epithelium.
7
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 7
DEVELOPMENT OF LARYNX
• Recanalization produce a pair of lateral recesses,
the laryngeal ventricles (recesses are bounded by
folds of tissue that differentiate into the false and
true vocal cords)
• Since musculature of the larynx is derived from
mesenchyme of the 4th & 6th pharyngeal arches, all
laryngeal muscles are innervated by branches of
the 10th cranial nerve (vagus nerve).
• The superior laryngeal nerve innervates derivatives
of the fourth pharyngeal arch, and the recurrent
laryngeal nerve innervates derivatives of the sixth
pharyngeal arch.
8
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 8
Development of Larynx
9
Pharyngeal arches: Each arch contains a cartilaginous component, a
cranial nerve, an artery, and a muscular component.
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 9
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 10
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 11
DEVELOPMENT OF TRACHEA, BRONCHI & LUNGS
• During its separation from the foregut, the lung bud
forms the trachea and two lateral outpocketings, the
bronchial buds.
• At the beginning of the 5th week, each of these buds
enlarges to form right and left main bronchi.
• The right then forms three secondary bronchi, and
the left, two.
• By the end of the 6th month, approximately 17
generations of subdivisions have formed.
12
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 12
DEVELOPMENT OF TRACHEA, BRONCHI & LUNGS
▪ Before the bronchial tree reaches its final shape,
however, an additional six divisions form during
postnatal life.
▪ As the lungs develop they acquire a layer of visceral
pleura from splanchnic mesenchyme
▪ The thoracic body wall becomes lined by a layer of
parietal pleura derived from the somatic mesoderm
13
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 13
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 14
15
DEVELOPMENT OF TRACHEA, BRONCHI &
LUNGS
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 15
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 16
17
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 17
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 18
19
MATURATION OF THE LUNGS
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 19
• Scattered among the squamous epithelial cells are rounded secretory epithelial cells, type
II alveolar cells or pneumocytes
• Type II pneumocytes secrete a mixture of phospholipids called surfactant
20
MATURATION OF THE LUNGS
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 20
DEVELOPMENT OF PLEURA
• The pleuroperitoneal and pleuropericardial folds
separate the pericardioperitoneal canals from the
peritoneal and pericardial cavities, respectively, and
the remaining spaces form the primitive pleural
cavities.
• The splanchnic mesoderm, which covers the outside
of the lung, develops into the visceral pleura.
21
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 21
DEVELOPMENT OF PLEURA
22
Growth of the lung buds into the pericardioperitoneal canals.
Note the pleuropericardial folds.
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 22
DEVELOPMENT OF PLEURA
23
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 23
DEVELOPMENT OF PLEURA
• The somatic mesoderm layer, covering the body
wall from the inside, becomes the parietal pleura.
• The space between the parietal and visceral pleura
is the pleural cavity.
24
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 24
25
The Visceral and Parietal Pleura
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 25
CONGENITAL ANOMALIES OF THE RESPIRATORY
SYSTEM
• Abnormalities in partitioning of the esophagus
and trachea by the tracheoesophageal septum
result in esophageal atresia with or without
tracheoesophageal fistulas (TEFs).
26
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 26
CONGENITALANOMALIES OF THE
RESPIRATORY SYSTEM
27
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 27
CONGENITAL ANOMALIES OF THE RESPIRATORY
SYSTEM
▪ Respiratory distress syndrome (RDS) or
(Hyaline membrane disease): When surfactant is
insufficient,
the air-water (blood) surface membrane tension becomes
high,
so alveoli will collapse during expiration.
▪ Blind-ending trachea with absence of lungs.
▪ Agenesis of one lung.
28
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 28
CONGENITAL ANOMALIES OF THE
RESPIRATOR SYSTEM
• Abnormal divisions of the bronchial tree.
• Ectopic lung lobes arising from the trachea or
esophagus from additional respiratory buds of
the foregut that develop independently of the
main respiratory system.
• Congenital cysts of the lung, which are formed
by dilation of terminal or larger bronchi.
29
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 29
THANK YOU!
THE END!
26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 30

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DEVELOPMENT OF RESPIRATORY SYSTEM by Shapi. MD.pdf

  • 1. HUMAN ANATOMY • EMBRYOLOGY • DEVELOPMENT OF THE RESPIRATORY SYSTEM • Dr. Chongo Shapi, (BSc. HB, MBChB) • Medical Doctor 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 1
  • 2. FORMATION OF THE LUNG BUDS • In 4 weeks old embryo, the respiratory diverticulum (lung bud) appears as an outgrowth from the ventral wall of the foregut. • Epithelium of the internal lining of the larynx, trachea, and bronchi, as well as that of the lungs, is entirely of endodermal origin. 2 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 2
  • 3. 3 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 3
  • 4. FORMATION OF THE LUNG BUDS • The cartilaginous, muscular, and connective tissue components of the trachea and lungs are derived from splanchnic mesoderm surrounding the foregut. • Two tracheoesophageal folds fuse to form the tracheoesophageal septum which divides the foregut into a dorsal portion, the esophagus, and a ventral portion, the trachea and lung buds. • This septum divides the cranial part of the foregut into a ventral part, the laryngotracheal tube and a dorsal part, oropharynx and esophagus 4 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 4
  • 5. 5 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 5
  • 6. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 6
  • 7. DEVELOPMENT OF LARYNX • The internal lining of the larynx: From Endoderm • The cartilages and muscles: From mesenchyme of the 4th and 6th Pharyngeal arches. • Proliferating mesenchyme of the two arches transforms into the thyroid, cricoid, and arytenoid cartilages. • Temporary occlusion of the laryngeal lumen occurs due to the proliferation of laryngeal epithelium. 7 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 7
  • 8. DEVELOPMENT OF LARYNX • Recanalization produce a pair of lateral recesses, the laryngeal ventricles (recesses are bounded by folds of tissue that differentiate into the false and true vocal cords) • Since musculature of the larynx is derived from mesenchyme of the 4th & 6th pharyngeal arches, all laryngeal muscles are innervated by branches of the 10th cranial nerve (vagus nerve). • The superior laryngeal nerve innervates derivatives of the fourth pharyngeal arch, and the recurrent laryngeal nerve innervates derivatives of the sixth pharyngeal arch. 8 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 8
  • 9. Development of Larynx 9 Pharyngeal arches: Each arch contains a cartilaginous component, a cranial nerve, an artery, and a muscular component. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 9
  • 10. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 10
  • 11. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 11
  • 12. DEVELOPMENT OF TRACHEA, BRONCHI & LUNGS • During its separation from the foregut, the lung bud forms the trachea and two lateral outpocketings, the bronchial buds. • At the beginning of the 5th week, each of these buds enlarges to form right and left main bronchi. • The right then forms three secondary bronchi, and the left, two. • By the end of the 6th month, approximately 17 generations of subdivisions have formed. 12 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 12
  • 13. DEVELOPMENT OF TRACHEA, BRONCHI & LUNGS ▪ Before the bronchial tree reaches its final shape, however, an additional six divisions form during postnatal life. ▪ As the lungs develop they acquire a layer of visceral pleura from splanchnic mesenchyme ▪ The thoracic body wall becomes lined by a layer of parietal pleura derived from the somatic mesoderm 13 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 13
  • 14. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 14
  • 15. 15 DEVELOPMENT OF TRACHEA, BRONCHI & LUNGS 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 15
  • 16. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 16
  • 17. 17 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 17
  • 18. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 18
  • 19. 19 MATURATION OF THE LUNGS 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 19
  • 20. • Scattered among the squamous epithelial cells are rounded secretory epithelial cells, type II alveolar cells or pneumocytes • Type II pneumocytes secrete a mixture of phospholipids called surfactant 20 MATURATION OF THE LUNGS 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 20
  • 21. DEVELOPMENT OF PLEURA • The pleuroperitoneal and pleuropericardial folds separate the pericardioperitoneal canals from the peritoneal and pericardial cavities, respectively, and the remaining spaces form the primitive pleural cavities. • The splanchnic mesoderm, which covers the outside of the lung, develops into the visceral pleura. 21 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 21
  • 22. DEVELOPMENT OF PLEURA 22 Growth of the lung buds into the pericardioperitoneal canals. Note the pleuropericardial folds. 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 22
  • 23. DEVELOPMENT OF PLEURA 23 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 23
  • 24. DEVELOPMENT OF PLEURA • The somatic mesoderm layer, covering the body wall from the inside, becomes the parietal pleura. • The space between the parietal and visceral pleura is the pleural cavity. 24 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 24
  • 25. 25 The Visceral and Parietal Pleura 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 25
  • 26. CONGENITAL ANOMALIES OF THE RESPIRATORY SYSTEM • Abnormalities in partitioning of the esophagus and trachea by the tracheoesophageal septum result in esophageal atresia with or without tracheoesophageal fistulas (TEFs). 26 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 26
  • 27. CONGENITALANOMALIES OF THE RESPIRATORY SYSTEM 27 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 27
  • 28. CONGENITAL ANOMALIES OF THE RESPIRATORY SYSTEM ▪ Respiratory distress syndrome (RDS) or (Hyaline membrane disease): When surfactant is insufficient, the air-water (blood) surface membrane tension becomes high, so alveoli will collapse during expiration. ▪ Blind-ending trachea with absence of lungs. ▪ Agenesis of one lung. 28 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 28
  • 29. CONGENITAL ANOMALIES OF THE RESPIRATOR SYSTEM • Abnormal divisions of the bronchial tree. • Ectopic lung lobes arising from the trachea or esophagus from additional respiratory buds of the foregut that develop independently of the main respiratory system. • Congenital cysts of the lung, which are formed by dilation of terminal or larger bronchi. 29 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 29
  • 30. THANK YOU! THE END! 26/11/22 Dr. Chongo Shapi (BSc. HB, MBChB) 30