In humans, the respiratory tract is the part of the anatomy of the respiratory system involved with the process of respiration. Air is breathed in through the nose or the mouth. In the nasal cavity, a layer of mucous membrane acts as a filter and traps pollutants and other harmful substances found in the air.
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Respiratory System Anatomy
Structurally
Upper respiratory system
Nose, pharynx and associated structures
Lower respiratory system
Larynx, trachea, bronchi and lungs
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Respiratory System
Functionally
Consists of the respiratory and conducting zones
Respiratory zone
Site of gas exchange
Consists of bronchioles, alveolar ducts, and alveoli
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Respiratory System
Conducting zone
Provides rigid structures for air to reach the sites of
gas exchange
Includes all other respiratory structures (e.g., nose,
nasal cavity, pharynx, trachea)
7. Respiratory muscles – diaphragm and other muscles
that promote ventilation
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Structure of the Nose
The nose is divided into two regions
The external nose
The internal nasal cavity
10. The external nose, including the root, bridge, dorsum
nasi, and apex
Philtrum – a shallow vertical groove inferior to the
apex
The external nares (nostrils) are bounded laterally by
the alae
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Nasal Cavity
Lies in and posterior to the external nose
Is divided by a midline nasal septum
Opens posteriorly into the nasal pharynx via internal
nares
The ethmoid and sphenoid bones form the roof
The floor is formed by the hard and soft palates
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Nasal Cavity
Vestibule – nasal cavity superior to the nares
Vibrissae – hairs that filter coarse particles from
inspired air
Olfactory mucosa
Lines the superior nasal cavity
Contains smell receptors
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Nasal Cavity
Respiratory mucosa
Lines the balance of the nasal cavity
Glands secrete mucus containing lysozyme and
defensins to help destroy bacteria
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Nasal Cavity
Inspired air is:
Humidified by the high water content in the nasal
cavity
Warmed by rich plexuses of capillaries
Ciliated mucosal cells remove contaminated mucus
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Nasal Cavity
Superior, medial, and inferior conchae:
Protrude medially from the lateral walls
Increase mucosal area
Enhance air turbulence and help filter air
Sensitive mucosa triggers sneezing when stimulated
by irritating particles
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Function of the Nose
The only externally visible part of the respiratory
system that functions by:
Providing an airway for respiration
Moistening (humidifying) and warming the
entering air
Filtering inspired air and cleaning it of foreign
matter
Serving as a resonating chamber for speech
Housing the olfactory receptors
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Functions of the Nasal Mucosa and Conchae
During inhalation the conchae and nasal mucosa:
Filter, heat, and moisten air
During exhalation these structures:
Reclaim heat and moisture
Minimize heat and moisture loss
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Paranasal Sinuses
Sinuses in bones that surround the nasal cavity
Sinuses lighten the skull and help to warm and
moisten the air
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Pharynx
Funnel-shaped tube of skeletal muscle that connects
to the:
Nasal cavity and mouth superiorly
Larynx and esophagus inferiorly
Extends from the base of the skull to the level of the
sixth cervical vertebra
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Pharynx
It is divided into three regions
Nasopharynx
Oropharynx
Laryngopharynx
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Nasopharynx
Lies posterior to the nasal cavity, inferior to the
sphenoid, and superior to the level of the soft palate
Strictly an air passageway
Lined with pseudostratified columnar epithelium
Closes during swallowing to prevent food from
entering the nasal cavity
The pharyngeal tonsil lies high on the posterior wall
Pharyngotympanic (auditory) tubes open into the
lateral walls
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Oropharynx
Extends inferiorly from the level of the soft palate to
the epiglottis
Serves as a common passageway for food and air
The epithelial lining is protective stratified
squamous epithelium
Palatine tonsils lie in the lateral walls
Lingual tonsil covers the base of the tongue
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Laryngopharynx
Serves as a common passageway for food and air
Lies posterior to the upright epiglottis
Extends to the larynx, where the respiratory and
digestive pathways diverge
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Larynx
Short passageway connecting
laryngopharynx with trachea
Composed of 9 pieces of cartilage
Thyroid cartilage or Adam’s apple
Cricoid cartilage hallmark for
tracheotomy
28. Epiglottis closes off glottis during swallowing
Glottis – pair of folds of mucous membranes,
vocal folds (true vocal cords, and rima
glottidis (space)
Cilia in upper respiratory tract move mucous
and trapped particles down toward pharynx
Cilia in lower respiratory tract move them up
toward pharynx
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Larynx (Voice Box)
Attaches to the hyoid bone and opens into the
laryngopharynx superiorly
Continuous with the trachea posteriorly
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Structures of Voice Production
Mucous membrane of larynx forms
Ventricular folds (false vocal cords) – superior pair
Function in holding breath against pressure in
thoracic cavity
Vocal folds (true vocal cords) – inferior pair
Muscle contraction pulls elastic ligaments which
stretch vocal folds out into airway
Vibrate and produce sound with air
Folds can move apart or together, elongate or
shorten, tighter or looser
32. Androgens make folds thicker and longer – slower vibration and
lower pitch
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Framework of the Larynx
Cartilages (hyaline) of the larynx
Shield-shaped anterosuperior thyroid cartilage with
a midline laryngeal prominence (Adam’s apple)
Signet ring–shaped anteroinferior cricoid cartilage
Three pairs of small arytenoid, cuneiform, and
corniculate cartilages
Epiglottis – elastic cartilage that covers the laryngeal
inlet during swallowing
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Vocal Ligaments
Attach the arytenoid cartilages to the thyroid
cartilage
Composed of elastic fibers that form mucosal folds
called true vocal cords
The medial opening between them is the glottis
They vibrate to produce sound as air rushes up
from the lungs
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Vocal Ligaments
False vocal cords
Mucosal folds superior to the true vocal cords
Have no part in sound production
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Vocal Production
Speech – intermittent release of expired air while
opening and closing the glottis
Pitch – determined by the length and tension of the
vocal cords
Loudness – depends upon the force at which the air
rushes across the vocal cords
The pharynx resonates, amplifies, and enhances
sound quality
Sound is “shaped” into language by action of the
pharynx, tongue, soft palate, and lips
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Sphincter Functions of the Larynx
The larynx is closed during coughing, sneezing, and
Valsalva’s maneuver
Valsalva’s maneuver
Air is temporarily held in the lower respiratory tract
by closing the glottis
Causes intra-abdominal pressure to rise when
abdominal muscles contract
Helps to empty the rectum
41. Functions
The three functions of the larynx are:
To provide a patent airway
To act as a switching mechanism to route air and
food into the proper channels
To function in voice production
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Trachea
Flexible and mobile tube extending from the larynx
into the mediastinum
Extends from larynx to superior border of T5
Divides into right and left primary bronchi
44. Layers
Mucosa – made up of goblet cells and ciliated
epithelium
Submucosa – connective tissue deep to the mucosa
Hyaline cartilage -16-20 C-shaped rings of hyaline
cartilage
Open part faces esophagus
Adventitia – outermost layer
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47. The Trachea or Windpipe (cont’d.)
Supporting cartilage: stack of Cs
Cough reflex stimulated by foreign object
Tracheostomy done if object cannot be expelled
Usually done between second and third tracheal
cartilages
Can be closed when object removed
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Bronchi
Right and left primary bronchus goes to right
and left lungs
Carina – internal ridge
Most sensitive area for triggering cough
reflex
Divide to form bronchial tree
Secondary lobar bronchi (one for each
lobe), tertiary (segmental) bronchi,
bronchioles, terminal bronchioles
50. Structural changes with branching
Mucous membrane changes
Incomplete rings become plates and then
disappear
As cartilage decreases, smooth muscle
increases
Sympathetic ANS – relaxation/ dilation
Parasympathetic ANS – contraction/
constriction
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Bronchi
The carina of the last tracheal cartilage marks the
end of the trachea and the beginning of the right and
left bronchi
Bronchi subdivide into secondary bronchi, each
supplying a lobe of the lungs
Air passages undergo 23 orders of branching in the
lungs
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Bronchial Tree
Tissue walls of bronchi mimic that of the trachea
As conducting tubes become smaller, structural
changes occur
Cartilage support structures change
Epithelium types change
Amount of smooth muscle increases
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Bronchioles
Consist of cuboidal epithelium
Have a complete layer of circular smooth muscle
Lack cartilage support and mucus-producing cells
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Gross Anatomy of the Lungs
Lungs occupy all of the thoracic cavity except the
mediastinum
Root – site of vascular and bronchial attachments
Costal surface – anterior, lateral, and posterior
surfaces in contact with the ribs
Apex – narrow superior tip
Base – inferior surface that rests on the diaphragm
Hilus – indentation that contains pulmonary and
systemic blood vessels
55. Pleura
Each lung enclosed by double-layered pleural
membrane
Parietal pleura – lines wall of thoracic cavity
Visceral pleura – covers lungs themselves
Pleural cavity is space between layers
Pleural fluid reduces friction, produces surface
tension (stick together)
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Pleurae
Thin, double-layered serosa
Parietal pleura
Covers the thoracic wall and superior face of the
diaphragm
Continues around heart and between lungs
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Pleurae
Visceral, or pulmonary, pleura
Covers the external lung surface
Divides the thoracic cavity into three chambers
The central mediastinum
Two lateral compartments, each containing a
lung
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Relationship of the Pleural Membranes
to Lungs
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Lungs
Separated from each other by the heart and other
structures in the mediastinum
Cardiac notch – heart makes left lung 10% smaller than
right
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Lungs
Cardiac notch (impression) – cavity that
accommodates the heart
Left lung – separated into upper and lower lobes by
the oblique fissure
Right lung – separated into three lobes by the
oblique and horizontal fissures
There are 10 bronchopulmonary segments in each
lung
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Gross Anatomy of Lungs
Base, apex (cupula), costal surface, cardiac notch
Oblique & horizontal fissure in right lung results in 3 lobes
Oblique fissure only in left lung produces 2 lobes
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Mediastinal Surface of Lungs
Blood vessels & airways enter lungs at hilus
Forms root of lungs
Covered with pleura (parietal becomes visceral)
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Anatomy of Lungs
Lobes – each lung divides by 1 or 2 fissures
Each lobe receives it own secondary (lobar) bronchus that branch
into tertiary (segmental) bronchi
Lobules wrapped in elastic connective tissue and contains a
lymphatic vessel, arteriole, venule and branch from terminal
bronchiole
Terminal bronchioles branch into respiratory bronchioles
which divide into alveolar ducts
About 25 orders of branching
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Respiratory Zone
Begins as terminal bronchioles feed into respiratory
bronchioles and then to alveoli
Respiratory bronchioles lead to alveolar ducts, then
to terminal clusters of alveolar sacs composed of
alveoli
Approximately 300 million alveoli:
Account for most of the lungs’ volume
Provide tremendous surface area for gas exchange
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Alveoli
Cup-shaped outpouching
Alveolar sac – 2 or more alveoli sharing a common
opening
67. Alveolar cells
2 types of alveolar epithelial cells
Type I alveolar cells –
Form nearly continuous lining,
More numerous than type II,
Main site of gas exchange
Type II alveolar cells (septal cells) –
Free surfaces contain microvilli,
Secrete alveolar fluid
Surfactant reduces tendency to collapseChapter 22, Respiratory System 67
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Alveolus
Respiratory membrane
Alveolar wall – type I and type II alveolar cells
Epithelial basement membrane
Capillary basement membrane
Capillary endothelium
Very thin – only 0.5 µm thick to allow rapid diffusion of gases
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Respiratory Membrane
This air-blood barrier is composed of:
Alveolar and capillary walls
Their fused basal laminas
Alveolar walls:
Are a single layer of type I epithelial cells
Permit gas exchange by simple diffusion
Secrete angiotensin converting enzyme (ACE)
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Blood Supply to Lungs
Lungs are perfused by two circulations: pulmonary
and bronchial
Pulmonary arteries – supply systemic venous blood
to be oxygenated
Branch profusely, along with bronchi
Ultimately feed into the pulmonary capillary
network surrounding the alveoli
Pulmonary veins – carry oxygenated blood from
respiratory zones to the heart
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Blood Supply to Lungs
Bronchial arteries – provide systemic blood to the
lung tissue
Arise from aorta and enter the lungs at the hilus
Supply all lung tissue except the alveoli
Bronchial veins anastomose with pulmonary veins
Pulmonary veins carry most venous blood back to
the heart
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Figure 22.24
Control of Respiration:
Medullary Respiratory Centers
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Pons centers:
Influence and modify activity of the medullary
centers
Smooth out inspiration and expiration transitions
and vice versa
Control of Respiration:
Pons Respiratory Centers
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Pulmonary Function Tests
Spirometer – an instrument used to evaluate
respiratory function
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Pulmonary Function Tests
Total ventilation – total amount of gas flow into or
out of the respiratory tract in one minute
Forced vital capacity (FVC) – gas forcibly expelled
after taking a deep breath
Forced expiratory volume (FEV) – the amount of
gas expelled during specific time intervals of the
FVC
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Pulmonary Function Tests
Increases in TLC, FRC, and RV may occur as a
result of obstructive disease
Reduction in VC, TLC, FRC, and RV result from
restrictive disease
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Hyperventilation – increased depth and rate of
breathing that:
Quickly flushes carbon dioxide from the blood
Occurs in response to hypercapnia
Depth and Rate of Breathing: PCO2
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Hypoventilation – slow and shallow breathing due to
abnormally low PCO2 levels
Apnea (breathing cessation) may occur until PCO2
levels rise
Depth and Rate of Breathing: PCO2
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Pneumothorax
Pleural cavities are sealed
cavities not open to the
outside
Injuries to the chest wall
that let air enter the
intrapleural space
causes a pneumothorax
collapsed lung on same
side as injury
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Characterized by dyspnea, wheezing, and chest
tightness
Active inflammation of the airways precedes
bronchospasms
Airways thickened with inflammatory exudates
magnify the effect of bronchospasms
Asthma
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Infectious disease caused by the bacterium
Mycobacterium tuberculosis
Symptoms include fever, night sweats, weight loss, a
racking cough, and splitting headache
Treatment entails a 12-month course of antibiotics
Tuberculosis
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90% of all patients with lung cancer were smokers
Lung Cancer