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ANATOMY OF
RESPIRATORY TRACT
BY Ms. Saili Gaude
Principal
Shivam College of Nursing
INTRODUCTION
Nose & nasal cavity
Pharynx
Larynx
Trachea
2 bronchi
Bronchioles
2 lungs
Muscles of breathing
A
B
C
D
E
F
G
H
NASAL CAVITY
Nose – external portion
Nasal cavity – internal portion
EXTERNAL NOSE
Root of nose
Dorsum of nose
Apex of nose
Ala of nose
EXTERNAL NOSE
Triangular pyramidal shape
Highest point of the nose is referred to as apex or tip of nose
Thin upper part that connects with the forehead is called as the root
Region between apex and root is called dorsum
Small curve below the root is called bridge
Below the apex is nostrils
NOSE
BONY PART
• 2 nasal bones – nasale dextrum and sinistrum
• Forms bridge of nose
CARTILIGENOUS PART
• Remainder is cartilegenous part
• Flexible
• Connective and soft tissues
5 CARTILAGES OF NOSE
Lateral nasal cartilage
Major ala cartilage
Minor ala cartilage
Accessory nasal cartilage
Septal nasal cartilage
MUSCLES OF EXTERNAL NOSE
1) Procerus muscle- helps depress the medial
eyebrow and wrinkles the skin
2) Nasalis muscle- dilates the nares and flares
them
3) Depressor septi muscles- assists nasalis
muscles
BLOOD SUPPLY
ARTERIAL SUPPLY : FACIAL ARTERY – angular and lateral artery
VENOUS SUPPLY: FACIAL VEIN
LYMPHATIC DRAINAGE: DEEP CERVICAL LYMPH NODES
NERVE SUPPLY
SENSORY INNERVATION-
Trigeminal nerve
External nasal nerve
Infrorbital nerve
MOTOR INNERVATION:
Facial nerve
NASAL CAVITY
Space behind the nostrils
Seperated into right and left nasal cavities by
nasal septum
3 sections of the nasal cavity
SECTIONS OF NASAL CAVITY
1) NASAL
VESTIBULE
2) RESPIRATORY
REGION
3) OLFACTORY
REGION
VESTIBULE
Area surrounding the anterior external opening
to the nasal cavity
Lined with skin tissue unlike the rest of the
nasal cavity
Surrounded by the wings of nose and the nasal
septum
Floor- hard palate
RESPIRATORY REGION
Wide space within the nose covered with
ciliated pseudostratified epithelium
Mixed with mucus secreting goblet cells
OLFACTORY REGION
Located at apex of the nasal cavity
Lined by olfactory cells with olfactory receptors
2 patches of olfactory receptors in each nasal
cavity located beneath the 2 olfactory bulbs
This region connects the nose to olfactory
centre of the occipital lobe
NASAL CONCHA
Projecting out of the lateral walls of the nasal cavity are curved shelves of
bone. They are called conchae (or turbinates).
The are three pairs of conchae
Inferior Middle Superior
INFERIOR CONCHAE
Longest and broadest of the 3 concha
Extends horizontally along lateral wall of the nasal cavity
MIDDLE CONCHA
Superior to the inferior concha
Extensions of labyrinth portion of ethmoid bone
SUPERIOR CONCHA
Superior to middle concha
Extension of the labyrinth portion of the ethmoid bone
NASAL MEATUS
The conchae creates 4 pathways for air flow called as the meatus.
Inferior meatus: between inferior and floor of nasal cavity
Middle meatus: between inferior and middle concha
Superior meatus: between middle and superior concha
Spheno ethmoidal recess: superiorly and posteriorly to superior
concha
BOUNDARIES
Each half of the nasal cavity has :
 roof
Floor
Medial wall
Lateral wall
Each half diameter about 5 cm in height , 5-6cm in length, 1.5 cm in
width and 1-2 mm at the roof.
Roof is formed by cribiform plate of ethmoid bone
Floor is formed by palate which seperates oral cavity from nasal cavity
OPENINGS
Paranasal sinuses opens into the nasal cavity
All the sinuses except sphenoid sinus drains into the lateral wall. The
sphenoid sinus drains into posterior roof
Nasolacrimal duct also opens into the nasal cavity. Naso is nose and
lacrimal is tear gland
Auditory tube: it opens at the level of inferior meatus.
BLOOD SUPPLY
Branches of carotid artery provide the arterial supply
 Internal carotid artery and external carotid artery
 These arteries anatomise with each other in the nasal cavity
Venous drainage
- pterygoid plexus
- facial vein
KISSELBACH’S PLEXUS
Also known as the little’s area
It is very vascular area
4 arteries anastomose in this area to form the kisselbach’s plexus
Situated at the anterior inferior part of the nose
Most common site of nose bleed
WOODRUFF AREA
It is a plexus of veins
Situated inferior to posterior end of inferior turbinate
Site of posterior nasal bleed
BLOOD SUPPLY
Olfactory nerves helps in the sense of smell
 Lies on superior surface of cribriform plate
Nasopalantine nerve
 Maxillary nerve
Nasociliary nerve
Opthalmic nerve
Trigeminal nerve
PHYSIOLOGY
The nose is an olfactory and respiratory organ
Consists of nasal skeleton which houses nasal cavity
Functions of nose:
1. warms and humidifies air
2. removes and traps pathogens and smaller particles
3. sense of smell
4. drains and clears sinuses and lacrimal duct
5. increases surface area to allow more air to enter
6. disrupts fast laminar flow of air
7. Allows proper functioning of ears
1. WARMS AND HUMIDIFIES AIR
This is done by the function of concha and the rich blood supply of
the nose.
The blood supply of nose carries heat from the body which is
dissipated into the inhaled air during inhalation
Also the concha slows down the speed of air entering the nose
allowing adequate time for the air to be humdified before it enters
the lungs.
2. REMOVES AND TRAPS
PATHOGEN / PARTICLES
The pseudostratified columnar epithelium with its goblet cells
secretes mucus , a thick sticky substance which traps any pathogen
or particles entering the nose.
The mucociliary action of the pseudostratified columnar epithelium
than causes the removal of the mucus out of the cavity thus not
allowing any micro organism or particle entry into the respiratory
tract.
3. SENSE OF SMELL
The olfactory nerve branches runs through the cribriform plate to
provide sensory innervation to the nose. It thus helps in the sense of
smell.
4. DRAINS AND CLEARS SINUSES
AND LACRIMAL DUCTS
The nasolacrimal system helps to drain the tears formed in the eyes
The paranasal sinuses opens into the nose allowing it to be drained
out into the nasal cavity. This helps in prevention of accumulation of
fluid into the sinuses which can lead to sinusitis
5.ALLOWS MORE ENTRY OF AIR
The nasal concha increases the surface area of the nose which allows
the entry of more air during inspiration
6. DISRUPTS FAST LAMINAR AIR
FLOW
The nasal conchae also helps in reducing the speed of air flow as it
can damage the respiratory tract. The conchae due to its horizontal
pathaways allows a more controlled entry of air.
7. HELPS IN PROPER FUNCTION OF
THE EAR
The eustachian tube (auditory tube) opens into the nasal cavity. It
allows the middle ear to equalise with the atmospheric pressure.

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ANATOMY & PHYSIOLOGY OF NOSE.pptx

  • 1. ANATOMY OF RESPIRATORY TRACT BY Ms. Saili Gaude Principal Shivam College of Nursing
  • 2. INTRODUCTION Nose & nasal cavity Pharynx Larynx Trachea 2 bronchi Bronchioles 2 lungs Muscles of breathing
  • 4. NASAL CAVITY Nose – external portion Nasal cavity – internal portion
  • 5. EXTERNAL NOSE Root of nose Dorsum of nose Apex of nose Ala of nose
  • 6. EXTERNAL NOSE Triangular pyramidal shape Highest point of the nose is referred to as apex or tip of nose Thin upper part that connects with the forehead is called as the root Region between apex and root is called dorsum Small curve below the root is called bridge Below the apex is nostrils
  • 7. NOSE BONY PART • 2 nasal bones – nasale dextrum and sinistrum • Forms bridge of nose CARTILIGENOUS PART • Remainder is cartilegenous part • Flexible • Connective and soft tissues
  • 8. 5 CARTILAGES OF NOSE Lateral nasal cartilage Major ala cartilage Minor ala cartilage Accessory nasal cartilage Septal nasal cartilage
  • 9. MUSCLES OF EXTERNAL NOSE 1) Procerus muscle- helps depress the medial eyebrow and wrinkles the skin 2) Nasalis muscle- dilates the nares and flares them 3) Depressor septi muscles- assists nasalis muscles
  • 10. BLOOD SUPPLY ARTERIAL SUPPLY : FACIAL ARTERY – angular and lateral artery VENOUS SUPPLY: FACIAL VEIN LYMPHATIC DRAINAGE: DEEP CERVICAL LYMPH NODES
  • 11. NERVE SUPPLY SENSORY INNERVATION- Trigeminal nerve External nasal nerve Infrorbital nerve MOTOR INNERVATION: Facial nerve
  • 12. NASAL CAVITY Space behind the nostrils Seperated into right and left nasal cavities by nasal septum 3 sections of the nasal cavity
  • 13. SECTIONS OF NASAL CAVITY 1) NASAL VESTIBULE 2) RESPIRATORY REGION 3) OLFACTORY REGION
  • 14.
  • 15. VESTIBULE Area surrounding the anterior external opening to the nasal cavity Lined with skin tissue unlike the rest of the nasal cavity Surrounded by the wings of nose and the nasal septum Floor- hard palate
  • 16. RESPIRATORY REGION Wide space within the nose covered with ciliated pseudostratified epithelium Mixed with mucus secreting goblet cells
  • 17.
  • 18. OLFACTORY REGION Located at apex of the nasal cavity Lined by olfactory cells with olfactory receptors 2 patches of olfactory receptors in each nasal cavity located beneath the 2 olfactory bulbs This region connects the nose to olfactory centre of the occipital lobe
  • 19.
  • 20.
  • 21. NASAL CONCHA Projecting out of the lateral walls of the nasal cavity are curved shelves of bone. They are called conchae (or turbinates). The are three pairs of conchae Inferior Middle Superior
  • 22.
  • 23. INFERIOR CONCHAE Longest and broadest of the 3 concha Extends horizontally along lateral wall of the nasal cavity
  • 24. MIDDLE CONCHA Superior to the inferior concha Extensions of labyrinth portion of ethmoid bone
  • 25. SUPERIOR CONCHA Superior to middle concha Extension of the labyrinth portion of the ethmoid bone
  • 26. NASAL MEATUS The conchae creates 4 pathways for air flow called as the meatus. Inferior meatus: between inferior and floor of nasal cavity Middle meatus: between inferior and middle concha Superior meatus: between middle and superior concha Spheno ethmoidal recess: superiorly and posteriorly to superior concha
  • 27. BOUNDARIES Each half of the nasal cavity has :  roof Floor Medial wall Lateral wall Each half diameter about 5 cm in height , 5-6cm in length, 1.5 cm in width and 1-2 mm at the roof. Roof is formed by cribiform plate of ethmoid bone Floor is formed by palate which seperates oral cavity from nasal cavity
  • 28. OPENINGS Paranasal sinuses opens into the nasal cavity All the sinuses except sphenoid sinus drains into the lateral wall. The sphenoid sinus drains into posterior roof Nasolacrimal duct also opens into the nasal cavity. Naso is nose and lacrimal is tear gland Auditory tube: it opens at the level of inferior meatus.
  • 29. BLOOD SUPPLY Branches of carotid artery provide the arterial supply  Internal carotid artery and external carotid artery  These arteries anatomise with each other in the nasal cavity Venous drainage - pterygoid plexus - facial vein
  • 30. KISSELBACH’S PLEXUS Also known as the little’s area It is very vascular area 4 arteries anastomose in this area to form the kisselbach’s plexus Situated at the anterior inferior part of the nose Most common site of nose bleed
  • 31. WOODRUFF AREA It is a plexus of veins Situated inferior to posterior end of inferior turbinate Site of posterior nasal bleed
  • 32. BLOOD SUPPLY Olfactory nerves helps in the sense of smell  Lies on superior surface of cribriform plate Nasopalantine nerve  Maxillary nerve Nasociliary nerve Opthalmic nerve Trigeminal nerve
  • 33. PHYSIOLOGY The nose is an olfactory and respiratory organ Consists of nasal skeleton which houses nasal cavity Functions of nose: 1. warms and humidifies air 2. removes and traps pathogens and smaller particles 3. sense of smell 4. drains and clears sinuses and lacrimal duct 5. increases surface area to allow more air to enter 6. disrupts fast laminar flow of air 7. Allows proper functioning of ears
  • 34. 1. WARMS AND HUMIDIFIES AIR This is done by the function of concha and the rich blood supply of the nose. The blood supply of nose carries heat from the body which is dissipated into the inhaled air during inhalation Also the concha slows down the speed of air entering the nose allowing adequate time for the air to be humdified before it enters the lungs.
  • 35. 2. REMOVES AND TRAPS PATHOGEN / PARTICLES The pseudostratified columnar epithelium with its goblet cells secretes mucus , a thick sticky substance which traps any pathogen or particles entering the nose. The mucociliary action of the pseudostratified columnar epithelium than causes the removal of the mucus out of the cavity thus not allowing any micro organism or particle entry into the respiratory tract.
  • 36. 3. SENSE OF SMELL The olfactory nerve branches runs through the cribriform plate to provide sensory innervation to the nose. It thus helps in the sense of smell.
  • 37. 4. DRAINS AND CLEARS SINUSES AND LACRIMAL DUCTS The nasolacrimal system helps to drain the tears formed in the eyes The paranasal sinuses opens into the nose allowing it to be drained out into the nasal cavity. This helps in prevention of accumulation of fluid into the sinuses which can lead to sinusitis
  • 38. 5.ALLOWS MORE ENTRY OF AIR The nasal concha increases the surface area of the nose which allows the entry of more air during inspiration
  • 39. 6. DISRUPTS FAST LAMINAR AIR FLOW The nasal conchae also helps in reducing the speed of air flow as it can damage the respiratory tract. The conchae due to its horizontal pathaways allows a more controlled entry of air.
  • 40. 7. HELPS IN PROPER FUNCTION OF THE EAR The eustachian tube (auditory tube) opens into the nasal cavity. It allows the middle ear to equalise with the atmospheric pressure.