The Nose
The Nose
The Nose
ptb
INTRODUCTION
• The cells of the body derive energy for
metabolic activities from chemical reactions
which take place in the presence of oxygen,
and the waste product is carbon dioxide.
• The respiratory system provides the route by
which oxygen enters the body and carbon
dioxide is excreted and blood is the transport
means for these gases.
Objectives
• By the end of this lesson students should be
able to
• Define the key terms used in the respiratory
system
• List and draw the organs of respiration
• Describe the anatomy of the respiratory
organs
DEFINITION OF TERMS
INSPIRATION
• Breathing in/ drawing in breathe
EXPIRATION
• Breathing out
BREATHING
• The act of inspiration and expiration
ORGANS OF THE RESPIRATORY SYSTEM
ORGANS ASSOCIATED
• Superiorly- base of the skull
• Inferiorly- Oesophagus
• Anteriorly-openings into the nose and larynx
THE PHARYNX
• POSTERIORLY-Bodies of the cervical vertebrae
STRUCTURE
• The pharynx is divided into three parts, i.e. the
nasopharynx, the oropharynx and the
laryngopharynx
THE NASO PHARYNX
• The part that lies behind the nose and on the
lateral walls are the opening of the auditory
tubes.
THE OROPHARYNX
• The oral part of the pharynx which lies behind
the mouth. During swallowing the nasal and
oral parts are separated by the soft palate and
the Uvula
THE LARYNGOPHARYNX
• Extends as the oropharynx above and
continues as the oesophagus.
LINING OF THE PHARYNX
MUCOUS MEMBRANE LINING
• Differs with the regions
• In the nasopharynx it consists of ciliated column
epithelium
• In the oropharynx and laryngopharynx consists
of tougher stratified squamous epithelium which
protects underlying tissues abrasive action of
foodstuffs passing through it during swallowing.
• SMOOTH MUSCLE
• The pharyngeal muscle keeps the pharynx
permanently open to prevent interference
with breathing.
• Sometimes in sleep the tone of these muscles
is reduced and the opening through the
pharynx is partially or total obstructed causing
snoring.
• The constrictor muscles constrict the pharynx
during swallowing pushing food into the
oesophagus.
SUBMUCOSA
• The layer of tissue below the epithelium which
is rich in mucosa- associated lymphoid tissue
which is for protection against infection.
BLOOD AND NERVE SUPPLY
BLOOD SUPPLY
• Branches of the facial artery
VENOUS RETURN
• Into the facial and internal jugular veins
NERVE SUPPLY
Pharyngeal plexus formed by parasympathetic
and sympathetic nerves
FUNCTIONS
• Warming and humidifying air
• Passage for air and food, air passes through
the nasal and oral section and food through
the oral and laryngeal sections.
• Taste olfactory nerve endings are in the mouth
and pharyngeal parts
• Hearing auditory tube extends from the
nasopharynx to each middle ear
• Protection- pharyngeal and laryngeal tonsils
produces antibodies.
• Speech- pharynx acts as a resonating chamber
for ascending sound from the larynx which
gives the characteristics of voice.
THE LARYNX
• The larynx or voice box extends from the root of
the tongue and the hyoid bone to the trachea
ASSOCIATED STRUCTURES
• Superiorly-The hyoid bone and root of the
tongue
• INFERIORLY-Trachea
• ANTERIORLY-Muscles of the neck and hyoid
bone
• Posteriorly-Laryngopharynx 3rd and 6th cervical
vertebrae
• Laterally-Lobes of the thyroid gland
STRUCTURE
• It is composed of several irregularly shaped
cartilages attached to each other by ligaments
and membranes
• The cartilages that make up the larynx are
• 1 thyroid cartilage
• 1 cricoid cartilage
• 2arytenoid cartilages
• 1 epiglottis
• The thyroid cartilage /Adams apple
• Consists of two fused plates that form anterior
wall of the larynx.
FUCTIONS
• Production of sound that is the pitch, volume
and resonance
• Speech this occurs during expiration
• Protection of the lower respiratory tract
• Passage way for air
• Humidifying, filtering and warming of air
THE TRACHEA
THE TRACHEA
DEFINITION
• The trachea or wind pipe is a continuation of
the larynx and extends downwards to the level
of the fifth thoracic vertebra were it bifurcates
into the right and left bronchi.
ASSOCIATED STRUCTURES
• Superiorly-the larynx
ASSOCIATED STRUCTURES CONT
• Inferiorly -the bronchi
• Anteriorly - Lower part of the arch of the
aorta, the sternum, isthmus of the
thyroid gland.
• Posteriorly -oesophagus
• Laterally-the lungs and the lobes of thyroid
gland
STRUCTURE
• Composed of 3 layers of tissue and held open by
16-20 incomplete (c-shaped) rings of hyaline
cartilage.
• These rings are incomplete posteriorly and are
made of involuntary muscle.
3 LAYERS OF TISSUE
• Outer layer consists of fibrous and elastic tissue
and encloses the cartilages.
STRUCTURE CONT
• Middle layer consists of cartilages and bands
of smooth muscle that wind round the trachea
• The inner lining consists of ciliated columnar
epithelium containing mucus-secreting
goblets.
BLOOD SUPPLY
• By the inferior thyroid and bronchial arteries.
VENOUS DRAINAGE
• By the inferior thyroid veins that drain into the
brachiocephalc veins.
NERVE SUPPLY
• Recurrent laryngeal nerves for
parasympathetic nerves
• Sympathetic nerve supply is by nerves from
the sympathetic ganglia.
FUNCTIONS
SUPPORT AND PATENCY
• Arrangement of cartilage and elastic tissue
prevents kinking and obstruction of the airway
as the head and neck move.
• Absence of cartilage at the back allows the
trachea to dilate and constrict
FUNCTIONS CONT
MUCOCILLARY ESCALATOR
• Beating of the cilia of the mucous membrane
lining that wafts mucus with adherent particles
upwards for swallowing or coughing up.
COUGH REFLEX
• Nerve endings in the larynx, trachea and bronchi
are sensitive to irritation, which generates nerve
impulses to the respiratory centre in the brain
stem.
FUNCTIONS CONT
WARMING HUMIDIFYING AND FILTERING
• The trachea continues to warm ,humidify and
filter air
THE LUNGS
DEFINATION
• 2 Cone –shaped organs of respiration one
lying on each side of the midline in the
thoracic cavity.
STRUCTURE
• The lungs are made up of the apex, a base,
costal surface and medial surface.
THE LUNGS CONT
THE APEX
• Rounded part that rises to the root of the neck
and lies close to the first rib
THE BASE
• Semilunar and concave shaped part
LUNGS CONT
• THE COSTAL SURFACE
• Convex part and lies against the costal
cartilages, the ribs and the intercostal muscles.
VENOUS DRAINAGE
• Mainly through the bronchial veins. The right
side empties into the azygos vein and the left
into the superior intercostal veins
BRONCHI CONT
NERVE SUPPLY
• Vagus nerves-parasympathetic that stimulate
bronchoconstriction.
• Sympathetic stimulation that causes broncho
dilation
FUNCTIONS