Pharynx, lower resp, larynx trachea, and bronchial tree

Pharynx: Structure and Function

  • Definition: The pharynx is commonly referred to as the throat.

  • Regions of the Pharynx:

    • Nasopharynx:

      • Located at the back of the nasal cavity.

      • Function: Exclusive passageway for air; not for food (can lead to discomfort if food passes through).

      • Lining: Pseudostratified ciliated columnar epithelium, designed to reduce abrasion and facilitate mucus coating.

      • Soft Palate: Moves upwards when swallowing to prevent food from entering this region.

      • Eustachian Tube Connection: Balances middle ear pressure (similar sensations felt during air travel when swallowing).

      • Pharyngeal Tonsils: Part of the lymphatic system with an immune function to filter breathed-in particles.

    • Oropharynx:

      • Extends from the soft palate to the hyoid bone (located above the voice box).

      • Function: Serves as a passageway for both food and air.

      • Lining: Non-keratinized stratified squamous epithelium to withstand abrasion from food particles.

      • Location of Tonsils: Contains palatine and lingual tonsils, which are part of the immune system.

    • Laryngopharynx:

      • Extends from the hyoid bone down to the esophagus.

      • Function: Passageway for food along with air, sharing the same lining as the oropharynx.

Lower Respiratory Tract

  • Definition: Comprises structures from the larynx down to the terminal bronchioles, functioning in conducting air and gas exchange.

  • Conducting Pathway: Includes the trachea and extends to bronchi.

  • Gas Exchange Structures: Respiratory bronchioles, alveolar ducts, and alveoli are involved in actual gas exchange.

Larynx: Voice Box

  • Location: Positioned between the laryngopharynx and the trachea; serves as a critical air passage.

  • Functionality:

    • Prevents food and non-air materials from entering the respiratory system through the epiglottis, which covers the larynx during swallowing.

    • Houses vocal cords, where sound is produced by the air passing over them.

    • Facilitates bodily functions such as the Valsalva maneuver (increasing abdominal pressure) during defecation and childbirth, as well as coughing and sneezing reflexes.

  • Anatomical Features:

    • Cartilage: Nine pieces of cartilage, held together by muscles and ligaments (labeled in previous videos).

    • Laryngeal Prominence: Often referred to as the Adam's apple; more pronounced in males due to a sharper angle.

  • Vocal Folds:

    • True Vocal Cords: Responsible for sound production; extend between thyroid and arytenoid cartilages.

    • False Vocal Cords (Vestibular Folds): Provide stability but do not produce sound.

  • Muscle Regulation:

    • Extrinsic muscles stabilize the larynx during swallowing.

    • Intrinsic muscles modulate sound production and stability.

Trachea: Windpipe

  • Description: A cartilaginous tube running from the pharynx to the lungs (larynx to main bronchi).

  • Structure: C-shaped cartilaginous rings prevent collapse. The esophagus is located behind it, allowing for flexibility during swallowing.

  • Lining:

    • Mucosal Layer: Lined with pseudostratified ciliated columnar epithelium and goblet cells to secrete mucus.

    • Submucosa: Contains connective tissues, nerves, blood vessels for immune support.

    • Tracheal Cartilage: Provides structural integrity.

    • Adventitia: Outermost layer made of elastic connective tissue.

  • Functionality: Mucus traps irritants and cilia propel it upward towards the mouth for expulsion or swallowing.

  • Bronchial Tree:

    • The trachea bifurcates into right and left main bronchi at the level of the sternal angle.

    • Right Bronchus: Shorter, wider, and more vertically oriented, more likely to trap inhaled objects.

  • Divergence of Bronchi:

    • Divides into secondary (lobar) and tertiary (segmental) bronchi, leading to more branchings.

    • Terminal bronchioles, marking the end of the conducting zone, lead into the respiratory bronchioles where gas exchange begins.

  • Bronchodilation/Bronchoconstriction:

    • Bronchodilation increases airflow (widens airways);

    • Bronchoconstriction decreases airflow (narrows airways).

  • Carina: A structure at the bifurcation of the trachea with sensory receptors that detect irritants, prompting cough reflexes.