RESPIRATORY • Respiratory pathway • Upper structures • • • • Nose and nasal passages Paranasal sinuses Larynx Lower structures • • • • Trachea Bronchi Bronchioles Lungs Respiratory bronchioles Alveolar ducts Alveolar sacs Alveoli. • • • • 1 RESPIRATORY • Nasal region • Lumenal epithelium • Nostrils: stratified squamous epithelium: • hair follicles extend into deeper parts of mucosa and submucosa • • Rest of nasal region pseudostratified ciliated columnar epithelium; • mucous glands and/or seromucous in deeper parts of mucosa and submucosa; • epithelium is glandular, mucus; • leucocytes, macrophages, etc. • 2 RESPIRATORY Lamina propria: thin layer: cellular dense C.T. • Muscularis mucosae: absent • Submucosa: contains mucous and/or seromucous glands: • sometimes venous sinuses. • Muscularis externa: absent • except at junction with pharynx; skeletal muscle tissue; swallowing. • 3 RESPIRATORY • Larynx and other structures • General features • Larynx ; sound-production for vocalization; • specialized upper part of trachea • glottis; opening from pharynx into trachea; Vibration of the vocal cords of the larynx produces sound: • in very vocal mammals the cords have a much tougher epithelium • • stratified squamous epithelium. 4 RESPIRATORY Vocalization; voluntary control, larynx muscularis ; several skeletal muscles • • Muscle vocalis; located closest to the vocal cords ; controls the pitch of the sound produced. • • Wall of the larynx contains • Cartilage hyaline: Usually also have part of the epiglottis in the section as well as the larynx itself • • Composed of elastic cartilage. 5 6 RESPIRATORY 7 RESPIRATORY Our slide set contains 3 slides of larynx: • the frontal section best illustrates the structure of the larynx. • 8 RESPIRATORY • Mucosa of larynx • Upper larynx, above vocal cords: with false vocal cords and adjacent to epiglottis: • stratified squamous or pseudostratified epithelium; • lamina propria unusually cellular dense C.T.; no muscularis mucosae • • Vocal cords: epithelium stratified squamous epithelium • lamina propria as above; • no muscularis mucosae; • some loose C.T. in lamina propria. • 9 RESPIRATORY • Lower larynx, below vocal cords: pseudostratified ciliated columnar epithelium • tubular extensions through LP into submucosa to seromucous glands: • • mixed laryngeal glands--mucus coating • no muscularis mucosae 10 RESPIRATORY 11 RESPIRATORY RESPIRATORY Submucosa and muscularis of larynx components intermingled to some extent • • dense CT (interwoven) • some areas of loose C.T. • contains mixed laryngeal glands in area below vocal cords. • 12 RESPIRATORY Two skeletal muscles visible in frontal section of larynx • vocal muscle, nearer to lumen in area of vocal cords • cross-section of sternohyoid muscle, lateral to vocal muscle and separated from it by thyroid cartilage • origin is on sternum and insertion is on hyoid bone, which is the skeletal base of the tongue • contraction moves entire tongue toward back of mouth. • 13 RESPIRATORY • Two laryngeal cartilages visible in frontal section • Made of hyaline cartilage • Thyroid cartilage larger, more anterior and lying between vocal and sternohyoid muscle • • Cricoid cartilage • smaller, in lower part of larynx, • closer to lumen, not very different in size and shape from the first tracheal cartilages lying immediately below it. • 14 RESPIRATORY • Tunica adventitia of larynx not distinct composed of tissues peripheral to the tracheal cartilages and muscles • • Lymphatic nodules may be present submucosa and lamina propria in upper part of larynx. • 15 RESPIRATORY • Structures adjacent to upper larynx. Epiglottis is between laryngeal and pharyngeal include: stratified squamous lumenal epithelium seromucous glands (mixed epiglottis glands) in submucosa epiglottic elastic cartilage dense-to-loose CT pseudostratified ciliated columnar epithelium Hyoid bone is present adjacent and lateral to the sternohyoid muscle. • • • • • • • • • 16 RESPIRATORY RESPIRATORY May include a tonsil in the upper part of the section • • tonsils; organs of the lymphoid system • densely packed lymphatic nodules adjacent to the lumenal stratified squamous epithelium • crypts of that epithelium extend partially into the tonsil • • infiltrated by lymphocytes. 17 RESPIRATORY • Trachea Tubular, extends from pharynx to point of bifurcation of the two chief bronchi; carina • • larynx is specialized region of trachea. • Anterior and parallel to the esophagus. Wall of trachea contains skeletal structures to prevent collapse of tube • tracheal cartilages; incomplete rings (Cshaped); hyaline cartilage. • gap is on the posterior side-- against the esophagus • 18 RESPIRATORY RESPIRATORY • Mucosa of trachea • Pseudostratified ciliated columnar • Glandular; mucus. Cilia beat upwards, to move mucus to pharyngeal cavity, • • typically swallowed. Tubular extensions through lamina propria to seromucous gland in submucosa. • 19 RESPIRATORY RESPIRATORY Lamina propria: thin; unusually cellular dense C.T. • • No muscularis mucosae. • Lumenal surface is smooth; mucosa has no macroscopic or microscopic folds, pits, or projections. • 20 RESPIRATORY RESPIRATORY Submucosa of trachea and muscularis of trachea • • Inner portion mixed tracheal glands: secrete mucus • Tracheal cartilages (tracheal rings): C-shaped • • hyaline cartilage. 21 RESPIRATORY RESPIRATORY • Trachealis muscle: smooth muscle tissue that spans the gap of tracheal cartilage • • attaching to the cartilage Trachealis muscle controls diameter of trachea • relaxes due to sympathetic stimulation • contracts due to parasympathetic stimulation . • Clumps of adipocytes or masses of adipose tissue may also be present. • 22 RESPIRATORY • Tunica adventitia of trachea dense interwoven C.T. around tracheal rings and trachealis muscle • • no definite, distinct outer boundary sometimes clumps or masses of adipocytes • • also present veins, arteries, and nerves may be present in section, in or adjacent to this layer. • 23 RESPIRATORY Chief bronchus (primary bronchus) (singular: bronchus; plural: bronchi) • At end of trachea, two chief (primary) bronchi branch off, one to each lung. • • Bifurcation point, aka carina Each bronchus extends slightly into the lung before branching • • • secondary bronchi. Histology of chief bronchus • same as that of trachea. 24
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