You are on page 1of 49

STRUCTURE OF RESPIRATORY

SYSTEM
Dr. I Nyoman Gede Wardana,
M.Biomed
mandewardana@gmail.com
RESPIRATORY SYSTEM

DIVIDED INTO 2 ZONES:

CONDUCTING ZONE

RESPIRATORY ZONE

2 Wardana Bagian Anatomi FK UNUD 05/24/19


3 Wardana Bagian Anatomi FK UNUD 05/24/19
NOSE
THE NOSE DIVIDED INTO 2 REGIONS:
EXTERNAL NOSE
INTERNAL NASAL CAVITY

4 Wardana Bagian Anatomi FK UNUD 05/24/19


5 Wardana Bagian Anatomi FK UNUD 05/24/19
EXTERNAL NOSE
VARIES CONSIDERABLY IN SIZE AND SHAPE
APEX, DORSUM OF THE NOSE, ROOT, NARES
(NOSTRIL)
CONSISTS OF BONY AND CARTILAGINOUS PART
BONY PART:
 NASAL BONES
 FRONTAL PROCESSES OF THE MAXILLAE
 NASAL PART OF THE FRONTAL BONE AND ITS NASAL
SPINE
 BONY PART OF THE NASAL SEPTUM
CARTILAGINOUS PART:
 LATERAL CARTILAGES, ALAR CARTILAGES, AND SEPTAL
CARTILAGE

6 Wardana Bagian Anatomi FK UNUD 05/24/19


NASAL CAVITY
 LIES IN AND POSTERIOR TO THE EXTERNAL NOSE
 IS DIVIDED BY A MIDLINE NASAL SEPTUM
(PERPENDICULAR PLATE OF THE ETHMOID, VOMER,
SEPTAL CARTILAGE, AND NASAL CRESTS OF THE
MAXILLARY AND PALATINE BONES)
 OPENS POSTERIORLY INTO THE NASOPHARYNX VIA
CHOANAE
 THE ROOF DIVIDED INTO THREE PART
(FRONTONASAL, ETHMOID, AND SPHENOID)
 THE FLOOR IS FORMED BY THE PALATINE PROCESS
OF THE MAXILLA AND HORIZONTAL PLATE OF THE
PALATINE BONE)
 LATERAL WALL IS UNEVEN BECAUSE OF THE NASAL
CONCHAE (SUPERIOR, MIDDLE, AND INFERIOR)

7 Wardana Bagian Anatomi FK UNUD 05/24/19


8 Wardana Bagian Anatomi FK UNUD 05/24/19
9 Wardana Bagian Anatomi FK UNUD 05/24/19
PARANASAL SINUSES
MAXILLARY SINUS: MIDDLE MEATUS
SPHENOIDAL SINUS: SPHENOETHMOIDAL
RECESS
FRONTAL SINUS: MIDDLE MEATUS
ETHMOIDAL SINUS:
ANTERIOR AND MIDDLE ETHMOIDAL CELL:
MIDDLE MEATUS
POSTERIOR ETHMOIDAL CELL: SUPERIOR MEATUS

NASOLACRIMAL DUCT: INFERIOR MEATUS

10 Wardana Bagian Anatomi FK UNUD 05/24/19


11 Wardana Bagian Anatomi FK UNUD 05/24/19
12 Wardana Bagian Anatomi FK UNUD 05/24/19
13 Wardana Bagian Anatomi FK UNUD 05/24/19
PHARYNX
DIVIDED INTO THREE REGIONS:
NASOPHARYNX
OROPHARYNX
LARYNGOPHARYNX

14 Wardana Bagian Anatomi FK UNUD 05/24/19


LARYNX
 CONTINUOUS WITH THE TRACHEA POSTERIORLY
 EXTEND FROM C3-C6
 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

15 Wardana Bagian Anatomi FK UNUD 05/24/19


16 Wardana Bagian Anatomi FK UNUD 05/24/19
17 Wardana Bagian Anatomi FK UNUD 05/24/19
LARYNGEAL CAVITY
EXTENDS FROM THE LARYNGEAL INLET TO
THE LEVEL OF THE INFERIOR BORDER OF THE
CRICOID CARTILAGE
LARYNGEAL VESTIBULE: BETWEEN LARYNGEAL
INLET AND THE VESTIBULAR FOLDS
MIDDLE PART OF LARYNGEAL CAVITY: BETWEEN
VESTIBULAR FOLDS AND VOCAL FOLDS
LARYNGEAL VENTRICLE: RECESSES EXTENDING
LATERALLY FROM THE MIDDLE PART
INFRAGLOTTIC CAVITY: BETWEEN VOCAL FOLDS
AND THE INFERIOR BORDER OF THE CRICOID
LIGAMENT

18 Wardana Bagian Anatomi FK UNUD 05/24/19


19 Wardana Bagian Anatomi FK UNUD 05/24/19
MUSCLES OF THE LARYNX
 EXTRINSIC LARYNGEAL MUSCLES:
INFRAHYOID M: DEPRESSORS OF THE HYOID AND
LARYNX
SUPRAHYOID AND STYLOPHARYNGEUS M:
ELEVATORS OF THE HYOID AND LARYNX
 INTRINSIC LARYNGEAL MUSCLES (INFERIOR
LARYNGEAL N):
CRICOTHYROID --- EXTERNAL LARYNGEAL N (CN X)
THYROARYTENOID
POSTERIOR CRICOARYTENOID
LATERAL CRICOARYTENOID
TRANSVERSE AND OBLIQUE ARYTENOID
VOCALIS

20 Wardana Bagian Anatomi FK UNUD 05/24/19


21 Wardana Bagian Anatomi FK UNUD 05/24/19
22 Wardana Bagian Anatomi FK UNUD 05/24/19
23 Wardana Bagian Anatomi FK UNUD 05/24/19
TRACHEA
FLEXIBLE AND MOBILE TUBE EXTENDING
FROM THE LARYNX INTO THE
MEDIASTINUM

ITS ABOUT 10-11 CM LONG

EXTEND FROM C6-IV Disc CV TH4 dan 5


(STERNAL ANGLE)

THREE LAYERS

24 Wardana Bagian Anatomi FK UNUD 05/24/19


25 Wardana Bagian Anatomi FK UNUD 05/24/19
26 Wardana Bagian Anatomi FK UNUD 05/24/19
27 Wardana Bagian Anatomi FK UNUD 05/24/19
28 Wardana Bagian Anatomi FK UNUD 05/24/19
CLINICAL IMPORTANT:
FOREIGN BODIES
BROCHIAL ASTHMA
BRONCHOSCOPY

29 Wardana Bagian Anatomi FK UNUD 05/24/19


LUNGS AND PLEURA

30 Wardana Bagian Anatomi FK UNUD 05/24/19


GROSS ANATOMY OF THE
LUNGS
 LUNGS OCCUPY ALL OF THE THORACIC CAVITY
EXCEPT THE MEDIASTINUM
RADIX PULMONALIS – SITE OF VASCULAR AND
BRONCHIAL ATTACHMENTS, STRUCTURES THAT IN
AND OUT FROM THE LUNGS
COSTAL SURFACE – ANTERIOR, LATERAL, AND
POSTERIOR SURFACES IN CONTACT WITH THE RIBS;
MEDIASTINAL SURFACE, DIAPHRAGMATIC SURFACE.
ANTERIOR BORDER, POSTERIOR BORDER, INFERIOR
BORDER
APEX – NARROW SUPERIOR TIP
HILUS PULMONALIS – INDENTATION THAT CONTAINS
PULMONARY AND SYSTEMIC BLOOD VESSELS, AREA
WHERE ROOT IS IN AND OUT FROM THE LUNGS

31 Wardana Bagian Anatomi FK UNUD 05/24/19


32 Wardana Bagian Anatomi FK UNUD 05/24/19
33 Wardana Bagian Anatomi FK UNUD 05/24/19
34 Wardana Bagian Anatomi FK UNUD 05/24/19
35 Wardana Bagian Anatomi FK UNUD 05/24/19
CLINICAL IMPORTANT
PNEUMOTHORAX
PLEURAL EFFUSION
PLEURITIS/PLEURISY
THORACOCENTESIS

36 Wardana Bagian Anatomi FK UNUD 05/24/19


THORACIC WALL

37 Wardana Bagian Anatomi FK UNUD 05/24/19


THORACIC WALL
CONSISTS OD SKIN, FASCIA, NERVES,
VESSELS, MUSCLES, AND BONES
PROTECTING OF THE THORACIC AND
ABDOMINAL ORGANS; RESISTING THE
NEGATIVE INTERNAL PRESSURES GENERATED
BY THE ELASTIC RECOIL OF THE LUNGS AND
INSPIRATORY MOVEMENTS
PROVIDING ATTACHMENT FOR AND
SUPPORTING THE WEIGHT OF UPPER LIMBS
PROVIDING ATTACHMENT FOR MANY OF THE
MUSCLES OF UPPER LIMBS, NECK, ABDOMEN,
AND BACK, AND MUSCLE OF RESPIRATION

38 Wardana Bagian Anatomi FK UNUD 05/24/19


RIBS AND COSTAL
CARTILAGES
TRUE (VERTEBROCOSTAL) RIBS (1ST-7TH
RIBS): ATTACH DIRECTLY TO THE STERNUM
THROUGH THEIR OWN COSTAL CARTILAGES
FALSE (VERTEBROCOSTAL) RIBS (8TH-10TH
RIBS): THEIR CONNECTION WITH THE
STERNUM IS INDIRECT
FLOATING (FREE) RIBS (11TH-12TH RIBS):
RUDIMENTARY CARTILAGES THAT DO NOT
CONNECT EVEN INDIRECTLY WITH THE
STERNUM

39 Wardana Bagian Anatomi FK UNUD 05/24/19


40 Wardana Bagian Anatomi FK UNUD 05/24/19
41 Wardana Bagian Anatomi FK UNUD 05/24/19
42 Wardana Bagian Anatomi FK UNUD 05/24/19
43 Wardana Bagian Anatomi FK UNUD 05/24/19
44 Wardana Bagian Anatomi FK UNUD 05/24/19
45 Wardana Bagian Anatomi FK UNUD 05/24/19
46 Wardana Bagian Anatomi FK UNUD 05/24/19
47 Wardana Bagian Anatomi FK UNUD 05/24/19
48 Wardana Bagian Anatomi FK UNUD 05/24/19
THANK YOU

49 Wardana Bagian Anatomi FK UNUD 05/24/19

You might also like