Escolar Documentos
Profissional Documentos
Cultura Documentos
• zona konduksi : tidak mengandung alveoli, tidak ambil bagian pada pertukaran gas,
sebagai ruang rugi anatomi
• zona respirasi : mengandung alveoli, terjadi proses pertukaran gas
hidung
Nose
Terdiri atas 2 bagian yaitu:
1) Hidung Luar (external nose)
2) Cavum Nasi yang terbagi atas kana dan Nasal
kiri oleh septum nasi. septum
Hard
Fungsi :
External plate
I) Olfaction (smelling)
nose
II) Air passage
III) Filtration of dust
IV) Humidification & warming of inspired air
V) Reception & elimination of secretions
from paranasal sinuses & nasolacrimal
ducts.
Different regions of Nasal
cavities have different functions
Olfactory regions
Respiratory regions
Nasal vestibules
anterosuperior
Ophtalmic
A.
posteroinferior
*
Faring
Organ yang dibentuk
jaringan fibromuskuler.
Panjang 15 cm
Terbagi 3 :
•Nasofaring
•Orofaring
•Laringofaring
Oropharynx
Larynx
Larynx
Position:
Anterior neck at the level of C3-C6 vertebrae, Connect oropharynx with trachea.
Function:
1) Organ produksi suara (voice box)
2) Sebagai katup dari saluran pernapasan bawah , terutama saat menelan
Kerangka laring dibentuk oleh kartilago yang dihubungan oleh membran dan
ligamentum dan digerakkan oleh otot
C3
epiglottis
C6 epiglottis
Sagittal section
of head & neck
1) Thyroid
2) Cricoid Laryngeal skeleton consists:
3) Epiglottic 9 cartilages
4) Arytenoid
5) Corniculate
6) Cuneiform 3
3
3
1
1
1 5
4 4
2
2 2
Lat Pos
Ant
Thyroid cartilage
Superior horn
Thyroid notch Superior horn
Laryngeal
prominence
(Adam’s apple)
Oblique line
inferior horn
Lamina
inferior horn
Arytenoid articular
surface of cricoid
cartilage
muscular process of
lamina of cricoid arytenoid cartilage
cartilage
Arch of cricoid
cartilage
Vocal process of
arytenoid cartilage
anterosuperior
Anterior view
Cricoid cartilage
For articulation
with arytenoid
cartilage
anterosuperior view
For articulation
with arytenoid
cartilage
For articulation
with thyroid
For articulation cartilage
with arytenoid lamina
cartilage
cricothyroid
Arytenoid cartilages
Anterolateral view of the laryngeal
cartilages and ligaments
1. Thyrohyoid membrane(superior
Hyoid
border & suprior horn attach to
Thyrohyoid
hyoid) membrane Lateral
2. Median cricothyroid thyrohyoid
ligament(inferior margin of lig.
thyroid to cricoid)
Cricoid
cartilage
Cricotracheal Cricothyroid joint
Lig
Lateral view of the laryngeal
cartilages and ligaments
Cartilages of larynx
Sagittal section
epiglottis
Thyrohyoid
membrane
Corniculate
posterior
Thyroid
cartilage cartilage lamina
arytenoid
cartilage
Muscular
process Thyroepiglottic
Vestibular ligament
ligament Vocal
process
Vocal
ligament
Cricoid
cartilage
Trachea
Cartilages of larynx
Sagittal section
Sagittal section
of head & neck
Epiglottis,
Cartilago elastis terletak di
belakang radix lingua.
Valekula adalah cekungan
pada membran mukosa
kanan kiri plica
glossoepiglotika
posterior anterior
Sagittal section showing the interior aspect of the left half of the larynx
Fibroelastic membrane of the larynx
Quadrangular + Cricovocal (Conus elasticus)
epiglottis
Vestibular fold
Vocal fold
Rima Glottidis
posterior
posterior
Inervasi laryng : saraf sensorik di atas plica vocalis -> n. Laryngeus internus
di bawah plica vocalis -> n. Laryngeus superior
vaskularisasi laryng : di atas plica vocalis ->r. Laryngeus sup a thyroidea sup
di bawah -> r. Laryngeus inferior a thyroidea inf
Trakea
trachea,
Terletak dari anterior esophagus
sampai setinggi angulus sterni.
Bercabang jadi bronkus principalis
dex et sin
Bifucartio trachea dinamakan
carina
Lateral view
Superior mediastinum
Sternal angle
Right main
bronchus:
wider,shorter,
runs more vertically
posterior
Bronchoscopic view of
distal trachea and carina
Cadaveric lungs:firm to Healthy lungs: light, soft, spongy &
touch, discolored in appearance, fully occupy pulmonary cavities
shrunken (approximately 1/3
their size).
Right lung(larger,heavier,shorter, wider) left lung
Oblique
fissure
Superior
lobe
horizental Oblique
fissure fissure
inferior
lobe
Lungs
•Are separated from each other
by the mediastinum.
Lungs
•Are attached to mediastinum
by the roots of lungs.
mediastinum
Roots of lungs:
1. Bronchi
2. Pulmonary arteries
3. Superior & inferior pulmonary veins
4. Pulmonary plexus of nerves(sympathetic,
parasympathetic, visceral afferent fibers)
5. Lymphatic vessels
L.pulmonary
artery
R. pulmonary
artery R. Pulmonary
veins
R. Pulmonary
veins
Inferior right
pulmonary vein
(inferiormost)
Pulmonary ligament
Cardiac impresion
Mediastinal & diaphragmatic surfaces of left lung
Cardiac impression
Groove for
descending of aorta
Each lung is enclosed
in a serous sac,
named:
pleura
Pleurae & lungs Visceral
To visualize the relationship of pleura & lungs: pleurae
root
Parietal lung
pleurae
Pleural cavity
Pleura consists of two continuous membranes.
Visceral pleura: invest all surfaces of lungs
Parietal pleura: lines pulmonary cavities
Pleural cavity: potential space between layers of pleura,
contains serous pleural fluid, allows the layers of pleura to slide
smoothly over each other during respiration
6
Plural
ligament
Pleura consists of 2 layers:
1) Visceral
2)Parietal
•Cervical(2-3 cm superior to the level of clavicle)
•Mediastinal
•Costal
•Diaphragmatic
Cervical part
Mediastinal
part
Costal part
Diaphragmatic
part
vertebral
Sternal
costal
Sternal line passes
inferiorly in median plane
Right:
Posterior aspect of
xiphoid process(6th
costal cartilage)
2
Left:
At the level of 4th
costal cartilage
4 passes left,
Cardiac creating notch, then
notch continuous inf
eriorly to the 6th
6 costal cartilage
6
Sternal
line Cardiac notch allows a part of
pericardium(heart sac) to be in direct
contact with anterior thoracic wall.this is
important for pericardiocentesis.
Diaphragmatic
borders of pleurae
MCL &
lungs
8
MAL
SL Pleural reflections
reach 10th rib at
MCL(midaxillary line) &
12th rib at SL(scapular
line) & spinous process
of T12.
T12
Injuries to the pleura and lung
Results?
Pneumothorax:
presence of air in pleural cavity.
(Pneumo: presence of air)
Results?
Lungs are comparable to Remains distended only as long as its outlet is closed.
Normal lungs in situ remain distended even when their outlet (airway) is open. Why?
endothoracic
Thoracic wall………………………...parietal pleura………
Surface tension consequent Visceral pleura.
..…….…………………..…………
fascia to pleural fluid
Pulmonary
collapse
Trachea &
major bronchi
(anterior view)
Superior lobar
bronchus
Superior lobar
bronchus
To superior
lobe
To superior
Middel lobar bronchus lobe
Right & left
main bronchi
To middle
lobe
inferior lobar
bronchus To inferior
To inferior lobe
lobe
Bronchopulmonary segments