RESPIRATORY SYSTEM I. UPPER RESPIRATORY TRACT, LARYNX NASUS EXTERNUS Radix nasi Dorsum nasi Apex nasi Nares Alae nasi SEPTUM NASI Cartilago alaris major – crus mediale Cartilago septi nasi – processus posterior Lamina perpendicularis ossis ethmoidalis Vomer Cartilago nasi lateralis Cartilago alaris major - crus laterale - crus mediale Cartilagines alares minores Cartilagines nasales accessoriae CAVUM NASI - vestibulum – limen, vibrisae, recessus apicis nasi - cavum nasi proprium – meatus nasi sup., medius, inf. meatus nasi communis, meatus nasopharyngeus, choanae Septum nasi - pars membranacea - pars cartilaginea - pars ossea Superior wall: cartilago nasi lateralis, os nasale, pars nasalis ossis frontalis, lamina cribrosa ossis ethmoidalis, corpus ossis sphenoidalis Inferior wall: processus palatinus maxillae, lamina horizontalis ossis palatini canalis incisivus NASAL MUCOSA Regio respiratoria plexus cavernosi - epistaxis Regio olfactoria A. sphenopalatina, a. palatina major (a. maxillaris) A. ethmoidalis ant., post. (a. ophthalmica) R. septalis a. labialis sup. (a. facialis) V. submandibularis, facialis, ophthalmica Nll. submandibulares, retropharyngei, parotidei Kiesselbach area N. trigeminus (CN V) - n. ethmoidalis ant. (V1) - rr. nasales posteriores med. et lat. (n. nasopalatinus) (V2) Nn. olfactorii SINUS PARANASALES Sinus maxillaris Sinus frontalis Sinus ethmoidales Sinus sphenoidalis SINUS MAXILLARIS – hiatus sinus maxillaris (Antrum of Highmore) infundibulum ethmoidale hiatus semilunaris Aa. et vv. facialis, palatina major, infraorbitalis Nll. submandibulares Nn. alveolares sup. (V2) SINUS FRONTALIS septum sinuum frontalium A. et v. ophthalmica V1 Nll. submandibulares SINUS ETHMOIDALES (CELLULAE ETHMOIDALES) SINUS SPHENOIDALIS septum sinuum sphenoidalium apertura sinus sphenoidalis A. et v. ethmoidalis ant. et post. A. et v. sphenopalatina V1, V2 Nll. submandibulares, retropharyngei Meatus nasi inf. – ductus nasolacrimalis Meatus nasi medius – hiatus semilunaris – sinus maxillaris, sinus frontalis, cellulae ethmoidales anteriores et mediae Meatus nasi sup. – cellulae ethmoidales posteriores, sinus sphenoidalis PHARYNX NASOPHARYNX Ostium pharyngeum tubae auditivae: Torus tubarius Plica salpingopharyngea Torus levatorius Plica salpingopalatina Cartilago tubae auditivae M. salpingopharyngeus M. levator veli palatini LARYNX ADULT NEONATE Prominentia laryngis CARTILAGINES LARYNGIS: Cartilago thyroidea Cartilago cricoidea Cartilago arytaenoidea Cartilago epiglotica Cartilago corniculata Cartilago cuneiformis Cartilago triticea LARYNX Membrana thyrohyoidea (thyroidea) Cartilago thyroidea -lamina dextra -lamina sinistra -incisura thyroidea sup. -incisura thyroidea inf. -cornua superiora -ligg. thyroidea lateralia -cornua inferiora -facies art. cricoidea -linea obliqua -foramen thyroideum - - CARTILAGO CRICOIDEA -arcus -lamina -facies articularis arytenoidea -facies articularis thyroidea CARTILAGO ARYTAENOIDEA - apex - basis - facies art. cricoidea - processus vocalis - processus muscularis - facies anterolateralis - colliculus - crista arcuata - fossa triangularis - fovea oblonga - facies medialis - facies posterior CARTILAGO EPIGLOTTICA -petiolus epiglottidis -lamina - CARTILAGO CORNICULATA CARTILAGO CUNEIFORMIS CARTILAGO TRITICEA ARTICULATIO CRICOARYTAENOIDEA -lig. cricoarytaenoideum post. ARTICULATIO CRICOTHYROIDEA MEMBRANA THYROIDEA lig. thyroideum laterale lig. thyroideum medianum CONUS ELASTICUS -lig. cricothyroideum- coniotomy -lig. vocale – plica vocalis Lig. cricotracheale Lig thyroepiglotticum Lig. hyoepiglotticum Spatium praeepiglotticum MEMBRANA QUADRANGULARIS -lig. ventriculare – plica vestibularis - MEMBRANA FIBROELASTICA LARYNGIS M. thyroepiglotticus M. aryepiglotticus M. cricoarytaenoideus post. (posticus) - respiration M. cricoarytaenoideus lateralis - phonation M. arytaenoideus – phonation M. cricothyroideus M. thyroarytaenoideus M. vocalis M. cricothyroideus M. cricoarytaenoideus post. M. cricoarytaenoideus lateralis M. arytaenoideus M. thyroarytaenoideus N. laryngeus sup. N. laryngeus inf. – N. laryngeus recurrens A.laryngea sup. - A. thyroidea sup. A. laryngea inf. – A. thyroidea inf. CAVUM LARYNGIS -vestibulum laryngis -plicae vestibulares -rima vestibuli -plicae vocales -rima glottidis -glottis -ventriculus laryngis -sacculus laryngis -cavum infraglotticum CAVUM LARYNGIS -aditus laryngis-plicae aryepiglotticae (tuberculum cuneiforme et corniculatum), plica interarytaenoidea,incisura inter- arytaenoidea - plicae vestibulares plicae vocales Rima glottidis pars inter- membranacea pars inter- cartilaginea LARYNGOSCOPY indirect direct RESPIRATION PHONATION Illustrations and photographs were copied from: Atlas der Anatomie des Menschen/Sobotta. Putz,R., und Pabst,R. 20. Auflage. München: Urban & Schwarzenberg, 1993 Netter: Interactive Atlas of Human Anatomy. Windows Version 2.0