NASUS EXTERNUS Radix nasi Dorsum nasi Apex nasi Nares Alae nasi Cartilago nasi lateralis Cartilago alaris major - crus laterale - crus mediale Cartilagines alares minores Cartilagines nasales accessoriae SEPTUM NASI Cartilago alaris major – crus mediale Cartilago septi nasi Lamina perpendicularis ossis ethmoidalis Vomer CAVITAS NASI - vestibulum – limen, vibrisae - cavitas nasi propria – 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 SINUS PARANASALES Sinus maxillaris Sinus frontalis Sinus ethmoidales Sinus sphenoidalis Meatus nasi inf. – ductus nasolacrimalis Meatus nasi medius – sinus maxillaris, frontalis, cellulae ethmoidales anteriores Meatus nasi sup. – cellulae ethmoidales posteriores, sinus sphenoidalis PHARYNX Aditus laryngis LARYNX Prominentia laryngis CARTILAGINES LARYNGIS: Cartilago thyroidea Cartilago cricoidea Cartilago arytenoidea Cartilago epiglotica Cartilago corniculata Cartilago cuneiformis LARYNX Membrana thyrohyoidea Cartilago thyroidea -lamina dextra -lamina sinistra -cornua superiora -cornua inferiora -facies art. cricoidea - CARTILAGO CRICOIDEA -arcus -lamina -facies articularis arytenoidea -facies articularis thyroidea CARTILAGO ARYTENOIDEA - apex - basis - facies art. cricoidea - processus vocalis - processus muscularis CARTILAGO EPIGLOTTICA -petiolus epiglottidis -lamina - CARTILAGO CORNICULATA CARTILAGO CUNEIFORMIS ARTICULATIO CRICOARYTENOIDEA ARTICULATIO CRICOTHYROIDEA CONUS ELASTICUS -lig. cricothyroideum- coniotomy -lig. vocale – plica vocalis Lig. cricotracheale Lig thyroepiglotticum Lig. hyoepiglotticum Spatium preepiglotticum MEMBRANA QUADRANGULARIS -lig. vestibulare – plica vestibularis - MEMBRANA FIBROELASTICA LARYNGIS MUSCULI LARYNGIS M. thyroarytenoideus (thyroepiglotticus) M. vocalis Rima glottidis – pars intermembranacea – pars intercartilaginea M. cricoarytenoideus post. - respiration M. cricoarytenoideus lateralis M. arytenoideus transversus M. arytenoideus obliquus (aryepiglotticus) M. cricothyroideus M. cricothyroideus M. cricoarytenoideus post. M. cricoarytenoideus lateralis M. arytenoideus trans. et obliq. M. thyroarytenoideus CAVITAS LARYNGIS -vestibulum laryngis -plicae vestibulares -rima vestibuli -plicae vocales -rima glottidis -glottis -ventriculus laryngis -cavitas infraglottica ADITUS LARYNGIS -epiglottis, plicae aryepiglotticae (tuberculum cuneiforme et corniculatum), plica interarytenoidea,incisura inter- arytenoidea - plicae vestibulares plicae vocales LARYNGOSCOPY indirect direct RESPIRATION PHONATION TRACHEA -pars cervicalis -pars thoracica -bifurcatio tracheae - carina tracheae -15-20 cartilagines tracheales -ligg. anularia -paries membranaceus (m. trachealis) CONIOTOMIA (CRICOTHYROTOMIA) TRACHEOTOMIA SUPERIOR TRACHEOTOMIA INFERIOR BRONCHI - principales - lobares - segmentales - BRONCHIOLI ALVEOLI Arbor bronchialis PULMO DEXTER Lobus superior, medius et inferior Fissura obliqua et horizontalis PULMO SINISTER Lobus superior et inferior Fissura obliqua Incisura cardiaca Lingula Apex pulmonis Basis pulmonis (facies diaphragmatica) Facies costalis Facies mediastinalis Margo anterior inferior posterior FACIES MEDIASTINALIS hillum pulmonis radix pulmonis lig. pulmonale impressio cardiaca SEGMENTA BRONCHOPULMONALIA DEXTRA 1.s. apicale 4. s. laterale 6. s. apicale 2.s. posterius 5. s. mediale 7. s. basale mediale 3.s. anterius 8. s. basale anterius 9. s. basale laterale 10. s. basale posterius SEGMENTA BRONCHOPULMONALIA SINISTRA 1+2. s. apicoposterius 6. s. apicale 3. s. anterius (7. s. basale mediale) 4. s. lingulare superius 8. s. basale anterius 5. s. lingulare inferius 9. s. basale laterale 10. s. basale posterius PLEURA - visceralis - parietalis - costalis - diaphragmatica - mediastinalis Cavitas pleuralis Cupula pleurae Recessus pleurae: r. costodiaphragmaticus r. costomediastinalis r. phrenicomediastinalis Pneumothorax Area interpleuralis sup. (thymica) Area interpleuralis inf. (pericardiaca) EXPIRATION INSPIRATION 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