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Tracheobronchial Tree

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(1)

Tracheobronchial Tree

&

Bronchopulmonary Segments

D

isclaimer / Declaration: The study material included in this file and copied from relevant books / other sources are purely intended for the welfare of our medical students during COVID-19 Lockdown and are not for

the purpose of publication and general circulation.

aijazahmedkhan7@live.com

(2)

Objectives

Extent & bifurcation of trachea Tracheobroncheal tree

Features & types of bronchi:

Pr. (principal); Sec. (lobar) & Tertiary (Segmental) Bronchopulmonary segment (BPS)

BPS of Rt & Lt lungs

Features & types of brochioles:

Lobular, Terminal & Respiratory

Applied aspect

(3)

Respiratory Tract

Upper RT

Nasal cavity

PNAS

Nasopharynx

Lower RT

Larynx

Tracheobronchial tree

Transitional airways

Respiratory bronchiole

Alveolar duct

(4)
(5)
(6)

Nasal mucosa

Repiratory epithelium

(7)
(8)
(9)

TRACHEOBRONCHEAL TREE

 Trachea

 Primary/ Principal / Pulmonary Bronchi

 Secondary/Lobar bronchi

 Tertiary/Segmental bronchi

 --- ---- -- Terminal bronchi

 Bronchioles ( Conducting )

 --- Terminal bronchioles (Sec. lobule)

Respiratory bronchiole (Pr. Lobule)

(10)

Cricoid/C6 to upper border T5; 10-11 cm, D= O/I =2/1.2 cm

Principal/

Primary/

Pulmonary bronchi

(11)

Angles of right & left bronch with carina

•Tracheal bronchus: Displaced Rt. Upper lobe brochus or

•supernumary bronchus from Rt. Lat side of trachea

(12)

Trachea

(13)

Sup. Mal Post.

(14)

BPS of the Lungs

(15)

Relationship between central airways

&

pulmonary vessels

(16)

The numbers denote the numbers of BPS

(17)

Bronchi

(18)

In bronchi:

Epithelium – less tall

Goblet cells – lesser in No.

Lamina propria – More elastic tissue

Submucosa – fewer glands

Cartilage – interconnected plates

Trachea vs Bronchi

(19)

Lt. & Rt.

BPS; Medial.

(20)

Bronchioles

(21)

Large bronchiole

Smooth muscles & seromucous glands

(22)

Segmental bronchi

ramify in a

structurally separate, functionally

independent, unit of lung tissue called a

BPS

(23)

Lung Lobules: Pr. & Sec

30-50 Pr. Lobule = 1 Sec. lobule –

1 and 2.5 cm across

The smallest

discrete polyhedral part of lung separated by CT

(24)
(25)

Schematic

Distal portion of adjacent BPS

(26)

Transitional airway

Respiratory bronchiole & Alveolar duct

(27)

Ciliated columnar - to - Ciliated cuboidal

Goblet cells - to - Clara cells (tall, non-ciliated)

Smooth Mm conti. Layers - to – discont. Layer

Submucosal glands (+) - to – Absent

Alveoli absent - to – small No. of single alveoli

Lobular bronchiole to Resp. bronchiole

(28)

The respiratory portion of the lung & its cell types

(29)

Diameter: 250 µ

Number: 300 million

Area: 143 m

2

Diffusion barrier: 0.2 µ (0.05 -0.2 µ)

Interalveolar pore: 7 µ (2-13 µ)

Alveoli

(30)

Applied Aspect

(31)

Bronchoscopy

(32)

Bronchogram

(33)

Bronchiectasis

(34)

Tracheostomy

(35)

Segmental Resection

(36)
(37)

D

isclaimer / Declaration: The study material included in this file and copied from relevant books / other sources are purely intended for the welfare of our medical students during COVID-19 Lockdown and are not for

the purpose of publication and general circulation.

aijazahmedkhan7@live.com

THANK YOU

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