Histology of the respiratory system review D L

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Histology of the respiratory system - review D. L. Kiss Anna Semmelweis University Department

Histology of the respiratory system - review D. L. Kiss Anna Semmelweis University Department of Anatomy, Histology and Embryology 2019.

 • Extrapulmonary airway: – Nasal cavity - nasopharynx – Larynx – Trachea •

• Extrapulmonary airway: – Nasal cavity - nasopharynx – Larynx – Trachea • Intrapulmonary airway: – Bronchi: principal lobar segmental – Bronchioles: terminals respiratory • Repiratory part: alveoli

Nasal cavity Olfactory area: receptors Regio respiratorica: pseudostratified ciliated epithelium (goblet cells) Vestibulum: skin

Nasal cavity Olfactory area: receptors Regio respiratorica: pseudostratified ciliated epithelium (goblet cells) Vestibulum: skin

Regio respirtorica: vestibulum Propria: seros+mucus glands

Regio respirtorica: vestibulum Propria: seros+mucus glands

Olfactory region cilia bulb-like ending supporting cell Receptors: primary sensory cells: bipolar cells •

Olfactory region cilia bulb-like ending supporting cell Receptors: primary sensory cells: bipolar cells • contain OBP (odorant binding protein) receptors on their plasma membrane receptor • axon-like processes - fila olfactoria – bulbus olfactorius • the number of them: 2 x 107 basal cells Schwann cells axon basement membrane • life time: 30 -60 days • more than 100 receptor molecules

nasopharynx tongue oropharynx soft palate laryngopharynx epiglottis

nasopharynx tongue oropharynx soft palate laryngopharynx epiglottis

Nasopharynx

Nasopharynx

Waldeyer’s lymphatic ring Pharynx: pars nasalis: • tonsilla pharyngea+tonsillae tubariae (pseudostratified ciliated epithelium) p.

Waldeyer’s lymphatic ring Pharynx: pars nasalis: • tonsilla pharyngea+tonsillae tubariae (pseudostratified ciliated epithelium) p. oralis: • tonsilla palatina (stratified nonkeratinized epithelium) • tonsillae linguales (stratified nonkeratinized epithelium)

Larynx: epiglottis Lingual surface Laryngeal surface

Larynx: epiglottis Lingual surface Laryngeal surface

Larynx epiglottis vestibular fold aryepiglottic fold vestibulum ventriculus vocal fold (vocal cord) infraglottic cavity

Larynx epiglottis vestibular fold aryepiglottic fold vestibulum ventriculus vocal fold (vocal cord) infraglottic cavity

Histology of the larynx

Histology of the larynx

Histology of the larynx

Histology of the larynx

 • lamina propria: fibers: fibroelastic membrane

• lamina propria: fibers: fibroelastic membrane

Trachea anterior view Right posterior view left right Principal bronchi left

Trachea anterior view Right posterior view left right Principal bronchi left

Trachea

Trachea

Bronchus tree Principal bronchus lobal bronchus segmental bronchus bronchiolus terminal bronchiolus respiratoricus alveoli sacculus:

Bronchus tree Principal bronchus lobal bronchus segmental bronchus bronchiolus terminal bronchiolus respiratoricus alveoli sacculus: ductus alveolaris

Branches of the terminal bronchi, sacculi and alveoli Lobes : segments Segments: borders: veins

Branches of the terminal bronchi, sacculi and alveoli Lobes : segments Segments: borders: veins artery + bronchioles (centrally)

Histological changes in the respiratory system • cartilage disappears: gradually • glands are disappearing

Histological changes in the respiratory system • cartilage disappears: gradually • glands are disappearing • smooth muscle becomes continuous (broncioles) and then disappears • epithelium becomes thin

Lung

Lung

Clara cells

Clara cells

Clara cells

Clara cells

Alveoli and alveolar septi macrophage alveolar entrance elastic fibers type I cells type II

Alveoli and alveolar septi macrophage alveolar entrance elastic fibers type I cells type II cells capillary macrophage in the septum

Alveoli: pneumocytes

Alveoli: pneumocytes

Type I. and II. pneumocytes, alveolar makrophages

Type I. and II. pneumocytes, alveolar makrophages

Surfactant Decreases the alveolar surface tension, actively participate in the clearance of foreign materials

Surfactant Decreases the alveolar surface tension, actively participate in the clearance of foreign materials Low surface tension: increases the flexibility of the lung makes the alveoli stabil e Absence of the surfactant: alveoli collapse

The effect ot the fetal surfactant

The effect ot the fetal surfactant

Bibliography • Snell RS, Clinical Anatomy, Little, Brown & Co, • • • Boston,

Bibliography • Snell RS, Clinical Anatomy, Little, Brown & Co, • • • Boston, 1995 Moore KL, Dalley AF: Clinically Oriented Anatomy, Lippincott, 1999 Sobotta: Atlas of Human Anatomy Röhlich: Szövettan