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The trachea is a long tube that remains constantly open to allow the passage of air. It is about 10-12 cm long and extends from the larynx at the level of the sixth cervical vertebra to the level of the fourth or fifth thoracic vertebra, where it divides into the two bronchi. This division is called the tracheal bifurcation.
Structure and Location
The trachea lies mainly in the midline of the body. Most of it is located in the neck, while the lower portion lies within the thorax.
In the neck, it is found in the thyroid and suprasternal regions and is partly covered by the sternohyoid and sternothyroid muscles. Near the upper part of the neck, the trachea is relatively superficial, but it becomes deeper toward the thorax. The isthmus of the thyroid gland crosses its anterior surface.
Within the thorax, the trachea lies behind the manubrium sterni and the left innominate vein. Other structures in front of it include the innominate artery and part of the left common carotid artery. Posteriorly, the trachea is in direct contact with the esophagus throughout its length.
The trachea is supported by 16-20 incomplete rings of hyaline cartilage called tracheal cartilages. These rings form the anterior and lateral walls of the trachea but are open posteriorly, where the wall is membranous and flattened.
The cartilaginous rings may sometimes branch, unite, or become perforated. The first ring is the widest and is connected to the cricoid cartilage by the cricotracheal ligament. Adjacent rings are joined by elastic annular ligaments.
The posterior wall of the trachea does not contain cartilage: it is made mainly of smooth muscle and fibrous tissue. The transverse smooth muscle fibers form the trachealis muscle, which stretches between the open ends of the cartilage rings.
The mucous membrane of the trachea is continuous with that of the larynx above and the bronchi below. It rests on a strong elastic layer and contains many mucous glands, especially in the membranous wall and near the annular ligaments. The epithelium is ciliated and helps move mucus and particles upward through the airway.
The trachea receives blood mainly from the inferior thyroid arteries. Its nerves come from the vagus nerves, recurrent laryngeal nerves, and the sympathetic nervous system.
Bronchi
The trachea divides at the carina into the right and left primary bronchi. The carina contains sensitive nervous tissue that triggers coughing if foreign material enters the airway.
The bronchi are lined by pseudostratified ciliated columnar epithelium with goblet cells, which trap dust and pathogens in mucus.
The bronchi enter the lungs through the hilum and continue branching to form the bronchial tree. Their main function is to conduct air and help clean it before it reaches the lungs.
The right bronchus is shorter, wider, and more vertical than the left, so inhaled objects are more likely to enter it. It is about 2.5 cm long and gives off an upper branch called the eparterial bronchus before continuing as the hyparterial bronchus to supply the middle and lower lobes of the right lung.
The left bronchus is narrower, longer, and more horizontal, measuring about 5 cm. It enters the left lung near the sixth thoracic vertebra and does not have an eparterial branch.
The bronchi have walls similar to the trachea, containing incomplete cartilage rings, smooth muscle, fibrous tissue, mucous membrane, and glands. The cartilage supports the airways and prevents collapse.
Bronchi branch into smaller tubes called bronchioles. Bronchioles do not contain cartilage and instead have smooth muscle in their walls, which controls airflow by changing the diameter of the airway. They continue branching into terminal bronchioles that lead to the regions of gas exchange in the lungs.
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Gray, H. (1918). Anatomy of the human body (W. H. Lewis, Ed.; 20th ed.). Lea & Febiger.
Sobotta, J. (1906). Atlas and text-book of human anatomy (J. P. McMurrich, Ed.; W. H. Thomas, Trans.). Vol. 2. W.B. Saunders Company.
J. Gordon Betts, Kelly A. Young, James A. Wise, Eddie Johnson, Brandon Poe, Dean H. Kruse, Oksana Korol, Jody E. Johnson, Mark Womble, Peter DeSaix. (2013, April 25). Anatomy and Physiology. OpenStax. https://openstax.org/books/anatomy-and-physiology-2e/pages/13-2-the-central-nervous-system.
Based on OpenStax, Anatomy and Physiology (2013), licensed under CC BY 4.0.
Access for free at https://openstax.org/books/anatomy-and-physiology/pages/1-introduction.
Content paraphrased; adaptations were made.
Images used in this guide and games are by Dr. Johannes Sobotta. They are in the public domain; modifications have been made to the originals.