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Respiratory System Emb
Respiratory System Emb
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Opening of
pharyngeal
pouches
Respiratory
diverticulum
• Diverticulum destines to form the respiratory
system, first seen as a midline groove
(tracheobronchial groove) in the floor of the
developing pharynx just caudal to the
hypobranchial eminence.
• Groove is flanked by the sixth pharyngeal
arches.
Lung buds
• Soon after its appearance, the distal part of the
groove is separated from the esophagus but
the cranial part continues to communicate
with the pharynx.
• Free caudal end of the diverticulum becomes
bifid each subdivision being called a lung bud.
• Part of the diverticulum cranial to the bifurcation
forms the larynx and trachea, while the lung buds
form the bronchi and lung parenchyma.
Lung bud
Larynx
• Internal lining of the larynx originates from the
endoderm but the cartilages and muscles
originates from mesenchyme of the 4th and 6th
pharyngeal arches.
• Rapid proliferation of the mesenchyme, the
laryngeal orifice form a sagittal slit to a T-shaped
opening.
• Two arches transforms into thyroid, cricoid and
arytenoid cartilages.
Larynx
• When the cartilages are formed, laryngeal
epithelium also proliferates rapidly resulting in
temporary occlusion of the lumen.
• Subsequently, vacuolization and recanalization
produce a pair of lateral recess- laryngeal
ventricles.
• These recesses are bounded by folds of tissue
that differentiate into false and true vocal folds.
Larynx
• Musculature of larynx is derived from the
mesenchyme of the 4th and 6th pharyngeal
arches, all laryngeal muscles are innervated by
branches of X cranial nerve (vagus nerve).
• The superior laryngeal nerve innervates
derivatives of 4th pharyngeal arch, and the
recurrent laryngeal nerve innervates derivatives
of the 6th pharyngeal arch.
Trachea, Bronchi and Lungs:
• During its separation from the foregut, the lung
bud forms the trachea and two lateral
outpocketings, the bronchial buds.
• At the beginning of the fifth week, each of these
buds enlarges to form right and left main bronchi.
• The right then forms 3 secondary bronchi and the
left 2.
• Rt forming 3 lobes and lt forming 2 lobes
• Subsequent growth in caudal and lateral
direction, the lung buds expand into the body
cavity.
• The space for the lungs the pericardioperitoneal
canals are narrow, lie on each side of the foregut
and are gradually filled by expanding lung buds.
• Further development, secondary bronchi divide
repeatedly in a dichotomous fashion, forming 10
tertiary (segmental ) bronchi in the right lung and
8 in the left, creating the bronchopulmonary
segments of the adult lung.
• By the end of the sixth month, approximately 17
generation of subdivision have formed.
• Before the bronchial tree reaches its final shape,
however an additional 6 division form during
postnatal life.
• During last 2 months of prenatal life and for
several years thereafter, the number of terminal
sacs increases steadily.
• In addition, cells lining the sacs, known as type I
alveolar epithelial cells, become thinner, so that
surrounding capillaries protrude into the alveolar
sacs.
• Intimate contact between epithelial and
endothelial cells makes up the blood-air barrier.
• Mature alveoli are not present before birth.
• In addition to endothelial cells and flat alveolar
epithelial cells, another cell type develops at the
end of the sixth month.
• Cells, type II alveolar epithelial cells, produce
surfactant a phospholipid-rich fluid capable of
lowering surface tension at the air-alveolar
interface.
• Surfactant is particularly important for survival
of the premature infant.
• When surfactant is insufficient, the air-water
surface membrane tension becomes high,
bringing great risk that alveoli will collapse
during expiration.
• “Respiratory Distress Syndrome” develops,
also know as Hyaline Membrane Disease.
Maturation of Lungs
• Up to 7th month prenatal month, the bronchioles
divide continuously into more and smaller
canals(canalicular phase) and the vascular supply
increases steadly.
• Terminal bronchioles divides to form respiratory
bronchioles and each of these divides into 3 to 6
alveolar ducts,
• Ducts end in terminal sacs(primitive alveoli) that
are surrounded by flat alveolar cells in close
contact with the neighboring capillaries
• By the end of 7th month sufficient numbers of
mature alveolar sacs and capillaries are
present to guarantee adequate gas exchange
and premature infant is able to survive.