Anatomy of the lungs and airways
The branching tree - 23 generations, trachea to alveolus
| Zone | Generations | Structure | Function |
|---|---|---|---|
| Conducting | 0-16 | Trachea -> bronchi -> bronchioles -> terminal bronchioles | No gas exchange - the anatomical dead space (~150 mL, ~2 mL/kg) |
| Transitional/respiratory | 17-23 | Respiratory bronchioles -> alveolar ducts -> alveolar sacs | Gas exchange |
- Cartilage is present in the trachea and bronchi (>1 mm diameter) and absent beyond the ~8th generation
- Bronchioles (<1 mm) have no cartilage and depend entirely on radial traction from the surrounding parenchyma for patency
- -> loss of elastic recoil (emphysema, ageing) -> small airway collapse on expiration -> air trapping. This is why emphysema causes airflow obstruction without any airway disease.
- Bronchus = cartilage + submucosal glands; bronchiole = neither
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