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A bronchus (/ ˈ b r ɒ ŋ k ə s / BRONG-kəs; pl.: bronchi, / ˈ b r ɒ ŋ k aɪ / BRONG-ky) is a passage or airway in the lower respiratory tract that conducts air into the lungs.The first or primary bronchi to branch from the trachea at the carina are the right main bronchus and the left main bronchus.
It helps to divide the trachea into two primary bronchi. The right bronchus makes an angle of 25°, while the left one makes an angle of 45°. The carina is a sensitive area. When the patient is made to lie on their left side, secretions from the right bronchial tree flow toward the Carina due to the effect of gravity.
The lower respiratory tract is also called the respiratory tree or tracheobronchial tree, to describe the branching structure of airways supplying air to the lungs, and includes the trachea, bronchi and bronchioles. [8] trachea. main bronchus (diameter approximately 1 – 1.4 cm in adults) [9] lobar bronchus (diameter approximately 1 cm)
The carina is a cartilaginous ridge separating the left and right main bronchi that is formed by the inferior-ward and posterior-ward prolongation of the inferior-most tracheal cartilage. [ 2 ] The carina occurs at the lower end of the trachea - usually at the level of the 4th to 5th thoracic vertebra .
Lungs showing bronchi and bronchioles. The trachea divides into the left main bronchus which supplies the left lung, and the right main bronchus which supplies the right lung. As they enter the lungs these primary bronchi branch into secondary bronchi known as lobar bronchi which supply each lobe of the lung.
In normal respiratory conditions, airflow is through the pathway of least resistance offered by the bronchial tree, to the alveoli and back to the bronchi and trachea. [2] In this normal state the pathways of collateral ventilation offer a greater resistance to airflow and are thus redundant or insignificant. [ 2 ]
After the lung buds have formed, they begin to grow and branch forming a primitive version of the bronchial tree, determining how the lobes of the lung will be arranged in the mature organ. [2] The first stage of alveolar development, spanning between the fifth and the 16th week of development, is called the pseudoglandular stage . [ 5 ]
It innervates the bronchial tree and the visceral pleura.According to the relation of nerves to the root of the lung, the pulmonary plexus is divided into the anterior pulmonary plexus, which lies in front of the lung and the posterior pulmonary plexus, which lies behind the lung.