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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.
The trachea begins at the lower edge of the cricoid cartilage of the larynx [3] at the level of sixth cervical vertebra (C6) [2] and ends at the carina, the point where the trachea branches into left and right main bronchi., [2] at the level of the fourth thoracic vertebra (T4), [2] although its position may change with breathing. [3]
The carina of the trachea is located at the level of the sternal angle and the fifth thoracic vertebra (at rest). The right main bronchus is wider, shorter, and more vertical than the left main bronchus, [ 3 ] its mean length is 1.09 cm. [ 4 ] It enters the root of the right lung at approximately the fifth thoracic vertebra.
The angle also marks the level of a number of features: Boundary between the superior and inferior portion of the mediastinum [citation needed] Passage of the thoracic duct from right to left behind esophagus [citation needed] Tracheal bifurcation. [2]: 387, 1039, 1060 The carina of the trachea is thus, present here. It is deep to the sternal ...
The opening of the larynx has a special flap of cartilage, the epiglottis, that opens to allow air to pass through but closes to prevent food from moving into the airway. From the larynx, air moves into the trachea and down to the intersection known as the carina that branches to form the right and left primary (main) bronchi.
This typically clears particles from the bronchi and trachea, the tubes that feed air to lung tissue from the nose and mouth. [1] The larynx (voice box) and carina (at the bottom of the trachea, as it splits into bronchi) are especially sensitive.
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The tip of the endotracheal tube is positioned above the carina (before the trachea divides to each lung) and sealed within the trachea so that the lungs can be ventilated equally. [25] A tracheostomy tube is another type of tracheal tube; this 50–75-millimetre-long (2.0–3.0 in) curved metal or plastic tube is inserted into a tracheostomy ...