I now have everything I need for a comprehensive, well-illustrated answer. Here is the full breakdown of the half-head anatomy model of respiration:
Half-Head Anatomy Model: Respiration
The half-head (midsagittal section) model shows the upper respiratory tract in its entirety - from the external nares down to the larynx and upper trachea. Below is the labeled model:
Structures Identified on the Model
Nasal Cavity
- External Nares - the openings of the nose through which air enters
- Superior, Middle, and Inferior Nasal Conchae (turbinates) - scroll-like bony projections that increase surface area, warm, humidify, and filter inspired air
- Nasal septum - divides the cavity into left and right sides
- Opening of the Pharyngotympanic (Auditory/Eustachian) tube - connects middle ear to nasopharynx, visible on the lateral wall
Sinuses
- Frontal Sinus - paired air-filled cavities in the frontal bone; drain into the nasal cavity; warm and humidify air
- Sphenoid Sinus - posterior to the nasal cavity, within the sphenoid bone
Palate
- Hard Palate - bony anterior roof of the oral cavity; separates oral from nasal cavities
- Soft Palate - muscular posterior continuation; the levator palati, tensor palati, palatopharyngeus, and palatoglossus muscles keep it from collapsing against the posterior pharynx during breathing
- Uvula - the dangling projection at the posterior margin of the soft palate
Pharynx (3 Divisions)
The pharynx connects the nasal and oral cavities to the larynx and esophagus.
| Division | Location | Function |
|---|
| Nasopharynx | Behind the nasal cavity, above the soft palate | Air passage only; contains pharyngeal tonsil (adenoid) |
| Oropharynx | Behind the oral cavity, from soft palate to epiglottis | Air and food passage; contains palatine tonsils |
| Laryngopharynx (Hypopharynx) | From epiglottis to esophageal opening | Air to larynx, food to esophagus |
Pharyngeal Tonsil (Adenoid) - lymphoid tissue on the posterior wall of the nasopharynx; part of Waldeyer's ring of immune defense.
Palatine Tonsil - lymphoid tissue at the oropharynx, between the anterior and posterior tonsillar pillars.
Tongue and Epiglottis
- Tongue - occupies the floor of the oral cavity; the genioglossus muscle maintains its forward position, preventing posterior airway obstruction
- Epiglottis - leaf-shaped cartilage at the root of the tongue; deflects over the laryngeal inlet during swallowing to protect the airway
- Vallecula - the depression between the base of the tongue and the lingual surface of the epiglottis; the landmark for Macintosh laryngoscope blade placement during intubation
Larynx
The larynx consists of:
- Hyoid Bone - the only bone with no articulation to another bone; serves as anchor for tongue and laryngeal muscles
- Thyroid Cartilage - the largest laryngeal cartilage; forms the "Adam's apple"
- Cricoid Cartilage - the only complete cartilaginous ring; the narrowest part of the adult airway (~17 mm diameter in men, ~13 mm in women)
- Vestibular Folds (False Vocal Cords) - superior folds; involved in vocalization support and protection
- Vocal Folds (True Vocal Cords) - inferior folds; vibrate to produce sound; the glottis is the space between them
Into the Lower Airway
- Trachea - begins at the inferior border of the cricoid, extends ~10-13 cm to the carina; composed of C-shaped cartilaginous rings connected posteriorly by the membranous wall
- Esophagus - visible posterior to the trachea; receives food from the laryngopharynx
Airway Zones: Conducting vs. Respiratory
The airway undergoes ~23 generations of dichotomous branching from trachea to alveolar sacs. The conducting zone (generations 0-16, trachea to terminal bronchioles) carries air but does not exchange gas - this is anatomical dead space (~150 mL). The respiratory zone (generations 17-23, respiratory bronchioles to alveolar sacs) is where gas exchange occurs across ~300-500 million alveoli, with a total surface area of 50-100 m².
Muscles of Respiration (Not Visible on Half-Head Model)
The half-head model shows the upper airway, but breathing is driven by:
- Diaphragm - principal muscle; accounts for ~75% of chest volume change; descends 1.5-7 cm during inspiration
- External intercostals - assist inspiration by lifting ribs upward and outward
- Accessory muscles (sternocleidomastoid, scalenes) - recruited during increased respiratory effort
- Abdominal muscles - active during forced expiration
- Pharyngeal muscles - genioglossus, levator/tensor palati, palatopharyngeus keep the upper airway patent during both waking and sleep
Functional Summary of Upper Airway Structures
| Structure | Respiratory Function |
|---|
| Nasal conchae & sinuses | Filter, warm, humidify inspired air |
| Soft palate & pharyngeal muscles | Maintain patent airway, prevent collapse |
| Epiglottis | Directs air to larynx; closes over airway during swallowing |
| Vocal cords / glottis | Airway gatekeeper; phonation |
| Trachea | Conduit; mucociliary clearance of secretions |
Sources: Morgan & Mikhail's Clinical Anesthesiology, 7e (Ch. 23); Fishman's Pulmonary Diseases and Disorders (Ch. 145); Indiana University A215 Half-Head Model Lab