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Equine Upper Respiratory Tract - Horse Anatomy (view source)
Revision as of 16:36, 18 November 2012
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==Nose==
The nares are supported by '''nasal cartilages'''. Unlike other species the ventral and dorsal lateral nasal cartilages, which attach to the rostral end of the nasal septum, do not contact each other. In the hose, the dorsal and ventral cartilages are indistinct or absent. Instead, horses have '''alar cartilages''' to support the nostrils, but the lateral walls of the nostrils remain unsupported; allowing greater mobility. The alar cartilages divide the nostril into the dorsal ('false nostril') and ventral ('true nostril'). The dorsal nostril leads to a blind-ending diverticulum in the nasoincisive notch. The ventral nostril leads to the nasal cavity. This is important when placing a nasogastric tube, which must be inserted ventrally.
Another species difference is that the nasolacrimal duct opens at the nasal puncta on the ventral floor of the nasal vestibule close to the transition point between the nasal mucosa and the nostril.
Horses do not have a nasal philtrum.
==Nasal Cavity==
==Nasal Cavity==
The nasal cavity is the area between the nostrils and the cribiform plate, it is divided by a septum into right and left sides. The '''nasal conchae''', also known as ethmoturbinate, are scroll-shaped bones covered with nasal mucosa that project into the nasal cavity. The first endoturbinate is the base of the dorsal nasal conchae. It extends the furthest into the nasal cavity. The second endoturbinate forms the middle nasal concha. Subsequent turbinates are much smaller. The ventral nasal conchus is not formed by turbinates, but by the maxilla.
The conchae divide the nasal cavity into three meatuses, which form a common meatus near the nasal septum.
*Dorsal nasal meatus: Between the dorsal nasal meatus and the dorsal concha. It leads directly to the caudal nasal cavity.
*Middle nasal meatus: Between the dorsal and ventral nasal conchae, communicates with paranasal sinuses and leads into the caudal nasal cavity.
*Ventral nasal meatus: Between the floor of the nasal cavity and the ventral nasal concha. This is the largest meatus and is the main passage of airflow to the nasal cavity via the nasopharynx. Nasogastric tubes, passed through the nasal cavity, pharynx and oesophagus to the stomach, must be passed through this meatus to avoid the highly vascularised ethmoturbinates.
*Common nasal meatus: Either side of the nasal septum, communicates with all other meatus.
==Paranasal Sinuses==
==Paranasal Sinuses==
===Overview===
===Overview===
===Maxillary Sinus===
===Maxillary Sinus===
The blood supply is provided by branches of the '''sphenopalatine artery'''.
The blood supply is provided by branches of the '''sphenopalatine artery'''.
This is the largest sinus and is divided into rostral and caudal compartments by a bony septum. The position of this septum is variable, but it usually lies obliquely across the roots of the 4th and 5th cheeck teeth (Tridan 109, 110, 209, 210). In horses less than 5 years of age, the reserve crown of the 3rd-6th cheek teeth (Tridan 108, 208, 109-111, 209-211) almost fills the maxillary sinus.
The rostral maxillary sinus opens via the '''nasomaxillary opening''' into the '''middle nasal meatus'''. There is also a communication between the rostral maxillary sinus and the ventral conchal sinus, via the '''conchomaxillary opening'''; located just medial to the infraorbital canal. Dorsally, there is communication with the frontal/conchofrontal sinus through the '''frontomaxillary''' opening. Between the rostral margin of the frontomaxillary opening and the conchal bulla, there is a passageway which connects the rostral and caudal compartments. This allows the caudal maxillary sinus to drain via the rostral maxillary sinus via the nasomaxillary opening into the middle nasal meatus.
===Sphenopalatine Sinus===
===Sphenopalatine Sinus===
In the horse, the sphenoid and palatine sinus compartments communicate and are hence known as the sphenopalatine sinus. The sphenopalatine sinus drains via the caudal maxillary sinus, with which is communicates freely over the infraorbital canal. This sinus lies under the ethmoidal labrynth.
==Guttural Pouches==
==Guttural Pouches==
===Links===
===Links===
[[:Category:Guttural Pouch - Pathology|pathology of guttural pouches]]
[[:Category:Guttural Pouch - Pathology|Pathology of guttural pouches]]
==Larynx==
==Larynx==
===Overview===
The larynx is situated below where the [[Pharynx - Anatomy & Physiology|pharynx]] divides into the trachea and the [[Oesophagus - Anatomy & Physiology|oesophagus]]. It is contained partly within the rami of the mandible and extends caudally into the neck. It is important during breathing, vocalisation and deglutition (swallowing). The cartilagenous larynx can be manually palpated in the living animal and is commonly implicated in respiratory conditions such as [[Laryngeal Paralysis|roaring]].
The [[Pharynx - Anatomy & Physiology|pharynx]] is located rostrally to the larynx, whilst the trachea is located caudally. The larynx is suspended from the [[Hyoid Apparatus - Anatomy & Physiology|hyoid apparatus]]. It is bilaterally symmetrical and 'tube-shaped' and can be described as a '''musculocartilagenous organ'''.
====Synovial joints====
Synovial joints can be found between the '''thyrohyoid bone''' and the dorsorostral aspect of the '''thyroid cartilage'''. Synovial joints include the dorsal joint of '''thyroid cartilage'''; between the lateral aspect of the '''cricoid cartilage''' and the dorsocaudal aspect of the '''thyroid cartilage''' and between the '''cricoid''' and '''arytenoid cartilage'''. This allows abduction and adduction of the '''arytenoid cartilages'''. Movement of the '''cricoid-arytenoid joint''' controls the size of the glottic opening, the lumen and the larynx.
====Ligaments====
Membranes and elastic ligaments attach the laryngeal cartilages, allowing attachment of the epiglottis to the '''thyroid''' and '''cricoid cartilage'''. The first tracheal ring has attachment with the '''cricoid cartilage''' by the '''cricotracheal ligament'''.
===Laryngeal Cartilages===
====Thyroid Cartilage====
The thyroid cartilage is a [[Cartilage - Anatomy & Physiology#Hyaline Cartilage|hyaline cartilage]] and forms most of the floor of the larynx. The fusion of the two lateral plates varies in different species. The rostral part forms the 'Adam's apple'. The thyroid cartilage articulates with the '''thyrohyoid bone''' and the '''cricoid cartilage'''. It becomes brittle as the animal ages.
====Arytenoid Cartilage====
The arytenoid cartilages are paired, triangular shaped [[Cartilage - Anatomy & Physiology#Hyaline Cartilage|hyaline cartilages]]. They lie either side of the cricoid cartilage and articulate with the rostral part of it. A '''vocal process''' is present on the caudal surface where the vocal folds attach; a '''muscular process''' extends laterally and is the origin of attachment for the ''cricoarytenoideus dorsalis'' muscle. A '''corniculate process''' extends dorsomedially.
====Epiglottic Cartilage====
The epiglottic cartilage is an [[Cartilage - Anatomy & Physiology#Elastic Cartilage|elastic cartilage]], which is the most flexible and most rostral type of cartilage. The thinner stalk-like part, is attached to the root of the [[Tongue - Anatomy & Physiology|tongue]], the body of the '''thyroid cartilage''' and the '''basihyoid bone'''. The larger blade-like part lies behind the soft palate and points dorso-rostrally. During [[Deglutition|deglutition]], the large blade part of the '''epiglottic cartilage''' partially covers the entrance to the trachea.
===Vocal Folds===
The vocal folds are made of (slightly stiffer) elastic ligaments and pass between the '''arytenoid cartilages''' and the '''laryngeal floor'''. They run caudodorsally, with the ligament positioned medially and the '''vocalis muscle''' laterally. Fat surrounds the vocalis muscle. The vocal folds form part of the glottis and secrete mucous. They are used for vocalisation.
===Vestibular Folds===
The vestibular folds are made of (slightly stiffer) elastic ligaments. The '''vestibular ligaments''' are rostral to the '''vocal ligament'''. The vestibular folds run caudodorsally, rostral to the vocal folds with the ligament positioned medially and the '''vocalis muscle''' laterally.
===Vestibule===
The '''vestibule''' extends from the entrance of the larynx to the '''arytenoid cartilages''' and '''vocal folds'''. The '''vestibular folds''' run parallel, but rostral to, the '''vocal folds'''.
===Glottic cleft===
The '''glottic cleft''' (rima glottidis) is surrounded by the '''arytenoid cartilages''' dorsally and '''vocal cords''' ventrolaterally. It varies in size and is diamond shaped. The glottic cleft disappears when the glottis is closed. Vocal folds run caudodorsally. The '''infraglottic cavity''' extends from the caudal section of the '''arytenoid cartilages''' into the lumen of the trachea. It is fixed in size.
===Epiglottis===
The epiglottis is the rostral margin of the larynx. It is a flap of [[Cartilage - Anatomy & Physiology#Elastic Cartilage|elastic cartilage]] covered by mucous membrane. It forms the rostral boundary of the larynx and prevents food particles from entering the trachea. The epiglottis can return to its normal size and shape after distortion due to the vast amount of elastic fibres present within.
===Intrinsic Musculature===
The intrinsic laryngeal muscles produce changes in caliber of the rima glottis by abducting and adducting the corniculate processes of the arytenoid cartilages and the vocal folds and hence, altering airway resistance. The principle muscle to widen the glottis is the ''cricoarytenoideus dorsalis''. The ''thyroarytenoideus'', ''arytenoideus transversus'', and the ''cricoarytenoideus lateralis'' muscles adduct the corniculate processes of the arytenoid cartilages, narrowing the glottis and therefore protecting the lower airway during swallowing.
====Cricothyroid muscle (''cricothyroideus'')====
The cricothyroid muscle is innervated by the '''cranial laryngeal nerve''', a branch of the vagus nerve ([[Cranial Nerves - Anatomy & Physiology|CN X]]). It moves the '''cricoid''' and '''arytenoid''' cartilages caudally to tense the vocal folds.
====Dorsal cricoarytenoid muscle (''cricoarytenoideus dorsalis'')====
The dorsal cricoarytenoid muscle is innervated by the '''caudal laryngeal nerve''', a branch of the vagus nerve ([[Cranial Nerves - Anatomy & Physiology|CN X]]). It runs from the dorsal surface of the '''cricoid cartilage''' to the '''arytenoid cartilage'''. It abducts the vocal process and therefore the vocal fold to widen the glottis and is the principle abductor of the larynx.
====Lateral cricoarytenoid muscle (''cricoarytenoideus lateralis'')====
The lateral cricoarytenoid muscle is innervated by the '''caudal laryngeal nerve''', a branch of the vagus nerve ([[Cranial Nerves - Anatomy & Physiology|CN X]]). It adducts the vocal processes and narrows the glottis.
====Thyroarytenoid muscle (''thyroarytenoideus'')====
The thyroarytenoid muscle is innervated by the '''caudal laryngeal nerve''', a branch of the vagus nerve ([[Cranial Nerves - Anatomy & Physiology|CN X]]). It runs from the laryngeal floor to the '''thyroid cartilage''' and '''arytenoid cartilage''' and alters the tension of the vocal and vestibular folds. It forms part of the '''sphincter muscular arrangement'''. In the horse, it is divided into 2 parts; the rostral and caudal vocalis, which are situated within the vocal folds and vestibular folds.
====Transverse arytenoid muscle (''arytenoideus transversus'')====
The transverse arytenoid muscle is innervated by the '''caudal laryngeal nerve''', a branch of the vagus nerve ([[Cranial Nerves - Anatomy & Physiology|CN X]]). It completes the '''muscular sphincter arrangment''' and spans the '''arytenoid cartilages'''.
===Extrinsic Musculature===
Extrinsic musculature connects the larynx to the sternum, [[Tongue - Anatomy & Physiology|tongue]], [[Pharynx - Anatomy & Physiology|pharynx]] and [[Hyoid Apparatus - Anatomy & Physiology|hyoid apparatus]].
====Hyoepiglottic muscle (''hyoepiglotticus'')====
The hyoepiglotticus is a bilobed muscle that originates on the basihyoid bone and inserts ventrally on the epiglottis. In horses, contraction of the hyoepiglotticus muscle pulls the epiglottis toward
the basihyoid bone, depressing it against the soft palate. This enlarges the airway during inspiration. Additionally, contraction of the muscle stabilizes the epiglottis during inspiration, preventing its prolapse through the glottis.
===Function===
The larynx protects the trachea in [[Deglutition|swallowing]], preventing aspiration of foreign material. During swallowing, the larynx is moved rostrally causing the epiglottis to partially cover the laryngeal entrance. Solid foods are carried over the laryngeal entrance by the muscles of the [[Pharynx - Anatomy & Physiology|pharynx]]. Fluids are deflected by the epiglottis. Closure of the glottis also prevents food passing down the larynx. The reflex stimulation of the mucosa promotes the coughing reflex.
The larynx also allows the passage of air to the lungs and increases the intra-abdominal pressure. The glottis can widen by adduction of the vocal folds when breathing is vigorous. In addition to this, the larynx is used for vocalisation.
===Vasculature===
'''Laryngeal branch of the superior thyroid artery''' supplies the rostral larynx and is a branch of the '''carotid artery'''.
'''Laryngeal branch of inferior thyroid artery''' supplies the caudal larynx and is branching from the '''subclavian artery''' from the '''thyrocervical trunk'''.
'''Laryngeal branch of cricothyroid artery''' branches from the '''superior thyroid artery'''.
===Innervation===
The larynx is innervated by branches of the '''vagus nerve''' ([[Cranial Nerves - Anatomy & Physiology|CN X]]).
'''Cranial laryngeal nerve''' has two branches. The internal branch innervates the mucosa and the external branch innervates the '''cricothyroid muscle''' and constricts the [[Pharynx - Anatomy & Physiology|pharynx]].
'''Caudal (recurrent) laryngeal nerve''' innervates the intrinsic muscles of the larynx (except the cricothyroid muscle).
==Pharynx==
==Pharynx==
The three parts of the pharynx are the '''oropharynx''', '''laryngopharynx''' and '''nasal pharynx'''. The '''[[Soft Palate|soft palate]]''' separates the rostral part of the pharynx into the nasopharynx (dorsal) and oropharynx (ventral). The laryngopharynx is where these two compartments communicate, located in the caudal part of the pharynx.
*Oropharynx: Extends from the glossopalatine arch in the oral cavity to the base of the epiglottis.
*Nasopharynx: Forms part of the ventral nasal meatus through the choanae. It communicates with the ostia of the auditory tubes, auditory tubes and the guttural pouch.
*Laryngopharynx: Extends from the intrapharangeal opening to the oesophagus and the larynx.
During normal breathing, the [[Soft Palate|soft palate]] extends to the base of the epiglottis. The free apex of the rostral epiglottis lies dorsal to the [[Soft Palate|soft palate]]. This means horses are obligate nasal breathers and are unable to vomit. If horses do vomit, it is expelled through the nose.
===Pharyngeal Muscles===
The muscles are the ''tensor veli palatine'' and ''levator veli palatine''. The rostral pharyngeal constrictors are ''pterygopharyngeus'' and ''palatopharyngeus'', which arise from the base of the skull. The caudal pharyngeal constrictors are the ''thyropharyngeus'' and ''cricopharyngeaus'', which arise from the larynx. The only dilator of the pharynx is the ''stylopharyngeus caudalis''.
===Innervation===
The nervous supply comes from the pharyngeal branch of the vagus nerve ([[Cranial Nerves - Anatomy & Physiology|CN X]]) and from the cranial root of the accessory nerve ([[Cranial Nerves - Anatomy & Physiology|CN XI]]). The stylopharyngeous muscle is innervated by the accessory nerve ([[Cranial Nerves - Anatomy & Physiology|CN XI]]). The glossopharyngeal nerve ([[Cranial Nerves - Anatomy & Physiology|CN IX]]) supplies taste to the pharynx.
==Trachea==
==Trachea==
The trachea begins at the larynx and ends at the hilus, where it divides into the left and right mainstem bronchi. The average length of the trachea in horses is 75-85cm and diameter is 5-6cm. It is comprised of 50-60 cartilagenous rings, which are incomplete dorsally. Between each ring is a '''tracheal annular ligament'''. The '''dorsal tracheal membrane''' lies on the inner surface of the cartilages and is composed of smooth muscle, mucosa and adventitia. Most of the trachea is cylindrical in shape, but the cervical part is flattened dorsally due to contact with the ‘’longus colli’’ muscle.
==References==
==References==
{{citation|initiallast = Dyce|initialfirst = K.M|2last = Sack|2first = W.O|finallast = Wensing|finalfirst = C.J.G|year = 2002|title = Textbook of Veterinary Anatomy|ed =3rd|city = Philadelphia|pub = Saunders}}
{{citation|initiallast = Dyce|initialfirst = K.M|2last = Sack|2first = W.O|finallast = Wensing|finalfirst = C.J.G|year = 2002|title = Textbook of Veterinary Anatomy|ed =3rd|city = Philadelphia|pub = Saunders}}
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[[Category:Horse Anatomy]]