MRCEM Notes

Trachea

Key Points

  • The trachea is 10-12cm in length
  • The tracheal rings are composed of hyaline cartilage.
  • The tracheal rings are C-shaped (except cricoid which is complete ring)
  • The luminal surface is lined with a respiratory mucus membrane which secretes mucus.
  • The oesophagus presses against the trachea posteriorly.
  • The trachea begins level with the C6 vertebra.
  • The bifurcation of trachea varies in reality from T4 to T7. The average position is T5.

Wikipedia

Relations in the thorax

Posterior:
  • Oesophagus
  • Recurrent laryngeal nerve
Anterior:
  • Thymus
  • Aorta
  • Anterior part aortic arch with origins of common carotid and brachiocepahlic artery (moves to left lateral of trachea)
  • SVC
  • Brachiocephalic veins
Lateral
  • Vagus nerve
  • Phrenic nerve
  • Pleura
  • Posterior pat of aortic arch and left subclavian artery (left side)

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