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The airway: from nose to bronchioles !

  • Organ

The tubes that carry air are lined by a moist, ciliated layer that traps dust and germs; their support changes from cartilage to muscle as they narrow.

Updated 2026-11-01

See it in 3D: Nasal cavity · Pharynx · Epiglottis · Vocal folds · Trachea · Main bronchi · Lobar bronchi · Segmental bronchi

What it is

The conducting airway warms, moistens and cleans air before it reaches the alveoli. Its wall changes in a predictable way from the nose to the terminal bronchiole: cartilage and glands fade out, smooth muscle takes over, and the tall ciliated lining becomes lower and simpler. Knowing this sequence lets you name a segment from a description of its slide and explains where asthma, chronic bronchitis and smoking damage act.

Structure

  • Nasal vestibule: keratinized stratified squamous epithelium with hairs; the rest of the nasal cavity has respiratory epithelium, and the roof carries the olfactory epithelium.
  • Respiratory epithelium: pseudostratified ciliated columnar with goblet cells, resting on a thick basement membrane.
  • Larynx: the epiglottis has an elastic cartilage core; the true vocal folds are covered by non-keratinized stratified squamous epithelium to withstand vibration.
  • Trachea: C-shaped rings of hyaline cartilage open posteriorly, where the trachealis smooth muscle closes the gap; seromucous glands lie in the submucosa.
  • Bronchi: irregular plates of hyaline cartilage, a spiral layer of smooth muscle and submucosal glands.
  • Bronchioles: no cartilage and no glands; a thick ring of smooth muscle; epithelium becomes simple columnar to cuboidal, and goblet cells give way to club cells.

Function

  • The mucociliary escalator: goblet cells and glands make mucus that traps particles, and cilia beat it toward the pharynx.
  • Cartilage keeps the larger airways open during breathing; bronchiolar smooth muscle sets airway resistance.
  • Club cells secrete protective proteins, break down inhaled toxins and help renew the bronchiolar epithelium.

The airway segment by segment

SegmentEpitheliumCartilageGlandsSmooth muscle
Nasal cavityKeratinized squamous in the vestibule, then respiratory epithelium; olfactory at the roofNasal cartilages and bone in the wallAbundant seromucous glandsNone in the mucosa
Larynx and vocal foldsRespiratory, but non-keratinized stratified squamous on the true vocal folds and much of the epiglottisHyaline (thyroid, cricoid) and elastic (epiglottis)Present, absent in the vocal fold itselfSkeletal muscle (intrinsic laryngeal muscles)
TracheaPseudostratified ciliated columnar with goblet cellsC-shaped hyaline ringsSeromucous, in the submucosaTrachealis, posterior
BronchiPseudostratified ciliated columnar with goblet cellsIrregular hyaline platesSeromucous, in the submucosaSpiral layer, more prominent
BronchiolesSimple columnar to cuboidal, ciliated; club cells appearNoneNoneThick ring, relatively the most
Respiratory bronchiolesLow cuboidal, interrupted by alveoliNoneNoneScattered bundles

Clinical notes

  • Asthma: goblet cell increase, thickened basement membrane, larger smooth muscle mass and eosinophils in the wall.
  • Chronic bronchitis: enlarged submucosal glands (a high Reid index, the gland-to-wall thickness ratio) and excess mucus.
  • Smoking: the ciliated lining can turn into stratified squamous epithelium (squamous metaplasia), which no longer clears mucus.
  • Primary ciliary dyskinesia (Kartagener syndrome): defective dynein arms cause bronchiectasis, sinusitis and, in some, situs inversus.

Test yourself

Think of the answer, then tap the question to see it.

Which is the first airway segment that has no cartilage and no glands?

The bronchiole. Its wall is held by smooth muscle and the surrounding lung tissue, which is why bronchospasm narrows it so effectively.

Why are the true vocal folds lined by stratified squamous epithelium?

They vibrate and rub against each other with every sound; a layered squamous lining resists that mechanical wear better than a ciliated one.

What closes the posterior gap of the tracheal cartilage rings?

The trachealis smooth muscle and a fibroelastic membrane, which let the esophagus behind it expand during swallowing.

Which cell in terminal bronchioles has secretory and detoxifying roles and replaces goblet cells?

The club cell (formerly Clara cell), a dome-shaped non-ciliated cell.

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See it in 3D

The structures of Durgical's 3D anatomy where it is found.

Microorganisms

← All of histology

Educational content on normal microscopic structure and its clinical relevance; no substitute for studying slides or for a health professional's advice.

Sources: 22.1 Organs and Structures of the Respiratory System - Anatomy and Physiology 2e | OpenStax (OpenStax (Rice University), 2022); Larynx & Trachea | SEER Training (National Cancer Institute (SEER Training), 2026); Bronchi, Bronchial Tree, & Lungs | SEER Training (National Cancer Institute (SEER Training), 2026).

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Representative model, for educational purposes only.