Upper Respiratory Tract

The upper respiratory tract is the interconnected system of the nose, nasal cavity, paranasal sinuses, and pharynx that conditions inhaled air and provides an important barrier against pathogens. Its mucous membranes warm and humidify air, while mucus, cilia, and mucociliary clearance trap and remove particles; pharmacological agents act on these tissues to modify congestion, secretion, and inflammation. Decongestants such as adrenergic agonists constrict mucosal blood vessels, antihistamines block histamine-mediated symptoms, and intranasal corticosteroids suppress inflammatory responses. Understanding these mechanisms supports treatment of allergic rhinitis, the common cold, and sinus disorders while helping clinicians anticipate local and systemic adverse effects.

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JoVE Core - Medical-Surgical Nursing
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Anatomy of Respiratory System I: Upper Respiratory Tract

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2025

The upper respiratory tract plays a vital role in the respiratory system, comprising several structures that facilitate air intake and prepare air for the lungs. It also serves as the first line of defense against pathogens and particles. This tract includes the nose and nasal cavity, the oral cavity, the paranasal sinuses, and the pharynx, each with specific functions and features. Nose and nasal cavity The nose and nasal cavity represent the main external openings of the respiratory tract.

Anatomy of Respiratory System II: Lower Respiratory Tract

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2025

The lower respiratory tract is anatomically composed of several vital structures, including the larynx, trachea, bronchial tree, alveoli, lungs, and pleurae. Each component has a specific function, and all are intricately connected to ensure efficient respiration. The Larynx It is located between the pharynx and the trachea, acts as a passageway for air, and hosts several critical structures, such as the epiglottis, vocal cords, and glottis. The epiglottis acts as a gateway, guiding food to the...

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JoVE Core - Microbiology

Microbiota of the Respiratory Tract

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2026

The human respiratory tract, comprising the upper and lower segments, serves as a critical interface with the external environment. The upper respiratory tract (URT)—including the nostrils, sinuses, pharynx, and oropharynx—is heavily colonized by microbes, while the lower respiratory tract (LRT), composed of the larynx, trachea, bronchi, and lungs, was long thought to be sterile. However, recent molecular studies have revealed that the lungs are not devoid of microbes but act more like...

Upper Respiratory Drugs: Decongestants

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2024

Decongestants are a class of medications used primarily to alleviate nasal congestion, a common symptom resulting from allergies, colds, sinusitis, and other upper respiratory tract infections. These drugs work by activating α-adrenergic receptors, constricting small blood vessels in the nasal membranes. This action results in the opening of clogged nasal passages, thereby facilitating sinus drainage and relieving congestion. Most decongestants are readily available over-the-counter in various...

Upper Respiratory Drugs: First and Second-Generation Antihistamines

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2024

Antihistamines are a class of drugs widely used to alleviate the symptoms of allergies, such as sneezing, itching, and nasal congestion. They work by inhibiting the actions of histamine, which is released by immune cells in response to allergenic substances or tissue injuries. Histamine binds to specific receptor sites, known as H1 receptors, on tissue cells, triggering inflammation and swelling. Antihistamines combat these effects by competing with histamine for these receptor sites. By...

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