ANATOMI SISTEM RESPIRASIDr. THEOPILUS BURANDA, M.KesSISTEM RESPIRASISISTEM RESPIRASICavum nasiCavum nasiPharynxPharynxLarynxLarynxTracheaTracheaCavitas thoracisCavitas thoracisPulmoPulmoBronchusBronchusInnervasi & ascularisasiInnervasi & ascularisasiOnto!eniOnto!eniCAVUM NASICAVUM NASIStruktur dindinStruktur dindinC!n"#$ n$s$%isC!n"#$ n$s$%isMe$tus N$siMe$tus N$siSinus &$r$n$s$%isSinus &$r$n$s$%isV$s"u%$ris$si d$n inner'$siV$s"u%$ris$si d$n inner'$siCAVUM NASICAVUM NASIA&ertur$ N$s$%is Anteri!r A&ertur$ N$s$%is Anteri!r "#Nares Anterior$"#Nares Anterior$A&ertur$ N$s$%is A&ertur$ N$s$%is P!steri!r P!steri!r "# C%OANAE$"# C%OANAE$Se&tu( N$siSe&tu( N$siDINDIN) MEDIALDINDIN) MEDIALOs V!(er *&!ster!+ in,eri!r-Os V!(er *&!ster!+ in,eri!r-L$(in$ &er&endi"u%$ris !ssis L$(in$ &er&endi"u%$ris !ssis eit#(!id$%is *&!ster!+su&eri!r-eit#(!id$%is *&!ster!+su&eri!r-C$rti%$! se&t$%isC$rti%$! se&t$%isSEPT&M NASISEPTUM NASILamina perpendicularis ossis ethmoidalisOs vomerCartilago septalisDINDIN) LATERALDINDIN) LATERALDi.entuk/Pr!". 0r!nt$%is !ssis Di.entuk/Pr!". 0r!nt$%is !ssis ($1i%%$ris, !s n$s$%e, ,$"ies ($1i%%$ris, !s n$s$%e, ,$"ies (edi$%is !ssis ($1i%%$ris d$n (edi$%is !ssis ($1i%%$ris d$n %$(in$ &er&endi"u%$ris !ssis %$(in$ &er&endi"u%$ris !ssis &$%$tini&$%$tiniDi%$&isi 2$rin$n ere"ti%Di%$&isi 2$rin$n ere"ti%Pen!n2!%$nPen!n2!%$nC%ONC%A NASALESCHONCHA NASALESCHONCHA NASALESC#!n"#$ C#!n"#$ n$s$%is su&eri!rn$s$%is su&eri!rC!n"#$ N$s$%is C!n"#$ N$s$%is (edius(ediusC!n"#$ n$s$%is C!n"#$ n$s$%is in,eri!rin,eri!rMEAT&S NASIVASCULARISASIVASCULARISASIR. sen!&$%$tinus "$.. A. ($1i%%$risR. sen!&$%$tinus "$.. A. ($1i%%$risR. eit#(!id$%is $nteri!r et &!steri!r R. eit#(!id$%is $nteri!r et &!steri!r "$.$n $. !t$%(i"$"$.$n $. !t$%(i"$R. %$.i$%is su&eri!r "$.$n $. ,$"i$%isR. %$.i$%is su&eri!r "$.$n $. ,$"i$%isR. $s"endens "$.. $. &$%$tin$ ($2!rR. $s"endens "$.. $. &$%$tin$ ($2!rPLE'&S (IESSELBAC%DINDIN) LATERALDINDIN) LATERALR. eit#(!id$%is $nteri!r "$.. R. eit#(!id$%is $nteri!r "$.. $. $. !t$%(i"$!t$%(i"$ *$nter!+su&eri!r-*$nter!+su&eri!r-R.%$.i$%is su&eri!r "$.. R.%$.i$%is su&eri!r "$.. A.,$"i$%isA.,$"i$%is, , r.&$%$tinus ($2!r 3 r.&$%$tinus ($2!r 3 $. in,r$!r.it$%is$. in,r$!r.it$%is *$nter!+in,eri!r-*$nter!+in,eri!r-R.n$s$%is &!steri!r %$ter$%is R.n$s$%is &!steri!r %$ter$%is "$.."$..$.($1i%%$ris$.($1i%%$ris *&!ster!+su&eri!r-*&!ster!+su&eri!r-A.&$%$tin$ ($2!r 3 $.sen!&$%$tin$ A.&$%$tin$ ($2!r 3 $.sen!&$%$tin$ *&!ster!+in,eri!r-*&!ster!+in,eri!r-INNERVASIINNERVASIPer(uk$$n %u$rPer(uk$$n %u$rDindin %$ter$% *4 Dindin %$ter$% *4 Ku$dr$n-Ku$dr$n-N. N$s!"i%i$risN. In,r$!r.it$%isN)Eithmoi*alis anterior+ n)*entalis su,erior anterior+r)nasalis ,osterior lateralis ca-) .!l)s,heno,latinum *an r)nasalis ,osterior in/erior ca-) N),alatinus ma0orDINDIN LATE!ALn"ethmoidalis anterioranglion pter#gopalatinumn"palatina ma$or et minor%ul&us ol'actoriusSinus sphenoidalisSinus sphenoidalis!ecessus !ecessus sphenoethmoidalissphenoethmoidalisCellulae eth" postCellulae eth" postMeatus nasi superiorMeatus nasi superiorDuctus nasolacrimalisDuctus nasolacrimalisMeatus nasi in'eriorMeatus nasi in'eriorSinus ma(illarisSinus ma(illarisMeatus nasi mediusMeatus nasi mediusCellulae eth" mediusCellulae eth" mediusCellulae eth" anteriorCellulae eth" anteriorSinus 'rontalisSinus 'rontalis)duct"naso'rontalis*)duct"naso'rontalis*+ang lainn#aSINUS PARANASALISSINUS PARANASALISSinus ,r!nt$%isSinus ,r!nt$%isSinus et#(!id$%is *5"e%%u%$e Sinus et#(!id$%is *5"e%%u%$e eit#(!id$%is-eit#(!id$%is-Sinus sen!id$%isSinus sen!id$%isSinus ($1i%%$ris Sinus ($1i%%$ris *5 ANTRUM *5 ANTRUM O0 HI)HMORE-O0 HI)HMORE-SINUS 0RONTALISSINUS 0RONTALISBer$d$ did%( !s Ber$d$ did%( !s ,r!nt$%e,r!nt$%eCr$ni$%is dr $r"us Cr$ni$%is dr $r"us su&er"i%i$rissu&er"i%i$risD$&$t (e%u$s D$&$t (e%u$s s$(&$i "$'u( s$(&$i "$'u( !r.it$!r.it$SINUS SPHENOIDALISSINUS SPHENOIDALISDid$%$( Did$%$( "!r&us "!r&us sen!id$%issen!id$%isDi&is$#k$n Di&is$#k$n !%e# se&tu( di !%e# se&tu( di %ine$ (edi$n$%ine$ (edi$n$SINUS ETHMOIDALISSINUS ETHMOIDALISTerdiri r!n$+Terdiri r!n$+r!n$ ke"i% r!n$ ke"i% *"e%%u%$e *"e%%u%$e et#(!id$%is-et#(!id$%is-Ce%%u%$e Ce%%u%$e et#(!id$%is et#(!id$%is $nteri!r,(edi$%is 3 $nteri!r,(edi$%is 3 &!steri!r&!steri!rCellulae ethmoidalisSINUS MA6ILLARISSINUS MA6ILLARISTer.es$r, Ter.es$r, .tk &ir$(id.tk &ir$(id, did$%$( !s , did$%$( !s ($1i%%$($1i%%$Dindin %$ter$% "$'.n$si *Dindin %$ter$% "$'.n$si *.$sisn7$.$sisn7$--Tu%$n 8$2$# *Tu%$n 8$2$# *dindin $nter!%$ter$%dindin $nter!%$ter$%--0$"ies in,r$te(&!r$%is *0$"ies in,r$te(&!r$%is *dindin &!steri!rdindin &!steri!r--D$s$r "$'u( !r.it$ *D$s$r "$'u( !r.it$ *$t$&$t$&--0$"ies $%'e!%$ris ($1i%%$e M9+M: *0$"ies $%'e!%$ris ($1i%%$e M9+M: *d$s$rd$s$r--Dindin (edi$%n7$ terd$&$t Dindin (edi$%n7$ terd$&$t HIATUS HIATUS MA6ILLARISMA6ILLARISSinus ma(illarisConcha nasalis in'eriorCavum nasiPer$n$n sinus Per$n$n sinus &$r$n$s$%is&$r$n$s$%isUd$r$ (en2$di .$s$# d$n &$n$sUd$r$ (en2$di .$s$# d$n &$n$sOs "r$niu( (en2$di %e.i# rin$nOs "r$niu( (en2$di %e.i# rin$nRes!n$nsi ud$r$Res!n$nsi ud$r$Inner'$siInner'$si/ n.!&t#$%(i"us d$n n. / n.!&t#$%(i"us d$n n. ($1i%%$ris($1i%%$risPHAR;N6PHAR;N60i.r!+(us"u%$r, .tk "!nus0i.r!+(us"u%$r, .tk "!nusB$sis "r$nii < te&i "$ud$% B$sis "r$nii < te&i "$ud$% "$rt."ri"!ide$ *V "er'i"$% VI-"$rt."ri"!ide$ *V "er'i"$% VI-Ant$r$ dindin &!steri!r Ant$r$ dindin &!steri!r $r7n1 3 ,$s"i$ $r7n1 3 ,$s"i$ &re'erte.r$%is&re'erte.r$%isSPATIUM !ET!OP,A!+NEUSSTRUKTUR PHAR;N6STRUKTUR PHAR;N6Td 4 %$&is$n *%u$r ke d$%$(--"Lamina areolaris."Lamina muscularis/"Lamina 'i&rosa0"Lamina mucosaL$(in$ (us"u%$risL$(in$ (us"u%$risL$&is$n %!nitudin$%L$&is$n %!nitudin$%L$&is$n "ir"u%erL$&is$n "ir"u%erm" Constrictor phar#ngeus superiorm" Constrictor phar#ngeus mediusm" Constrictor phar#ngeus in'eriorL$(in$ (u"!s$L$(in$ (u"!s$Terd$&$t ku(&u%$n %7(!n!dusTerd$&$t ku(&u%$n %7(!n!dusT!nsi%%$ &$%$tin$T!nsi%%$ &$%$tin$T!nsi%%$ %inu$%isT!nsi%%$ %inu$%isT!nsi%%$ $r7ne$T!nsi%%$ $r7ne$T!nsi%%$ tu.$ri$ *5$den!id-T!nsi%%$ tu.$ri$ *5$den!id-CAVUM PHAR;N)ISCAVUM PHAR;N)ISDi.$i !%e# Di.$i !%e# &$%$tu( (!%%e &$%$tu( (!%%e (en2$di(en2$di N$s!$r7n1N$s!$r7n1 Or!$r7n1Or!$r7n1 %$r7n!$r7n1%$r7n!$r7n1N$s!$r7n1N$s!$r7n1Cr$ni$%is d$ri &$%$tu( (!%%eCr$ni$%is d$ri &$%$tu( (!%%eOstiu( $r7neu( tu.$ $uditi'$eOstiu( $r7neu( tu.$ $uditi'$eT!rus tu.$riusT!rus tu.$riusP%i"$ s$%in!&$%$tin$eP%i"$ s$%in!&$%$tin$eP%i"$ s$%in!$r7ne$P%i"$ s$%in!$r7ne$T!nsi%%$ $r7ne$ 3 t!nsi%%$ tu.$ri$T!nsi%%$ $r7ne$ 3 t!nsi%%$ tu.$ri$Re"essus $r7neusRe"essus $r7neusTorus tu&arius!ecessus phar#ngeusPlica salphingophar#ngeaTu&a auditivaeOr!$r7n1Or!$r7n1Di d!rs$% d$ri ist#(us ,$u"iu(Di d!rs$% d$ri ist#(us ,$u"iu(Ar"us &$%$t!%!ssusAr"us &$%$t!%!ssusAr"us &$%$t!$r7neusAr"us &$%$t!$r7neus0!ss$ t!nsi%%$ris0!ss$ t!nsi%%$risT!nsi%%$ &$%$tin$T!nsi%%$ &$%$tin$Arcus palatoglossusArcus palatophar#ngeusTonsilla palatinaPalatum molleL$r7n!$r7n1L$r7n!$r7n1D!rs$% %$r7n1D!rs$% %$r7n1Ke "$ud$%(e%$n2utk$n diri Ke "$ud$%(e%$n2utk$n diri (en2$di !es!$us(en2$di !es!$usDindin $nteri!r di.tk !%e# Dindin $nteri!r di.tk !%e# ,$"ies &!steri!r "$rt.$r7ten!ide$ ,$"ies &!steri!r "$rt.$r7ten!ide$ d$n "$rt."ri"!ide$d$n "$rt."ri"!ide$V$s"u%$ris$si V$s"u%$ris$si $r7n1$r7n1A. $r7ne$ $s"endensA. $r7ne$ $s"endens *"$..$."$r!tis e1tern$-*"$..$."$r!tis e1tern$-A.&$%$tin$ $s"endensA.&$%$tin$ $s"endens *"$..$.,$"i$%is-*"$..$.,$"i$%is-A.&$%$tin$ ($2!rA.&$%$tin$ ($2!r *"$..$.($1i%%$ris-*"$..$.($1i%%$ris-Ven$ (e(.tk Ven$ (e(.tk &%e1us $r7neus&%e1us $r7neus 3 3 .er(u$r$ ke '.2uu%$ris intern$.er(u$r$ ke '.2uu%$ris intern$Inner'$siInner'$siM!t!risM!t!ris/ P%e1us $r7neus / P%e1us $r7neus ke"u$%i (.st7%!$r7neus ke"u$%i (.st7%!$r7neus *r.(us"u%$ris n.%!ss!$r7neus-*r.(us"u%$ris n.%!ss!$r7neus-Sekre(!t!risSekre(!t!ris/ r.$r7ne$%is / r.$r7ne$%is *$n%i!n &ter7!&$%$tinu(-*$n%i!n &ter7!&$%$tinu(-Sensi.e%Sensi.e%/ &%e1us $r7neus/ &%e1us $r7neusOt!t $r7n1Ot!t $r7n1M. "!nstri"t!r $r7nis su&eri!rM. "!nstri"t!r $r7nis su&eri!rM. "!nstri"t!r $r7nis (ediusM. "!nstri"t!r $r7nis (ediusM. "!nstri"t!r $r7nis in,eri!rM. "!nstri"t!r $r7nis in,eri!rM. st7%!$r7neusM. st7%!$r7neusM. &$%$t!$r7neusM. &$%$t!$r7neusM. s$%in!$r7neusM. s$%in!$r7neusM. C!nstri"t!r $r7n7s M. C!nstri"t!r $r7n7s su&.su&.Ori!Ori!/ &$rs "$ud$%is &!st.%$(in$ / &$rs "$ud$%is &!st.%$(in$ &ter7!ideus (edi$%is,r$e &ter7!ideus (edi$%is,r$e &ter7!($ndi.u%$re&ter7!($ndi.u%$reInsersiInsersi/ tu.er"u%u( $r7neu( / tu.er"u%u( $r7neu( !ssis !""i&it$%is 3 r$e (ediu( !ssis !""i&it$%is 3 r$e (ediu( $r7nis$r7nisSe.e%$# "r$ni$%is terd$&$t Se.e%$# "r$ni$%is terd$&$t ,$s"i$ ,$s"i$ .u""!$r7ne$%is.u""!$r7ne$%isM.C!nstri"t!r $r7nis M.C!nstri"t!r $r7nis (edius(ediusOri!Ori!/ "!rnu ($2us et (inus !ssis / "!rnu ($2us et (inus !ssis #7!idei 3 "$ud$%is #7!idei 3 "$ud$%is %i.st7%!#7!ideu(%i.st7%!#7!ideu(InsersiInsersi/ se&$n2$n r$e (edi$nu(/ se&$n2$n r$e (edi$nu(Di$nt$r$ (."!nst..su&eri!r 3 Di$nt$r$ (."!nst..su&eri!r 3 (edius terd$&$t (edius terd$&$t (.st7%!$r7neus (.st7%!$r7neus 3n.%!ss!$r7neus3n.%!ss!$r7neusm"Constrictor phar#ngis superiorm"Constrictor phar#ngis mediusm"Constrictor phar#ngis in'eriorM. C!nstri"t!r $r7n7s M. C!nstri"t!r $r7n7s in,.in,.Ori!Ori!/ %ine$ !.%i=u$ / %ine$ !.%i=u$ "$rti%$! t#7re!ide$"$rti%$! t#7re!ide$insersiinsersi/ r$e (edi$nu(/ r$e (edi$nu(Ser$.ut &$%in "$ud$% Ser$.ut &$%in "$ud$% (e(.entuk (e(.entuk (. (. "ri"!$r7neus"ri"!$r7neusM. st7%!$r7neusM. st7%!$r7neusOri!Ori!/ &r!"essus st7%!ideus *sisi / &r!"essus st7%!ideus *sisi (edi$%-(edi$%-InsersiInsersi/ te&i &!steri!r "$rti%$! / te&i &!steri!r "$rti%$! t#7re!ide$ 3 dindin $r7n1 t#7re!ide$ 3 dindin $r7n1 *.ers$($*.ers$($(. (. &$%$t!$r7neus&$%$t!$r7neus--Ber2$%$n !.%i=ue "$ud!+$nteri!rBer2$%$n !.%i=ue "$ud!+$nteri!r!aphe medianumm"st#lophar#ngeusm"Constrictor phar#ngis in'"M.P$%$t!$r7neusM.P$%$t!$r7neusOri!Ori!/ te&i &!steri!r &$%$tu( / te&i &!steri!r &$%$tu( duru( 3 $&!neur!se &$%$tiniduru( 3 $&!neur!se &$%$tiniInsersiInsersi/ te&i &!steri!r / te&i &!steri!r "$rti%$! t#7re!ide$"$rti%$! t#7re!ide$Ke "$ud$% di &r!,und$Ke "$ud$% di &r!,und$(. "!nstri"t!r $r7neus (. "!nstri"t!r $r7neus su&eri!rsu&eri!rM. M. 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(. &$%$t!$r7neus(. &$%$t!$r7neusBer$d$ se.e%$# &r!,und$ Ber$d$ se.e%$# &r!,und$ &%i"$ s$%in!$r7ne$&%i"$ s$%in!$r7ne$T!nsi%%$ &$%$tin$T!nsi%%$ &$%$tin$>$r.%7($ti"$ terd&t di$nt$r$ &%i"$ >$r.%7($ti"$ terd&t di$nt$r$ &%i"$ &$%$t!%!ssus 3 &$%$t!$r7neus&$%$t!%!ssus 3 &$%$t!$r7neus0!ss$ su&r$t!nsi%%$ris0!ss$ su&r$t!nsi%%$risP%i"$ se(i%un$risP%i"$ se(i%un$risP%i"$ tri$nu%$risP%i"$ tri$nu%$risB$i$n d$ri B$i$n d$ri CINCIN ?ALDE;ERCINCIN ?ALDE;ER1ossa supratonsillarisArcus palatoglossusArcus palatophar#ngeusV$s"u%$ris$si 3 V$s"u%$ris$si 3 Inner'$siInner'$siM$suk (e%$%ui ,$"ies %$ter$%is t!nsi%%$M$suk (e%$%ui ,$"ies %$ter$%is t!nsi%%$R.t!nsi%%$ris *"$.. A. ,$"i$%is- 3 R.t!nsi%%$ris *"$.. A. ,$"i$%is- 3 "$.$n d$ri $.%inu$%is,$.&$%$tin$ "$.$n d$ri $.%inu$%is,$.&$%$tin$ $s"endens,$.$r7ne$ $s"endens$s"endens,$.$r7ne$ $s"endensV.t!nsi%%$ris 3 '.&$%$tin$ e1tern$ V.t!nsi%%$ris 3 '.&$%$tin$ e1tern$ *'.&$r$t!nsi%%$ris- .er(u$r$ ke *'.&$r$t!nsi%%$ris- .er(u$r$ ke '.,$"i$%is'.,$"i$%isr"Tonsillaris a"'acialisPlica salphingophar#ngeaArcus palatoglossusL7(!n!dusL7(!n!dus/ (enu2u ke / (enu2u ke %7(!n!dus "er'i"$%is %7(!n!dus "er'i"$%is &r!,undus 3 %7(!n!dus &r!,undus 3 %7(!n!dus 2uu%!di$stri"us2uu%!di$stri"usInner'$siInner'$si/ n.%!ss!$r7neus / n.%!ss!$r7neus 3 n. &$%$tinus (in!r3 n. &$%$tinus (in!rLAR;N6LAR;N6SKELETONSKELETONS;NDESMOSISS;NDESMOSISARTICULUSARTICULUSOTOT LAR;N6OTOT LAR;N60UN)SI0UN)SILar#n(Lar#n(Di 'entr$% d$ri $r7n1Di 'entr$% d$ri $r7n1Ber#$d$&$n den$n V C @+ABer#$d$&$n den$n V C @+ADi "$ud$% d$ri !s #7!ideu( Di "$ud$% d$ri !s #7!ideu( d$n %inu$d$n %inu$Me%$n2utk$n diri (en2$diMe%$n2utk$n diri (en2$ditr$"#e$tr$"#e$Lar#n(Lar#n(C$rti%$!C$rti%$!Li$(entu( B (e(.r$nLi$(entu( B (e(.r$nOt!tOt!tMe(.r$n$ (u"!s$Me(.r$n$ (u"!s$1ungsi lar#n(1ungsi lar#n(Men#$si%k$n .un7iMen#$si%k$n .un7iMen"e$# ($sukn7$ .end$ Men"e$# ($sukn7$ .end$ $sin ke d$%$( $sin ke d$%$( tr$"#e$B.r!n"#us *sin"ter-tr$"#e$B.r!n"#us *sin"ter-res&ir$sires&ir$siCA!TILAO LA!+NISCA!TILAO LA!+NIS2 Cartilago th#reoidea )-*Cartilago th#reoidea )-*2 Cartilago cricoidea )-*Cartilago cricoidea )-*2 Cartilago ar#taenoidea).*Cartilago ar#taenoidea).*2 Cartilago epiglottica )-*Cartilago epiglottica )-*2 Cartilago corniculata ).*Cartilago corniculata ).*2 Cartilago cunei'orme ).*Cartilago cunei'orme ).*Cart"th#reoideaCart"cricoideaOs h#oidCart"epiglotticaCart"ar#tenoideaCart"corniculataCart"cricoideaOs ,#oidOs ,#oidTid$k ter($suk "$rti%$! %$r7nisTid$k ter($suk "$rti%$! %$r7nisBer#u.un$n dn &r!ses Ber#u.un$n dn &r!ses de%uti!de%uti!C!rnu ($2usC!rnu ($2usC!rnu (inusC!rnu (inusC!r&usC!r&uscorpusCornu ma$usCornu minusCartilago th#reoideaCartilago th#reoideaPr!(inenti$ %$r7neus Pr!(inenti$ %$r7neus *ADAMCS *ADAMCS APPLE-APPLE-C!rnu su&eri!rC!rnu su&eri!rC!rnu in,eri!rC!rnu in,eri!rIn"isur$ t#7re!ide$In"isur$ t#7re!ide$Tu.er"u%u( in,eri!rTu.er"u%u( in,eri!rLine$ !.%i=u$Line$ !.%i=u$Prominentia lar#ngeusCornu in'eriorCornu superiorLinea o&li3uaTu&erculum in'eriorCartilago cricoideaCartilago cricoideaBer.entuk Ber.entuk "in"in"in"inL$(in$ L$(in$ "$rt."ri"!ide$"$rt."ri"!ide$Ar"us Ar"us "$rt."ri"!ide$"$rt."ri"!ide$Cartilago epiglotticaCartilago epiglotticaDi d!rs$% r$di1 %inu$ B "!r&us Di d!rs$% r$di1 %inu$ B "!r&us !ssis #7!idei!ssis #7!ideiMen!n2!% ke "r$ni!+d!rs$%Men!n2!% ke "r$ni!+d!rs$%U2un "$ud$% %$n"i&U2un "$ud$% %$n"i&Di%i&uti (u"!s$ (e(.entuk Di%i&uti (u"!s$ (e(.entuk EPI)LOTTISEPI)LOTTIS1i(asi Epiglottis1i(asi EpiglottisP%i"$ %!ss!e&i%!tti"$ (edi$n$P%i"$ %!ss!e&i%!tti"$ (edi$n$P%i"$ %!ss!e&i%!tti"$ %$ter$%eP%i"$ %!ss!e&i%!tti"$ %$ter$%eLi$(entu( #7!e&i%!tti"u(Li$(entu( #7!e&i%!tti"u(Li$(entu( t#7re!e&i%!tti"u(Li$(entu( t#7re!e&i%!tti"u(2 4allecula epiglottica4allecula epiglottica

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