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Chapter 36 Disorders of the Diaphragm and Chest Wall

BOOK TITLE: NCCP Textbook of Respiratory Medicine

Author
1. Samuel Johnson
2. T Balamugesh
ISBN
9789350252123
DOI
10.5005/jp/books/11207_37
Edition
1/e
Publishing Year
2011
Pages
8
Author Affiliations
1. Basildon and Thurrock University Hospital, Nethermayne, Basildon United Kingdom SS16 5NL
2. Christian Medical College, Vellore, Tamil Nadu, India
Chapter keywords

Abstract

The diaphragm, which separates the thoracic and abdominal cavities, is the most important muscle of respiration. It contributes up to 70% of tidal volume while the rest of the contribution comes from intercostal and accessory muscles. It has a central tendinous portion and a circumferential contractile muscular portion. Diaphragmatic disorders can be classified based on anatomical and neurological etiology, or if the involvement is unilateral or bilateral. The chest wall consists of a bony thoracic cage and various muscles of respiration. Primary disorders of the chest wall may be due to impairment of the neuromuscular apparatus or the bony thoracic cage.

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