The trachea extends from its attachment to the cricoid cartilage (C6) to the tracheal bifurcation at the carina (T5-6).

In adults it is 15 cm in length; 5 cm above the suprasternal notch, 8 cm if the neck is fully extended. The diameter of the trachea is approximately the same as the patient's index finger.

Patency is maintained by C-shaped cartilages anteriorly. The trachea is completed posteriorly by the trachealis muscle.

The trachea lies in the midline, anterior to the oesophagus, with the thyroid isthmus overlying the 2nd to 4th tracheal rings.

Fig 1 Surface anatomy of the trachea
Fig 2 The trachea
Fig 3 The carina