https://www.ijmhr.org/ijar.htm editor_anatomy@ijmhr.org
ISSN:       2321-4281 (E) 2321-8967 (P)

IJAR.2016.502

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 1 (January 2017)

Page No.: 3447-3450

DOI: https://dx.doi.org/10.16965/ijar.2016.502

MORPHOLOGICAL STUDY OF LUNG LOBES AND FISSURES: ANATOMICAL BASIS OF SURGICAL AND IMAGING TECHNIQUES

Vaibhav Prakash Anjankar *1, Kanchan P. Wankhede 2, Ashutosh S. Mangalgiri 3.

*1 Associate Professor, Department of Anatomy, Chirayu Medical College, Bhopal, India.

2 Associate Professor, Department of Anatomy, Govt. Medical College, Nagpur, India.

3 Professor, Department of Anatomy, Chirayu Medical College, Bhopal, India.

Corresponding author: Dr. Vaibhav Anjankar, Associate Professor, Department of Anatomy, Chirayu Medical College & Hospital, Bairagarh, Bhopal. 462030, Madhya Pradesh, India. Mob. No.: 9422856368 E-Mail: vaibhav_anjankar@yahoo.co.in

ABSTRACT

Background: A sound knowledge regarding anatomy of the lungs is must for the clinicians. Knowledge of anatomy and normal variants of the major fissures is essential for recognizing their variable imaging appearances as well as related abnormalities. The fissures may be complete or incomplete or it may be absent completely. . In addition to these fissures, lung might also have accessory fissures indicating junctions between bronchopulmonary segments. Sometimes radiologist may misinterpret an X-ray or CT scan. Anatomical knowledge of such variations is helpful for lobectomies and surgical resections involving individual segments.

Materials and Methods: 77 lungs from 40 cadavers were included in the study carried out in the dissection hall of our medical college. Morphological features of lung fissures and lobes were noted. Presence of any accessory fissures was also recorded.

Results: Incomplete oblique fissure was observed in 10.26% on right side and 5.26% on left side. Oblique fissure was found missing in 2.56% of right lungs. Absent horizontal fissure was observed in 23.08% of right lungs.

Conclusions: The knowledge of fissures and lobes of the lung is highly recommended for the clinicians and anatomists as well. CT and other radiological procedures showing fissures of the lung should be interpreted keeping in mind of possible variations of various fissures.

Key words: Variations, Interventions, Fissures, Accessory, Bronchopulmonary.

REFERENCES

  1. Aldur MM, Denk CC, Celik HH and Ascioglu AB. An accessory fissure in the lower lobe of right lung. Morphologie. 1997;81:5-7.
  2. Prakash et al. Lung morphology: a cadaver study in Indian population. Italian journal of anatomy and embryology. 2010;115(3):235-40.
  3. Hayashi et al. Radiographic and CT appearances of the major fissures. Radiographics. 2001;21:861-74.
  4. Bhimadevi N, NarasingaRao B and Sunitha V. Morphological variations of lung- A cadaveric study in north coastal Andhra Pradesh. International Journal of Biological & Medical Research. 2011;2(4):1149-52.
  5. Meenakshi S, Manjunath KY and Balasubramanyam V. Morphological variations of lung fissures and lobes. Ind J Chest Dis Allied Sciences. 2004;46(3):179-82.
  6. Rose C, Gaddum-Rose P. Thorax.In: Hollinshead’s textbook of Anatomy. 5th Philadelphia: Lippincott Raven: 1997;441-61.
  7. Dutta S et al. Natural fissures of lung- anatomical basis of surgical techniques and imaging. National journal of medical research. June 2013;2(3):117-21.
  8. Larsen WJ. Human Embryology. New York: Churchill Livingstone; 1993;111-30.
  9. Nene AR, Gajendra KS and Sarma MVR. Lung lobesand fissures: a morphological study. Anatomy- International journal of experimental and clinical anatomy. 2011;30-7.
  10. Modgil V, Das S and Suri R. Anamolous lobar pattern of right lung: a case report. International Journal of Morphology. 2006;24:5-6.
  11. Kent EM and Blades B. The surgical anatomy of the pulmonary lobes. J Thoracic Surg. 1942;12:18-30.
  12. Singh AK and Niranjan R. A cadaveric study of anatomical variations of fissures and lobes of lung. National journal of clinical anatomy. 2014;3(2):76-80.
  13. Medler EM. Variations in interlobar fissures. AJR. 1947;57:723-5.
  14. Godwin JD and Traver RD. Accessory fissures of the lung. Am J Roentgenol. 1985; 144: 39-47.
  15. Ariyurek OM, Gulsum M and Demirkazik FB. Accessory fissures of the lung: evaluation by high-resolution computed tomography. Eur Radiol. 2001;11:2449-53.
  16. Aziz A, Azshizawa K, Nagaoki K and Hayashi K. High Resolution CT Anatomy of the pulmonary fissures. Journal of Thoracic Imaging. 2004;19(3)3:186-191.

Cite this article: Vaibhav Prakash Anjankar, Kanchan P. Wankhede, Ashutosh S. Mangalgiri. MORPHOLOGICAL STUDY OF LUNG LOBES AND FISSURES: ANATOMICAL BASIS OF SURGICAL AND IMAGING TECHNIQUES. Int J Anat Res 2017;5(1):3447-3450. DOI: 10.16965/ijar.2016.502