{"id":1472,"date":"2018-09-05T13:46:55","date_gmt":"2018-09-05T13:46:55","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1472"},"modified":"2018-09-05T13:47:34","modified_gmt":"2018-09-05T13:47:34","slug":"ijar-2018-254","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-254","title":{"rendered":"IJAR.2018.254"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.6.3\/IJAR.2018.254.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-6-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 3.3 (Septmber 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a05597-5601<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2018.254<\/h3>\n<h3 style=\"text-align: justify;\">VARIATIONS IN PULMONARY FISSURES: AN ANATOMICAL STUDY<\/h3>\n<p style=\"text-align: justify;\"><strong>Jyothi Lakshmi G.L. *<sup>1<\/sup>, Bharathi D <sup>2<\/sup>, Sarala H.S <sup>3<\/sup>.<\/strong><\/p>\n<p><sup>*1,2,3<\/sup> Assistant Professor, Department of Anatomy, Rajarajeshwari Medical College and Hospital, No.202, Kambipura, Mysore Road, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding author: <\/strong>Dr.Jyothi Lakshmi G.L., Assistant Professor, Department of Anatomy, Rajarajeshwari Medical College and Hospital, No.202, Kambipura, Mysore Road, Bangalore-560 074, Karnataka, India. <strong>E-Mail:<\/strong> drjyothilakshmigl@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background<\/strong>: Pulmonary fissures are invaginations of the visceral pleura that extend from the outer surface of the lung into its substance. The fissures are grouped into normal and accessory fissures . The oblique fissure and horizontal fissures are the normal pulmonary fissures which may be complete, incomplete or absent. Incomplete pulmonary fissures are considered to be markers of collateral ventilation. They play a significant role in determining clinical response following valve replacement surgery in emphysematous patients. The Accessory fissures occurring\u00a0 within an individual lobe may be confused with other\u00a0 lesions such as linear atelectasis, pleural scar. Knowledge of\u00a0 the variations in the pulmonary fissures is useful\u00a0 for clinical interpretation. It is in this regards that this study was undertaken to assess the morphology of pulmonary fissures.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and methods: <\/strong>The study was conducted on 60 formalin preserved adult human lungs (32 right, 28 left) of unknown age and sex obtained during dissection of embalmed cadavers for undergraduate teaching in Department of Anatomy, Rajarajeswari medical college and hospital. The anatomical classification proposed by Craig and Walker is followed to determine the completeness of pulmonary fissures . Four grades of fissures have been described. Grade 1- complete\u00a0 fissure with entirely separate lobes. Grade 2- complete visceral cleft but parenchymal fusion at the base of the fissure. Grade 3 &#8211; visceral cleft evident for a part of the fissure. Grade 4 &#8211; complete fusion of lobes with no evident fissure line. The data was tabulated and analysed using descriptive statistics. The study was undertaken after obtaining approval from the institutional ethics committee.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Oblique fissure was incomplete in 13.33% of the right lungs while horizontal fissure was found to be incomplete in 30% of the right lungs. Horizontal fissure was found to be absent in 2 (3.33%) of the right lungs. A superior accessory\u00a0 fissure in the lower lobe separating the upper part of the lobe from the rest of the basal segments was found in one right lung .<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusions: <\/strong>The present study shows that the horizontal fissure is more frequently incomplete or absent when compared to the oblique fissure in the right lung. Superior accessory fissure in the lower lobe of a right lung was observed in 1 (1.66%) specimen. Knowledge of the varying degrees of completeness of pulmonary fissures and accessory fissures is essential to avoid misinterpretation of radiological signs.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words<\/strong>: Pulmonary Fissure, Oblique Fissure, Horizontal Fissure, Incomplete Fissure, Superior Accessory Fissure.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Muller NL, Silva C Isabela S. Imaging of the Chest. Volume 1. Saunders; 2008: 6-18.<\/li>\n<li style=\"text-align: justify;\">Sinnatamby CS. Last\u2019s Anatomy. Regional and Applied. 12<sup>th<\/sup> Elsevier.Churchill Livinstone; 2012: 214-218.<\/li>\n<li style=\"text-align: justify;\">Tarver RD. How common are incomplete pulmonary fissures,and what is their clinical significance? <em>Am JRoentgenol <\/em>1995; 164(3):761.<\/li>\n<li style=\"text-align: justify;\">Godwin JD, Tarver RD. Accessory fissures of the lung.<em>AJR Am J Roentgenol <\/em>1985; 144(1):39-47.<\/li>\n<li style=\"text-align: justify;\">Meenakshi S, Manjunath KY, Balasubramanyam V. Morphological variations of the lung fissures and lobes. Indian J. Chest. Dis. Allied Sci. 2004;46: 179-182.<\/li>\n<li style=\"text-align: justify;\">Raasch BN, Carsky EW, Lane EJ, O Callghan JP, Heitzman ER. Radiographic anatomy of the interlobar fissures: A study of 100 specimens. AJR 1982; 138 : 1043-49.<\/li>\n<li style=\"text-align: justify;\">Varalakshmi KL, Jyothi NN, Sangeetha M. Morphological variations of fissures of lung. Indian J Appl Res 2014;4:457 69.<\/li>\n<li style=\"text-align: justify;\">Ambali MP, Jadhav SD.; Doshi MR, Patil; Roy P, Desai RR. Variations of Lung Fissures: A Cadaveric Study. Journal of Krishna Institute of Medical Sciences University. 2014; 3(1):85-89<\/li>\n<li style=\"text-align: justify;\">Thapa P, Desai SP. Morphological variation of human lung fissures and lobes: An anatomical cadaveric study in North Karnataka, India. Indian j health sci 2016;9:284-7.<\/li>\n<li style=\"text-align: justify;\">Gopalakrishna K,\u00a0DeepalaxmiS, Somashekara S C, Rathna B S. A\u00a0cadaveric study\u00a0on\u00a0morphological variations\u00a0of\u00a0fissures\u00a0and\u00a0lobes\u00a0in the\u00a0human lungs\u00a0and\u00a0its clinical significance. J Exp Clin Anat 2017;16:7-11.<\/li>\n<li style=\"text-align: justify;\">Shivaleela C, Lakshmiprabha S, Afroze M K H. A study of anatomical variations in patterns of fissures and lobes in human lungs: a cadaveric study with clinical significance. Int J Anat Res 2018;6(1.1):4819-4823.<\/li>\n<li style=\"text-align: justify;\">Diso D, Anile M, Carillo C, et al. Correlation between collateral ventilation and interlobar lung fissures.\u00a0Respiration.\u00a02014;88(4):315\u2013319.<\/li>\n<li style=\"text-align: justify;\">Gompelmann D, Heussel CP, Eberhardt R, et al. Efficacy of bronchoscopic thermal vapor ablation and lobar fissure completeness in patients with heterogeneous emphysema. Respiration 2012;83:400\u20136.<\/li>\n<li style=\"text-align: justify;\">Taverne Y, Kleinrensink GJ , Rooij PD. Perioperative Identification of an Accessory Fissure of the Right Lung.\u00a0<em>Case reports in pulmonology.<\/em><\/li>\n<li style=\"text-align: justify;\">Patterson, GA, Cooper JD, Deslauriers J, Lerut A, Luketich JD, Rice TW, Pearson FG. Pearson&#8217;s Thoracic and Esophageal Surgery . 3<sup>rd<\/sup> Churchill Livingstone; 2008: 401-414.<\/li>\n<li style=\"text-align: justify;\">Cronin P, Gross BH, Kelly AM, Patel S, Kazerooni EA, Carlos RC .Normal and accessory fissures of the lung: evaluation with contiguous volumetric thin-section multidetector CT. Eur J Radiol.2010; 75:1\u20138.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Jyothi Lakshmi G.L, Bharathi D, Sarala H.S. VARIATIONS IN PULMONARY FISSURES: AN ANATOMICAL STUDY. Int J Anat Res 2018;6(3.3):5597-5601.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2018.254\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 3.3 (Septmber 2018) Page No.:\u00a05597-5601 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2018.254 VARIATIONS IN PULMONARY FISSURES: AN ANATOMICAL STUDY Jyothi Lakshmi G.L. *1, Bharathi D 2, Sarala H.S 3. *1,2,3 Assistant Professor, Department of Anatomy, Rajarajeshwari Medical College and Hospital, No.202, Kambipura, Mysore Road, Bangalore, Karnataka, India. Corresponding author: Dr.Jyothi Lakshmi G.L., Assistant Professor,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-254\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1472"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1472"}],"version-history":[{"count":2,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1472\/revisions"}],"predecessor-version":[{"id":1474,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1472\/revisions\/1474"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}