{"id":1805,"date":"2019-04-05T15:54:11","date_gmt":"2019-04-05T15:54:11","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1805"},"modified":"2019-04-05T15:54:11","modified_gmt":"2019-04-05T15:54:11","slug":"ijar-2019-115","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-115","title":{"rendered":"IJAR.2019.115"},"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.7.2\/IJAR.2019.115.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-7-2.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<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 7; Issue 2.1 (April 2019)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a06345-6352<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.115<\/h3>\n<h3 style=\"text-align: justify;\">MORPHOLOGICAL STUDY OF HUMAN LUNGS<\/h3>\n<p style=\"text-align: justify;\"><strong>Subhalakshmi Wahengbam <sup>1<\/sup>, Huidrom Rajshree Devi *<sup>2<\/sup>, Gurumayum Tarunkumar Sharma <sup>3<\/sup>, Gaining Gangmei <sup>2<\/sup>, Ningthoujam Debashree Devi <sup>4<\/sup>.<\/strong><\/p>\n<p><sup>1<\/sup> Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Porompat, Imphal, Manipur, India.<\/p>\n<p><sup>*2 <\/sup>Assistant Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Porompat, Imphal, Manipur, India.<\/p>\n<p><sup>3 <\/sup>Demonstrator, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Porompat, Imphal, Manipur, India.<\/p>\n<p><sup>4 <\/sup>Assistant Professor, Department of Pharmacology, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Porompat, Imphal, Manipur.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding author: <\/strong>Dr. Huidrom Rajshree Devi, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Porompat, Imphal, Manipur. Pin no: 795005. Mobile no: 08731086918. <strong>E-Mail:<\/strong> subhawah_e@rediffmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background and aims:<\/strong> Knowledge of anatomical variations in lung morphology is not only of academic interest but is essential during surgery and also while interpreting various radiological images.\u00a0 The present study was undertaken with the aim to observe the variations of lung morphology.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods:<\/strong> The shape of the lungs, variations of fissures, lobes and hilar structures were studied in 42 right and 37 left isolated lungs.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Unusual shape was seen in 4 lungs. Among the right lungs, oblique fissure was incomplete in 42.86% and absent in 7.14% and horizontal fissure was incomplete in 61.90% and absent in 19.05%. Inferior accessory fissure (IAF) was present in 21.43% and superior accessory fissure (SAF) in 7.14%. Usual right hilar architecture having a pulmonary artery with 2 pulmonary veins and 2 bronchi was not seen in any case however, the usual architecture with a superior lobar artery was seen in 28.57% cases. Among the left lungs, oblique fissure was incomplete in 40.54% and absent in 2.70%. Horizontal fissure was present in 24.32%, left minor fissure (LMF) in 29.73%, inferior accessory fissure (IAF) in 43.24% and superior accessory fissure (SAF) in 2.70%. Usual left hilar architecture having a pulmonary artery, 2 pulmonary veins and a bronchus was seen in 54.06%.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> The knowledge of variations in the lung morphology observed in this study will be of academic interest and also useful for diagnostic and clinical management of pulmonary and even cardiac cases.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Fissures, Lobes, Hilum, Broncho-pulmonary segments.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Muresian H. Pluera, lungs, trachea and bronchi In: Standring S, Gray\u2019s Anatomy. The Anatomical Basis of Clinical Practice. 41<sup>st<\/sup> Elsevier Limited, UK, 2016: 953-969.<\/li>\n<li style=\"text-align: justify;\">Rosse C, Gaddum-Rosse P. Thorax. In: Hollinshed\u2019s Textbook of Anatomy. Lipincott Williams &amp; Wilkins, Philadelphia, 1997:441-61.<\/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(3):179-182.<\/li>\n<li style=\"text-align: justify;\">Magadum A, Dixit D, Bhimalli S. Fissures and lobes of lung \u2013 an anatomical study and its clinical significance. Int J Cur Res Rev. 2015; 7(3): 8-12.<\/li>\n<li style=\"text-align: justify;\">Godwin JD, Tarver RD. Accessory fissures of the lung. Am J Roentgenol. 1985; 144(1):39-47.<\/li>\n<li style=\"text-align: justify;\">Aldur MM, Denk CC, Celik HH, Tascioglu AB. An accessory fissure in the lower lobe of the right lung. Morphologie. 1997; 81: 5\u20137.<\/li>\n<li style=\"text-align: justify;\">Ariyurek OM, Gulsun M, Demirkazik FB. 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Lung morphology:\u00a0 a cadaver study in Indian population. IJAE. 2010; 115:235-240<\/li>\n<li style=\"text-align: justify;\">Quadros LS, Palanichamy R, D\u2019souza AS. Variations in the lobes and fissures of lungs \u2013 a study in South Indian lung specimens Eur. J. Anat. 2014; 18 (1): 16-20.<\/li>\n<li style=\"text-align: justify;\">Nene AR, Gajendra KS, Sarma MVR. Lung lobes and fissures: a morphological study.\u00a0 2011; 5: 30-38.<\/li>\n<li style=\"text-align: justify;\">Larsen WJ. Human Embryology. Churchill Livingstone, New York, 1993: 111-30.<\/li>\n<li style=\"text-align: justify;\">Richards JMJ, Dunning J, Oparka J, Carnochan FM, Walker WS. Video\u2013assisted thoracoscopic lobectomy: The Edinburg posterior approach. Annals of Cardiothoracic Surgery. 2012; 1(1).<\/li>\n<li style=\"text-align: justify;\">Waldhausen JA, Pierce WS, Campbell DB. Thoracic Surgery. In: Surgery of the Chest. 6<sup>th<\/sup> Mosby, St Louis, Missouri, 1996:134.<\/li>\n<li style=\"text-align: justify;\">Pimpec-Barthes F L, Arame A, Pricopi C, Riquet M. Prevention of middle lobe torsion or bronchial plication using anti-adhesive membrane: a simple, safe and uncomplicated technique. Eur J Cardiothoracic Surg. 2011; 39(6):1059-1069.<\/li>\n<li style=\"text-align: justify;\">Tarver RD. How common are incomplete pulmonary fissures, and what is their clinical significance? AJR Am J Roentgenol.1995; 164(3):761.<\/li>\n<li style=\"text-align: justify;\">Murlimanju BV, Massand A, Madhyastha S, Pai MM, Prabha LV, SaralayaVV. Anatomical variations of arrangement of structures at the pulmonary hilum: a cadaveric study. Surgical and Radiologic Anatomy. 2017; 39(1):51-56.<\/li>\n<li style=\"text-align: justify;\">Matsumoto K, Yamasaki N, Tsuchiya T, Miyazaki T, Tomoshige K, Hayashi H, et al. Three-dimensional computed tomography for a mediastinal basal pulmonary artery. The Annals of Thoracic Surgery. 2012; 94(5): 115-116.<\/li>\n<li style=\"text-align: justify;\">Subotich D, Mandarich D, Milisavljevich M, Filipovich B, Nikolich V. Variations of pulmonary vessels: some practical implications for lung resections. Clin Anat. 2009; 22: 698-705.<\/li>\n<li style=\"text-align: justify;\">Rajeshwari MS, Ranganath P. Variations in Draining Patterns of Right Pulmonary Veins at the Hilum and an Anatomical Classification. ISRN Pulmonology.2012:1-4.<\/li>\n<li style=\"text-align: justify;\">Thorning C, Hamady M,. Liaw JV, Juli C, Lim PB, Dhawan R et al. CT evaluation of pulmonary venous anatomy variation in patients undergoing catheter ablation for atrial fibrillation, Clin Imaging. 2011; 35(1):1\u20139.<\/li>\n<li style=\"text-align: justify;\">Marom E, Herndon J, Kim Y, McAdams HP. Variations in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation, Radiology. 2004; 230(3):824\u2013829.<\/li>\n<li style=\"text-align: justify;\">Sugimoto S, Izumiyama O, Yamashita A, Baba M, Hasegawa T. Anatomy of inferior pulmonary vein should be clarified in lower lobectomy. The Annals of Thoracic Surgery. 1998; 66(5):1799\u20131800.<\/li>\n<li style=\"text-align: justify;\">Sathidevi VK. Anatomical arrangement of the lobar bronchi, bronchopulmonary segments and their variations. Int J Res Med Sci. 2016; 4(11):4928-4932.<\/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> Subhalakshmi Wahengbam, Huidrom Rajshree Devi, Gurumayum Tarunkumar Sharma, Gaining Gangmei, Ningthoujam Debashree Devi.\u00a0\u00a0STUDY OF HUMAN LUNGS. Int J Anat Res 2019;7(2.1):6345-6352.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2019.115\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Volume 7; Issue 2.1 (April 2019) Page No.:\u00a06345-6352 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.115 MORPHOLOGICAL STUDY OF HUMAN LUNGS Subhalakshmi Wahengbam 1, Huidrom Rajshree Devi *2, Gurumayum Tarunkumar Sharma 3, Gaining Gangmei 2, Ningthoujam Debashree Devi 4. 1 Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Porompat, Imphal, Manipur, India. *2 Assistant Professor, Department<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-115\">+ 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\/1805"}],"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=1805"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1805\/revisions"}],"predecessor-version":[{"id":1808,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1805\/revisions\/1808"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}