Sağ Akciğerde Horizontal Fissür Yokluğu
Sağ Akciğer oblik ve transvers (horizontal) fissürlerle superior, medial ve inferior olmak üzere 3 loba ayrılır. Bu fissürler akciğer dokusunun genişlemesine olanak tanır ve aynı zamanda akciğerler üzerinde güvenilir bir yer işareti hizmeti görür. Bazen ekstra bir fissür akciğeri bölebilir, bazen de bir fissürün yokluğu söz konusu olabilir. Biz bu yazıda rutin kadavra diseksiyonu esnasında saptadığımız 60 yaşında bir erkek kadavrada sağ akciğerde horizontal fissür yokluğunu bildirdik. Akciğerlerdeki fissürlerin pozisyonu MR ve BT görüntülemelerini yorumlamada radyologlar, lobektomi ve segmentektomi yapan cerrahlar için klinik olarak önemli anatomik işaretlerdir.
Absence of Horizontal Fissure of Right Lung
The right lung is divided into three lobes names superior, middle, inferior by the oblique and the transverse (horizontal) fissures. The fissures in the lung assistance even expansion of lung tissue and serve as a reliable landmark on the lung. Occasionally, an extra fissure divides a lung or a fissure is absent. In the present case, which was during the routine cadaver dissection detected, we report absence of horizontal fissure of the right lung in a 60 year old male cadaver. The position of fissures of the lung is clinically important anatomic landmarks for surgeons performing lobectomy and segmentectomy, radiologists in interpreting the MRI and CT scans.
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- 1. Standring S. Grays anatomy; The Anatomical Basis of Clinical Practice. 41th edition Churchill Livingstone, New York, 2015; 993.
- 2. Rosse C, Gaddum-Rosse P. Hollinshead’s Textbook of Anatomy. Philadelphia: Lipincott-Raven; 1997; 441-61.
- 3. George BM, Nayak SB, Marpalli S. Morphological variations of the lungs: a study conducted on Indian cadavers. Anat Cell Biol. 2014;47(4):253-8.
- 4. Prakash, Bhardwaj AK, Shashirekha M, Suma HY, Krishna GG, Singh G. Lung morphology: a cadaver study in Indian population. Ital J Anat Embryol. 2010;115(3):235-40.
5. Nene AR, Gajendra KS, Sarma MVR. Lung lobes and fissures: a morphological study. Anatomy, 2011;5:30-8.
- 6. Murlimanju BV, Prabhu LV, Shilpa K, Pai MM, Kumar CG, Rai A, Prashanth KU. Pulmonary fissures and lobes: a cadaveric study with emphasis on surgical and radiological implications. Clin Ter. 2012;163(1):9-13.
- 7. Frija J, Schmit P, Katz M, Vadrot D, Laval-Jeantet M. Computed tomography of the pulmonary fissures: normal anatomy. J Comput Assist Tomogr. 1982;6:1069-74.
- 8. Ariyürek, MO, Karabulut N, Yelgeç, SN, Gülsün M. Anatomy of the minor fissure: assessment with high-resolution CT and classification. European radiology. 2002;12(1):175-80.
- 9. Heřmanová Z, Čtvrtlík F, Heřman M. Surface anatomy of the pulmonary fissures determined by high‐resolution computed tomography. Clinical Anatomy. 2012;25(7):835-43.
- 10. Aziz A, Ashizawa K, Nagaoki K, Hayashi K. High resolution CT anatomy of the pulmonary fissures. J Thorac Imaging. 2004;19:186–91.
- 11. Wattamwar P, Siddiqui AA. Cadaveric study of morphological variations of fissures and lobes of lungs and their clinical significance. MedPulse – International Journal of Anatomy. 2017;4(1):4-8.
- 12. Dandy Jr, Walter E. Incomplete pulmonary interlobar fissure sign. Radiology. 1978;128(1):21-5.
- 13. Aldur MM, Denk CC, Celik HH, Tasçioglu AB. An accessory fissure in the lower lobe of the right lung. Morphologie. 1997;81:5-7.