2019, Number 2
<< Back Next >>
Rev cubana med 2019; 58 (2)
First characterization of the right bronchial tree in Cuba by bronchoscopy
Pino APP
Language: Spanish
References: 16
Page: 1-10
PDF size: 255.41 Kb.
ABSTRACT
Introduction: The skill scope in the airways endoscopic study should be based on the
bronchial anatomy knowledge, its divisions, nomenclature and the normal endobronchial
findings.
Objective:
Methods: A descriptive, prospective cross-sectional study was carried out in 2000 patients,
over a period of 12 years. A complete review of the right bronchial tree these variants was
performed on these patients.
Results: The most frequent division was the bifurcation with 58.4%, in the upper lobar
bronchus. The middle lobar bronchus always bifurcated. In segment B6, bifurcation
predominated (87.7%), and the most frequent was type B6 and B6 b + c. The rest of the
basals behaved as follows: the paracardiac segment did not appear in 8.15%, bifurcation
predominated (89.15%) and out of these, B8 and B9 + B10 division. Regarding congenital
malformations, we found 0.65% tracheal bronchus, 0.15% accessory cardiac bronchus and
5.15% subsurface bronchus.
Conclusions: The right bronchial tree in the Cuban population has its own characteristics.
REFERENCES
Jackson CL, Huber JF. Correlated applied anatomy of the bronchial tree and lungs with a system of nomenclatura. Dis. Chest.1943;9:319-26.
Brock RC. The nomenclature of Bronchopulmonary Anatomy. An Internacional Nomenclature Accepted by the Thoracic Society.Thorax. 1950;5:222-5.
Lemoine JM, Gagnon A. Principaux modes de division et anomalies anatomiques de la trachée et des bronches. Bronches 1952; 2:409-21.
Boyden EA. A synthesis of the Prevailing Patterns of the Bronchopulmonary Segments in the Light of Their Variations. Chest. 1949;15:657-68.
Foster Carter AF. The anatomy of the bronchial tree. Btit. J. Tub. 1942;36:19-49.
Boyden EA, Hartmann JF. An analisys of variations in the bronchopulmonary segments of the right upper lobes of fifty lungs. Am. J. Anat. 1948;82:27-74.
Smith FR. Segmental Anatomy as Aplied to Segmental Resection. Chest. 1958;34:602-6.
Suter M, Tschirren J, Reinhardt J, Sonka M, Hoffman E, Higgins W, et al. Evaluation of the human airway with multidetector x-ray computed topography and optical imaging. Physiol Meas. 2004;25:837-47.
Oho K, Amemiya R. Practical Fiberoptic Bronchoscopy. Igaku-Shoin. 1984;2:27-58.
Doolittle A, Mair E. Tracheall bronchus: classification, endoscopic analysis and airways management. Otolaryngol Head Neck Surg. 2002;126:240-3.
Bentala M, Grijm K, Van der Zee J. Cardiac bronchus: a rare cause of hemoptysis. Eur J Cardiothorac Surg. 2002;22(4):643-5.
Saad H. Ral Bronchoscopy in the evaluation of bronchial Lesion: A Pictorial essay. Current Problems in diagnostic radiology. 2013;42:33-9.
Toro JS, Mejía M, Duarte D. Estenosis bronquial congénita, papel de las imágenes en el diagnóstico: reporte de un caso. Rev. Chilena de Radiología. 2014;20:64-7.
Robledo M, Bertona C, Bertona J, Giordanengo C, Gribando N, Tolabin I. Variantes anatómicas de la segmentación bronquial, prevalencia y diagnóstico mediante TC multidetector 64 canales. Rev. Chil. De Radiología. 2012;18:170-4.
Gutierrez Ramírez MC, Rodríguez Sanchez D, Ros Lucas JA. Torsión del lóbulo medio poslobectomia. Correlación de broncoscopia óptica-broncoscopia virtual con tomografía computarizada. Archivos de bronconeumología. 2015;51(7):355.
Bunster K. Avances en Videobroncoscopia. Revista Médica Clínica Las condes. 2015;26:387-92.