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Bronchoscopy
Nomenclature
Dr. Kaustubh Mohite
Topics to be covered:
• Lung growth theories
• Basics of Nomenclature
• Bronchopulmonary Segments.
• Tracheo-bronchial tree
Lung growth theories:
Symmetrical bilateral lungs
Basics of Nomenclature:
Nomenclature Meaning
R Right
L Left
S Segment
B Bronchus
Right Lung
Left Lung
• The nomenclature of bronchi is based on the direction in which
the lungs with the bronchi are located.
• The 3 principles of the bronchi nomenclature are :
• Cranial side Caudal side
• Dorsal (posterior) Ventral (anterior)
• Lateral side Medial side
• By the above principles:
Bronchi Named as
Segmental bronchi
(2nd gen bronchus)
1,2,3……
Subsegmental bronchi
(3rd gen)
a, b, c,……
Sub-subsegmental bronchi
(4th gen)
I, ii, iii, iv, ……..
Sub-sub-subsegmental bronchi
(5th gen)
⍺, β, ɣ, ……
Sub-sub-sub-subsegmental bronchi (6th
gen)
x, y
• So when we say RB1a ii ⍺ :
• Right Bronchus
• Upper lobe apical bronchus
• 1st sub-subsegmental bronchus (3rd gen)
• 2nd sub-sub-subsegmental bronchus (4th gen)
• 1st sub-sub-sub-subsegmental bronchus (5th gen)
Take home message:
• It is very important to know the bronchoscopic nomenclature in order
to define the site of anatomic abnormality.
• By following the three simple rules of nomenclature, it is very easy to
remember the names of the bronchi.
• One should be trained to see the normal bronchial branches to find
out abnormal variants.
Bronchoscopy nomenclature

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Bronchoscopy nomenclature

  • 2. Topics to be covered: • Lung growth theories • Basics of Nomenclature • Bronchopulmonary Segments. • Tracheo-bronchial tree
  • 4.
  • 5.
  • 6.
  • 7. Basics of Nomenclature: Nomenclature Meaning R Right L Left S Segment B Bronchus
  • 8.
  • 11.
  • 12. • The nomenclature of bronchi is based on the direction in which the lungs with the bronchi are located. • The 3 principles of the bronchi nomenclature are : • Cranial side Caudal side • Dorsal (posterior) Ventral (anterior) • Lateral side Medial side
  • 13. • By the above principles: Bronchi Named as Segmental bronchi (2nd gen bronchus) 1,2,3…… Subsegmental bronchi (3rd gen) a, b, c,…… Sub-subsegmental bronchi (4th gen) I, ii, iii, iv, …….. Sub-sub-subsegmental bronchi (5th gen) ⍺, β, ɣ, …… Sub-sub-sub-subsegmental bronchi (6th gen) x, y
  • 14.
  • 15.
  • 16. • So when we say RB1a ii ⍺ : • Right Bronchus • Upper lobe apical bronchus • 1st sub-subsegmental bronchus (3rd gen) • 2nd sub-sub-subsegmental bronchus (4th gen) • 1st sub-sub-sub-subsegmental bronchus (5th gen)
  • 17.
  • 18. Take home message: • It is very important to know the bronchoscopic nomenclature in order to define the site of anatomic abnormality. • By following the three simple rules of nomenclature, it is very easy to remember the names of the bronchi. • One should be trained to see the normal bronchial branches to find out abnormal variants.