Respiration differs between species of salamanders. Species that lack lungs respire through gills. In most cases, these are external gills, visible as tufts on either side of the head, although the amphiumas have internal gills and gill slits. Some salamanders that are terrestrial have lungs that are used in respiration, although these are simple and sac-like, unlike the more complex organs found in mammals. Many species, such as the Olm, have both lungs and gills as adults.