Evaluation of Relationship Between Sphenoid Sinus Septation and Onodi Cells Using Cone-Beam Computed Tomography
Abstract views: 117 / PDF downloads: 98
DOI:
https://doi.org/10.5152/EurJTher.2022.21015Keywords:
Cone-beam computed tomography, Onodi cell,, septation, Sphenoid sinusAbstract
Objective: This study aimed to evaluate the sphenoid sinus septation, the presence/absence of Onodi cells, and the relationship between these structures with each other in cone-beam computed tomography.
Methods: A total of 500 cases (250 males, 250 females) between the ages of 18 and 81 were included in this study. Sphenoid sinus septations were classified as intersphenoid, multiple, and absent, and Onodi cells as present or absent. The relationship between these parameters was also assessed. Chi square test was used to determine the relationship between sphenoid sinus septation and Onodi cells.
Results: Multiple septa seen in 451 (90.2%) of the cases is the most common type of sphenoid septation. Onodi cells were present in 327 (65.4%) of the cases. A statistically significant relationship was detected between Onodi cells and mean age (P < .05) but no significant difference was observed between the septation and mean age (P > .05). There was no significant difference between the septation or Onodi cells with gender (P > .05). Multiple septa were observed in all cases with Onodi cell. The relationship between sphenoid sinus septation and Onodi cell was statistically significant (P < .001).
Conclusion: This study revealed that there was a significant relationship between sphenoid sinus septation and Onodi cells. The presence of Onodi cells was observed only with multiple septa. Cone-beam computed tomography is an effective imaging method in the evaluation of sphenoid sinus anatomy and its variations and surrounding anatomical structures.
Metrics
References
Eggesbø HB, Søvik S, Dølvik S, Eiklid K, Kolmannskog F. CT characterization of developmental variations of the paranasal sinuses in cystic fibrosis. Acta Radiol. 2001;42(5):482-493.
Kamburoğlu K, Melo SLS, Li Z, et al. Anatomy of the nose and paranasal sinuses. In: Scarfe W, Angelopoulos C, eds. Maxillofacial Cone Beam Computed Tomography. Springer: Cham; 2018:365-397.
Tan HK, Ong YK. Sphenoid sinus: an anatomic and endoscopic study in Asian cadavers. Clin Anat. 2007;20(7):745-750.
Levine H, Clemente MP, eds. Sinus Surgery: Endoscopic and Microscopic Approaches. Stuttgart: Thieme; 2005.
Som P, Lawson W, Fatterpekar G, Zinreich S. Embryology, anatomy, physiology, and imaging of the sinonasal cavities. In: Som PM, Curtin HD, eds. Head and Neck Imaging. St Louis: Mosby;2011:116-117.
Beale TJ, Madani G, Morley SJ. Imaging of the paranasal sinuses and nasal cavity: normal anatomy and clinically relevant anatomical variants. Semin Ultrasound CT MR. 2009;30(1):2-16.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75-80.
Miracle AC, Mukherji SK. Conebeam CT of the head and neck, part 1:physical principles. AJNR Am J Neuroradiol. 2009;30(6):1088-1095.
Miracle AC, Mukherji SK. Conebeam CT of the head and neck, part 2: clinical applications. AJNR Am J Neuroradiol. 2009;30(7):1285-1292.
Driben JS, Bolger WE, Robles HA, Cable B, Zinreich SJ. The reliability of computerized tomographic detection of the Onodi (sphenoethmoid) cell. Am J Rhinol. 1998;12(2):105-111.
Weinberger DG, Anand VK, Al-Rawi M, Cheng HJ, Messina AV. Surgical anatomy and variations of the Onodi cell. Am J Rhinol. 1996;10(6):365-372.
Hamid O, El Fiky L, Hassan O, Kotb A, El Fiky S. Anatomic variations of the sphenoid sinus and their impact on trans-sphenoid pituitary surgery. Skull Base. 2008;18(1):9-15.
Yilmaz N, Kose E, Dedeoglu N, Colak C, Ozbag D, Durak MA. Detailed anatomical analysis of the sphenoid sinus and sphenoid sinus ostium by cone-beam computed tomography. J Craniofac Surg. 2016;27(6):e549-e552.
Štoković N, Trkulja V, Dumić-Čule I, et al. Sphenoid sinus types, dimensions and relationship with surrounding structures. Ann Anat. 2016;203:69-76.
Avsever H, Gunduz K, Karakoç O, Akyol M, Orhan K. Incidental findings on cone-beam computed tomographic images: paranasal sinus findings and nasal septum variations. Oral Radiol. 2018;34(1):40-48.
Idowu OE, Balogun BO, Okoli CA. Dimensions, septation, and pattern of pneumatization of the sphenoidal sinus. Folia Morphol (Warsz). 2009;68(4):228-232.
ELKammash TH, Enaba MM, Awadalla AM. Variability in sphenoid sinus pneumatization and its impact upon reduction of complications following sellar region surgeries. Egypt J Radiol Nucl Med.2014;45(3):705-714.
Rahmati A, Ghafari R, AnjomShoa M. Normal variations of sphenoid sinus and the adjacent structures detected in cone beam computed tomography. J Dent (Shiraz). 2016;17(1):32-37.
Anusha B, Baharudin A, Philip R, Harvinder S, Shaffie BM, Ramiza RR. Anatomical variants of surgically important landmarks in the sphenoid sinus: a radiologic study in Southeast Asian patients. Surg Radiol Anat. 2015;37(10):1183-1190.
Kayalioglu G, Erturk M, Varol T. Variations in sphenoid sinus anatomy with special emphasis on pneumatization and endoscopic anatomic distances. Neurosciences (Riyadh). 2005;10(1):79-84.
Lupascu M, Comsa GI, Zainea V. Anatomical variations of the sphenoid sinus-a study of 200 cases. ARS Med Tomitana. 2014;20(2):57-62.
Yalcin ED. Assessment of sphenoid sinus types in patients with cleft lip and palate on cone-beam CT. Eur Arch Otorhinolaryngol. 2020;277(4):1101-1108.
Seddighi A, Seddighi A, Mellati O, Ghorbani J, Raad N, Soleimani MM. Sphenoid sinus: anatomic variations and their importance in trans-sphenoid surgery. Int Clin Neur;J 2014(1):31-34.
Sareen D, Agarwal AK, Kaul JM, Sethi A. Study of sphenoid sinus anatomy in relation to endoscopic surgery. Int J Morphol. 2005;23(3):261-266.
Kapur E, Kapidi A, Kulenovi A, Sarajli L, Šahinović A, Šahinović M. Septation of the sphenoid sinus and its clinical significance. Int J Collab Res Intern Med Public Heal. 2012;4:1793-1802.
Akgül MH, Muluk NB, Burulday V, Kaya A. Is there a relationship between sphenoid sinus types, septation and symmetry; and septal deviation? Eur Arch Otorhinolaryngol. 2016;273(12):4321-4328.
Aksoy F, Yenigun A, Goktas SS, Ozturan O. Association of accessory sphenoid septa with variations in neighbouring structures. J Laryngol Otol. 2017;131(1):51-55.
Ngubane NP, Lazarus L, Rennie CO, Satyapal KS. The septation of the sphenoidal air sinus. A cadaveric study. Int J Morphol. 2018;36(4):1413-1422.
Jaworek-Troć J, Zarzecki M, Mróz I, et al. The total number of septa and antra in the sphenoid sinuses: evaluation before the FESS. Folia Med Cracov. 2018;58(3):67-81.
Wiebracht ND, Zimmer LA. Complex anatomy of the sphenoid sinus: a radiographic study and literature review. J Neurol Surg B Skull Base. 2014;75(6):378-382.
Sirikci A, Bayazıt YA, Bayram M, Mumbuç S, Güngör K, Kanlikama M. Variations of sphenoid and related structures. Eur Radiol. 2000;10(5):844-848.
Wada K, Moriyama H, Edamatsu H, et al. Identification of Onodi cell and new classification of sphenoid sinus for endoscopic sinus surgery. Int Forum Allergy Rhinol. 2015;5(11):1068-1076.
Chmielik LP, Chmielik A. The prevalence of the Onodi cell–most suitable method of CT evaluation in its detection. Int J Pediatr Otorhinolaryngol. 2017;97:202-205.
Hwang SH, Joo YH, Seo JH, Cho JH, Kang JM. Analysis of sphenoid sinus in the operative plane of endoscopic transsphenoidal surgery using computed tomography. Eur Arch Otorhinolaryngol. 2014;271(8):2219-2225.
Ozturan O, Yenigun A, Degirmenci N, Aksoy F, Veyseller B. Coexistence of the Onodi cell with the variation of perisphenoidal structures. Eur Arch Otorhinolaryngol. 2013;270(7):2057-2063.
Tomovic S, Esmaeili A, Chan NJ, et al. High-resolution computed tomography analysis of the prevalence of onodi cells. Laryngoscope. 2012;122(7):1470-1473.
Thanaviratananich S, Chaisiwamongkol K, Kraitrakul S, Tangsawad W. The prevalence of an Onodi cell in adult Thai cadavers. Ear Nose Throat J. 2003;82(3):200-204.
Özdemir A, Bayar Muluk NB, Asal N, Şahan MH, Inal M. Is there a relationship between Onodi cell and optic canal? Eur Arch Otorhinolaryngol. 2019;276(4):1057-1064.
Hindi K, Alazzawi S, Raman R, Prepageran N, Rahmat K. Pneumatization of mastoid air cells, temporal bone, ethmoid and sphenoid sinuses. Any correlation? Indian J Otolaryngol Head Neck Surg. 2014;66(4):429-436.
Orhan K, Aksoy S, Avsever IH, Gunduz K. Incidental findings in TMJ imaging. In: Rozylo-Kalinowska I, Orhan K, eds. Imaging of the Temporomandibular Joint. Springer: Cham; 2019:205-246.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.