한국인에서의 오노디 세포의 발생률과 시신경과의 관계 분석
The Prevalence of Onodi Cells and Analysis of Relationship With Optic Nerve in Koreans
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Background and Objectives It is important to identify variations of paranasal sinuses dur- ing sinus surgery. The Onodi cell (OC), a variant of the paranasal sinuses, is the most posteri- or ethmoid cell with a close relationship with the optic nerve (ON). The purpose of this study is to evaluate the prevalence of OCs and analyze the relationship of OCs with ON in Koreans. Subjects and Method This retrospective study utilized CT images of 526 slides from 263 Korean adults. The prevalence of the OCs and the degree of indentation of the ON within the OC was determined using binary logistic regression analysis. Results The OCs were observed in 37.3% of 263 subjects and in 27.6% of 526 slides. The OCs are found more frequently in males than in females (p=0.01), and also more frequently inthe right side than in the left side (p=0.001). Binary logistic regression analysis revealed thatthe ON protrusion in female was 0.339 times lower than in male and 1.052 times higher withthe increased age. The ON protrusion within the OC in the postsellar type was 10.214 times higher than that in the presellar. Conclusion The OCs were observed in 37.3% of the Koreans. The protrusion of the ON within the OCs increased in male and in the postsellar type of the sphenoid sinus.
Abstract
Background and Objectives It is important to identify variations of paranasal sinuses dur- ing sinus surgery. The Onodi cell (OC), a variant of the paranasal sinuses, is the most posteri- or ethmoid cell with a close relationship with the optic nerve (ON). The purpose of this study is to evaluate the prevalence of OCs and analyze the relationship of OCs with ON in Koreans. Subjects and Method This retrospective study utilized CT images of 526 slides from 263 Korean adults. The prevalence of the OCs and the degree of indentation of the ON within the OC was determined using binary logistic regression analysis. Results The OCs were observed in 37.3% of 263 subjects and in 27.6% of 526 slides. The OCs are found more frequently in males than in females (p=0.01), and also more frequently inthe right side than in the left side (p=0.001). Binary logistic regression analysis revealed thatthe ON protrusion in female was 0.339 times lower than in male and 1.052 times higher withthe increased age. The ON protrusion within the OC in the postsellar type was 10.214 times higher than that in the presellar. Conclusion The OCs were observed in 37.3% of the Koreans. The protrusion of the ON within the OCs increased in male and in the postsellar type of the sphenoid sinus.
참고문헌 (25)
- Onodi A, "Die Sehstörungen und Erblindung nasalen Ursprunges, bedingt durch Erkrankungen der hinteren Nebenhöhlen", Ophthalmologica, 12(1), pp.23~46 (1904)
- Yanagisawa E, "The Onodi(sphenoethmoid)cell", Ear Nose Throat J, 77(8), pp.578~580 (1998)
- Tan HK, "Sphenoid sinus : An anatomic and endoscopic study in Asian cadavers", Clin Anat, 20(7), pp.745~750 (2007)
- Liu J, "The whole lateral type of the sphenoethmoidal cell and its relevance to endoscopic sinus surgery", Ear Nose Throat J, 100(9), pp.NP416~NP423 (2021)
- Shin JH, "The Onodi cell : An obstacle to sellar lesions with a transsphenoidal approach", Otolaryngol Head Neck Surg, 145(6), pp.1040~1042 (2011)
- 이승주, "한국인에서 오노디 세포의 유병률에 대한 영상학적 연구", 대한이비인후-두경부외과학회지, 58(12), pp.855~858 (2015), 대한이비인후과학회[DOI]
- 신재민, "다중검출 전산화단층촬영을 이용한 접형동과 주위 구조물 분석", 대한이비인후-두경부외과학회지, 55(2), pp.95~100 (2012), 대한이비인후과학회
- Hwang SH, "Analysis of sphenoid sinus in the operative plane of endoscopic transsphenoidal surgery using computed tomography", Eur Arch Otorhinolaryngol, 271(8), pp.2219~2225 (2014)
- Tomovic S, "High-resolution computed tomography analysis of the prevalence of Onodi cells", Laryngoscope, 122(7), pp.1470~1473 (2012)
- Cherla DV, "The central Onodi cell: A previously unreported anatomic variation", Allergy Rhinol(Providence), 4(1), pp.e49~e51 (2013)
- Itagi RM, "Optic nerve canal relation to posterior paranasal sinuses in indian ethnics : Review and objective classification", J Clin Diagn Res, 11(4), pp.TC01~TC03 (2017)
- Lim CC, "Mucocele involving the anterior clinoid process : MR and CT findings", AJNR Am J Neuroradiol, 20(2), pp.287~290 (1999)
- Chee E, "Onodi sinusitis presenting with orbital apex syndrome", Orbit, 28(6), pp.422~424 (2009)
- Toh ST, "Onodi cell mucocele : Rare cause of optic compressive neuropathy", Arch Otolaryngol Head Neck Surg, 133(11), pp.1153~1156 (2007)
- Driben JS, "The reliability of computerized tomographic detection of the Onodi(Sphenoethmoid)cell", Am J Rhinol, 12(2), pp.105~111 (1998)
- Jones NS, "A study of the CT findings in 100patients with rhinosinusitis and 100 controls", Clin Otolaryngol Allied Sci, 22(1), pp.47~51 (1997)
- Keast A, "Anatomical variations of the paranasal sinuses in Polynesian and New Zealand European computerized tomography scans", Otolaryngol Head Neck Surg, 139(2), pp.216~221 (2008)
- Tan KL, "Prevalence of Onodi cells in hospital Raja Permaisuri Bainun, Ipoh, Malaysia", Med J Malaysia, 65(2), pp.101~102 (2010)
- Pérez-Piñas, "Anatomical variations in the human paranasal sinus region studied by CT", J Anat, 197(Pt 2), pp.221~227 (2000)
- 강민수, "한국인의 청소년기 이후 부비동 함기화의 차이", 대한이비인후-두경부외과학회지, 62(7), pp.395~403 (2019), 대한이비인후과학회
- Karakas S, "Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography", Ann Saudi Med, 25(1), pp.41~45 (2005)
- Trenouth MJ, "Asymmetry of the human skull during fetal growth", Anat Rec, 211(2), pp.205~212 (1985)
- Vig PS, "Asymmetry of the human facial skeleton", Angle Orthod, 45(2), pp.125~129 (1975)
- Marino MJ, "Variability of paranasal sinus pneumatization in the absence of sinus disease", Ochsner J, 20(2), pp.170~175 (2020)
- Nomura K, "Laterally attached superior turbinate is associated with opacification of the sphenoid sinus", Auris Nasus Larynx, 40(2), pp.194~198 (2013)