Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-26T19:34:59.096Z Has data issue: false hasContentIssue false
  • English
  • Français

Visual loss in patients with sphenoethmoidal cells

Published online by Cambridge University Press:  19 February 2015

J Rimmer ,
T Beale  and
V J Lund
J Rimmer*
Affiliation:
Department of Otolaryngology, Nose and Ear Hospital, London, UK
T Beale
Affiliation:
Department of Radiology, Royal National Throat, Nose and Ear Hospital, London, UK
V J Lund
Affiliation:
Department of Otolaryngology, Nose and Ear Hospital, London, UK Ear Institute, University College London, UK
*
Address for correspondence: Ms Joanne Rimmer, Professorial Unit, Royal National Throat, Nose and Ear Hospital, 330 Gray's Inn Road, London WC1X 8DA, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

A sphenoethmoidal cell is a posterior ethmoid cell that pneumatises superiorly and/or laterally to the sphenoid sinus. Disease within such a cell may cause visual symptoms because of the close relationship of the optic nerve.

Case reports:

This paper reports four cases of chronic rhinosinusitis involving a sphenoethmoidal cell, two with visual loss. The management of such cases is discussed and the current literature is reviewed.

Conclusion:

Pathology within a sphenoethmoidal cell must be considered in cases of optic neuropathy. The presence of these cells may be relevant even in cases of seemingly uncomplicated rhinosinusitis as they are associated with a higher rate of optic nerve protrusion and dehiscence.

Keywords

Sphenoid SinusEthmoid SinusSinusitisMucoceleOptic Neuropathy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 2 , February 2015 , pp. 198 - 201
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Lund, VJ, Stammberger, H, Fokkens, WJ, Beale, T, Bernal-Sprekelsen, M, Eloy, P et al. European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinol Suppl 2014;suppl 24:1–34Google Scholar
2Onodi, A. Relationship between the optic nerve and the sphenoid sinus. The posterior ethmoidal cells particularly. Revue Hebd Laryng d'Otol Rhinol 1903;25:721–40Google Scholar
3Samter, M, Beers, RF Jr. Intolerance to aspirin. Clinical studies and consideration of its pathogenesis. Ann Intern Med 1968;68:975–83Google Scholar
4Badia, L, Lund, VJ, Wei, W, Ho, WK. Ethnic variation in sinonasal anatomy on CT-scanning. Rhinology 2005;43:210–14Google Scholar
5Tomovic, S, Esmaeili, A, Chan, NJ, Choudhry, OJ, Shukla, PA, Liu, JK et al. High-resolution computed tomography analysis of the prevalence of Onodi cells. Laryngoscope 2012;122:1470–3Google Scholar
6Thanaviratananich, S, Chaisiwamongkol, K, Kraitrakul, S, Tangsawad, W. The prevalence of an Onodi cell in adult Thai cadavers. Ear Nose Throat J 2003;82:200–4Google Scholar
7Yeoh, KH, Tan, KK. The optic nerve in the posterior ethmoid in Asians. Acta Otolaryngol 1994;114:329–36Google Scholar
8Jones, NS, Strobl, A, Holland, I. A study of the CT findings in 100 patients with rhinosinusitis and 100 controls. Clin Otolaryngol 1997;22:47–51Google Scholar
9Ozturan, O, Yenigun, A, Degirmenci, N, Aksoy, F, Veyseller, B. Co-existence of the Onodi cell with the variation of perisphenoidal structures. Eur Arch Otorhinolaryngol 2013;270:2057–63Google Scholar
10Tomovic, S, Esmaeili, A, Chan, NJ, Shukla, PA, Choudhry, OJ, Liu, JK et al. High-resolution computed tomography analysis of variations of the sphenoid sinus. J Neurol Surg B Skull Base 2013;74:82–90Google Scholar
11Ogata, Y, Okinaka, Y, Takahashi, M. Optic neuropathy caused by an isolated mucocele in an Onodi cell. ORL J Otorhinolaryngol Relat Spec 1998;60:349–52Google Scholar
12Kitagawa, K, Hayasaka, S, Shimizu, K, Nagaki, Y. Optic neuropathy produced by a compressed mucocele in an Onodi cell. Am J Ophthalmol 2003;135:253–4Google Scholar
13Yoshida, K, Wataya, T, Yamagata, S. Mucocele in an Onodi cell responsible for acute optic neuropathy. Br J Neurosurg 2005;19:55–6Google Scholar
14Fukuda, Y, Chikamatsu, K, Ninomiya, H, Yasuoka, Y, Miyashita, M, Furuya, N. Mucocele in an Onodi cell with simultaneous bilateral visual disturbance. Auris Nasus Larynx 2006;33:199–202Google Scholar
15Yoon, K-C, Park, Y-G, Kim, H-D, Lim, S-C. Optic neuropathy caused by a mucocele in an Onodi cell. Jpn J Ophthalmol 2006;50:296–8Google Scholar
16Wu, W, Sun, MT, Cannon, PS, Jianbo, S, Selva, D. Recovery of visual function in a patient with an Onodi cell mucocele compressive optic neuropathy who had a 5-week interval between onset and surgical intervention: a case report. J Ophthalmol 2010;2010:483056Google Scholar
17Nickerson, JP, Lane, AP, Subramanian, PS, Izbudak, I. Onodi cell mucocele causing acute vision loss. Clin Neuroradiol 2011;21:245–8Google Scholar
18Victores, A, Foroozan, R, Takashima, M. Recurrent Onodi cell mucocele: rare cause of 2 different ophthalmic complications. Otolaryngol Head Neck Surg 2012;146:338–9Google Scholar
19Chee, E, Looi, A. Onodi sinusitis presenting with orbital apex syndrome. Orbit 2009;28:422–4Google Scholar
20Taflan, T, Gungor, I, Cengal Kurnaz, S, Gungor, L. Optic neuropathy secondary to inflammation of sphenoidal sinuses and Onodi cell polyps: a case report. Ocul Immunol Inflamm 2013;21:247–50Google Scholar
21Bizzoni, A, Bolzoni Villaret, A, Lombardi, D, Tomenzoli, D, Danzi, P, Semeraro, F et al. Isolated sphenoid inflammatory diseases associated with visual impairment: 15-year experience at a single institution. Rhinology 2011;49:202–6Google Scholar