BibTex RIS Kaynak Göster

Does Onodi cell limit the exposure of sella during transsphenoidal pituitary surgery?

Yıl 2015, Cilt: 25 Sayı: 2, 82 - 86, 20.05.2015

Öz

Objectives: This study aims to evaluate the association between the presence of Onodi cell and sella exposure during endonasal endoscopic transsphenoidal pituitary surgery EETPS . Patients and Methods: Forty-two patients who underwent EETPS for a pituitary adenoma with the collaboration of Neurosurgery and Otorhinolaryngology Departments at Katip Çelebi University Atatürk Training and Research Hospital between February 2011 and March 2014 were retrospectively analyzed. Preoperative paranasal sinus tomography and intraoperative findings were evaluated for the presence of Onodi cells. The location of the Onodi cell and its relation with sella exposure during surgery were also assessed. Results: The incidence of Onodi cell was 19%. The Onodi cells were observed in eight of 42 patients on preoperative paranasal sinus computed tomography. The Onodi cells were unilateral in five patients and bilateral in three. Intraoperative findings were correlated with tomographic findings. In seven patients, Onodi cells limited the exposure of sellar floor and the inferior-medial wall of these cells were removed and connected with the sphenoid sinus and the entire sellar floor was exposed. In the remaining one patient, the Onodi cell was smaller and located superolaterally. This cell was not removed, as it did not limited the sellar exposure. Conclusion: The Onodi cell may limit the sella exposure during transsphenoidal surgery. Onodi cell should be removed and connected with the sphenoid sinus cavity for the entire sellar floor exposure.

Kaynakça

  • Yanagisawa E, Weaver EM, Ashikawa R. The Onodi (sphenoethmoid) Cell. Ear Nose Throat J 1998;77:578-80.
  • Onodi A. The Optic Nerve and the Accessory Sinuses of the Nose. New York: William Wood & Co; 1910.
  • Unal B, Bademci G, Bilgili YK, Batay F, Avci E. Risky anatomic variations of sphenoid sinus for surgery. Surg Radiol Anat 2006;28:195-201.
  • Shin JH, Kim SW, Hong YK, Jeun SS, Kang SG, Kim SW, et al. The Onodi cell: an obstacle to sellar lesions with a transsphenoidal approach. Otolaryngol Head Neck Surg 2011;145:1040-2.
  • 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;271:2219-25.
  • Tabaee A, Anand VK, Barrón Y, Hiltzik DH, Brown SM, Kacker A, et al. Endoscopic pituitary surgery: a systematic review and meta-analysis. J Neurosurg 2009;111:545-54.
  • Cho JH, Kim JK, Lee JG, Yoon JH. Sphenoid sinus pneumatization and its relation to bulging of surrounding neurovascular structures. Ann Otol Rhinol Laryngol 2010;119:646-50.
  • Wu HB, Zhu L, Yuan HS, Hou C. Surgical measurement to sphenoid sinus for the Chinese in Asia based on CT using sagittal reconstruction images. Eur Arch Otorhinolaryngol 2011;268:241-6.
  • Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol 2004;50:296-302.
  • Yoshida K, Wataya T, Yamagata S. Mucocele in an Onodi cell responsible for acute optic neuropathy. Br J Neurosurg 2005;19:55-6.
  • Ozturan 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;270:2057-63.
  • 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;12:105-11.
  • Pérez-Piñas, Sabaté J, Carmona A, Catalina-Herrera CJ, Jiménez-Castellanos J. Anatomical variations in the human paranasal sinus region studied by CT. J Anat 2000;197:221-7.
  • Thanaviratananich S, Chaisiwamongkol K, Kraitrakul S, Tangsawad W. The prevalence of an Onodi cell in adult Thai cadavers. Ear Nose Throat J 2003;82:200-4.
  • Tomovic 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;122:1470-3.

Onodi hücresi transsfenoidal hipofiz cerrahisinde sella ekspojurunu kısıtlar mı?

Yıl 2015, Cilt: 25 Sayı: 2, 82 - 86, 20.05.2015

Öz

Amaç: Bu çalışmada, endonazal endoskopik transsfenoidal hipofiz cerrahisinde EETHC Onodi hücresi varlığının sella ekspojuru ile olan ilişkisi araştırıldı.Hastalar ve Yöntemler: Katip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi’nde Şubat 2011 ve Mart 2014 tarihleri arasında Nöroşirürji ve Kulak Burun Boğaz kliniklerinde hipofiz adenomu nedeniyle ortaklaşa EETHC ile ameliyat edilen 42 hasta retrospektif olarak incelendi. Ameliyat öncesi paranazal sinüs tomografileri ve ameliyat sırası bulguları, Onodi hücresi varlığı yönünden değerlendirildi. Ameliyat esnasında Onodi hücresinin yerleşim yeri ve sella ekspojuru ilişkisi değerlendirildi.Bulgular: Onodi hücre insidansı %19.0 olarak saptandı. Ameliyat öncesi paranazal sinüs bilgisayarlı tomografisinde; 42 hastanın sekizinde Onodi hücresi gözlendi. Onodi hücresi beş hastada tek taraflı, üç hastada iki taraflı idi. Ameliyat sırası bulgular tomografi bulguları ile ilişkili idi. Yedi hastada Onodi hücresi sella ekspojurunu kısıtladığı için Onodi hücresi inferior-medial duvardan açılarak sfenoid sinüs boşluğu ile birleştirildi ve tam sella ekspojuru sağlandı. Kalan bir hastada ise Onodi hücresi tek taraflı ve superolateral yerleşimli küçük bir hücre idi. Bu hücre sella ekspojurunu kısıtlamadığı için çıkarılmadı.Sonuç: Onodi hücresi transsfenoidal cerrahide sella ekspojurunu kısıtlayabilmektedir. Geniş bir sella ekspojurunun sağlanabilmesi için Onodi hücresinin uzaklaştırılıp sfenoid sinüs boşluğu ile birleştirilmesi gereklidir

Kaynakça

  • Yanagisawa E, Weaver EM, Ashikawa R. The Onodi (sphenoethmoid) Cell. Ear Nose Throat J 1998;77:578-80.
  • Onodi A. The Optic Nerve and the Accessory Sinuses of the Nose. New York: William Wood & Co; 1910.
  • Unal B, Bademci G, Bilgili YK, Batay F, Avci E. Risky anatomic variations of sphenoid sinus for surgery. Surg Radiol Anat 2006;28:195-201.
  • Shin JH, Kim SW, Hong YK, Jeun SS, Kang SG, Kim SW, et al. The Onodi cell: an obstacle to sellar lesions with a transsphenoidal approach. Otolaryngol Head Neck Surg 2011;145:1040-2.
  • 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;271:2219-25.
  • Tabaee A, Anand VK, Barrón Y, Hiltzik DH, Brown SM, Kacker A, et al. Endoscopic pituitary surgery: a systematic review and meta-analysis. J Neurosurg 2009;111:545-54.
  • Cho JH, Kim JK, Lee JG, Yoon JH. Sphenoid sinus pneumatization and its relation to bulging of surrounding neurovascular structures. Ann Otol Rhinol Laryngol 2010;119:646-50.
  • Wu HB, Zhu L, Yuan HS, Hou C. Surgical measurement to sphenoid sinus for the Chinese in Asia based on CT using sagittal reconstruction images. Eur Arch Otorhinolaryngol 2011;268:241-6.
  • Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol 2004;50:296-302.
  • Yoshida K, Wataya T, Yamagata S. Mucocele in an Onodi cell responsible for acute optic neuropathy. Br J Neurosurg 2005;19:55-6.
  • Ozturan 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;270:2057-63.
  • 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;12:105-11.
  • Pérez-Piñas, Sabaté J, Carmona A, Catalina-Herrera CJ, Jiménez-Castellanos J. Anatomical variations in the human paranasal sinus region studied by CT. J Anat 2000;197:221-7.
  • Thanaviratananich S, Chaisiwamongkol K, Kraitrakul S, Tangsawad W. The prevalence of an Onodi cell in adult Thai cadavers. Ear Nose Throat J 2003;82:200-4.
  • Tomovic 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;122:1470-3.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makalesi
Yazarlar

Abdülkadir İmre Bu kişi benim

Ercan Pınar Bu kişi benim

Nurullah Yüceer Bu kişi benim

Murat Songu Bu kişi benim

Yüksel Olgun Bu kişi benim

İbrahim Aladağ Bu kişi benim

Yayımlanma Tarihi 20 Mayıs 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 25 Sayı: 2

Kaynak Göster

APA İmre, A., Pınar, E., Yüceer, N., Songu, M., vd. (2015). Onodi hücresi transsfenoidal hipofiz cerrahisinde sella ekspojurunu kısıtlar mı?. The Turkish Journal of Ear Nose and Throat, 25(2), 82-86.
AMA İmre A, Pınar E, Yüceer N, Songu M, Olgun Y, Aladağ İ. Onodi hücresi transsfenoidal hipofiz cerrahisinde sella ekspojurunu kısıtlar mı?. Tr-ENT. Mayıs 2015;25(2):82-86.
Chicago İmre, Abdülkadir, Ercan Pınar, Nurullah Yüceer, Murat Songu, Yüksel Olgun, ve İbrahim Aladağ. “Onodi hücresi Transsfenoidal Hipofiz Cerrahisinde Sella Ekspojurunu kısıtlar mı?”. The Turkish Journal of Ear Nose and Throat 25, sy. 2 (Mayıs 2015): 82-86.
EndNote İmre A, Pınar E, Yüceer N, Songu M, Olgun Y, Aladağ İ (01 Mayıs 2015) Onodi hücresi transsfenoidal hipofiz cerrahisinde sella ekspojurunu kısıtlar mı?. The Turkish Journal of Ear Nose and Throat 25 2 82–86.
IEEE A. İmre, E. Pınar, N. Yüceer, M. Songu, Y. Olgun, ve İ. Aladağ, “Onodi hücresi transsfenoidal hipofiz cerrahisinde sella ekspojurunu kısıtlar mı?”, Tr-ENT, c. 25, sy. 2, ss. 82–86, 2015.
ISNAD İmre, Abdülkadir vd. “Onodi hücresi Transsfenoidal Hipofiz Cerrahisinde Sella Ekspojurunu kısıtlar mı?”. The Turkish Journal of Ear Nose and Throat 25/2 (Mayıs 2015), 82-86.
JAMA İmre A, Pınar E, Yüceer N, Songu M, Olgun Y, Aladağ İ. Onodi hücresi transsfenoidal hipofiz cerrahisinde sella ekspojurunu kısıtlar mı?. Tr-ENT. 2015;25:82–86.
MLA İmre, Abdülkadir vd. “Onodi hücresi Transsfenoidal Hipofiz Cerrahisinde Sella Ekspojurunu kısıtlar mı?”. The Turkish Journal of Ear Nose and Throat, c. 25, sy. 2, 2015, ss. 82-86.
Vancouver İmre A, Pınar E, Yüceer N, Songu M, Olgun Y, Aladağ İ. Onodi hücresi transsfenoidal hipofiz cerrahisinde sella ekspojurunu kısıtlar mı?. Tr-ENT. 2015;25(2):82-6.