CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(03): e319-e322
DOI: 10.1055/s-0039-1698779
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Imaging Analysis of Onodi Cells on Cone-Beam Computed Tomography

1   Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
Kaustubh Sansare
1   Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
Freny Karjodkar
1   Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
Mohd Saalim
1   Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
› Author Affiliations
Further Information

Publication History

16 April 2018

08 September 2019

Publication Date:
13 December 2019 (online)


Introduction Onodi cells are the most posterior ethmoid air cells, and extend superolaterally to the sphenoid sinus. The identification of Onodi cells is essential to because they can have some significant anatomic variations and relationships to vital adjacent structures, like the optic canal, the sphenoid sinus, and the internal carotid artery.

Objective The present study aimed to assess the prevalence of Onodi cells and their position with respect to sphenoid sinus. To the authors' best knowledge, this is the first study that uses cone-beam computed tomography (CBCT) to assess the prevalence and position of Onodi cells.

Methods We collected CBCT scan records from November 1st, 2016, to July 31st, 2017; the patients who fulfilled the eligibility criteria were included in the present study. The CBCT scans were reviewed by two independent observers. The descriptive statistics was performed using the Statistical Package for the Social Sciences (SPSS, SPSS, Inc., Chicago IL, US) software, version 17.0. A cross-tabulation of gender with the presence and position of Onodi cells was evaluated using the Chi-squared (χ2) test. The inter- and intraobserver agreements were evaluated using Kappa (κ) statistics.

Results Onodi cells were identified in 86 (42.8%) out of 201 patients. A subgroup analysis revealed that Onodi cells were present in 45 (43.3%) female and 41 (42.3%) male patients. The position of the Onodi cells was superior with respect to the sphenoid sinus in 43 (50%) of the patients, superolateral in 36 (41.9%), and lateral to the sphenoid sinus in 7 (8.1%) of the patients.

Conclusion The present study indicated a high prevalence of Onodi cells, with approximately equal distribution among males and females, and mostly superior in position in relation to the sphenoid sinus.

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