Friday 2 June 2017

Onodi cells and Railer cells of ethmoid labyrinth | DNB Based MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August


Onodi cells and Railer cells of ethmoid labyrinth seen in relation to following respectively?

A. Optic nerve & floor of orbit 
B. Optic nerve & Internal carotid artery 
C. Optic nerve and naso lacrimal duct 
D. Orbital floor and nasolacrimal duct


Ans. B. Optic nerve &Internalcarotid artery
Explanation:
1. Ethmoid bone is a pumatic bone and has numerous air cells around the nose.
2. Onodi cells are formed by pneumatization of the most posterosuperior ethmoid air cells over the sphenoid sinus.
3. Onodi cell is the most posterior ethmoidal cell that is present superior & lateral to the sphenoid and is intimately
related to the optic nerveand internal carotid artery.
4. The presence of Onodi cells increases the chance that the optic nerve and/or carotid artery would be exposed in
the pneumatized cell, over the sphenoid sinus.
5. Optic nerve may be seriously damaged in ESS (Endoscopic sinus surgery).
6. Hailer cell is a pneumatized ethmoid cell that projects along the medial roof of the maxillary sinus.
7. Hailer cell represent an extension of anterior ethmoidal air cells extending into the infra-orbital margin (roof of
maxillary sinus).

8. Enlarged Hailer cells may contribute to narrowing of the ethmoidal infundibulum and recurrent sinusitis