Cone Beam CT Analysis of Haller Cells: Prevalence and Clinical Significance

Overview

Journal Dentomaxillofac Radiol

Publisher Oxford University Press

Date 2013 Aug 27

PMID 23975112

Citations 26

Authors

R Mathew

G Omami

A Hand

D Fellows

A Lurie

Affiliations

Soon will be listed here.

Abstract

Objectives: Haller cells are anterior ethmoid air cells located in the medial orbital floor immediately lateral to the maxillary infundibulum. The purpose of this study was to demonstrate the prevalence and relationship between the existence and size of these cells with ipsilateral maxillary sinusitis and orbital floor dehiscence as visualized on cone beam CT (CBCT) images.

Methods: CBCT image volumes of 50 patients were retrieved and analysed. All CBCT images were acquired with a 9-inch field of view scan. χ(2) and Cochran-Mantel-Haenszel tests were used for statistical analysis of the obtained data, and p-values of <0.05 were considered to be statistically significant.

Results: There was no statistically significant association between the existence and size of Haller cells and maxillary sinusitis. There was a significant association between Haller cells and orbital floor dehiscence.

Conclusions: The explanation of maxillary sinusitis on the basis of mechanical obstruction is unlikely. This study provides evidence for the usefulness of CBCT scan in delineation of the sinonasal anatomy.

Citing Articles

Relationships Between Radiomorphometric Parameters of the Maxillary Sinus and Development of Sinusitis: A Cone Beam Computed Tomography Study.

Anbiaee N, Shooshtari Z, Ghavam H, Shahri A Indian J Otolaryngol Head Neck Surg. 2024; 76(5):4373-4380.

PMID: 39376393 PMC: 11455745. DOI: 10.1007/s12070-024-04865-8.

Retrospective Study on the Prevalence of Haller Cells Using Cone Beam Computed Tomography.

Nandita Devi A, Malligere Basavaraju S, Ningombam Singh D, Chungkham S, Ashem A, Yumnam R Cureus. 2024; 16(8):e67200.

PMID: 39295674 PMC: 11409941. DOI: 10.7759/cureus.67200.

Unravelling the Complex Relationship Between Frontal Sinus Pneumatization and Paranasal Sinus Anatomical Variants: Insights from CT Imaging.

Jain K, Prakash A, Kumar J, Pradhan G Indian J Otolaryngol Head Neck Surg. 2024; 76(1):827-841.

PMID: 38440656 PMC: 10909050. DOI: 10.1007/s12070-023-04287-y.

The Associations between the Maxillary Sinus Volume, Infraorbital Ethmoid Cells, and the Infraorbital Canal: A CT-Based Study.

Kedar E, Koren I, Medlej B, Hershkovitz I Diagnostics (Basel). 2023; 13(23).

PMID: 38066834 PMC: 10705937. DOI: 10.3390/diagnostics13233593.

Cone Beam CT Analysis of Haller Cells: Prevalence and Relationship with Orbital Floor Dehiscence.

Moshfeghi M, Dehini H, Ahsaie M Int J Dent. 2023; 2023:5200152.

PMID: 36760838 PMC: 9904925. DOI: 10.1155/2023/5200152.

References

Sebrechts H, Vlaminck S, Casselman J . Orbital edema resulting from Haller's cell pathology: 3 case reports and review of literature. Acta Otorhinolaryngol Belg. 2000; 54(1):39-43. View

Jackman A, Palmer J, Chiu A, Kennedy D . Use of intraoperative CT scanning in endoscopic sinus surgery: a preliminary report. Am J Rhinol. 2008; 22(2):170-4. DOI: 10.2500/ajr.2008.22.3153. View

Rafferty M, Siewerdsen J, Chan Y, Moseley D, Daly M, Jaffray D . Investigation of C-arm cone-beam CT-guided surgery of the frontal recess. Laryngoscope. 2005; 115(12):2138-43. DOI: 10.1097/01.mlg.0000180759.52082.45. View

Kainz J, Braun H, Genser P . [Haller's cells: morphologic evaluation and clinico-surgical relevance]. Laryngorhinootologie. 1993; 72(12):599-604. DOI: 10.1055/s-2007-997962. View

Kantarci M, Karasen R, Alper F, Onbas O, Okur A, Karaman A . Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol. 2004; 50(3):296-302. DOI: 10.1016/j.ejrad.2003.08.012. View

Stammberger H, Wolf G . Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl. 1988; 134:3-23. DOI: 10.1177/00034894880970s501. View

Miracle A, Mukherji S . Conebeam CT of the head and neck, part 2: clinical applications. AJNR Am J Neuroradiol. 2009; 30(7):1285-92. PMC: 7051564. DOI: 10.3174/ajnr.A1654. View

Milczuk H, Dalley R, Wessbacher F, Richardson M . Nasal and paranasal sinus anomalies in children with chronic sinusitis. Laryngoscope. 1993; 103(3):247-52. DOI: 10.1288/00005537-199303000-00002. View

Lerdlum S, Vachiranubhap B . Prevalence of anatomic variation demonstrated on screening sinus computed tomography and clinical correlation. J Med Assoc Thai. 2006; 88 Suppl 4:S110-5. View

10.

Kim H, Cho M, Lee J, Kim Y, Kahng H, Kim H . The relationship between anatomic variations of paranasal sinuses and chronic sinusitis in children. Acta Otolaryngol. 2006; 126(10):1067-72. DOI: 10.1080/00016480600606681. View

11.

Bolger W, Butzin C, PARSONS D . Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991; 101(1 Pt 1):56-64. DOI: 10.1288/00005537-199101000-00010. View

12.

Sivasli E, Sirikci A, Bayazyt Y, Gumusburun E, Erbagci H, Bayram M . Anatomic variations of the paranasal sinus area in pediatric patients with chronic sinusitis. Surg Radiol Anat. 2003; 24(6):400-5. DOI: 10.1007/s00276-002-0074-x. View

13.

Stackpole S, Edelstein D . The anatomic relevance of the Haller cell in sinusitis. Am J Rhinol. 1997; 11(3):219-23. DOI: 10.2500/105065897781751910. View

14.

Earwaker J . Anatomic variants in sinonasal CT. Radiographics. 1993; 13(2):381-415. DOI: 10.1148/radiographics.13.2.8460226. View

15.

Batra P, Kanowitz S, Citardi M . Clinical utility of intraoperative volume computed tomography scanner for endoscopic sinonasal and skull base procedures. Am J Rhinol. 2008; 22(5):511-5. DOI: 10.2500/ajr.2008.22.3216. View

16.

Sabate J, Carmona A, JIMENEZ-CASTELLANOS J . Anatomical variations in the human paranasal sinus region studied by CT. J Anat. 2000; 197 ( Pt 2):221-7. PMC: 1468121. DOI: 10.1046/j.1469-7580.2000.19720221.x. View

17.

Rysz M, Bakon L . Maxillary sinus anatomy variation and nasal cavity width: structural computed tomography imaging. Folia Morphol (Warsz). 2009; 68(4):260-4. View