Cone beam CT analysis of Haller cells: prevalence and clinical significance

Mathew, Reji; Omami, G.M.; Hand, Arthur R.; Fellows, Douglas; Lurie, Alan G.

doi:10.1259/dmfr.20130055

Cited by 57 publications

(96 citation statements)

References 17 publications

(16 reference statements)

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“…Haller cells are often cited as an incidental finding, without detailed investigation into their potential role in the development of sinus pathologies 8. The possible obstructive role of Haller cells in sinus drainage and their role in sinusitis, which may result in the development of AMO, has prompted investigations to assess possible associations between these anatomical variants 91011.…”

Section: Introductionmentioning

confidence: 99%

Cone-beam computed tomography analysis of accessory maxillary ostium and Haller cells: Prevalence and clinical significance

Ali¹,

Sansare²,

Karjodkar³

et al. 2017

Imaging Sci Dent

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PurposeThis study aimed to evaluate the prevalence of Haller cells and accessory maxillary ostium (AMO) in cone-beam computed tomography (CBCT) images, and to analyze the relationships among Haller cells, AMO, and maxillary sinusitis.Materials and MethodsVolumetric CBCT scans from 201 patients were retrieved from our institution's Digital Imaging and Communications in Medicine archive folder. Two observers evaluated the presence of Haller cells, AMO, and maxillary sinusitis in the CBCT scans.ResultsAMO was observed in 114 patients, of whom 27 (23.7%) had AMO exclusively on the right side, 26 (22.8%) only on the left side, and 61 (53.5%) bilaterally. Haller cells were identified in 73 (36.3%) patients. In 24 (32.9%) they were present exclusively on the right side, in 17 (23.3%) they were only present on the left side, and in 32 (43.8%) they were located bilaterally. Of the 73 (36.3%) patients with Haller cells, maxillary sinusitis was also present in 50 (68.5%). On using chi-square test, a significant association was observed between AMO and maxillary sinusitis in the presence of Haller cells.ConclusionOur results showed AMO and Haller cells to be associated with maxillary sinusitis. This study provides evidence for the usefulness of CBCT in imaging the bony anatomy of the sinonasal complex with significantly higher precision and a smaller radiation dose.

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Section: Introductionmentioning

confidence: 99%

Cone-beam computed tomography analysis of accessory maxillary ostium and Haller cells: Prevalence and clinical significance

Ali¹,

Sansare²,

Karjodkar³

et al. 2017

Imaging Sci Dent

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“…In the study any relation between Haller cell and sinusitis is not detected, on the contrary Haller cell is rarer in patients with sinusitis. A statistical relation between Haller cell existence and maxillary sinusitis is not detected by cone beam CT imaging in Mathew et al [13]. Also, the relation is not detected in some other studies [9,15,19,20].…”

Section: Discussionmentioning

confidence: 88%

Are Variations of Paranasal Sinuses and Infundibular Trace Length Responsible for Development of Maxillary Sinusitis?

Paşaoğlu¹,

Toprak²,

Üstüner³

et al. 2017

OMICS J Radiol

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“…Haller cells are ethmoid air cells displaced into the orbit floor, which play a well stated role in the pathogeny of rhinosinusitis [11][12][13][14][15] . However, the theory of mechanical obstruction by Haller cells is disputed 16 . Although it is well established that Haller cells impede the maxillary sinus drainage, less attention was paid to the supero-medial extensions of the maxillary sinus we found here (types II and III).…”

Section: Discussionmentioning

confidence: 99%

Anatomic patterns of maxillary sinus drainage

Derjac-Arama

Mihai

Săndulescu

et al. 2015

Romanian Journal of Rhinology

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Background. Functional endoscopic sinus surgery may be indicated when certain anatomic variations impede the normal drainage of the paranasal sinuses through the ostiomeatal complex. We aimed at studying the drainage system of the maxillary sinus which consists of the maxillary infundibulum, the main ostium of the maxillary sinus, the ethmoidal infundibulum and the hiatus semilunaris inferior.Material and methods. The study was performed retrospectively on cone beam computed tomography (CBCT) scans of 60 subjects (N=120 maxillary sinuses). The anatomical pattern of the maxillary sinus drainage was studied on coronal scans.Results. As related to different morphological possibilities in the supero-lateral limit of the maxillary sinus drainage system, five different patterns were defined: in type I (55%) there was no pneumatization in that situs, in type II (18%) there was an infraorbital recess of the maxillary sinus placed above the sinus ostium, in type III (14%) an ethmoidal recess of the maxillary sinus was expanded within the ethmoid bone, above the ethmoidal infundibulum, in type IV (3%) there were Haller cells above the sinus ostium, while in type V (10%) there were non-infraorbital ethmoid air cells above and draining into the ethmoidal infundibulum.Conclusion. It appears that CBCT is a reliable tool to make an anatomical distinction of the variable pattern of pneumatization impeding a normal drainage of the maxillary sinus, between maxillary sinus- and ethmoid-derived air-filled spaces.

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Cone beam CT analysis of Haller cells: prevalence and clinical significance

Cited by 57 publications

References 17 publications

Cone-beam computed tomography analysis of accessory maxillary ostium and Haller cells: Prevalence and clinical significance

Cone-beam computed tomography analysis of accessory maxillary ostium and Haller cells: Prevalence and clinical significance

Are Variations of Paranasal Sinuses and Infundibular Trace Length Responsible for Development of Maxillary Sinusitis?

Anatomic patterns of maxillary sinus drainage

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