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Infraorbital ethmoid (Haller) cells: a cone-beam computed tomographic study

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Abstract

Objective

Infraorbital ethmoid (Haller) cells are extensions of the anterior ethmoid sinus into the floor of the orbit and superior aspect of the maxillary sinus. The aim of this retrospective study was to evaluate the frequency, volume, and surface area of infraorbital ethmoid cells on cone-beam computed tomography (CBCT).

Methods

In this retrospective study, 150 CBCT evaluations were determined for infraorbital ethmoid cells. One CBCT examination was carried out for each of the patients and interpreted for the presence of infraorbital ethmoid cells. Volumetric measurements were performed using CBCT scans. All of the CBCT scans were assessed and analyzed using MIMICS 14.0 software.

Results

In the 150 CBCT evaluations, 65 (43.3 %) were noted as having infraorbital ethmoid cells. In these patients, 47 (31.3 %) were unilateral and 18 (12 %) bilateral. The majority of the cells were round in shape. The frequency of unilocular infraorbital ethmoid cells occurring unilaterally was highly significant. There were no significant differences in the volume and surface area of right and left infraorbital ethmoid cells between males and females.

Conclusions

Infraorbital ethmoid cells were well demonstrated and the volume and surface area of infraorbital ethmoid cell could be measured on CBCT scans. These cells may provide useful differential diagnoses for patients suffering from orofacial pain of sinus origin.

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References

  1. de Oliveria AG, dos Santos Silveira O, Francio LA, de Andrade Marigo Grandinetti H, Manzi FR. Anatomic variations of paranasal sinuses-clinical case report. Surg Radiol Anat. 2013;35:535–8.

    Article  Google Scholar 

  2. Scuderi AJ, Harnsberger HR, Boyer RS. Pneumatization of paranasal sinuses. AJR Am J Roentgenol. 1993;160:1101–4.

    Article  PubMed  Google Scholar 

  3. Raina A, Guledgud MV, Patil K. Infraorbital ethmoid (Haller’s) cells: a panoramic radiographic study. Dentomaxillofac Radiol. 2012;41:305–8.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Basic N, Basic V, Jukic T, Basic M, Jelic M, Hat J. Computed tomographic imaging to determine the frequency of anatomical variations in pneumatization of the ethmoid bone. Eur Arch Otorhinolaryngol. 1999;256:69–71.

    Article  PubMed  Google Scholar 

  5. Kainz J, Braun H, Genser P. Haller’s cells: morphologic evaluation and clinico-surgical relevance. Laryngorhinootol. 1993;72:599–604 (in German).

    Article  Google Scholar 

  6. Ahmad M, Khurana N, Jaberi J, Sampair C, Kuba RK. Prevalence of infraorbital ethmoid (Haller’s) cells on panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:658–61.

    Article  PubMed  Google Scholar 

  7. Sivaslı E, Sirikçi A, Bayazıt YA, Gümüşburun E, Erbağcı H, Bayram M, et al. Anatomic variations of the paranasal sinus area in pediatric patients with chronic sinusitis. Surg Radiol Anat. 2003;24:400–5.

    PubMed  Google Scholar 

  8. Tonai A, Baba S. Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol Suppl. 1996;525:9–13.

    PubMed  Google Scholar 

  9. Luxenberger W, Anderhuber W, Stammberger H. Mucocele in an orbitoethmoidal (Haller’s) cell (accidentally combined with acute contralateral dacryocystitis). Rhinology. 1999;37:37–9.

    PubMed  Google Scholar 

  10. Kennedy DW, Zinreich SJ. The functional endoscopic approach to inflammatory sinus disease: current perspectives and technique modifications. Am J Rhinol. 1988;2:89–96.

    Article  Google Scholar 

  11. Stammberger HR, Posawetz W. Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Arch Otorhinolaryngol. 1990;247:63–6.

    Google Scholar 

  12. Omami G. Palatine recess of maxillary sinus masquerading as radiolucent lesion: case report. Libyan Dent J. 2013;3:14815171.

    Google Scholar 

  13. Stackpole SA, Edelstein DR. The anatomic relevance of the Haller cell in sinusitis. Am J Rhinol. 1997;11:219–23.

    Article  PubMed  Google Scholar 

  14. Schulz B, Potente S, Zangos S, Friedrichs I, Bauer RW, Kerl M, et al. Ultra-low dose dual-source high-pitch computed tomography of the paranasal sinus: diagnostic sensitivity and radiation dose. Acta Radiol. 2012;53:435–40.

    Article  PubMed  Google Scholar 

  15. Hagtvedt T, Aaløkken TM, Nøtthellen J, Kolbenstvedt A. A new low-dose CT examination compared with standard-dose CT in the diagnosis of acute sinusitis. Eur Radiol. 2003;13:976–80.

    PubMed  Google Scholar 

  16. Roberts JA, Drage NA, Davies J, Thomas DW. Effective dose from cone beam CT examinations in dentistry. Br J Radiol. 2009;82:35–40.

    Article  PubMed  Google Scholar 

  17. Zoumalan RA, Lebowitz RA, Wang E, Yung K, Babb JS, Jacobs JB. Flat panel cone beam computed tomography of the sinuses. Otolaryngol Head Neck Surg. 2009;140:841–4.

    Article  PubMed  Google Scholar 

  18. Batra PS, Kanowitz SJ, Citardi MJ. Clinical utility of intraoperative volume computed tomography scanner for endoscopic sinonasal and skull base procedures. Am J Rhinol. 2008;22:511–5.

    Article  PubMed  Google Scholar 

  19. Schulze D, Heiland M, Thurmann H, Adam G. Radiation exposure during midfacial imaging using 4- and 16-slice computed tomography, cone beam computed tomography systems and conventional radiography. Dentomaxillofac Radiol. 2004;33:83–6.

    Article  PubMed  Google Scholar 

  20. Mathew R, Omami G, Hand A, Fellows D, Lurie A. Cone beam CT analysis of Haller cells: prevalence and clinical significance. Dentomaxillofac Radiol. 2013;42:20130055.

    Article  PubMed  Google Scholar 

  21. Wanamaker HH. Role of Haller’s cell in headache and sinus disease: a case report. Otolaryngol Head Neck Surg. 1996;114:324–7.

    Article  PubMed  Google Scholar 

  22. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991;101:56–64.

    PubMed  Google Scholar 

  23. Kayalıoğlu G, Oyar O, Govsa F. Nasal cavity and paranasal sinus bony variations: a computed tomographic study. Rhinology. 2000;38:108–13.

    PubMed  Google Scholar 

  24. Kantarcı M, Karasen RM, Alper F, Onbaş O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol. 2004;50:296–302.

    Article  PubMed  Google Scholar 

  25. Milczuk HA, Dalley RW, Wessbacher FW, Richardson MA. Nasal and paranasal sinus anomalies in children with chronic sinusitis. Laryngoscope. 1993;103:247–52.

    PubMed  Google Scholar 

  26. Panou E, Motro M, Ateş M, Acar A, Erverdi N. Dimensional changes of maxillary sinuses and pharyngeal airway in Class III patients undergoing bimaxillary orthognathic surgery. Angle Orthod. 2013;83:824–31.

    Article  PubMed  Google Scholar 

  27. Darsey MD, English JD, Kau CH, Ellis RK, Akyalçın S. Does hyrax expansion therapy affect maxillary sinus volume? A cone-beam computed tomography report. Imaging Sci Dent. 2012;42:83–8.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Garrett BJ, Caruso JM, Rungcharassaeng K, Farrage JR, Kim JS, Taylor GD. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2008;134:8–9.

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was presented at the 19th European Congress of Dentomaxillofacial Radiology held from 22–27 June 2013 in Bergen, Norway. It was supported by the Marmara University Scientific Research Project Council (Project no: SAG-D-100413-0121).

Conflict of interest

Filiz Namdar Pekiner, M. Oğuz Borahan, Asım Dumlu, and Semih Özbayrak declare that they have no conflict of interest.

Human rights statements and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Marmara University, Guzelbahce Buyukciftlik Sok. No: 6, Nisantasi, 34365, Istanbul, Turkey

    Filiz Namdar Pekiner, M. Oğuz Borahan, Asım Dumlu & Semih Özbayrak

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  1. Filiz Namdar Pekiner
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  2. M. Oğuz Borahan
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  3. Asım Dumlu
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Correspondence to Filiz Namdar Pekiner.

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Pekiner, F.N., Borahan, M.O., Dumlu, A. et al. Infraorbital ethmoid (Haller) cells: a cone-beam computed tomographic study. Oral Radiol 30, 219–225 (2014). https://doi.org/10.1007/s11282-014-0167-3

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  • DOI: https://doi.org/10.1007/s11282-014-0167-3

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