CHARACTERISTICS OF HALLER CELLS ON PARANASAL SINUS CT SCANS AT NHAN DAN GIA DINH HOSPITAL
Main Article Content
Abstract
Background: Infraorbital ethmoid cells (Haller cells) are pneumatized anterior ethmoid air cells extending into the orbital floor and the roof of the maxillary sinus, located near the maxillary ostium and ethmoidal infundibulum. Evaluating Haller cells on paranasal sinus CT scans plays an important role in diagnosis, treatment planning, and guiding endoscopic sinus surgery. This study aimed to assess the morphological characteristics of Haller cells on paranasal sinus CT scans. Methods: A cross-sectional descriptive study was conducted on 151 patients who underwent paranasal sinus CT scans from August 2024 to June 2025 at Nhan dan Gia Dinh Hospital. Each case was assessed for the number of Haller cells. Cell shape was classified according to the criteria by Pallavi Kamdi, and cell size was categorized following the classification by Mathew. Results: Haller cells were identified in 47.0% of patients. The most common shape was oval (58.6%), and the majority had medium to large sizes (2mm to > 4mm, accounting for 87.9%). Conclusion: Haller cells are a common anatomical variant with characteristic morphological features. Their evaluation on paranasal sinus CT scans offers practical value in assessing anatomical variations and supports clinical decision-making and appropriate surgical planning.
Article Details
Keywords
Haller cell, anatomical variation, endoscopic sinus surgery.
References
2. Phạm Bắc Trung. Đặc điểm tế bào Haller ở bệnh nhân viêm xoang hàm [Luận văn Thạc sĩ Y học]. TP. Hồ Chí Minh: Trường Đại học Y Dược TP. Hồ Chí Minh; 2018.
3. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991;101(1 Pt 1):56–64.
4. Stackpole SA, Edelstein DR. The anatomic relevance of the Haller cell in sinusitis. American Journal of Rhinology. 1997 May-Jun;11(3):219–223.
5. Kamdi P, Rathi S, Thakur M, et al. Role of CBCT in Haller cells identification and its clinical significance. Journal of Clinical and Diagnostic Research. 2017;11(4):TC10–TC13.
6. Goyal P, Sinha SK, Kumar D. Anatomy and variations of Onodi cells and Haller cells: A HRCT cum clinical analysis in sinonasal disease. Journal of Clinical and Diagnostic Research. 2016; 10(1):TC01–TC03.
7. Mathew R, Omami G, McGuff HS, et al. Evaluation of Haller cell on CBCT and its association with maxillary sinus pathologies. International Journal of Scientific Study. 2022;10(6):1–5.
8. Caversaccio M, Boschung U, Mudry A. Historical review of Haller’s cells. Annals of Anatomy – Anatomischer Anzeiger. 2011;193(3):185–190.