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The anatomic relevance of the Haller cell in sinusitis

S A Stackpole1, D R Edelstein

  • 1Department of Otolaryngology, Manhattan Eye, Ear, and Throat Hospital, New York, New York 10021, USA.

American Journal of Rhinology
|May 1, 1997
PubMed

Insights

Haller cells, an anatomical variation, are linked to sinusitis. Medium or large Haller cells significantly increase the risk of maxillary sinus mucosal disease, suggesting they are an important factor in sinusitis development.

Area of Science:

  • Otolaryngology
  • Radiology
  • Anatomy

Background:

  • Sinusitis theories often cite ostiomeatal complex obstruction.
  • Haller cells, ethmoid air cells extending into the maxillary sinus, may narrow the infundibulum, contributing to sinusitis.

Purpose of the Study:

  • To evaluate the association between Haller cells and sinusitis.
  • To determine if Haller cell size correlates with sinusitis severity.

Main Methods:

  • Coronal CT scans of 154 patients were reviewed.
  • Haller cells were identified and graded (small, medium, large).
  • Correlation between Haller cell size and radiologic sinusitis evidence (mucosal thickening, opacification) was analyzed.

Main Results:

  • Haller cells were present in 34% of patients.
  • Medium or large Haller cells showed a statistically significant increase in maxillary sinus mucosal disease (45.8%) compared to small Haller cells (28.9%).

Conclusions:

  • Obstructive medium and large Haller cells are a potential etiologic factor in sinusitis.
  • Haller cell size is a relevant consideration in the pathogenesis of sinusitis.

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