HALLER CELLS IN THE PRACTICE OF AN OTORHINOLARYNGOLOGIST


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Abstract

The Haller cells are infraorbital ethmoidal cells that are located along the inferior wall of the orbit. They are a variant of the normal anatomic structure of the paranasal sinuses. These cells are often incidental findings on CT examination of the nasal cavity and paranasal sinuses. Haller cells may predispose to the development of maxillary sinusitis and may also complicate maxillary sinus surgery. In addition, isolated inflammation of these cells with a mucocele formation is possible. A case of cholesterol granuloma of a Haller cell is also described in the literature. It is worth noting that there is a relationship between the presence of infraorbital ethmoidal cells and the descending course of the infraorbital canal, as well as the presence of dehiscence of the lower orbital wall. It is important to remember that there is a risk of orbital damage when resecting these cells. Rhinosurgeons should be aware of the possible risks involved in the removal of Haller cells and manipulations in this area. Prior to surgery, it is critical to review patients' CT scans to identify features of the paranasal sinus structure and carefully plan the surgery.

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About the authors

Galina Vladimirovna Lavrenova

Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Healthcare of Russian Federation, Saint Petersburg

Email: lavrenovagv@yandex.ru
ORCID iD: 0000-0002-3537-0226
Russian Federation

Kristina Ambartsumovna Oganyan

Author for correspondence.
Email: oganyan_christina@bk.ru

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