Haller hücrelerinin tespitinde KIBT ve panoramik görüntülemenin karşılaştırmalı analizi

Year 2019, Volume: 6 Issue: 4, 447 - 452, 11.11.2019

Hazal Karslıoğlu Ayşe Pınar Sümer

Abstract

Amaç: Bu çalışmanın amacı, KIBT ile daha önce tanımlanan Haller hücrelerinin
belirlenmesinde panoramik radyografinin etkinliğini değerlendirmektir. Ek
olarak, Haller hücrelerinin varlığı ile maksiller sinüsün mukozal kalınlaşması
arasındaki ilişkiyi de değerlendirmeyi amaçladık.

Gereç ve Yöntemler: KIBT taramalarında tespit edilen Haller hücreli 162 hastanın panoramik
radyografilerinde 324 paranazal sinüs analiz edildi. KIBT görüntülerinde
maksiller sinüslerin mukozal kalınlaşma varlığı değerlendirildi. Toplanan verilerin
istatistiksel analizinde Ki-kare testi, Kappa analizi, t testi kullanıldı.

Bulgular: KIBT ile hastaların panoramik radyografisi arasında istatistiksel
olarak anlamlı bir fark bulundu. Haller hücrelerinin varlığı ile maksiller
sinüste görülen mukozal kalınlaşma arasında bir ilişki bulunamadı.

Sonuç: Haller hücrelerinin KIBT taramalarında görünürlüğü panoramik
radyograflarla korele görünmemektedir. Haller hücrelerinin varlığı ile
maksiller sinüste görülen mukozal kalınlaşma arasında ilişki yoktu.

ANAHTAR
KELİMELER

Haller
hücresi, konik ışınlı bilgisayarlı tomografi, mukozal kalınlaşma, panoramik
radyografi

Keywords

Haller hücresi, konik ışınlı bilgisayarlı tomografi, mukozal kalınlaşma, panoramik radyografi

Comparative analysis of CBCT and panoramic imaging in the detection of Haller’s cells

Abstract

Background: The purpose of
this study is to evaluate the efficacy of panoramic radiography for determining
of Haller cells that were defined previously by CBCT images of the same
patients. Additionally, we also aimed to assess the correlation with the
presence of Haller cells and mucosal thickening of maxillary sinus.

Methods: 324 paranasal sinuses on
panoramic radiographs of 162 patients with Haller cells identified on CBCT
scans were analyzed. The presence of mucosal thickening of maxillary sinuses
was evaluated on CBCT images. Pearson Chi-squared test, Kappa analysis, t-test
were used for statistical analysis of collected data.

Results: A statistically significant
difference was found between the CBCT and the panoramic radiography of
patients. There was no correlation between the presence of Haller cells and
mucosal thickening seen in maxillary sinus.

Conclusion: The visibility of
Haller cells on CBCT scans does not appear to be correlated with the panoramic
radiographs. And there was no relationship between the presence of Haller cells
and mucosal thickening seen in maxillary sinus.

KEYWORDS

Cone-beam computed tomography, Haller’s cells, mucosal thickening,
panoramic radiographs

Keywords

Cone-beam computed tomography, Haller’s cells, mucosal thickening, panoramic radiographs

References

• 1. Caversaccio M, Boschung U, Mudry A. Historical review of Haller's cells. Ann Anat 2011; 193:185- 90. 2. 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 Oral Endod 2006; 101:658–661. 3. Yanagisawa E,Marotta JC, Yanagisawa K. Endoscopic view of amucocele in an infraorbital ethmoid cell (Haller cell). Ear Nose Throat J 2001; 80:364–368. 4. Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol 2004; 50:296–302. 5. Braun H, Stammberger H. Pneumatization of turbinates. Laryngoscope 2003; 113:668-672. 6. Bolger W, Butzin C, Parsons D. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991; 101:56–64. 7. Wanamaker, Hayes H. "Role of Haller's cell in headache and sinus disease: a case report. Otolaryngology-Head and Neck Surgery 1996; 114:324-327. 8. Stackpole SA,Edelstein DR. The anatomic relevance of the Haller cell in sinusitis. Am J Rhinol 1997; 11:219-23. 9. Eggesbo HB. Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. Eur Radiol 2006; 16:872-88. 10. Çalışkan A, Sumer AP, Bulut E. Evaluation of anatomical variations of the nasal cavity and ethmoidal complex on cone-beam computed tomography. Oral Radiol 2017; 33:51-59. 11. Kayalioglu G, Oyar O, Govsa F. Nasal cavity and paranasal sinus bony variations: a computed tomographic study. Rhinology 2000; 38:108–13. 12. Kainz J, Braun H, Genser P. Haller’s cells: morphologic evaluation and clinico-surgical relevance. Laryngorhinootologie 1993; 72:599–604. 13. Khojastepour L, Mirhadi S, Mesbahi SA. Anatomical Variations of Ostiomeatal Complex in CBCT of Patients Seeking Rhinoplasty. J Dent Shiraz Univ Med Sci 2015; 16:42-48. 14. Mathew R, Omami G, Hand A, Fellows D., Lurie A. Cone beam CT analysis of Haller cells: prevalence and clinical significance. Dentomaxillofacial Radiology 2013; 42:20130055 15. Pekiner FN, Borahan MO, Dumlu A, Ozbyrak S.Infraorbital ethmoid (Haller) cells: a cone beam Computed tomographic study. Oral Radiol 2014; 30:219-225. 16. Valizadeh, Solmaz, et al. Visibility of infraorbital ethmoid air cell on panoramic radiographs. Shahid Beheshti University Dental Journal 2010; 28:7-11. 17. Khayam, E., Mahabadi, A. M., Ezoddini, F., Golestani, M. A., Hamzeheil, Z., Moeini, M., & Razavi, S. H. The prevalence of ethmoidal infraorbital cells in panoramic radiography. Am J Res Commun 2013; 1:109-8. 18. Raina A, Guledgud MV, Patil K. Infraorbital ethmoid (Haller’s) cells: a panoramic radiographic study. Dentomaxillofacial Radiology 2012; 41:305–308. 19. Solanki J, Gupta S, Patil N, Kulkarni VV, Singh M, Laller S. Prevelance Of Haller’s Cells: A Panoramic Radiographic Study. Journal Of Clinical And Diagnostic Research 2014; 8:1-4. 20. Friedrich RE, Fraederich, M, Schoen G. Frequency and volumetry of infraorbital ethmoid cells (Haller cells) on cone-beam computed tomograms (CBCT) of the mid-face. GMS Interdisciplinary plastic and reconstructive surgery DGPW 2017; 6:1-9. 21. Khojastepour L, Haghnegahdar A, Valipour E. Prevalence of Haller’s Cell by Using Panoramic Radiography. Journal of Mashhad Dental School 2016; 40:27-36. 22. Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital 2012; 32:244-251. 23. Araujo SA, Martins P, Souza AS, Baracat EC, Nanni L. The role of ostiomeatal complex anatomical variants in chronic rhinosinusitis. Radiol Bras 2004; 14:1-9. 24. Lerdlum, S, Vachiranubhap B. Prevalence of anatomic variation demonstrated on screening sinus computed tomography and clinical correlation. Journal of the Medical Association of Thailand 2005; 88:110-115. 25. Capelli M, Gatti P. Radiological Study of Maxillary Sinus using CBCT: Relationship between Mucosal Thickening and Common Anatomic Variants in Chronic Rhinosinusitis. J Clin Diagn Res 2016; 10:7–10.