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哈勒细胞的患病率:一项全景研究。

Prevalence of Haller's Cells: A Panoramic Study.

作者信息

Chaudhari Rohan Shrinivas, Sagar Kumbhar, Sagar Nagare, Sanjeev Onkar, Abhay Kulkarni, Pratik Parkarwar

机构信息

Department of Oral Medicine and Radiology, Pandit Deendayal Upadhyay Dental College, Solapur, Maharashtra, India.

Department of Public Health Dentistry, Pandit Deendayal Upadhyay Dental College, Solapur, Maharashtra, India.

出版信息

Ann Maxillofac Surg. 2019 Jan-Jun;9(1):72-77. doi: 10.4103/ams.ams_10_19.

DOI:10.4103/ams.ams_10_19
PMID:31293932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6585201/
Abstract

CONTEXT

Haller's cells or infraorbital ethmoid cells refer to the ethmoidal pneumatization of the superior aspect of the maxillary sinus, and floor of the orbit can be seen on panoramic radiographs. They appear as well-defined, round-, oval-, or teardrop-shaped radiolucencies with smooth corticated or noncorticated borders.

AIMS AND OBJECTIVE

To determine the prevalence and scrutinize the characteristics of Haller's cells on panoramic radiographs.

SETTINGS AND DESIGN

The present study is a cross-sectional study carried out in institutional setting.

SUBJECTS AND METHODS

The study group comprised 300 individuals with an age range of 08-80 years selected by convenient sampling method. Three hundred panoramic radiographs were examined for the presence of Haller's cells under ideal viewing conditions by two radiologists.

STATISTICAL ANALYSIS USED

The data collected were tabulated and subjected to statistical analysis using SPSS version 20 for Windows (SPSS Inc., Chicago, IL, USA) to obtain the results. Chi-square test was performed, and significance was set at 0.05 levels.

RESULTS

Haller's cells were identified in 30/300 individuals giving a prevalence of 10% with 18 Haller's cells in males and 12 in females. Among the 30 Haller's cells, 14 were unilateral and 16 were bilateral. Most of the Haller's cells were oval followed by round shape.

CONCLUSION

The overall prevalence of Haller's cells is relatively low and is in harmony with other studies conducted in various geographic populations. Knowledge of Haller's cells while interpreting panoramic radiographs is essential to forewarn surgeons before endonasal procedures, thus preventing any untoward intraoperative complications.

摘要

背景

哈勒氏气房或眶下筛窦气房是指上颌窦上方的筛窦气化,在全景片上可观察到眶底。它们表现为边界清晰的圆形、椭圆形或泪滴状透光区,边界有光滑的骨皮质或无骨皮质。

目的

确定全景片上哈勒氏气房的患病率并仔细研究其特征。

设置与设计

本研究是在机构环境中进行的横断面研究。

对象与方法

研究组由300名年龄在8 - 80岁之间的个体组成,采用方便抽样法选取。由两名放射科医生在理想的观察条件下检查300张全景片,以确定是否存在哈勒氏气房。

所用统计分析方法

收集的数据进行列表,并使用Windows版SPSS 20(美国伊利诺伊州芝加哥市SPSS公司)进行统计分析以获得结果。进行卡方检验,显著性设定为0.05水平。

结果

在300名个体中,有30人发现哈勒氏气房,患病率为10%,其中男性有18个哈勒氏气房,女性有12个。在这30个哈勒氏气房中,14个为单侧,16个为双侧。大多数哈勒氏气房为椭圆形,其次是圆形。

结论

哈勒氏气房的总体患病率相对较低,与在不同地理人群中进行的其他研究结果一致。在解读全景片时了解哈勒氏气房对于在鼻内手术前预先警告外科医生至关重要,从而防止任何术中不良并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/767e2b252cc0/AMS-9-72-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/862bcd8e8534/AMS-9-72-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/9c0c5cb3bbcd/AMS-9-72-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/451d7a393d22/AMS-9-72-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/edacb4e379c6/AMS-9-72-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/767e2b252cc0/AMS-9-72-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/862bcd8e8534/AMS-9-72-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/9c0c5cb3bbcd/AMS-9-72-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/451d7a393d22/AMS-9-72-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/edacb4e379c6/AMS-9-72-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8f6/6585201/767e2b252cc0/AMS-9-72-g005.jpg

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本文引用的文献

1
Prevelance of Haller's Cells: A Panoramic Radiographic Study.哈勒氏细胞的患病率:一项全景X线片研究
J Clin Diagn Res. 2014 Sep;8(9):RC01-4. doi: 10.7860/JCDR/2014/10334.4894. Epub 2014 Sep 20.
2
Cone beam CT analysis of Haller cells: prevalence and clinical significance.Haller 细胞的锥形束 CT 分析:患病率和临床意义。
Dentomaxillofac Radiol. 2013;42(9):20130055. doi: 10.1259/dmfr.20130055. Epub 2013 Aug 23.
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Infraorbital ethmoid (Haller's) cells: a panoramic radiographic study.眶筛(筛骨迷路)气房:全景 X 线研究。
Dentomaxillofac Radiol. 2012 May;41(4):305-8. doi: 10.1259/dmfr/22999207. Epub 2012 Jan 12.
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An assessment of sinonasal anatomic variants potentially associated with recurrent acute rhinosinusitis.评估与复发性急性鼻-鼻窦炎相关的潜在的鼻腔鼻窦解剖变异。
Laryngoscope. 2010 Mar;120(3):631-4. doi: 10.1002/lary.20804.
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Prevalence of infraorbital ethmoid (Haller's) cells on panoramic radiographs.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 May;101(5):658-61. doi: 10.1016/j.tripleo.2005.08.035. Epub 2006 Feb 28.
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Remarkable anatomic variations in paranasal sinus region and their clinical importance.鼻窦区域显著的解剖变异及其临床重要性。
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Pneumatization of turbinates.鼻甲气化
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Endoscopic view of a mucocele in an infraorbital ethmoid cell (Haller cell).眶下筛窦气房(哈勒气房)黏液囊肿的内镜视图。
Ear Nose Throat J. 2001 Jun;80(6):364, 368.
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Orbital edema resulting from Haller's cell pathology: 3 case reports and review of literature.哈勒氏细胞病变导致的眶周水肿:3例报告及文献综述
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Mucocele in an orbitoethmoidal (Haller's) cell (accidentally combined with acute contralateral dacryocystitis).眶筛窦(哈勒氏)气房黏液囊肿(意外合并对侧急性泪囊炎)。
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