Journal of Isfahan Medical School

Journal of Isfahan Medical School

Evaluation of the presence and size of Haller cells and the thickness of the maxillary sinus Schneiderian membrane using CBCT.

Document Type : Original Article(s)

Authors
Mohammadreza Shokuhifar 1
Hosein Hajidavaloo 2
Mahshid Razavi 1
Mahsa Hashemi 3
Ariobarzan Mohammadi 4
1 Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Dentist, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, I
3 Oral and Maxillofacial Radiology Resident, Department of Oral and Maxillofacial Radiology, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4 Periodontolgy Resident, Department of Oral and Maxillofacial Radiology, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
10.48305/jims.v44.i866.0992
Abstract
Background: Haller cells, as an anatomical variation of the paranasal sinuses, may play a role in the development or exacerbation of maxillary sinus pathologies. The aim of this study was to investigate the relationship between the presence and size of Haller cells and the thickness of the Schneiderian membrane in the maxillary sinus using CBCT images.
Methods: In this retrospective study, CBCT images of 203 patients (136 women and 67 men) were examined at the Department of Maxillofacial Radiology, Ahvaz Jundishapur University of Medical Sciences. The presence or absence of Haller cells, their size (small, medium, and large), and the thickness of the Schneiderian membrane were evaluated across various imaging sections. Data were analyzed using appropriate statistical tests.
Findings: Haller cells were observed in 69 patients (34%).Results: Haller cells were observed in 69 patients (34%), predominantly unilaterally. The results indicated a significant association between the presence of Haller cells and increased Schneiderian membrane thickness (P=0.042). Furthermore, medium-sized (P=0.015) and large (P=0.005) Haller cells were associated with a significant increase in sinus membrane thickness, whereas this association was not significant for small cells (P = 0.068).
Conclusion: The findings of this study indicated that the presence of Haller cells, particularly those of larger size, may be associated with increased Schneiderian membrane thickness. This highlights the importance of considering anatomical variations during the assessment and treatment planning of the maxillary sinus.

Highlights

Mohammadreza Shokuhifar: Google Scholar, PubMed

Mahshid Razavi: Google Scholar, PubMed

Keywords
Haller Cell
CBCT Haller Cell
Maxillary Sinus
Schneiderian Membrane
CBCT
Subjects
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Journal of Isfahan Medical School
Volume 44, Issue 866
2nd Week, August
July and August 2026
Pages 992-1000

  • Receive Date 06 July 2026
  • Accept Date 27 July 2026