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ENT · Nose and paranasal sinuses: Haller cell
Sample itemDuring FESS planning, CT shows an ethmoid air cell extending along the medial roof of the maxillary sinus below the orbital floor, narrowing the maxillary ostium. What is it called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Haller cell (infraorbital ethmoid cell)
The Haller cell is an infraorbital ethmoid cell projecting into the maxillary sinus roof, which may obstruct the infundibulum and cause maxillary sinusitis. Surgeons must recognise it to avoid orbital injury. It is seen in a minority of patients.
Option by option
A. Haller cell (infraorbital ethmoid cell) (correct)
Correct. It lies below the orbital floor next to the ostium.
B. Concha bullosa
A concha bullosa is an aerated middle turbinate.
C. Onodi cell
The Onodi cell is related to the sphenoid and optic nerve.
D. Agger nasi cell
The agger nasi cell is anterior near the frontal recess.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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