Haller Cell Opacification since last year on scans. Would I need sinus surgery to remove this?

Question

I've had 2 CTs and 1 MRI, all show an opacified Haller Cell. The ENTs I've seen don't believe this is causing my symptoms. I have lower eyelid swelling (looks bulgy), pain, & blurry vision in one eye—the same eye and area where there is a Haller cell located on the medial orbital floor on the scans. Is this the probable cause of my symptoms? If so, would I need sinus surgery to remove this opacified Haller cell?

Eric M. Joseph, MD · Answer

Have you tried a prolonged course of antibiotics and a steroid? Before considering endoscopic sinus surgery, maximum medical therapy should be tried. We have seen many sinus opacities completely disappear after antibiotics. You should keep surgery as a last resort since this air cell is very close to your left eye. I hope this helps. Sincerely, Dr. Joseph

Haller Cell Opacification since last year on scans. Would I need sinus surgery to remove this?

Answers (1)