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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates


Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleHead and Neck Imaging

CT Findings of Sinonasal Respiratory Epithelial Adenomatoid Hamartoma: A Closer Look at the Olfactory Clefts

K.A. Hawley, M. Ahmed and R. Sindwani
American Journal of Neuroradiology May 2013, 34 (5) 1086-1090; DOI: https://doi.org/10.3174/ajnr.A3345
K.A. Hawley
aFrom the Head and Neck Institute (K.A.H.)
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M. Ahmed
bImaging Institute, Section of Neuroradiology (M.A.)
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R. Sindwani
cHead and Neck Institute, Section of Rhinology, Sinus and Skull Base Surgery (R.S.), Cleveland Clinic Foundation, Cleveland, Ohio.
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    Fig 1.

    Coronal CT images demonstrating bilateral OC widening (arrows) in both types of REAH: REAHi (A) and REAHsnp (B). Typical sinonasal panopacification is seen in SNP (B), with an additional finding of OC opacification.

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    Fig 2.

    Coronal CT images demonstrating the dimensions measured for the OC (A) and the TND (B).

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    Fig 3.

    Mean Harvard CT scores demonstrating that patients with REAHi have significantly lower scores than the other 2 groups of patients.

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    Fig 4.

    Mean width of the OC in 3 groups of patients. *Statistical significance P < .01.

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    Fig 5.

    Mean total nasal distance in 3 groups of patients: REAHi, REAHsnp, and SNP.

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    Fig 6.

    Coronal sections of CT sinus demonstrating a bilateral olfactory cleft lesion. A, Erosion of the cribriform plates (solid arrow). B, T1 postcontrast MR imaging differentiating mucus in the ethmoid and frontal sinuses from the centrally located mass with intermediate enhancement. There is an intracranial component (open arrow), with sparing of the dura.

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    Table 1:

    Harvard CT sinus scoring system14

    Harvard ScoreDefinition
    0<2-mm mucosal thickening on any sinus wall
    1UL disease or anatomic abnormalities
    2Ethmoid or maxillary sinuses only
    3At least 1 sphenoid or frontal sinus
    4Pansinus disease
    • Note:—UL indicates unilateral.

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    Table 2:

    Patient population data

    GroupNo. PatientsMean Age (y)M:F
    REAHi768.96:1
    REAHsnp2258.212:10
    SNP2648.0a13:13
    • Note:—M:F indicates male-to-female ratio.

    • ↵a Statistically significant: younger age in control population (P < .01).

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American Journal of Neuroradiology: 34 (5)
American Journal of Neuroradiology
Vol. 34, Issue 5
1 May 2013
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Cite this article
K.A. Hawley, M. Ahmed, R. Sindwani
CT Findings of Sinonasal Respiratory Epithelial Adenomatoid Hamartoma: A Closer Look at the Olfactory Clefts
American Journal of Neuroradiology May 2013, 34 (5) 1086-1090; DOI: 10.3174/ajnr.A3345

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CT Findings of Sinonasal Respiratory Epithelial Adenomatoid Hamartoma: A Closer Look at the Olfactory Clefts
K.A. Hawley, M. Ahmed, R. Sindwani
American Journal of Neuroradiology May 2013, 34 (5) 1086-1090; DOI: 10.3174/ajnr.A3345
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