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ENT · Nose and paranasal sinuses: agger nasi cell
Sample itemOn coronal CT before FESS for recurrent frontal sinusitis, an air cell is seen anterior and superior to the attachment of the middle turbinate. What is this cell?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Agger nasi cell
The agger nasi is the most anterior ethmoid air cell, lying in the lacrimal bone anterior to the attachment of the middle turbinate. Its enlargement narrows the frontal recess and contributes to frontal sinusitis. It is a key landmark for frontal recess surgery.
Option by option
A. Agger nasi cell (correct)
Correct. It lies anterior to the middle turbinate attachment.
B. Onodi cell
Onodi cells are posterior ethmoid cells extending to the sphenoid.
C. Bulla ethmoidalis
The bulla ethmoidalis is the largest anterior ethmoid cell behind the uncinate.
D. Haller cell
Haller cells lie below the orbital floor.
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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