Holman-Miller sign (maxillary sinus)
The Holman-Miller sign (also called antral sign) is seen in juvenile nasopharyngeal angiofibroma. The anterior bowing of the posterior wall of the maxillary antrum which is seen on lateral skull film or cross-sectional imaging 1-2.
This is a non-specific sign that can be produced by any slowly growing mass, whereas erosion of the pterygoid lamina is probably a pathognomonic sign for juvenile nasopharyngeal angiofibroma 3.
- 1. . Smart Study Series: ENT and Head & Neck Surgery. Elsevier India. ISBN:8131217078. Read it at Google Books - Find it at Amazon
- 2. . Otolaryngology Cases. Thieme. (2010) ISBN:1604063211. Read it at Google Books - Find it at Amazon
- 3. Haaga JR, Boll D. CT and MRI of the whole body. Mosby. (2009) ISBN:0323053750. Read it at Google Books - Find it at Amazon