We call a prime Noetherian maximal order R a pseudo-principal ring if every reflexive ideal of R is principal. This class of rings is a broad class properly containing both prime Noetherian pri-(pli) rings and Noetherian unique factorization rings (UFRs). We show that the class of pseudo-principal rings is closed under formation of n x n full matrix rings. Moreover, we prove that if R is a pseudo-principal ring, then the polynomial ring R[x] is also a pseudo-principal ring. We provide examples to illustrate our results.