A Case of Rathke's Cleft Cyst in the Sphenoid Sinus / 대한이비인후과학회지

Isolated sphenoid sinus disease is difficult to diagnose because of the obscure and nonspecific initial findings of the disease. Because of the complex anatomic relations of the sphenoid, the disease often manifests itself through the neuroophthalmologic complications. We have recently experienced a case of intrasphenoidal symptomatic Rathke's cleft cyst, which was managed by endoscopic transnasal sphenoidotomy approach with good results. The endoscopic approach affords excellent visualization and sufficient exposure of the sinus cavity, and allows easy postoperative inspection of the sphenoid sinus.