{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:41:57Z","timestamp":1791906117896,"version":"4.3.4"},"reference-count":44,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>The traditional treatment of sellar Rathke cleft cysts (RCCs) generally involves transsellar drainage; however, suprasellar RCCs present unique challenges to appropriate management and technical complexity. Reports on overall outcomes for the endoscopic endonasal approach (EEA) for this pathology are limited. The EEA for RCCs allows three surgical techniques: marsupialization, fenestration, and fenestration with cyst wall resection.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The authors performed a retrospective review of consecutive patients with RCCs that had been treated via an EEA at a single institution between January 2004 and May 2021. Marsupialization entailed the removal of cyst contents while maintaining a drainage pathway into the sphenoid sinus. Fenestration involved the removal of cyst contents, followed by separation from the sphenoid sinus, often with a free mucosal graft or vascularized nasoseptal flap. Cyst wall resection, either partial or complete, was added to select cases.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 148 patients underwent an EEA for RCC. Marsupialization or fenestration was performed in 88 cases (59.5%) and cyst wall resection in 60 (40.5%). Cysts were classified as having a purely sellar origin (43.2%), sellar origin with suprasellar extension (37.8%), and purely suprasellar origin (18.9%). Radiological recurrence was demonstrated in 22 cases (14.9%) at an average 39.7 months\u2019 follow-up (median 45 months, range 0.5\u201399 months), including 13 symptomatic cases (8.8%). Cases with cyst wall resection had no significantly different rate of recurrence (11.7% vs 15.9%, p = 0.48) or postoperative permanent anterior pituitary dysfunction (21.6% vs 12.5%, p = 0.29) compared to those of fenestrated and marsupialized cases. There was no significant difference in postoperative permanent posterior pituitary dysfunction based on technique, although such dysfunction tended to worsen with cyst wall resection (13.6% vs 4.0%, p = 0.09).<\/jats:p>\n<jats:p>Based on cyst location, purely suprasellar cysts were more likely to have a radiological recurrence (28.6%) than sellar cysts with suprasellar extension (12.5%) and purely sellar cysts (9.4%; p = 0.008). Most notably, of the 28 purely suprasellar cysts, selective cyst wall resection significantly improved the long-term (10-year) recurrence risk compared to fenestration alone (17.4% vs 80.0%, p = 0.0005) without any significant added risk of endocrinopathy.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Endoscopic endonasal marsupialization or fenestration of sellar RCCs may be the ideal treatment strategy, whereas purely suprasellar cysts benefit from partial cyst wall resection to prevent recurrence. Selective cyst wall resection reduced long-term recurrence rates without significantly increasing rates of hypopituitarism.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.3.jns232740","type":"journal-article","created":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T01:25:06Z","timestamp":1717809906000},"page":"1352-1362","source":"Crossref","is-referenced-by-count":8,"title":["Endoscopic endonasal resection of Rathke cleft cysts: a single-institution analysis of 148 consecutive patients"],"prefix":"10.3171","volume":"141","author":[{"given":"Hanna N.","family":"Algattas","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University at Buffalo Neurosurgery, Buffalo, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary C.","family":"Gersey","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Fernandes Cabral","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali A.","family":"Alattar","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Abdallah","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nallammai","family":"Muthiah","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamil","family":"Khiyami","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Neuroendocrinology Unit, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and"},{"name":"Department of Internal Medicine, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Mehrotra","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Neuroendocrinology Unit, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiba","family":"Abdulwahid","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Neuroendocrinology Unit, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric W.","family":"Wang","sequence":"additional","affiliation":[{"name":"Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl H.","family":"Snyderman","sequence":"additional","affiliation":[{"name":"Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios A.","family":"Zenonos","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pouneh K.","family":"Fazeli","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Neuroendocrinology Unit, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul A.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"Radiology","first-page":"161","article-title":"Incidental pituitary lesions in 1,000 unselected autopsy specimens","volume":"193","author":"Teramoto A","year":"1994","unstructured":"Teramoto A, Hirakawa K, Sanno N, Osamura Y. Incidental pituitary lesions in 1,000 unselected autopsy specimens. Radiology. 1994;193(1):161\u2013164."},{"issue":"6","key":"b2","series-title":"J Clin Endocrinol Metab","first-page":"1633","article-title":"Pituitary magnetic resonance imaging for sellar and parasellar masses: ten-year experience in 2598 patients","volume":"96","author":"Famini P","year":"2011","unstructured":"Famini P, Maya MM, Melmed S. Pituitary magnetic resonance imaging for sellar and parasellar masses: ten-year experience in 2598 patients. J Clin Endocrinol Metab. 2011;96(6):1633\u20131641."},{"issue":"1","key":"b3","series-title":"Neuropathology","first-page":"43","article-title":"Pre-morbid morphological conditions of the human pituitary","volume":"27","author":"Rittierodt M","year":"2007","unstructured":"Rittierodt M, Hori A. Pre-morbid morphological conditions of the human pituitary. Neuropathology. 2007;27(1):43\u201348."},{"issue":"4","key":"b4","series-title":"J Neurosurg","first-page":"535","article-title":"Clinical, radiographic, and pathological features of symptomatic Rathke\u2019s cleft cysts","volume":"74","author":"Voelker JL","year":"1991","unstructured":"Voelker JL, Campbell RL, Muller J. Clinical, radiographic, and pathological features of symptomatic Rathke\u2019s cleft cysts. J Neurosurg. 1991;74(4):535\u2013544."},{"issue":"5","key":"b5","series-title":"World Neurosurg","first-page":"527","article-title":"Symptomatic Rathke cleft cyst: clinical features and surgical outcomes","volume":"78","author":"Kim E","year":"2012","unstructured":"Kim E. Symptomatic Rathke cleft cyst: clinical features and surgical outcomes. World Neurosurg. 2012;78(5):527\u2013534."},{"issue":"1","key":"b6","series-title":"J Neurosurg","first-page":"33","article-title":"Surgical treatment of symptomatic Rathke cleft cysts: clinical features and results with special attention to recurrence","volume":"100","author":"Kim JE","year":"2004","unstructured":"Kim JE, Kim JH, Kim OL,  Surgical treatment of symptomatic Rathke cleft cysts: clinical features and results with special attention to recurrence. J Neurosurg. 2004;100(1):33\u201340."},{"issue":"2","key":"b7","series-title":"Pituitary","first-page":"258","article-title":"A study on clinical outcomes of Rathke\u2019s cleft cyst in patients managed conservatively","volume":"25","author":"Chong GYC","year":"2022","unstructured":"Chong GYC, Tan KCB, Lau EYF,  A study on clinical outcomes of Rathke\u2019s cleft cyst in patients managed conservatively. Pituitary. 2022;25(2):258\u2013266."},{"issue":"2","key":"b8","series-title":"J Neurosurg","first-page":"189","article-title":"Surgical outcomes in 118 patients with Rathke cleft cysts","volume":"102","author":"Aho CJ","year":"2005","unstructured":"Aho CJ, Liu C, Zelman V, Couldwell WT, Weiss MH. Surgical outcomes in 118 patients with Rathke cleft cysts. J Neurosurg. 2005;102(2):189\u2013193."},{"issue":"1","key":"b9","series-title":"Pituitary","first-page":"57","article-title":"Transsphenoidal surgery for Rathke\u2019s cleft cyst can reduce headache severity and frequency","volume":"19","author":"Cote DJ","year":"2016","unstructured":"Cote DJ, Besasie BD, Hulou MM, Yan SC, Smith TR, Laws ER. Transsphenoidal surgery for Rathke\u2019s cleft cyst can reduce headache severity and frequency. Pituitary. 2016;19(1):57\u201364."},{"issue":"10","key":"b10","series-title":"Laryngoscope","first-page":"1836","article-title":"Rathke cleft cyst: diagnostic and therapeutic considerations","volume":"112","author":"Kasperbauer JL","year":"2002","unstructured":"Kasperbauer JL, Orvidas LJ, Atkinson JL, Abboud CF. Rathke cleft cyst: diagnostic and therapeutic considerations. Laryngoscope. 2002;112(10):1836\u20131839."},{"issue":"3","key":"b11","series-title":"Neurosurgery","first-page":"837","article-title":"Endocrinopathy, vision, headache, and recurrence after transsphenoidal surgery for Rathke cleft cysts","volume":"67","author":"Wait SD","year":"2010","unstructured":"Wait SD, Garrett MP, Little AS, Killory BD, White WL. Endocrinopathy, vision, headache, and recurrence after transsphenoidal surgery for Rathke cleft cysts. Neurosurgery. 2010;67(3):837\u2013843."},{"issue":"3","key":"b12","series-title":"J Neurosurg","first-page":"831","article-title":"Long-term surgical outcomes following transsphenoidal surgery in patients with Rathke\u2019s cleft cysts","volume":"130","author":"Lin M","year":"2018","unstructured":"Lin M, Wedemeyer MA, Bradley D,  Long-term surgical outcomes following transsphenoidal surgery in patients with Rathke\u2019s cleft cysts. J Neurosurg. 2018;130(3):831\u2013837."},{"issue":"3","key":"b13","series-title":"J Clin Neurosci","first-page":"378","article-title":"Rathke\u2019s cleft cyst recurrence after transsphenoidal surgery: a meta-analysis of 1151 cases","volume":"21","author":"Mendelson ZS","year":"2014","unstructured":"Mendelson ZS, Husain Q, Elmoursi S, Svider PF, Eloy JA, Liu JK. Rathke\u2019s cleft cyst recurrence after transsphenoidal surgery: a meta-analysis of 1151 cases. J Clin Neurosci. 2014;21(3):378\u2013385."},{"issue":"6","key":"b14","series-title":"Neurosurgery","first-page":"766","article-title":"Symptomatic Rathke\u2019s cleft cysts located entirely in the suprasellar region: review of diagnosis, management, and pathogenesis","volume":"16","author":"Barrow DL","year":"1985","unstructured":"Barrow DL, Spector RH, Takei Y, Tindall GT. Symptomatic Rathke\u2019s cleft cysts located entirely in the suprasellar region: review of diagnosis, management, and pathogenesis. Neurosurgery. 1985;16(6):766\u2013772."},{"key":"b15","series-title":"World Neurosurg","first-page":"120","article-title":"The supraorbital keyhole approach to the suprasellar and supra-intrasellar Rathke cleft cysts under pure endoscopic visualization","volume":"92","author":"Peng Y","year":"2016","unstructured":"Peng Y, Fan J, Li Y, Qiu M, Qi S. The supraorbital keyhole approach to the suprasellar and supra-intrasellar Rathke cleft cysts under pure endoscopic visualization. World Neurosurg. 2016;92:120\u2013125."},{"issue":"5","key":"b16","series-title":"Neurosurgery","first-page":"1058","article-title":"Suprasellar Rathke cleft cysts: clinical presentation and treatment outcomes","volume":"69","author":"Potts MB","year":"2011","unstructured":"Potts MB, Jahangiri A, Lamborn KR, Blevins LS, Kunwar S, Aghi MK. Suprasellar Rathke cleft cysts: clinical presentation and treatment outcomes. Neurosurgery. 2011;69(5):1058\u20131069."},{"issue":"2","key":"b17","series-title":"Neurosurgery","first-page":"173","article-title":"Radiologic characteristics and results of surgical management of Rathke\u2019s cysts in 43 patients","volume":"30","author":"Ross DA","year":"1992","unstructured":"Ross DA, Norman D, Wilson CB. Radiologic characteristics and results of surgical management of Rathke\u2019s cysts in 43 patients. Neurosurgery. 1992;30(2):173\u2013179."},{"issue":"1","key":"b18","series-title":"Minim Invasive Neurosurg","first-page":"47","article-title":"Endoscopic endonasal removal of an intra-suprasellar Rathke\u2019s cleft cyst: case report and surgical considerations","volume":"45","author":"Alfieri A","year":"2002","unstructured":"Alfieri A, Schettino R, Tarfani A, Bonzi O, Rossi GA, Monolo L. Endoscopic endonasal removal of an intra-suprasellar Rathke\u2019s cleft cyst: case report and surgical considerations. Minim Invasive Neurosurg. 2002;45(1):47\u201351."},{"issue":"1","key":"b19","series-title":"Neurosurg Rev","first-page":"55","article-title":"The role of the endoscope in the transsphenoidal management of cystic lesions of the sellar region","volume":"31","author":"Cavallo LM","year":"2008","unstructured":"Cavallo LM, Prevedello D, Esposito F,  The role of the endoscope in the transsphenoidal management of cystic lesions of the sellar region. Neurosurg Rev. 2008;31(1):55\u201364."},{"issue":"1","key":"b20","series-title":"Neurosurgery","first-page":"124","article-title":"Transsphenoidal endoscopic approach in the treatment of Rathke\u2019s cleft cyst","volume":"56","author":"Frank G","year":"2005","unstructured":"Frank G, Sciarretta V, Mazzatenta D, Farneti G, Modugno GC, Pasquini E. Transsphenoidal endoscopic approach in the treatment of Rathke\u2019s cleft cyst. Neurosurgery. 2005;56(1):124\u2013129."},{"issue":"3","key":"b21","series-title":"J Neurosurg","first-page":"400","article-title":"Endoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions","volume":"106","author":"Laufer I","year":"2007","unstructured":"Laufer I, Anand VK, Schwartz TH. Endoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions. J Neurosurg. 2007;106(3):400\u2013406."},{"issue":"6","key":"b22","series-title":"J Neurosurg","first-page":"1333","article-title":"Endoscopic endonasal resection of Rathke cleft cysts: clinical outcomes and surgical nuances","volume":"112","author":"Madhok R","year":"2010","unstructured":"Madhok R, Prevedello DM, Gardner P, Carrau RL, Snyderman CH, Kassam AB. Endoscopic endonasal resection of Rathke cleft cysts: clinical outcomes and surgical nuances. J Neurosurg. 2010;112(6):1333\u20131339."},{"issue":"10","key":"b23","series-title":"PLoS One","first-page":"e0139609","article-title":"Endoscopic endonasal approach in the management of Rathke\u2019s cleft cysts","volume":"10","author":"Solari D","year":"2015","unstructured":"Solari D, Cavallo LM, Somma T,  Endoscopic endonasal approach in the management of Rathke\u2019s cleft cysts. PLoS One. 2015;10(10):e0139609."},{"key":"b24","series-title":"World Neurosurg","first-page":"e146","article-title":"Expanded endonasal endoscopic approach for suprasellar Rathke cleft cyst: treatment outcome and surgical nuances","volume":"167","author":"Jin L","year":"2022","unstructured":"Jin L, Cao L, Zhu H,  Expanded endonasal endoscopic approach for suprasellar Rathke cleft cyst: treatment outcome and surgical nuances. World Neurosurg. 2022;167:e146\u2013e156."},{"issue":"2","key":"b25","series-title":"J Neurol Surg B Skull Base","first-page":"112","article-title":"Treatment outcomes of Rathke\u2019s cleft cysts managed with marsupialization","volume":"78","author":"Kuan EC","year":"2017","unstructured":"Kuan EC, Yoo F, Chyu J, Bergsneider M, Wang MB. Treatment outcomes of Rathke\u2019s cleft cysts managed with marsupialization. J Neurol Surg B Skull Base. 2017;78(2):112\u2013115."},{"issue":"2 Suppl Operative","key":"b26","series-title":"Neurosurgery","first-page":"250","article-title":"Optimal surgical approaches for Rathke cleft cyst with consideration of endocrine function","volume":"70","author":"Park JK","year":"2012","unstructured":"Park JK, Lee EJ, Kim SH. Optimal surgical approaches for Rathke cleft cyst with consideration of endocrine function. Neurosurgery. 2012;70(2 Suppl Operative):250\u2013257."},{"issue":"3","key":"b27","series-title":"Neurosurg Rev","first-page":"957","article-title":"Recurrence of Rathke\u2019s cleft cysts based on gross total resection of cyst wall: a meta-analysis","volume":"43","author":"Lu VM","year":"2020","unstructured":"Lu VM, Ravindran K, Perry A,  Recurrence of Rathke\u2019s cleft cysts based on gross total resection of cyst wall: a meta-analysis. Neurosurg Rev. 2020;43(3):957\u2013966."},{"issue":"4","key":"b28","series-title":"J Neurosurg","first-page":"577","article-title":"Surgery for Rathke cleft cysts: technical considerations and outcomes","volume":"101","author":"Benveniste RJ","year":"2004","unstructured":"Benveniste RJ, King WA, Walsh J, Lee JS, Naidich TP, Post KD. Surgery for Rathke cleft cysts: technical considerations and outcomes. J Neurosurg. 2004;101(4):577\u2013584."},{"issue":"1","key":"b29","series-title":"Neurosurg Focus","first-page":"E1","article-title":"Rathke cleft cysts: a review of clinical and surgical management","volume":"31","author":"Zada G","year":"2011","unstructured":"Zada G. Rathke cleft cysts: a review of clinical and surgical management. Neurosurg Focus. 2011;31(1):E1."},{"key":"b30","series-title":"Verh Dtsch Ges Pathol","first-page":"281","article-title":"\u00dcber Sektionsbefunde bei Diabetes insipidus","volume":"16","author":"Goldzieher M","year":"1913","unstructured":"Goldzieher M. \u00dcber Sektionsbefunde bei Diabetes insipidus. Verh Dtsch Ges Pathol. 1913;16:281\u2013287."},{"issue":"10","key":"b31","series-title":"Headache","first-page":"1580","article-title":"Headaches associated with Rathke\u2019s cleft cyst","volume":"46","author":"Nishioka H","year":"2006","unstructured":"Nishioka H, Haraoka J, Izawa H, Ikeda Y. Headaches associated with Rathke\u2019s cleft cyst. Headache. 2006;46(10):1580\u20131586."},{"issue":"4","key":"b32","series-title":"Pituitary","first-page":"684","article-title":"Lateral orientation of Rathke cleft cysts may be associated with high rates of recurrence after surgery","volume":"25","author":"Carrete LR","year":"2022","unstructured":"Carrete LR, Aghi MK. Lateral orientation of Rathke cleft cysts may be associated with high rates of recurrence after surgery. Pituitary. 2022;25(4):684\u2013686."},{"issue":"6","key":"b33","series-title":"J Neurosurg","first-page":"1380","article-title":"Characteristics of Rathke\u2019s cleft cyst based on cyst location with a primary focus on recurrence after resection","volume":"122","author":"Chotai S","year":"2015","unstructured":"Chotai S, Liu Y, Pan J, Qi S. Characteristics of Rathke\u2019s cleft cyst based on cyst location with a primary focus on recurrence after resection. J Neurosurg. 2015;122(6):1380\u20131389."},{"issue":"4","key":"b34","series-title":"Endocr Pathol","first-page":"422","article-title":"Spontaneous alteration from Rathke\u2019s cleft cyst to craniopharyngioma\u2014possible involvement of transformation between these pathologies","volume":"25","author":"Ogawa Y","year":"2014","unstructured":"Ogawa Y, Watanabe M, Tominaga T. Spontaneous alteration from Rathke\u2019s cleft cyst to craniopharyngioma\u2014possible involvement of transformation between these pathologies. Endocr Pathol. 2014;25(4):422\u2013426."},{"issue":"5","key":"b35","series-title":"Surg Neurol","first-page":"482","article-title":"Pituitary function after endonasal surgery for nonadenomatous parasellar tumors: Rathke\u2019s cleft cysts, craniopharyngiomas, and meningiomas","volume":"70","author":"Dusick JR","year":"2008","unstructured":"Dusick JR, Fatemi N, Mattozo C,  Pituitary function after endonasal surgery for nonadenomatous parasellar tumors: Rathke\u2019s cleft cysts, craniopharyngiomas, and meningiomas. Surg Neurol. 2008;70(5):482\u2013491."},{"issue":"6","key":"b36","series-title":"Pituitary","first-page":"696","article-title":"Endoscopic endonasal marsupialization of Rathke cleft cysts: clinical outcomes and risk factors analysis of visual impairment, pituitary dysfunction, and CSF leak","volume":"26","author":"Alsavaf MB","year":"2023","unstructured":"Alsavaf MB, Wu KC, Gosal JS,  Endoscopic endonasal marsupialization of Rathke cleft cysts: clinical outcomes and risk factors analysis of visual impairment, pituitary dysfunction, and CSF leak. Pituitary. 2023;26(6):696\u2013707."},{"issue":"11","key":"b37","series-title":"Brain Sci","first-page":"1482","article-title":"Endoscopic treatment of Rathke\u2019s cleft cysts: the case for simple fenestration","volume":"12","author":"Millesi M","year":"2022","unstructured":"Millesi M, Lai C, Lau R,  Endoscopic treatment of Rathke\u2019s cleft cysts: the case for simple fenestration. Brain Sci. 2022;12(11):1482."},{"issue":"5","key":"b38","series-title":"Skull Base","first-page":"335","article-title":"Endoscopic endonasal infrasellar approach to the sellar and suprasellar regions: technical note","volume":"21","author":"Paluzzi A","year":"2011","unstructured":"Paluzzi A, Fernandez-Miranda JC, Pinheiro-Neto C,  Endoscopic endonasal infrasellar approach to the sellar and suprasellar regions: technical note. Skull Base. 2011;21(5):335\u2013342."},{"key":"b39","series-title":"World Neurosurg","first-page":"186","article-title":"Novel use of biodissolvable stent in treatment of recurrent Rathke cleft cyst","volume":"131","author":"Wong AK","year":"2019","unstructured":"Wong AK, Raviv J, Ciric I, Wong RH. Novel use of biodissolvable stent in treatment of recurrent Rathke cleft cyst. World Neurosurg. 2019;131:186\u2013190."},{"key":"b40","series-title":"World Neurosurg","first-page":"e664","article-title":"Reconstruction with mucosal graft reduces recurrence after endoscopic surgery of Rathke cleft cyst","volume":"167","author":"Eide JG","year":"2022","unstructured":"Eide JG, Salmon MK, Kshirsagar RS,  Reconstruction with mucosal graft reduces recurrence after endoscopic surgery of Rathke cleft cyst. World Neurosurg. 2022;167:e664\u2013e669."},{"key":"b41","series-title":"World Neurosurg","first-page":"e282","article-title":"Long-term outcomes of endoscopic cyst fenestration for Rathke cleft cyst","volume":"161","author":"Yamada H","year":"2022","unstructured":"Yamada H, Ueda R, Ozawa H, Toda M. Long-term outcomes of endoscopic cyst fenestration for Rathke cleft cyst. World Neurosurg. 2022;161:e282\u2013e288."},{"issue":"9","key":"b42","series-title":"J Neurosurg Case Lessons","first-page":"CASE22191","article-title":"Successful immunomodulatory treatment for recurrent xanthogranulomatous hypophysitis in an adolescent: illustrative case","volume":"4","author":"DeCou S","year":"2022","unstructured":"DeCou S, Recinos PF, Prayson RA, Karakasis C, Haider A, Patel N. Successful immunomodulatory treatment for recurrent xanthogranulomatous hypophysitis in an adolescent: illustrative case. J Neurosurg Case Lessons. 2022;4(9):CASE22191."},{"issue":"3","key":"b43","series-title":"Brain Pathol","first-page":"377","article-title":"Review of xanthomatous lesions of the sella","volume":"27","author":"Kleinschmidt-DeMasters BK","year":"2017","unstructured":"Kleinschmidt-DeMasters BK, Lillehei KO, Hankinson TC. Review of xanthomatous lesions of the sella. Brain Pathol. 2017;27(3):377\u2013395."},{"issue":"6","key":"b44","series-title":"J Neurosurg","first-page":"1710","article-title":"Endoscopic endonasal cyst fenestration into the sphenoid sinus using the mucosa coupling method for symptomatic Rathke\u2019s cleft cyst: a novel method for maintaining cyst drainage to prevent recurrence","volume":"133","author":"Kino H","year":"2020","unstructured":"Kino H, Akutsu H, Tanaka S,  Endoscopic endonasal cyst fenestration into the sphenoid sinus using the mucosa coupling method for symptomatic Rathke\u2019s cleft cyst: a novel method for maintaining cyst drainage to prevent recurrence. J Neurosurg. 2020;133(6):1710\u20131720."}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/141\/5\/article-p1352.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/141\/5\/article-p1352.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/141\/5\/article-p1352.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T11:45:54Z","timestamp":1732621554000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/141\/5\/article-p1352.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":44,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2024.3.jns232740","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,1]]}}}