혈액흔적가래만을 증상으로 한 Tornwaldt’s 낭 1예

Tornwaldt’s cyst is a rare benign developmental lesion at the posterior wall of the nasopharynx. It develops from embryonic communication between anterior tip of the notochord and roof of the pharynx. Most patients are symptom- free, however, symptoms such as postnasal drip, nasal obstruction and earfullness can occur and the diagnosis may not be straightforward. Treatment involves the excision or wide marsupialization of the cyst, which has been performed transorally by adenoid currette, scissors, and so on. We report a Tornwaldt’s cyst in a 25-year-old man who presented only blood tinged sputum. The cyst was successfully removed by endoscopic guided micro-debrider. (J Clinical Otolaryngol 2009;20:277-280)