Empty butterfly saddles are generally not serious, but the specifics need to be determined by the type of pathology of the empty butterfly saddle. Congenital vacuolar pterygoid syndrome is usually not serious, while secondary vacuolar pterygoid syndrome due to tumor-based disease is relatively serious. Congenital vacuolar pterosyndrome is usually caused by a large central hole and develops chronically, usually without symptoms and without treatment, so there is no need to worry too much. Secondary vacuolar pterosyndrome may be caused by a tumor near the pterosyndrome, in this case, vacuolar pterosyndrome itself is not serious, but the tumor underlying the vacuolar pterosyndrome is more serious, and it needs to be examined and clarified in time and then treated, so as to avoid the condition from deteriorating, which will cause serious effects. Patients should go to the hospital for examination and diagnosis in time after the symptoms of empty butterfly saddle appear, so as to clarify the cause of the disease and carry out targeted treatment according to the cause of the disease under the guidance of professional doctors, so as to avoid the deterioration of the disease and causing serious adverse consequences.