Case Report

Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma

Table 1

Summary of published reports of nasopharyngeal pleomorphic adenoma.

Reference (year)Age (years)Sex (M/F)Presenting symptomsTumour size (mm)Preoperative biopsyDiagnostic imagingSurgical approachSurgical complicationsOutcome

Yumoto et al. [2] (1992)54FTransmandibular transpterygoidSoft palate paresis and nasal speech

Roh et al. [3] (2005)61FNasal obstruction; epistaxis30 × 30 × 20 (macroscopic)PACT/MREndoscopic transnasal/transoralNoneNo recurrence at 2 years

Lee et al. [4] (2006)78MHearing loss; aural fullness; otalgia; pulsatile tinnitusEndoscopic-guidedEustachian tube dysfunctionNo recurrence at 20 months

de Almeida et al. [5] (2009)66FNasal obstruction; voice change; dysphagia55 × 40 (macroscopic)PA (FNA)MREndoscopic transnasal/transoralNoneNo recurrence at 2 years

Thakur et al. [6] (2010)35MNasal obstruction; hearing loss; aural fullness; voice change; dysphagia? SCC (FNA) later biopsy showed PACTTranspalatalNoneNo recurrence at 1 year

Martínez- Capoccioni et al. [7] (2012)52FNasal obstruction; hearing loss; aural fullness; otalgia; tinnitus30 × 25 (macroscopic)CTEndoscopic transnasal/transoralNoneNo recurrence at 52 months

Pagella et al. [8] (2012)57FNasal obstruction28 × 18 × 18 (macroscopic)CTEndoscopic transnasal/transoralNoneNo recurrence at 4 years

Berrettini et al. [9] (2013)51FNasal obstruction; hearing loss; aural fullness; otalgia30 × 40 × 30 (endoscopic)PAMREndoscopic transnasalNo recurrence at 6 months

Maruyama et al. [10] (2014)80FHearing loss21 × 19 × 19 (macroscopic)PACT/MREndoscopic transnasal/transoralNoneNo recurrence at 2 years

Yazici et al. [11] (2015)62MHearing loss; aural fullness; otalgia13 × 20 × 13 (imaging)PAMREndoscopic transnasalNoneNo recurrence at 1 year

Grech et al. [12] (2017)29FNasal obstruction; aural fullness; voice change; snoring39 × 51 × 33 (imaging)PACT/MRTransoralNone

Present case39MNasal obstruction; otalgia; voice change35 × 32 × 25 (macroscopic)PACT/MREndoscopic transnasal/transoralNoneNo recurrence at 1 year

M, male; F, female; PA, pleomorphic adenoma; FNA, fine needle aspiration; SCC, squamous cell carcinoma; CT, computed tomography; MR, magnetic resonance.