Service of ENT, Head and Neck Surgery, University Hospital Complex of Santiago de Compostela (CHUS), Travesia de la Choupana s/n, 15706 Santiago de Compostela, Spain.
Eur Arch Otorhinolaryngol. 2012 Aug;269(8):2009-13. doi: 10.1007/s00405-012-2003-x. Epub 2012 Apr 3.
Pleomorphic adenoma (PA) is the most common benign tumor of the major and minor salivary glands, but rarely found in the nasopharynx. A PA originating from the left lateral wall of the nasopharynx was found in a 52-year-old female who presented with nasal obstruction, left-side otalgia, aural fullness, tinnitus and subjective hearing loss. It was successfully removed by transnasal endoscopic surgery (TES) and navigator system assessed our location, due to the proximity of critical anatomic structures such as the left internal carotid. We believe that the TES for primary and recurrent nasopharyngeal benign tumors is feasible and safe in properly selected patients, due to superior functional and cosmetic results and a low complication rate. Tumor characteristics and location should be taken into account when selecting cases for the right procedure for this lesions; transnasal endoscopic surgery is safe and preferable, carrying less potential morbidity compared to open procedures.
多形性腺瘤（PA）是大、小唾液腺最常见的良性肿瘤，但很少发生于鼻咽部。我们发现 1 例起源于左侧鼻咽侧壁的多形性腺瘤，患者为 52 岁女性，表现为鼻塞、左侧耳痛、耳闷、耳鸣和主观性听力损失。由于毗邻左侧颈内动脉等重要解剖结构，我们采用经鼻内镜手术（TES）和导航系统成功切除肿瘤。我们认为，对于选择适当的患者，经鼻内镜手术治疗原发性和复发性鼻咽良性肿瘤是可行和安全的，因为它具有更好的功能和美容效果以及较低的并发症发生率。在选择治疗此类病变的合适方法时，应考虑肿瘤特征和位置；与开放性手术相比，经鼻内镜手术更安全，潜在的发病率更低。
