Coblator-assisted endoscopic transnasal resection of a large nasopharyngeal pleomorphic adenoma

Bowman, Jonathan ORCID: https://orcid.org/0000-0001-8322-3223, Daudia, Anu, Sahasrabudhe, Neil and Belloso, Antonio 2019. Coblator-assisted endoscopic transnasal resection of a large nasopharyngeal pleomorphic adenoma. Case Reports in Otolaryngology 2019 , 4654357. 10.1155/2019/4654357

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Abstract

Background. Pleomorphic adenomas occurring in the adult nasopharynx are rare, with our literature search identifying only 11 previous English-language reports. We document the unusual case of a large nasopharyngeal pleomorphic adenoma that was resected using radiofrequency coblation via an endoscopic transnasal approach. Methods. A 39-year-old male presented with worsening nasal congestion, intermittent otalgia, and a progressive change in voice. Flexible nasendoscopy showed a large homogeneous mass occupying the postnasal space, and computed tomography confirmed a 28 × 31 × 22 mm nasopharyngeal tumour. The biopsy-proven benign tumour was locally dissected using a coblator-assisted transnasal approach. Results. Histology confirmed complete excision of a myoepithelial-rich pleomorphic adenoma. The patient was symptom-free postoperatively, and no signs of recurrence were seen at one-year follow-up. Conclusions. This is a useful addition to the existing literature on surgical procedures used to treat benign pathology in the nasopharynx. The minimally invasive technique was well tolerated and had favourable patient outcomes.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Additional Information:	This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Publisher:	Hindawi Publishing Corporation
ISSN:	2090-6781
Date of First Compliant Deposit:	2 August 2022
Last Modified:	24 May 2023 20:55
URI:	https://orca.cardiff.ac.uk/id/eprint/148669

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