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

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 endoscopi...

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Detalles Bibliográficos
Autores principales: Bowman, Jonathan, Daudia, Anu, Sahasrabudhe, Neil, Belloso, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415314/
https://www.ncbi.nlm.nih.gov/pubmed/30937204
http://dx.doi.org/10.1155/2019/4654357
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author Bowman, Jonathan
Daudia, Anu
Sahasrabudhe, Neil
Belloso, Antonio
author_facet Bowman, Jonathan
Daudia, Anu
Sahasrabudhe, Neil
Belloso, Antonio
author_sort Bowman, Jonathan
collection PubMed
description 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.
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spelling pubmed-64153142019-04-01 Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma Bowman, Jonathan Daudia, Anu Sahasrabudhe, Neil Belloso, Antonio Case Rep Otolaryngol Case Report 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. Hindawi 2019-02-27 /pmc/articles/PMC6415314/ /pubmed/30937204 http://dx.doi.org/10.1155/2019/4654357 Text en Copyright © 2019 Jonathan Bowman et al. http://creativecommons.org/licenses/by/4.0/ 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.
spellingShingle Case Report
Bowman, Jonathan
Daudia, Anu
Sahasrabudhe, Neil
Belloso, Antonio
Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma
title Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma
title_full Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma
title_fullStr Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma
title_full_unstemmed Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma
title_short Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma
title_sort coblator-assisted endoscopic transnasal resection of a large nasopharyngeal pleomorphic adenoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415314/
https://www.ncbi.nlm.nih.gov/pubmed/30937204
http://dx.doi.org/10.1155/2019/4654357
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