Transnasal endoscopic surgery for intranasal pleomorphic adenomas.

OBJECTIVES: To review a case series of patients treated for intranasal pleomorphic adenoma by endoscopic surgery. MATERIALS AND METHODS: From January 1995 to August 2008, nine patients with intranasal pleomorphic adenoma underwent endoscopic endonasal surgery for tumour removal at our tertiary referral center. Eight of the nine patients were available for follow-up and enrolled in the study. We collected histories and physical examination data for all patients. Pre-operative computed tomography (CT) or magnetic resonance imaging (MRI) was performed in some patients. RESULTS: The post-operative course was smooth in all nine patients. No sign of recurrence was found in the eight patients who received regular follow-up, which averaged 7.01 years (range: 2 to 13 years). CONCLUSIONS: With the evolution of endoscopic surgery, even a large posteriorly located lesion can be approached without open surgery. Endoscopic surgery is a reliable choice, even for the treatment of large or multiple lesions.