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Updated: Jun 13, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Pleomorphic adenoma of the nasal septum]
M M El Fakiri1, L Aderdour, H Nouri
1Service d'otorhinolaryngologie, hôpital Ibn Tofail, CHU Mohammed VI, rue Abdelouahab Derraq, 40000 Marrakech, Maroc. elfakirimehdi@yahoo.fr
Introduction:
The pleomorphic adenoma is the most common benign neoplasm of primary salivary glands. However, its intranasal localization is exceptional. We report a case of pleomorphic adenoma of the nasal septum.
Case Report:
A 64-year-old man presented with a left rhinological syndrome with nasal obstruction. A facial CT-scan showed a heterogeneous tumor of the nasal septum obstructing the left nasal vestibule. The biopsy analysis proved the histological characteristics of a pleomorphic adenoma, and was further confirmed by immunohistochemical study. The lesion was completely removed by endonasal surgery. There was no recurrence 18 months after surgery.
Discussion:
The treatment of nasal pleomorphic adenomas must take into account lesion localization, esthetic complications, and evolutionary potential of the lesions. Long-term follow-up is recommended because of the risk of recurrence or malignant degeneration.
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