Trans-oral Removal of a Large Pleomorphic Adenoma of the Deep Parotid Lobe

Different surgical techniques have been proposed for parapharyngeal space tumors, including trans-cervical, trans-parotid, trans-mandibular, infratemporal, and trans-oral. The choice of the correct approach depends on size, localization, and nature of the tumor. We describe a case of a 32-year-old female presented with a large pre-styloid pleomorphic adenoma, originating from the right deep parotid lobe. A trans-oral approach was chosen and an en-bloc excision of the mass (46 × 42 × 30 mm) was performed. Our case showed that trans-oral approach to pre-styloid parotid tumors represents a safe procedure that may be used also for large benign masses in selected cases.