Pleomorphic adenoma (PA) is the most common benign tumor of the major saliv
ary glands. It can also occur in the minor salivary glands, mainly in the o
ral cavity, and in other sites in the head and neck region. We pre sent a v
ery I are case of PA in the pterygopalatine fossa. Surgical resection of th
e tumor was performed via the transmaxillary approach. The patient has expe
rienced neither surgical complications nor recurrence in the past 3 years.
This case suggests that a localized benign tumor in the pterygopalatine fos
sa can be removed safely and efficaciously via a transmaxillary approach.