Oncocytomas are rare tumours that occur predominantly in the major salivary
glands, particularly the parotid of older individuals. We present the exce
ptionally rare occurrence of an oncocytoma in the post-nasal space and its
treatment for the first time via a Le Fort I osteotomy. The potential for l
ocal spread to the surrounding skull base makes it vital to achieve good on
cological clearance. We found that this was possible using the Le Fort I te
chnique and would recommend that this approach should be considered in futu
re, when approaching such lesions.