“…A sudden onset of recurrent epistaxis in adult men/older men without any history of using such drugs or a recent facial trauma is also the common presentation or warning sign for sinonasal diseases, particularly for malignant tumors, such as squamous cell carcinoma, minor salivary gland carcinoma, nasopharyngeal carcinoma, and lymphoma. Oncocytic papillary cystadenoma (OPC) is a very rare benign tumor commonly found in the salivary glands, mainly reported in minor salivary glands, and usually is observed in individuals aged 60-70 years 3 , 4 , 5 , 6 . A few cases reported were seen within the intraoral minor salivary glands and parotid glands, which all presented with a painless mass, whereas some cases were detected within the larynx, mainly at the supraglottic structures, and an increasing tumor size causes hoarseness, dysphonia, or rarely airway obstruction 7 .…”