Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 61 3 2023 05 14 187 190 EN Kayvan Aghazadeh Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran Reza Erfanian Azimzade Khosravi Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran Farrokh Heidari Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran Nasim Sodagari Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran Sepideh Karvanian Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran Benyamin Rahmaty Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran 2 Department of ENT, Student Research Committee, Arak University of Medical Sciences, Arak, Iran 2020 12 08 2023 01 15 Lesions in the parapharyngeal space are rare and account for 0.5-1.5% of all head and neck tumours. Of these, venous malformations represent 1% of all parapharyngeal space tumors. In the current paper, we reported a 5-year-old patient who presented with a soft tissue swelling of the parapharyngeal space that was discovered by her parents after two weeks following adenoidectomy. The MRI revealed a tumour within the parapharyngeal space with a well-defined mass with low-signal intensity on T1 and high on T2. The internal flow voids also proposed phleboliths. Therefore, the tumour was removed by an intraoral approach. The post-op pathology result explicated a venous malformation. https://acta.tums.ac.ir/index.php/acta/article/view/9001 https://acta.tums.ac.ir/index.php/acta/article/download/9001/5763