Introduction:
Hamartoma is a developmental disorder.

Aim:
The aim of this study is to present a case of hamartoma of naso- and oropharynx and discuss the possible surgical approaches.

Case study:
A a 55-year-old male patient, who had undergone a tracheotomy due to increasing breathing difficulties was admitted to Head and Neck Diseases Clinic in the Clinical University Hospital in Olsztyn with the aim of proceeding further.

Results and discussion:
The parapharyngeal space is divided into the prestyloid and the retrostyloid compartment.Tumours of parapharyngeal space are responsible for 1% of head and neck tumours; 80% of these tumours are benign lesions, most often originating from the parotid gland (50% of all the cases).

Conclusions:
The treatment of choice for benign lesions like the hamartoma is a surgical resection. It is important to choose a suitable surgical approach considering morphotic parameters of a tumour, anatomic and topographic conditions.