Method: In our present study, we report three cases of melanotic oncocytic metaplasia of the nasopharynx. Results: All the three cases occurred in men and were presented as multiple black pigmented lesions around the torus tubarius. Microscopically, mucous glands with diffuse oncocytic metaplasia and numerous black pigments were observed. No cellular atypia was observed. Immunohistochemically, the scattering of S-100 proteinpositive, and HMB-45-negative dendritic melanocytes was evident.