Glomus tumor is a distinctive benign neoplasm that rarely occurs in the head and neck region, and even less commonly in the nasal cavity. As of 2005, there were only 22 reported cases of sinonasal glomus tumor in the English medical literature. We present here a case of a 58 year-old man presenting with nasal obstruction and intermittent epistaxis. The tumor and its associated symptoms were eliminated by intranasal endoscopic excision. There was no complication or recurrence found during postoperative follow-up. Here we clarify this ambiguous term by reviewing related literature and emphasize the importance of differentiating this tumor from paraganglioma.