Introduction: Tumors of the salivary glands are relatively rare, comprising slightly less than 3 per cent of all head and neck neoplasms. Parotid tumors are the most common salivary glands tumours. Their relative infrequency and tendency to histological variability continue to contribute to a grave lack of hard data on which to pursue an 'evidence-based approach' to the subject. Aim of the Work: This study aims to appraise the literature and write an updated review about parotid neoplasms and the new concepts of relation and comparison between preoperative diagnosis by different investigational methods and postoperative pathological analysis and also approaches in their surgical management. Patients and Methods: Patients enrolled in this study were scheduled for parotidectomy. The number of patients included in this study were forty-six patients. The study is a retrospective study of the patients presenting to National Cancer Institute (NCI) in 2019 with parotid tumors. Results: This study was performed in National Cancer Institute (NCI) between January 2019 and December 2019. Forty-six patients with Parotid neoplasm who underwent parotidectomy were included in this study. Conclusion: The epidemiology, diagnosis and management of parotid tumors has changed in the past two-or three-decades giving rise to new risk factors, pre-operative diagnostic techniques and novel approaches to surgery with new surgical procedures. The better understanding to the pathological behavior and the introduction of new advances in radiotherapy led to better control of locoregional malignant parotid tumors. New approaches to surgery and better cosmetic results made parotid surgery a less complicating one where patients with an early disease can have a curative surgery with almost no apparent scar or disfigurement.
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