Overall, the mainstay of the treatment for salivary gland tumor is surgical resection. Needle biopsy is highly recommended prior to surgery to confirm the diagnosis. More detailed surgical technique and the support for additional adjuvant radiotherapy depends on whether the tumor is malignant or benign. Surgical treatment of<unk> rotid gland tumors is sometimes difficult,<unk> rtly because of the anatomical relationship of the facial nerve and the<unk> rotid lodge, but also through the increased potential for postoperative relapse. Thus, detection of early stages of a tumor of the<unk> rotid gland is extremely important in terms of prognosis after surgery. There have been several approaches for surgery of<unk> rotid<unk>  in the course of time. Enucleation of the tumor (i.e. intracapsular dissection), a procedure that was common in the early 20th century, is nowadays obsolete due to very high incidence of recurrence. After the time of enucleations,<unk> s of<unk> rotid gland were recommended to be routinely treated with superficial or total<unk> rotidectomy. These procedures combine complete tumor removal and identification of the main trunk of facial nerve during surgery to avoid any lesions to the nerve. However, extensive surgery may cause significant morbidity, such as Frey´s syndrome (excessive sweat while eating) and salivary fistula. Also, aesthetic outcome may be compromised. Therefore, less invasive procedures have been preferred in selected cases during the recent years, and introduction of perioperative neuromonitoring enabled the evolution of several different surgical techniques some twenty years ago. Currently, the choice of surgical approach for<unk> rotid<unk>  is mainly based on the size, location, and mobility of the tumor. The recommended main techniques include extracapsular dissection,<unk> rtial superficial<unk> rotidectomy, and lateral or total<unk> rotidectomy. Nevertheless, the experience of surgeon plays a key role in the results of these distinct procedures. An important point of view is that recurrent<unk> s may occur after a very long time from primary surgery, on average over 7–10 years but up to 24 years afterwards. Thus, it is of utmost importance to evaluate the ultimate results of these different surgical techniques in the future. The benign tumors of the submandibular gland is treated by simple excision with preservation of mandibular branch of the facial nerve, the hypoglossal nerve, and the lingual nerve. Other benign tumors of minor salivary glands are treated similarly. Malignant salivary tumors usually require wide local resection of the primary tumor. However, if complete resection cannot be achieved, adjuvant radiotherapy should be added to improve local control. This surgical treatment has many sequelae such as cranial nerve damage, Frey's syndrome, cosmetic problems, etc. Usually about 44% of the<unk> tients have a complete histologic removal of the tumor and this refers to the most significant survival rate.
Pleomorphic adenoma
Mastocytoma
Angiolipoma
Oncocytoma
Angiomyolipoma
Nephrogenic adenoma
Histiocytoma
Papillary tumor