ABSTRACT
INTRODUCTION:Parapharyngeal space tumours are uncommon in head neck region. They are situated in a deep and complicated potential neck space. Mainstay of management remains surgical excision, though it is very difficult and complication prone. MATERIAS & METHODS:Aretrospective clinical study was done on 54 cases of primary PPS tumour. Their mode of presentation , imaging, cytopathology and histopathology results were noted. Different surgical approaches was evaluated.RESULTANALYSIS: Benign tumour was found in 81.5% cases. Salivary gland tumours were most common followed by schwannoma. CTscan is the first line investigation. Transcervical route is the most common surgical approach. CONCLUSION:Different types of tumours are found in PPS. Mortality and morbidity is related with surgery itself rather than the disease process. So surgeon must respect his learning curve.