Abstract: Pleomorphic adenoma is the most common salivary gland tumor. Most of these tumors originate in the superficial lobe with few involving the deeper lobe with medial extensions in to the adjacent para-pharyngeal space (PPS). The histological variation of the tumor along with its particular location poses difficulty in its accessibility for adequate removal of the tumor. Different approaches have been described with varying indications for different clinical situations and intricacies in gaining access to the tumor because of the difficulty involved in getting into the para-pharyngeal space (PPS). Thus, it becomes of utmost significance to select the right surgical approach for such kind of cases balancing maximum exposition and complete and safe removal of the tumor with minimal functional and esthetic morbidity.
Case Series: In the present case series, two patients were selected on standard criterion based on histological type, site, age, sex, clinical features, radiological evaluation, recurrence of the parotid tumors and surgical access to these tumors. Patients selected on eligibility criteria were evaluated and underwent, further, radiological evaluation and were surgically managed. Thereafter, long term follow-up was done clinically as well as radiologically. Successful surgical outcome was determined on the basis of functional and clinical recovery.
Conclusion: Selecting the best approach to maximize visibility, ensure complete removal of the tumor and to reduce morbidity is an important decision to be made. Swing mandibulotomy access provides an excellent mandible sparing surgical approach to gain access to deep lobe parotid tumors which are otherwise not accessible without procedures which leave significant morbidity.

Keywords: Adenoma pleomorphic, Parotid tumors, Swing mandibulotomy