Backround: parotid hemangiomas are rare vascular benign tumors 0.4-0.6%. Though capillary type of hemangiomas have been shown a good response to medical therary, cavernous hemangiomas usually require surgical excision. Case report and discussion: 11 years girl with failure of medical treatment for parotid cavernous hemangioma was evaluated and operated with superficial conservative parotidectomy at aimsr, Hyderabad. Review of literature: reports mostly tab propranolol to be treatment for the condition; it has guarded effect over cavernous hemangioma. Conclusion: cavernous parotid hemangioma though rare, treatment mostly remains parotidectomy after proper evaluation for its feeding vessels.
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