Diagnóstico y tratamiento de los paragangliomas carotídeos. Presentación de nueve casos y revisión de la literatura

Submandibular approach and use of Ligasure® system in a complex carotid paraganglioma

“… 2 , 3 , 7 Sometimes, these tumors can produce symptoms associated with compression and overgrowth. 8 CBTs are mainly nonfunctional, but sometimes may be functional and produce catecholamines, such as norepinephrine and epinephrine, and produce symptoms, such as palpitations, hypertension, and weight loss. 8 , 9 …”

“…Submandibular approach is rarely used. 8 It is commonly used on maxillofacial surgery. It allows exposure of the distal portion of the extra-cranial internal carotid artery, elevation of the mandible, osteotomy, and subluxation of the mandible when needed.…”