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

Abstract

Carotid paragangliomas are rare tumors of slow growth, progressive, and highly vascularized; surgery is the chosen treatment, and most surgeons perform an approach with a longitudinal cervicotomy.Objective:We present a case of carotid paraganglioma Shamblin III with skull base extension.Methods:Submandibular approach and vascular sealing device of the Ligasure® system were used in the surgery.Results:We achieved complete resection using these adjunctive techniques.Conclusions:The use of these adjunctive techniques can be useful to manage large carotid body tumors.