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

UNLABELLED 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.