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

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.