title: 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.
authors.affiliation: Department of Vascular Surgery, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: Diego José
authors.initials: DJ
authors.lastname: Rojas Esquivel
authors.affiliation: Department of Vascular Surgery, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: Stefan
authors.initials: S
authors.lastname: Stefanov Kiuri
authors.affiliation: Department of Vascular Surgery, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Fernández Heredero
authors.affiliation: Department of Vascular Surgery, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Riera De Cubas
authors.affiliation: Department of Maxillofacial Surgery, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: José Cebrian
authors.initials: JC
authors.lastname: Carretero
keywords: Carotid body tumor; glomus tumor; surgery