Abstract
The case was a 52 y/o, female patient that visited our OPD with the c. c. of swelling around submandibular area. Radiological examination revealed that there was a mass on the bifurcation of the carotid artery. We approached the tumor locating on this area and started tumor resection with bipolar coagulator divice at first, however it was difficult to continue surgical maneuver because of much bleeding. Internal shunt divice was applied to control bleeding. After installation of this device, it was possible to resect the tumor easily with less bleeding. Pathological diagnosis was paraganglioma. In the cases of carotid body tumor (paraganglioma) ; Shamblin Group 2 ; we consider this internal shunt device is useful to resect tumor with less bleeding. In the cases of carotid body tumor, Shamblin Group 3, there are any chances of resection of tumor with the preservation of carotid artery using this shunt device which was thought to be impossible so far.
