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biome is important for cardiovascular health.OBJECTIVES To perform an evidence-based review evaluating presenting symptoms, imaging, and management for primary paragangliomas of the facial canal (PPFCs). DATA SOURCES PubMed/MEDLINE, Embase, Cochrane Library, and Web of Science. REVIEW METHODS Studies were assessed for quality of evidence and bias with the Cochrane bias tool, GRADE, and MINORS criteria. Demographic data, imaging modalities, management strategies, and status at last follow-up were obtained. RESULTS Sixteen studies met inclu