RESUMO
Thyroglossal duct cyst (TDC) is a cystic expansion of a remnant of the thyroglossal duct tract. Carcinomas in the TDC are extremely rare and are usually an incidental finding after the Sistrunk procedure. In this report, an unusual case of a 36-year-old woman with concurrent papillary thyroid carcinoma arising in the TDC and on the thyroid gland is presented, followed by a discussion of the controversies surrounding the possible origins of a papillary carcinoma in the TDC, as well as the current management options.
RESUMO
BACKGROUND: The purpose of this study was to assess the tolerance of early oral feeding after total laryngectomy. METHOD: A randomized multicenter study was conducted that included 89 individuals subjected to total laryngectomy. The participants were allocated to 2 groups: early (n = 44), early oral feeding; and late (n = 45), late oral feeding. The participants in the early group were assessed as to acceptance of oral feeding, and their food intake was quantified. RESULTS: In the early group, the total energy expenditure and protein needs were not met through oral feeding alone at any time during the first 7 postoperative days. The times to attain 25% and 50% of the total energy expenditure and protein needs by oral feeding after surgery were 4 and 7 days, respectively. CONCLUSION: The patients subjected to early oral feeding failed to meet their caloric and protein needs through that route alone during the first 4 postoperative days and required complementary nutrition through another route. © 2015 Wiley Periodicals, Inc. Head Neck 38: E643-E648, 2016.
Assuntos
Nutrição Enteral , Laringectomia , Necessidades Nutricionais , Idoso , Proteínas Alimentares/administração & dosagem , Ingestão de Alimentos , Ingestão de Energia , Feminino , Humanos , Neoplasias Hipofaríngeas/cirurgia , Neoplasias Laríngeas/cirurgia , Masculino , Pessoa de Meia-Idade , Avaliação Nutricional , Complicações Pós-Operatórias , Fatores de TempoRESUMO
Introdução: Oncocitoma de glândulas salivares (OGS) é tumorbenigno raro das glândulas salivares, correspondendo a 1%dessas neoplasias. Aparece em geral após a sexta década de vida,sem preferência entre os sexos. Em 80% dos casos, localiza-sena glândula parótida. Material e Método: Apresentamos análiseretrospectiva de cinco pacientes com diagnóstico de OGS, sendoquatro em parótida e um em glândula submandibular, operadosnos últimos 13 anos em nosso serviço. Resultados: Todos foramsubmetidos à ressecção total da glândula. Há três pacientes comcinco a treze anos de seguimento, um operado há 10 meses, eum operado há quatro meses. Nenhum deles apresentou recidivaaté o momento. Comentários finais: O tratamento dos OGS écirúrgico e consiste na retirada do tumor com margens cirúrgicaslivres. A recidiva atinge índices de 30%, devido à excisãoincompleta do tumor ou à multifocalidade, o que demonstra aimportância do acompanhamento periódico dos pacientes.