There is no increase in pharyngocutaneous fistula rates in patients who receive early oral feeding after total laryngectomy.

Introduction. Sarcoidosis is a rare multisystemic granulomatous inflammatory disease of unknown etiology affecting the respiratory system, skin, and eyes. Sarcoidosis outside the lacrimal gland is rare. The case study concerns a patient with a final diagnosis of orbital sarcoidosis. Case Report. A 37-year-old male patient went to the ophthalmic emergency room complaining of pain in the left eye, diplopia, and decreased visual acuity. An external eye examination showed hard and cold edema of the lower eyelid, ocular motility with limitation of adduction, and discreet ipsilateral proptosis. Magnetic resonance of the orbit showed left eye proptosis and thickening and increase of soft tissues associated with heterogeneous impregnation of contrast in the infralateral region of the left eyelid. A biopsy of the lesion showed a chronic inflammatory process, with numerous compact nonnecrotizing granulomas surrounded by lamellar hyaline collagen, providing histological confirmation of sarcoidosis. Discussion. A biopsy of the orbital tumor is essential for the diagnosis of sarcoidosis, in addition to the search for systemic findings such as hilar adenopathy or parenchymal lung disease found in 90% of patients.

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Mammary analogue secretory carcinoma is a rare neoplasm usually confused with other neoplasms in the salivary glands region. It has great similarity with the breast carcinoma. We report a case of a patient who presented with gingival submucosal bleeding and lesion, with the initial histopathological examination revealing salivary gland neoplasm of low crane. Computed tomography revealed the lesion near the tooth 27, with extension to the floor of the left maxillary sinus and to the palate mucosa. Resection of the infra-structure was performed, with a diagnosis of breast cancer secretory carcinoma in the minor salivary gland.

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Ao Prof. Dr. Rogério A. Dedivitis, amigo, orientador, modelo de médico e pessoa, a quem procuro me espelhar. Sempre disponível para dúvidas e sugestões. Agradeço pela oportunidade especial de trabalhar ao seu lado e por ser o principal entusiasta desta tese. Ao Professor Dr. Leandro Luongo Matos, pelo auxílio no banco de dados no ICESP, na casuística e estatística de todo o trabalho, pela infinita disponibilidade e gentileza. Ao Dr. Mário Augusto Ferrari de Castro, pela atenção, auxílio no desenvolvimento do trabalho e amizade. Ao Professor Dr. Marco Aurélio Kulcsar, pelo auxílio no banco de dados, pela disponibilidade e gentileza em me atender no ICESP. Ao Dr. Daniel Marin Ramos, pelo auxílio no banco de dados de laringe e gentileza.