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Endoscopic sinus surgery in geriatric population.

Hassan H Ramadan¹, Ray VanMetre

¹Department of Otolaryngology, Head and Neck Surgery, West Virginia University, Morgantown, West Virginia 26506-9200, USA.

American Journal of Rhinology

|May 22, 2004

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Elderly patients undergoing revision endoscopic sinus surgery (ESS) face higher complication risks. While older adults had lower revision rates, their overall complication rate was higher, especially during revision procedures.

Area of Science:

Otolaryngology
Geriatric Surgery

Background:

Endoscopic sinus surgery (ESS) is increasingly performed on older populations due to aging demographics.
A comparison between patients over 65 and those under 65 undergoing ESS was warranted.

Purpose of the Study:

To compare outcomes of endoscopic sinus surgery (ESS) in patients aged over 65 versus those under 65.
To identify specific risks and complication rates associated with ESS in the elderly population.

Main Methods:

Retrospective review of a surgical database between 1992 and 2002.
Analysis of demographics, patient characteristics, and intraoperative/postoperative complications for ESS patients.

Main Results:

The study included 46 patients >65 years and 522 patients 18-64 years.

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The elderly group exhibited a lower revision rate (24%) compared to the younger group (34%).

Overall complication rates were higher in the elderly (21.7%) versus younger patients (12.8%), with significantly higher rates in elderly patients undergoing revision ESS.

Conclusions:

Elderly patients undergoing revision ESS have a substantially higher risk of complications.
While revision rates were lower in older adults, overall complication risks necessitate careful consideration in this demographic.