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Updated: Aug 24, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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.
Background:
With the baby boomers getting older, endoscopic sinus surgery (ESS) is being performed more on elderly people than before. We compared patients undergoing ESS who were >65 years of age with those <65 years.
Materials And Methods:
We reviewed our database of cases who had ESS between 1992 and 2002. Demographics and patient characteristics and complications encountered intraoperatively and immediately postoperatively were reviewed.
Results:
Forty-six (8.1%) patients were older than 65 years of age compared with 522 patients who were 18-64 years old. The older group had a 24% revision rate compared with 34% in the younger group. Complication rates were 21.7% for the elderly compared with 12.8% for the younger group. There was a significantly higher complication rate in the older group of people who were having revision ESS.
Conclusion:
The elderly people who were having revision surgery had a higher risk for complications compared with those having primary surgery or those <65 years old.
