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Surgery for chronic otitis media in the elderly.
Casper Jolink1, Ayla Huijsman1, Wouter A Dreschler2
1Department of Otorhinolaryngology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
American Journal of Otolaryngology
|December 5, 2022
Summary
Surgery for chronic otitis media is safe and effective in elderly patients, with outcomes comparable to younger adults and children. Age does not impact surgical success or adverse events for this condition.
Area of Science:
- Otolaryngology
- Geriatric Surgery
Background:
- Chronic otitis media (COM) affects all age groups.
- Surgical outcomes in elderly patients with COM are not well-established.
Purpose of the Study:
- To compare the effectiveness and safety of COM surgery in elderly patients versus younger adults and children.
- To assess age-related differences in surgical outcomes and recurrence rates.
Main Methods:
- Retrospective assessment of patients with COM, with and without cholesteatoma.
- Comparison of postoperative outcomes (dry/safe ears, adverse events) across three age groups: elderly (≥65 years), adults (35-55 years), and children.
- Evaluation of recurrent cholesteatoma rates by age group.
Main Results:
- No significant differences in postoperative success or adverse events were observed between the age groups.
- Children exhibited higher rates of recurrent cholesteatoma compared to adults.
- Recurrence rates for cholesteatoma were similar between adult age groups.
Conclusions:
- Surgical management of COM, with or without cholesteatoma, is safe and effective in elderly patients.
- Age is not a determining factor for postoperative adverse events or treatment outcomes in COM surgery.
- Adult age groups show comparable rates of cholesteatoma recurrence after surgery.
Keywords:
AgedChronic otitis mediaChronic otitis media with cholesteatomaChronic suppurative otitis mediaFrail elderlyMore Related Videos
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