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Head and neck surgery in the aged

R F Morgan, R M Hirata, D A Jaques

    American Journal of Surgery
    |October 1, 1982
    PubMed
    Summary
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    Major head and neck resections in patients over 65 have a low perioperative mortality rate of 3.5%. Advanced age should not deter aggressive surgical treatment for head and neck cancer.

    Area of Science:

    • Oncology
    • Geriatric Surgery
    • Anesthesiology

    Background:

    • Elderly populations are increasing.
    • Head and neck cancer is a significant concern in older adults.
    • Previous studies show varied mortality rates for surgery in the elderly.

    Purpose of the Study:

    • To determine the perioperative mortality rate for patients aged 65+ undergoing major head and neck resections.
    • To compare this rate with younger age groups and other surgical procedures.
    • To assess the safety of aggressive surgical therapy for head and neck cancer in the elderly.

    Main Methods:

    • Retrospective analysis of 810 patients aged 65+ undergoing major head and neck resections.
    • Data collection on perioperative mortality (30-day postoperative death).

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  • Comparison with historical data for similar procedures in younger patients and other surgeries in the elderly.

    • Main Results:

    • The perioperative mortality rate was 3.5% (29 of 810 patients).
    • This rate is lower than for patients aged 35-65 undergoing similar procedures.
    • Head and neck surgery in the elderly demonstrates a relatively low mortality compared to other surgeries in this age group.

    Conclusions:

    • Major head and neck resections in patients over 65 are associated with a low perioperative mortality rate.
    • Advanced age should not be a contraindication for aggressive surgical treatment of head and neck cancer.
    • Head and neck surgery remains a safe option for elderly patients with cancer.