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Head and neck considerations in the elderly patient

D S Robinson1

  • 1Department of Surgery, University of Miami School of Medicine, Florida.

The Surgical Clinics of North America
|April 1, 1994
PubMed
Summary

Age is not a barrier for head and neck cancer surgery. Older patients experience similar outcomes and risks to younger patients, but co-morbidities require careful consideration.

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Area of Science:

  • Oncology
  • Geriatric Surgery

Background:

  • Head and neck cancer treatment decisions often consider patient age.
  • The impact of advanced age on surgical outcomes requires thorough evaluation.

Purpose of the Study:

  • To evaluate the safety and efficacy of head and neck surgery in elderly patients.
  • To determine if chronological age is a significant factor in treatment outcomes for head and neck cancer.

Main Methods:

  • Retrospective analysis of head and neck cancer patients undergoing surgery.
  • Comparison of outcomes, risks, and complication rates between elderly and younger patient cohorts.

Main Results:

  • Elderly patients undergoing head and neck surgery show comparable risks, complication rates, and mortality to younger patients.
  • Final outcomes for older patients are similar to those of younger counterparts.

Conclusions:

  • Chronological age alone should not preclude head and neck cancer surgery.
  • Pre-existing co-morbidities (cardiovascular, respiratory) in elderly patients necessitate careful pre-operative assessment and management.
  • Special consideration for the aging population is crucial for head and neck cancer surgeons.

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