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Related Experiment Videos

Composite resection in the elderly: a well-tolerated procedure

J T Johnson, D D Rabuzzi, H M Tucker

    The Laryngoscope
    |September 1, 1977
    PubMed
    Summary

    Surgery in elderly patients with oral cavity cancer presents significant risks. While wound complications were similar to younger patients, older individuals experienced more severe medical issues, with an overall 29% complication rate and 4% mortality.

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    Area of Science:

    • Oncology
    • Geriatric Surgery
    • Oral and Maxillofacial Surgery

    Background:

    • Composite resection is a standard treatment for oral cavity carcinoma.
    • The risks of this procedure in elderly patients (over 64) are not well-documented.
    • Weighing surgical risks against nonoperative care is crucial for elderly patients.

    Purpose of the Study:

    • To report the risks and complications associated with composite resection in elderly patients.
    • To compare complication rates in elderly versus younger patients undergoing oral cavity cancer surgery.

    Main Methods:

    • Retrospective review of patient charts for individuals over 64 years old.
    • Categorization of complications encountered during and after surgery.
    • Comparison with a representative group of younger patients.

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    Main Results:

    • Overall complication rate was 29% in the elderly group, with a 4% mortality rate.
    • Wound complication rates were comparable between elderly and younger patient groups.
    • Elderly patients had a higher incidence of serious, associated medical problems.

    Conclusions:

    • Composite resection in elderly patients carries a significant risk of medical complications.
    • While surgical wound issues are similar, elderly patients face greater risks from systemic medical problems.
    • Careful consideration of comorbidities is essential when deciding on surgical intervention for oral cancer in the elderly.