Geriatric Sinus Surgery: A Review of Demographic Variables, Surgical Success and Complications in Elderly Surgical Patients
| Autor: | Samuel N. Helman MD, Daniel Carlton MD, Brian Deutsch MD, Robert Choake MD, Varun Patel MD, Satish Govindaraj MD, Alfred M. C. Iloreta MD, Anthony Del Signore MD |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Allergy & Rhinology, Vol 12 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2152-6567 21526567 |
| DOI: | 10.1177/21526567211010736 |
| Popis: | Objective Demonstrate feasibility, safety and outcome metrics of geriatric sinus surgery (GESS). Study Design Retrospective review of patients undergoing sinus surgery for indication of chronic rhinosinusitis with and without nasal polyposis. Setting Tertiary referral center. Participants Patients who underwent FESS from 2008–2017; excluding skull base, craniofacial, or oncologic surgery. Primary study group were patients aged 65 years and older. Patients aged 40–64 years of age were included for comparison. Main Outcomes and Measures: Multivariate analysis was performed to identify independently associated patient characteristics and perioperative variables. Preoperative medical and treatment history, revision and primary surgery, preoperative and post-operative SNOT-22 and NOSE scores, Lund-McKay scores were recorded when available. Post-operative data was assessed at a minimum of two months after the index procedure. Post-operative complications were included. Results Ninety-one (91) patients met criteria. 21.2% of the geriatric patients were taking systemic anticoagulation prior to surgery, and underwent treatment with nasal steroids (25.0%), oral antibiotics (67.7%), nasal irrigations (48.4%), and systemic steroids (37.5%) over an average of 7.3 months prior to surgery. There was an average post-operative reduction of 15.0 points (p |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|