Journal of Rhinology 2006;13(1):37-39.
Published online May 31, 2006.
Complications of Endoscopic Sinus Surgery in Geriatric Chronic Sinusitis
Jung Kyu Lee, Moo Kyun Park, Kyoung Min Kim, Jae Gu Cho, Seung Hoon Lee, Sang Hak Lee, Heung Man Lee
Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea.
노인 만성부비동염에서 부비동내시경수술의 합병증
이정규, 박무균, 김경민, 조재구, 이승훈, 이상학, 이흥만
고려대학교 의과대학 이비인후-두경부외과학교실
Background and Objectives
With advancement in technique and the skills of endoscopic sinus surgery (ESS), this surgery is being performed more on elderly people than before. We compared the complication in patients undergoing ESS who were > or =65 years of age with those <65 years.
We reviewed our database of cases that had ESS between 2002 and 2005. Demographics and patient characteristics and complications encountered intraoperatively and immediately postoperatively were reviewed.
One hundred patients were older than 65 years of age compared with 100 patients who were 16-65 years old. The older group had a 5% revision rate compared with 3% in the younger group. Complication rates were 11% for the elderly compared with 8% for the younger group. There was a slight higher complication rate in the older group of people than in the younger group of people, but statistically no difference.
In geriatric population, complications of ESS were mainly minor such as synechiae, orbital entry, hemorrhage, periorbital ecchymosis. Complication rate was not significantly different between geriatric group and adult control group. Therefore ESS in the geriatric group is as safe as that performed in the adult control group.
Key Words: Chronic sinusitis;Geriatric population;Complication rate;Endoscopic sinus surgery

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