Operative and postoperative outcomes in elderly patients undergoing endoscopic sinus surgery

Gardner, James Reed; Campbell, Jessica B; Daigle, Olivia; King, Deanne; Kanaan, Alissa

doi:10.1007/s00405-020-06453-2

Cited by 7 publications

(12 citation statements)

References 20 publications

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“…Thirty-one articles were included in the final analysis after potentially overlapping studies were excluded. 19–49 Figure 1 provides a summary of the search process. The risk of bias graph is presented as percentages across all included studies and summarized in Figure 2.…”

Section: Resultsmentioning

confidence: 99%

Demographic Variation in Chronic Rhinosinusitis by Subtype and Region: A Systematic Review

Mehta

Nguyen

et al. 2021

Am J Rhinol�Allergy

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Background Chronic rhinosinusitis (CRS) describes a heterogenous group of diseases including CRS with (CRSwNP) or without nasal polyps (CRSsNP), aspirin-exacerbated respiratory disease (AERD), and allergic fungal rhinosinusitis (AFRS). It affects 10 to 15% of the US population and is more common in women and White patients. However, these estimates are based on survey and database studies with innate diagnostic inaccuracy. Additionally, few studies report subtype-specific demographics. We explore the demographic differences of CRS in the U.S. by subtype and region. Objective To characterize demographic differences between the CRS population and the overall US population, and also between different CRS subtype populations. Methods We performed a systematic review for articles reporting on US demographics of adults with CRS. Study participants were required to have been diagnosed using consensus criteria. Data on demographics, geographic region, and CRS subtype were analyzed. Results Our study analyzed 31 unique studies representing 8409 patients with 50.7% females and weighted mean age of 48.0 years. Compared to the overall US population, CRS patients were predominantly White (78.5%) and non-Hispanic (94.5%) with under-representation of other races. Grouped by subtype, CRSwNP affected a significantly higher proportion of men (59.8%). AFRS affected a significantly higher proportion of Black patients (53.8%) while CRSsNP was more prevalent in White patients (84.2%). When grouped by region, the South had a significantly higher proportion of female (53%) and Black (17.8%) CRS patients. The West had a significantly higher proportion of Asian (4.5%) and Hispanic (12.3%) patients. Conclusions Significant demographic differences exist in CRS patients based on subtype and region. These data provide an estimation of the demographic make-up of CRS, but further high-level demographic studies are needed.

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Section: Resultsmentioning

confidence: 99%

Demographic Variation in Chronic Rhinosinusitis by Subtype and Region: A Systematic Review

Mehta

Nguyen

et al. 2021

Am J Rhinol�Allergy

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“…The treatment used for sphenochoanal polyps is simple polypectomy, but a newer and superior technique used nowadays using FESS. The FESS is conducted by performing intranasal polyp excision and extraction and enlarging the sphenoid sinus ostium endoscopically [8] , [13] . The surgery is first initiated by resectioning the inferior turbinate to expand the visual field [1] , [14] .…”

Section: Discussionmentioning

confidence: 99%

“…The voice change is caused by the shift in sinus structure post FESS. Eye and brain injury complications are rare [13] , [15] , [16] .…”

Section: Discussionmentioning

confidence: 99%

Extraction of sphenochoanal polyp with functional endoscopic sinus surgery approach: A rare case and review article

Ditha

Sutikno

2022

International Journal of Surgery Case Reports

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“… 69 Gardner et al recently contradicted that by showing no difference in complication rates or intraoperative blood loss. 70 …”

Section: Biologicsmentioning

confidence: 99%

“…Gardner et al found significant improvement in SNOT-22 scores in elderly patients undergoing ESS as well. 70 At this time, the rate of complications in ESS for CRS in elderly patients in comparison with younger patients has not been definitively established, but the effectiveness of surgery appears well established.…”

Section: Biologicsmentioning

confidence: 99%

Managing Chronic Rhinosinusitis with Nasal Polyps in the Elderly: Challenges and Solutions

Merrill¹,

Kanaan²

2022

CIA

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The proportion of the population over 65 years old continues to grow. Chronic rhinosinusitis is common in this population and causes a reduction in quality of life and an increase in health care utilization. Diagnosis of chronic rhinosinusitis with nasal polyps follows the same principles for elderly patients as in the general population, but the elderly population presents some diagnostic challenges worth considering. Presbynasalis, the anatomic and functional changes of the nose and paranasal sinuses associated with aging must be accounted for when caring for these patients. In addition, polypharmacy and other medical issues that can cause similar symptoms must be considered. Medical therapy is generally similar to the general population but with additional concerns given the propensity for geriatric patients to be on multiple medications and to suffer from multiple medical issues. Sinus surgery should be considered following the same indications as in the general population. While some authors have found higher complication rates in endoscopic sinus surgery, others have found higher rates of success. As always, the risks of surgery must be considered with the possible benefits on a patient-to-patient basis.

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Operative and postoperative outcomes in elderly patients undergoing endoscopic sinus surgery

Cited by 7 publications

References 20 publications

Demographic Variation in Chronic Rhinosinusitis by Subtype and Region: A Systematic Review

Demographic Variation in Chronic Rhinosinusitis by Subtype and Region: A Systematic Review

Extraction of sphenochoanal polyp with functional endoscopic sinus surgery approach: A rare case and review article

Managing Chronic Rhinosinusitis with Nasal Polyps in the Elderly: Challenges and Solutions

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