Journal
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
Volume 47, Issue 7, Pages 824-829Publisher
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.ijom.2018.01.018
Keywords
head; neck; cancer; elderly; surgery
Categories
Funding
- National Natural Science Foundation of China [81772892]
- Fundamental Research Funds for the Central Universities [16ykjc17]
- Guangdong Province Natural Science Foundation [2016A030313348]
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The aim of this study was to evaluate the clinical results of surgery for head and neck cancer (HNC) in elderly patients and to determine whether surgery for elderly HNC patients is safe and what types of surgery result in the most favourable outcomes for this age group. The cases of 637 elderly patients who were diagnosed with HNC and underwent surgical treatment were studied retrospectively. Patient demographic characteristics and treatment data were extracted from the appropriate patient records and analysed. Age did not significantly predict postoperative complications or death rates. Flap reconstruction surgery had no significant association with necrosis, haemorrhage, infection, need for rescue treatment, or length of intensive care unit stay. Age was not a risk factor for surgical treatment of HNC in the elderly patients. Flap reconstruction should not be considered riskier for elderly patients. The treatment choice for elderly patients with HNC should be based on medical assessments but not on age.
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