Wu Y, Zhang B, Huang Z, Ruan Y, Huang Z
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Int J Oral Maxillofac Surg. 2018 Jul;47(7):824-829. doi: 10.1016/j.ijom.2018.01.018. Epub 2018 Feb 9.
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.
本研究的目的是评估老年头颈癌（HNC）患者手术的临床结果，并确定老年HNC患者手术是否安全，以及何种手术方式能为该年龄组带来最有利的结果。对637例诊断为HNC并接受手术治疗的老年患者的病例进行了回顾性研究。从相应的患者记录中提取患者人口统计学特征和治疗数据并进行分析。年龄并不能显著预测术后并发症或死亡率。皮瓣重建手术与坏死、出血、感染、抢救治疗需求或重症监护病房住院时间无显著关联。年龄不是老年患者HNC手术治疗的危险因素。皮瓣重建对老年患者不应被视为风险更高。老年HNC患者的治疗选择应基于医学评估而非年龄。
