University of Arkansas for Medical Sciences, Department of Otolaryngology - Head and Neck Surgery, Little Rock, AR, USA.
Clin Interv Aging. 2022 May 2;17:685-698. doi: 10.2147/CIA.S279765. eCollection 2022.
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.
人口中 65 岁以上的比例持续增长。慢性鼻-鼻窦炎在这一人群中很常见，会降低生活质量并增加医疗保健的利用。老年患者的慢性鼻-鼻窦炎伴鼻息肉的诊断遵循与普通人群相同的原则，但老年人群存在一些值得考虑的诊断挑战。随着年龄的增长，与鼻和鼻窦相关的鼻内纳斯alis 解剖和功能变化必须在护理这些患者时加以考虑。此外，还必须考虑会引起类似症状的多种药物治疗和其他医疗问题。一般来说，老年患者倾向于同时使用多种药物并患有多种疾病，因此医学治疗与普通人群相似，但需要额外关注。鼻窦手术应根据普通人群的相同适应证进行考虑。虽然一些作者发现内镜鼻窦手术的并发症发生率较高，但也有其他作者发现成功率较高。与往常一样，必须根据患者的具体情况，权衡手术的风险与可能带来的益处。
