title: Endoscopic sinus surgery in geriatric population.
abstract: BACKGROUND
  With the baby boomers getting older, endoscopic sinus surgery (ESS) is being performed more on elderly people than before. We compared patients undergoing ESS who were >65 years of age with those <65 years.
  
  
  METHODS
  We reviewed our database of cases who had ESS between 1992 and 2002. Demographics and patient characteristics and complications encountered intraoperatively and immediately postoperatively were reviewed.
  
  
  RESULTS
  Forty-six (8.1%) patients were older than 65 years of age compared with 522 patients who were 18-64 years old. The older group had a 24% revision rate compared with 34% in the younger group. Complication rates were 21.7% for the elderly compared with 12.8% for the younger group. There was a significantly higher complication rate in the older group of people who were having revision ESS.
  
  
  CONCLUSIONS
  The elderly people who were having revision surgery had a higher risk for complications compared with those having primary surgery or those <65 years old.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, West Virginia University, Morgantown, West Virginia 26506-9200, USA.
authors.forename: Hassan H
authors.initials: HH
authors.lastname: Ramadan
authors.forename: Ray
authors.initials: R
authors.lastname: VanMetre
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D010256:Paranasal Sinuses / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology*; D015995:Prevalence; D011336:Probability; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D012852:Sinusitis / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome