Featured Research

from universities, journals, and other organizations

Endoscopic Sinus Surgery Is Safe, Effective In Older Patients

Date:
January 20, 2005
Source:
Medical College Of Georgia
Summary:
Minimally invasive surgery to alleviate the pain and pressure of sinusitis is a safe, effective therapy for geriatric patients who can't be helped by medication alone, according to new research.

Dr. Stilianos E. Kountakis, otolaryngologist and vice chair of the Medical College of Georgia Department of Otolaryngology - Head and Neck Surgery, is a principal investigator on a new study that shows endoscopic sinus surgery is safe and effective in older patients.
Credit: Image courtesy of Medical College Of Georgia

Minimally invasive surgery to alleviate the pain and pressure of sinusitis is a safe, effective therapy for geriatric patients who can't be helped by medication alone, according to new research.

"This tells us that we should not neglect sinus problems in the elderly; that if medicines don't work, we have a surgical technique that is not that invasive and results in good outcomes," says Dr. Stilianos E. Kountakis, otolaryngologist, vice chair of the Medical College of Georgia Department of Otolaryngology – Head and Neck Surgery and a principal author on the study published in the December issue of Otolaryngology – Head and Neck Surgery. "There is a way to improve symptoms either with medicine or surgery if necessary, and it's worth pursuing because patients feel better overall and have better quality of life."

Dr. Kountakis and collaborators, led by Drs. J. Chris Colclasure and Charles W. Gross at the University of Virginia Health System, looked at 56 patients over age 60 who underwent functional endoscopic sinus surgery, which uses small cameras and monitors to approach sinuses through the nose and minimize trauma.

They found patients continued to report improvement in symptoms over the year following surgery, had few minor complications and no major complications, Dr. Kountakis says. The findings are comparable to studies of younger patient populations.

Sinusitis, which affects some 30 million Americans, is the sixth most common chronic condition of the elderly, says Dr. Kountakis. "As we mature, the sinus lining is not as efficient at transporting secretions so secretions stay behind, sinuses become obstructed more easily and more easily infected."

Despite the high incidence, sinusitis can go untreated in some elderly patients because other conditions take priority and/or create the perception that sinusitis is more difficult to treat in older patients, says Dr. Kountakis, who directs the Georgia Sinus and Allergy Center.

"We thought that maybe the endoscopic sinus surgery wouldn't be as effective because of the decreased efficiency of the sinuses that naturally occurs with age, but that wasn't the case. We thought maybe other medical problems, might make surgery less safe and effective, but that wasn't the case either," he says.

Instead they found 64 percent improvement in symptoms at three months, 73 percent improvement at six months and 75 percent improvement at 12 months, based on patient reports of their symptoms as well as physical exams.

Medical therapy, including inflammation-reducing steroids, mucus thinners and salt-water douches to moisturize and clean the sinuses, is always the first approach to treatment, Dr. Kountakis says. But after about a month, if the condition is no better, a surgical approach through the nose can be used to remove obstructions and/or widen sinus passages. Typically patients will continue to need some type of medicine following surgery to help keep their condition in check.


Story Source:

The above story is based on materials provided by Medical College Of Georgia. Note: Materials may be edited for content and length.


Cite This Page:

Medical College Of Georgia. "Endoscopic Sinus Surgery Is Safe, Effective In Older Patients." ScienceDaily. ScienceDaily, 20 January 2005. <www.sciencedaily.com/releases/2005/01/050111162710.htm>.
Medical College Of Georgia. (2005, January 20). Endoscopic Sinus Surgery Is Safe, Effective In Older Patients. ScienceDaily. Retrieved August 20, 2014 from www.sciencedaily.com/releases/2005/01/050111162710.htm
Medical College Of Georgia. "Endoscopic Sinus Surgery Is Safe, Effective In Older Patients." ScienceDaily. www.sciencedaily.com/releases/2005/01/050111162710.htm (accessed August 20, 2014).

Share This




More Health & Medicine News

Wednesday, August 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Possible Ebola Patient in Isolation at California Hospital

Possible Ebola Patient in Isolation at California Hospital

Reuters - US Online Video (Aug. 20, 2014) — A patient who may have been exposed to the Ebola virus is in isolation at the Kaiser Permanente South Sacramento Medical Center. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Raw: World's Oldest Man Lives in Japan

Raw: World's Oldest Man Lives in Japan

AP (Aug. 20, 2014) — A 111-year-old Japanese was certified as the world's oldest man by Guinness World Records on Wednesday. Sakari Momoi, a native of Fukushima in northern Japan, was given a certificate at a hospital in Tokyo. (Aug. 20) Video provided by AP
Powered by NewsLook.com
Do More Wedding Guests Make A Happier Marriage?

Do More Wedding Guests Make A Happier Marriage?

Newsy (Aug. 20, 2014) — A new study found couples who had at least 150 guests at their weddings were more likely to report being happy in their marriages. Video provided by Newsy
Powered by NewsLook.com
Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) — Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins