Postoperative complications of head and neck cancer surgery in 75 years or older patients

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  • Ishida Hiroki
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center
  • Tsujimura Takashi
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center
  • Eto Anna
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center
  • Morita Isao
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center
  • Kimura Toshiya
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center
  • Gyo Kumiko
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center
  • Nishimura Kazunari
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center
  • Honda Keigo
    Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Miura Makoto
    Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center

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Other Title
  • 後期高齢者頭頸部癌根治手術例の術後合併症についての検討

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Abstract

With population aging in Japan, more older adults are being diagnosed with head and neck cancers. The choice of treatment for these patients should be based on their age and individual conditions. In this study, we retrospectively analyzed the data of 61 patients with head and neck cancers aged ≥75 years who underwent surgery as a primary treatment in our department between April 2016 and September 2020. We investigated the postoperative complications, cases of functional decline resulting in hospital transfer, and risk factors for these situations. Eleven patients experienced postoperative medical complications, including pneumonia and arrhythmia. Of these, six patients were unable to return to their original place of residence and required hospital transfer. The risk factors for postoperative medical complications included dementia, comorbidity, prolonged surgery, and tracheostomy. Dementia was also indicated as a risk factor for requiring hospital transfer. On the other hand, an increase in age was not correlated with an increase in the risk of postoperative complications of hospital transfer. <br>When treating older patients with head and neck cancers, it is necessary to consider their physical conditions and social backgrounds. Preoperative dementia is a risk factor for postoperative complications and hospital transfer; therefore, a preoperative evaluation of cognitive function should be performed and taken into account when considering treatment strategies.

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