DOI: 10.32364/2587-6821-2020-4-4-243-246
S.A. Karpishchenko1,2, G.V. Lavrenova2, O.E. Vereshchagina2, P.I. Gas’kova2
1St. Petersburg Research Institute of Ear, Throat, Nose, and Speech, St. Petersburg,
Russian Federation
2I.P. Pavlov First St. Petersburg State Medical University, St. Petersburg, Russian Federation
This review article attempts to systematize and summarize the data on the major age-related pathophysiological, biomechanical, and histological processes that contribute to the progression of nasal breathing impairment or the appearance of these symptoms in elderly patients. The specifics of risk assessment of deviated septum surgery using various questionnaires and scoring systems is discussed. The article demonstrates that deviated septum surgery can be performed in these patients and addresses the specificity of donor site selection for a septal graft in elderly patients considering the histological features of various septal cartilage regions. Prior assessment of individual risks is of particular importance since it determines surgical success and favorable postoperative course in these patients. Studies addressing the perspective use of tissue-engineering transplants are unraveled. Management strategies that consider aging biomechanisms potentially affecting treatment efficacy are described. Finally, the article highlights pr eoperative management, treatment choice, drug dosage regimens, and postoperative management after septoplasty.
Keywords: deviated septum, septoplasty, elderly persons, age-related disorders, neuromuscular tone, nasal breathing impairment.
For citation: Karpishchenko S.A., Lavrenova G.V., Vereshchagina O.E., Gas’kova P.I. Septoplasty in elderly patients. Russian Medical Inquiry. 2020;4(4):243–246. DOI: 10.32364/2587-6821-2020-4-4-243-246.
About the authors:
Sergey A. Karpishchenko — Dr. of Sci. (Med.), Professor, Director, St. Petersburg Research Institute of Ear, Throat, Nose, and Speech, 9, Bronnitskaya str., St. Petersburg, 198013, Russian Federation; Head of the Department of Otorhinolaryngology, I.P. Pavlov First St. Petersburg State Medical University, 6–8, Lev Tolstoy str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0003-1124-1937.
Galina V. Lavrenova — Dr. of Sci. (Med.), Professor of the Department of Otorhinolaryngology, I.P. Pavlov First St. Petersburg State Medical University, 6–8, Lev Tolstoy str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0002-3537-0226.
Olga E. Vereshchagina — Cand. of. Sci. (Med.), Head of the Otorhinolaryngological Department, I.P. Pavlov First St. Petersburg State Medical University. 6–8, Lev Tolstoy str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0001-9480-6547.
Polina I. Gas’kova — student of the 5th course of the Medical Faculty, I.P. Pavlov First St. Petersburg State Medical University, 6–8, Lev Tolstoy str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0001-8733-6524.
Contact information: Olga E. Vereshchagina, e-mail: wereschagina@yandex.ru. Financial Disclosure: no authors have a financial or property interest in any material or method mentioned. There is no conflict of interests. Received 31.06.2020, revised 13.07.2020, accepted 27.07.2020.
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