Praxis of Otorhinolaryngology

Okan Parmaksız1, İmran Aydoğdu1, Onur Arıdaşır1, Ali Alper Bayram1, Zeynep Aydoğdu2

1Bahçelievler Devlet Hastanesi, Kulak Burun Boğaz Kliniği, İstanbul, Türkiye
2Gaziosmanpaşa Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, İstanbul, Türkiye

Keywords: Bell’s palsy, inflammation, lymphocyte, neutrophil, platelet.

Abstract

OBJECTIVE: This study aims to evaluate the effect of neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) on prognosis in patients with Bell’s palsy.

METHODS: The study included 56 patients (26 males, 30 females; mean age 45.6 years; range, 27 to 62 years) diagnosed with Bell’s palsy between February 2015 and May 2019 and 60 healthy volunteers (27 males, 33 females; mean age 44.0 years; range, 35 to 59 years). Blood values of the patients were recorded. Patients were divided into two groups according to the response they gave to the treatment as those who fully recovered and those who partially recovered.

RESULTS: The mean NLR and PLR values in patients with Bell’s palsy were significantly higher compared to the control group (p<0.001). In addition, NLR and PLR values were higher in partially recovered patients compared to the fully recovered patients.

CONCLUSION: The NLR and PLR values, which are obtained with easily administered tests in patients with Bell’s palsy, may be used as a novel marker for determining the prognosis.