Can Hematological Parameters Have a Prognostic Value in Bell’s Palsy Patients?

Abstract

Purpose: The study aim was to investigate the contribution of the Systemic Immune-Inflammation Index (SII), neutrophil-to-lymphocyte ratio (NLR) and that platelet-to-lymphocyte ratio (PLR) to the prognosis of Bell’s palsy patients. Materials and Methods: Data of 71 patients with Bell’s palsy and 40 participants in control group were retrospectively evaluated. Within the study scope, patients were assessed in detail according to patient age, gender, BP side, House-Brackmann score (HBS) system grading, NLR, PLR, and SII ratios. In addition, ROC analysis was performed in BP patients, and parameters that may have prognostic significance were evaluated. Results: The groups were matched in terms of age and gender distribution. NLR, PLR, and SII values were statistically significant in BP patients. Especially SII parameter was found to be more valuable for prognosis in the ROC analysis. Conclusion: Bell’s palsy has an inflammatory component. SII, NLR, LR values can indicate an inflammatory condition in these patients. They may be used as markers and prognostic indicators in Bell’s palsy.

Keywords

• facial paralysis
• inflammation
• systemic immune inflammation index