Objective: The exact cause of idiopathic facial paralysis (Bell’s palsy) is not clear. The objective of our study was to investigate the relationship between certain hemogram parameters and the clinical prognosis in pediatric patients with facial paralysis.
Material and Methods: The files of patients with Bell’s palsy under the age of 18 who applied to our hospital were evaluated retrospectively. Leukocyte, neutrophil, lymphocyte, platelet count, red cell distribution width, neutrophil to lymphocyte ratio, platelet to lymphocyte ratio, and monocyte to lymphocyte ratio were compared between patients with Bell’s palsy and the control group. Information about their last health status recorded.
Results: A total of seventeen children with Bell’s palsy and 17 control groups were included in the study. There were 7 boys (41.20%) and 10 girls (58.70%) in each group, the mean age was 11.80±4.40 (minimum 3.0-maximum 17.9) years. While the median neutrophil-lymphocyte ratio was 1.25 (0.41-7.63) in patients with Bell’s palsy and 1.40 (0.42-2.52) in the control group, the median mean platelet volume level was 9.30 fL (8.20-12.30) in patients with Bell’s palsy and 9.95 fL (9.30-11.70) in the control group, and the median red cell distribution width level was 12.75 % (11.50-26.30) in patients with Bell’s palsy and 12.70% (12.10-26.30) in the control group. None of them were statistically significant. There were six patients with Bell’s palsy with low mean platelet volume levels and no patients with low mean platelet volume levels in the control group (p=0.007). There was a positive correlation between the neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, and monocyte-lymphocyte ratio and the recovery time of patients with Bell’s palsy.
Conclusion: Bell’s palsy may show a better prognosis in girls. High neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, and monocyte-lymphocyte ratio may be indicators of delayed recovery, inflammation, and microvascular ischemia in Bell’s palsy.
Erzincan Binali Yıldırım University Clinical Research Ethics Committee Chairman (The university medical sciences ethics committee gave permission for the study with the decision numbered 32/11 taken at the session numbered 32. Date: 16/10/2018) This study was conducted in accordance with the Declaration of Helsinki.
Yok
Proje numarası yok
I would like to thank all my colleagues who supported our work.
Amaç: İdiopatik fasiyal paralizinin (Bell paralizisi) kesin sebebi belli değildir. Çalışmamızda fasiyal paralizi tanılı çocuk hastalarda, bazı hemogram parametreleri ile klinik prognoz arasında ilişki olup olmadığının araştırılması amaçlandı.
Gereç ve Yöntemler: Hastanemize başvuran 18 yaş altındaki Bell paralizi tanılı hasta dosyaları retrospektif değerlendirildi. Lökosit, nötrofil, lenfosit, trombosit sayısı, kırmızı hücre dağılım genişliği, nötrofil lenfosit oranı, trombosit lenfosit oranı ve monosit lenfosit oranı, Bell paralizili hastalar ile kontrol grubu arasında karşılaştırıldı. Son sağlık durumlarıyla ilgili bilgiler kaydedildi.
Bulgular: Toplam on yedi Bell paralizi tanılı çocuk ve 17 kontrol grubu çalışmaya dahil edildi. Her bir grupta 7 erkek (%41.20), 10 kız (%58.70) vardı, yaş ortalaması 11.80±4.40 (minimum 3.00-maximum 17.90) yıldı. Bell paralizili hastalarda nötrofil lenfosit oranı medyanı 1.25 (0.41-7.63) iken kontrol grubunda nötrofil lenfosit oranı 1.40 (0.42-2.52), medyan ortalama trombosit hacim düzeyi Bell paralizili hastalarda 9.30 fL (8.20-12.30), kontrol grubunda 9.95 fL (9.30-11.70); medyan kırmızı hücre dağılım genişliği, Bell paralizili hastalarda 12.75 % (11.50-26.30) ve kontrol grubunda 12.70 % (12.10-26.30)’du. İstatistiksel olarak hiçbiri anlamlı değildi. Ortalama trombosit hacim düşüklüğü olan altı Bell paralizili hasta vardı, kontrol grubunda ortalama trombosit hacmi düşüklüğü olan kişi yoktu (p=0.007). Bell paralizili hastaların iyileşme süresi ile nötrofil lenfosit oranı, trombosit lenfosit oranı, monosit lenfosit oranı arasında pozitif korelasyon vardı.
Sonuç: Bell paralizisi kızlarda daha iyi prognoz gösterebilir. Nötrofil lenfosit oranı, trombosit lenfosit oranı ve monosit lenfosit oranı yüksekliği Bell paralizisinde iyileşmede gecikme, inflamasyon ve mikrovasküler iskeminin bir göstergesi olabilir.
Proje numarası yok
Primary Language | English |
---|---|
Subjects | Clinical Sciences (Other) |
Journal Section | ORIGINAL ARTICLES |
Authors | |
Project Number | Proje numarası yok |
Early Pub Date | June 11, 2024 |
Publication Date | September 24, 2024 |
Submission Date | January 22, 2024 |
Acceptance Date | April 19, 2024 |
Published in Issue | Year 2024 Volume: 18 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 6 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.