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Evalutıon of systemıc ınflammaory marker in patients with laryngopharyngeal reflux

Yıl 2024, Cilt: 34 Sayı: 6, 822 - 826, 31.12.2024
https://doi.org/10.54005/geneltip.1519733

Öz

Abstract
Aim: It was aimed to investigate whether systemic inflammation markers have diagnostic value in laryngopharyngeal reflux disease.
Materials and Methods: This retrospective study was conducted including 32 patients with laryngopharyngeal reflux and 27 subjects with vocal cord nodul. Patients with laryngopharyngeal reflux were evaluated as Group 1, and subjects with vocal cord nodul as Group 2. Patient files were scanned. Neutrophil/lymphocyte ratio, platelet/lymphocyte ratio and systemic inflammation index values were calculated. In addition, the previously filled Reflux symptom index and the Reflux sign scores performed by videoendoscopic examination were noted.
Results: While the mean age was 43.21±13.26 years in Group 1, it was 38.04±10.39 years in Group 2. While there were 12 male and 20 female patients in Group 1, there were 12 male and 15 female patients in Group 2. When Neutrophil/lymphocyte ratio, platelet/lymphocyte ratio and systemic inflammation index values were examined, no statistically significant difference was found between Group 1 and Group 2 (p>0.05). Reflux symptom index and Reflux sign scores were significantly higher in Group-1 (p<0.05). There was a significant positive correlation between Reflux symptom index and Reflux sign scores.
Conclusion: In our study, no significant difference was found in the Neutrophil/lymphocyte ratio, platelet/lymphocyte ratio and systemic inflammation index values used in the follow-up of many diseases compared to the control group in laryngopharyngeal reflux patients and and had no diagnostic value. While Reflux symptom index and Reflux sign scores were found to be significantly higher in laryngopharyngeal reflux patients compared to the control group, they were significantly positively correlated with each other.
KeyWords: Laryngopharyngeal Reflux; Lymphocyte ; Neutrophil; Reflux Symptom Index; Reflux Finding Score

Kaynakça

  • 1. Hutnik R, Zlatopolsky A, Mehraban-Far S, Alrassi J, McMillan N, Amadi C, et al. Laryngopharyngeal reflux: Comparing improvements in reflux symptom index with reflux finding score. Am J Otolaryngol. 2020;41(6):102730.
  • 2. Axford SE, Sharp N, Ross PE, Pearson JP, Dettmar PW, Panetti M, et al. Cell biology of laryngeal epithelial defenses in health and disease: preliminary studies. Ann Otol Rhinol Laryngol. 2001;110(12):1099-108.
  • 3. Abraham ZS, Kahinga AA. Utility of reflux finding score and reflux symptom index in diagnosis of laryngopharyngeal reflux disease. Laryngoscope Investig Otolaryngol. 2022 Jun; 7(3): 785–789.
  • 4. Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice. 2002;16(2):274-7.
  • 5. Balta S, Demirkol S, Unlu M, Arslan Z, Celik T. Neutrophil to lymphocyte ratio may be predict of mortality in all conditions. Br J Cancer. 2013 Dec 10;109(12):3125-6.
  • 6. Atan D, İkincioğulları A, Köseoğlu S, Özcan KM, Çetin MA, Ensari S, et al. New Predictive Parameters of Bell's Palsy: Neutrophil to Lymphocyte Ratio and Platelet to Lymphocyte Ratio. Balkan Med J. 2015 Apr;32(2):167-70.
  • 7. Torun S, Tunc BD, Suvak B, Yildiz H, Tas A, Sayilir A, et al. Assessment of neutrophil-lymphocyte ratio in ulcerative colitis: a promising marker in predicting disease severity. Clin Res Hepatol Gastroenterol. 2012 Oct;36(5):491-7.
  • 8. Arslan H, Çandar T, Kuran S, Akmansu ŞH, Kocatürk S. New inflammatory parameters in laryngopharyngeal reflux. J Laryngol Otol. 2016 Sep;130(9):878-82.
  • 9. Bhat T, Teli S, Rijal J, Bhat H, Raza M, Khoueiry G, Meghani M, et al. Neutrophil to lymphocyte ratio and cardiovascular diseases: a review. Expert Rev Cardiovasc Ther. 2013 Jan;11(1):55-9.
  • 10. Yao C, Zhang Z, Yao Y, Xu X, Jiang Q, Shi D. Predictive value of neutrophil to lymphocyte ratio and platelet to lymphocyte ratio for acute deep vein thrombosis after total joint arthroplasty: a retrospective study. J Orthop Surg Res. 2018 Feb 27;13(1):40.
  • 11. Sun H, Que J, Peng Y, Ye H, Xiang H, Han Y, et al. The neutrophil-lymphocyte ratio: A promising predictor of mortality in coronary care unit patients - A cohort study. Int Immunopharmacol. 2019 Sep;74: 105692.
  • 12. Karakaya NE, Akbulut S, Altıntaş H, Demir MG, Demir N, Berk D. The reflux finding score: reliability and correlation to the reflux symptom index. J Acad Res Med. 2015 Aug;5(2):68-74.
  • 13. Akbulut S, Aydinli FE, Kuşçu O, Özcebe E, Yilmaz T, Rosen CA, et al. Reliability and Validity of the Turkish Reflux Symptom Index. J Voice. 2020;34(6):965. e23-965.e28.
  • 14. Koufman JA. The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope. 1991;101(4 Pt 2 Suppl 53):1-78.
  • 15. Parsel SM, Wu EL, Riley CA, McCoul ED. Gastroesophageal and laryngopharyngeal reflux associated with laryngeal malignancy: A systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2019 Jun;17(7):1253-1264.e5.
  • 16. Ulualp SO, Toohill RJ. Laryngopharyngeal reflux: state of the art diagnosis and treatment. Otolaryngol Clin North Am. 2000;33(4):785-802.
  • 17. Imtiaz F, Shafique K, Mirza SS, Ayoob Z, Vart P, Rao S. Neutrophil lymphocyte ratio as a measure of systemic inflammation in prevalent chronic diseases in Asian population. Int Arch Med. 2012;5(1):2.
  • 18. Cao W, Yu H, Zhu S, Lei X, Li T, Ren F, et al. Clinical significance of preoperative neutrophil-lymphocyte ratio and platelet-lymphocyte ratio in the prognosis of resected early-stage patients with non-small cell lung cancer: A meta-analysis. Cancer Med. 2023 Mar;12(6):7065-7076.
  • 19. Ateş F, Yaraş S, Sarıtaş B, Altıntaş E, Sezgin O, Orekici G. Does neutrophil to lymphocyte ratio in peripheral blood predict endoscopic erosive esophagitis. Endoscopy. 2011;19(3):88-90.
  • 20. Hu B, Yang XR, Xu Y, Sun YF, Sun C, Guo W, et al. The systemic immune-inflammation index predicts the prognosis of patients after curative resection for hepatocellular carcinoma. Clin Cancer Res. 2014;20(23):6212-22.
  • 21. Fest J, Ruiter R, Mulder M, Groot Koerkamp B, Ikram MA, Stricker BH, et al. The systemic immune-inflammation index is associated with an increased risk of incident cancer in a population-based cohort study. Int J Cancer. 2020;146(3):692-698.
  • 22. Furuncuoğlu Y, Tulgar S, Dogan AN, Cakar S, Tulgar YK, Cakiroglu B. How obesity affects the neutrophil/lymphocyte and platelet/lymphocyte ratio, systemic immune-inflammatory index and platelet indices: a retrospective study. Eur Rev Med Pharmacol Sci. 2016;20(7):1300-6.
  • 23. Atalay F, Kars A, Topal K, Yavuz Z. Systemic immune inflammation index in patients with recurrent aphthous stomatitis. Braz J Otorhinolaryngol. 2022 Jul-Aug; 88(4): 621–624.
Yıl 2024, Cilt: 34 Sayı: 6, 822 - 826, 31.12.2024
https://doi.org/10.54005/geneltip.1519733

Öz

Kaynakça

  • 1. Hutnik R, Zlatopolsky A, Mehraban-Far S, Alrassi J, McMillan N, Amadi C, et al. Laryngopharyngeal reflux: Comparing improvements in reflux symptom index with reflux finding score. Am J Otolaryngol. 2020;41(6):102730.
  • 2. Axford SE, Sharp N, Ross PE, Pearson JP, Dettmar PW, Panetti M, et al. Cell biology of laryngeal epithelial defenses in health and disease: preliminary studies. Ann Otol Rhinol Laryngol. 2001;110(12):1099-108.
  • 3. Abraham ZS, Kahinga AA. Utility of reflux finding score and reflux symptom index in diagnosis of laryngopharyngeal reflux disease. Laryngoscope Investig Otolaryngol. 2022 Jun; 7(3): 785–789.
  • 4. Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice. 2002;16(2):274-7.
  • 5. Balta S, Demirkol S, Unlu M, Arslan Z, Celik T. Neutrophil to lymphocyte ratio may be predict of mortality in all conditions. Br J Cancer. 2013 Dec 10;109(12):3125-6.
  • 6. Atan D, İkincioğulları A, Köseoğlu S, Özcan KM, Çetin MA, Ensari S, et al. New Predictive Parameters of Bell's Palsy: Neutrophil to Lymphocyte Ratio and Platelet to Lymphocyte Ratio. Balkan Med J. 2015 Apr;32(2):167-70.
  • 7. Torun S, Tunc BD, Suvak B, Yildiz H, Tas A, Sayilir A, et al. Assessment of neutrophil-lymphocyte ratio in ulcerative colitis: a promising marker in predicting disease severity. Clin Res Hepatol Gastroenterol. 2012 Oct;36(5):491-7.
  • 8. Arslan H, Çandar T, Kuran S, Akmansu ŞH, Kocatürk S. New inflammatory parameters in laryngopharyngeal reflux. J Laryngol Otol. 2016 Sep;130(9):878-82.
  • 9. Bhat T, Teli S, Rijal J, Bhat H, Raza M, Khoueiry G, Meghani M, et al. Neutrophil to lymphocyte ratio and cardiovascular diseases: a review. Expert Rev Cardiovasc Ther. 2013 Jan;11(1):55-9.
  • 10. Yao C, Zhang Z, Yao Y, Xu X, Jiang Q, Shi D. Predictive value of neutrophil to lymphocyte ratio and platelet to lymphocyte ratio for acute deep vein thrombosis after total joint arthroplasty: a retrospective study. J Orthop Surg Res. 2018 Feb 27;13(1):40.
  • 11. Sun H, Que J, Peng Y, Ye H, Xiang H, Han Y, et al. The neutrophil-lymphocyte ratio: A promising predictor of mortality in coronary care unit patients - A cohort study. Int Immunopharmacol. 2019 Sep;74: 105692.
  • 12. Karakaya NE, Akbulut S, Altıntaş H, Demir MG, Demir N, Berk D. The reflux finding score: reliability and correlation to the reflux symptom index. J Acad Res Med. 2015 Aug;5(2):68-74.
  • 13. Akbulut S, Aydinli FE, Kuşçu O, Özcebe E, Yilmaz T, Rosen CA, et al. Reliability and Validity of the Turkish Reflux Symptom Index. J Voice. 2020;34(6):965. e23-965.e28.
  • 14. Koufman JA. The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope. 1991;101(4 Pt 2 Suppl 53):1-78.
  • 15. Parsel SM, Wu EL, Riley CA, McCoul ED. Gastroesophageal and laryngopharyngeal reflux associated with laryngeal malignancy: A systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2019 Jun;17(7):1253-1264.e5.
  • 16. Ulualp SO, Toohill RJ. Laryngopharyngeal reflux: state of the art diagnosis and treatment. Otolaryngol Clin North Am. 2000;33(4):785-802.
  • 17. Imtiaz F, Shafique K, Mirza SS, Ayoob Z, Vart P, Rao S. Neutrophil lymphocyte ratio as a measure of systemic inflammation in prevalent chronic diseases in Asian population. Int Arch Med. 2012;5(1):2.
  • 18. Cao W, Yu H, Zhu S, Lei X, Li T, Ren F, et al. Clinical significance of preoperative neutrophil-lymphocyte ratio and platelet-lymphocyte ratio in the prognosis of resected early-stage patients with non-small cell lung cancer: A meta-analysis. Cancer Med. 2023 Mar;12(6):7065-7076.
  • 19. Ateş F, Yaraş S, Sarıtaş B, Altıntaş E, Sezgin O, Orekici G. Does neutrophil to lymphocyte ratio in peripheral blood predict endoscopic erosive esophagitis. Endoscopy. 2011;19(3):88-90.
  • 20. Hu B, Yang XR, Xu Y, Sun YF, Sun C, Guo W, et al. The systemic immune-inflammation index predicts the prognosis of patients after curative resection for hepatocellular carcinoma. Clin Cancer Res. 2014;20(23):6212-22.
  • 21. Fest J, Ruiter R, Mulder M, Groot Koerkamp B, Ikram MA, Stricker BH, et al. The systemic immune-inflammation index is associated with an increased risk of incident cancer in a population-based cohort study. Int J Cancer. 2020;146(3):692-698.
  • 22. Furuncuoğlu Y, Tulgar S, Dogan AN, Cakar S, Tulgar YK, Cakiroglu B. How obesity affects the neutrophil/lymphocyte and platelet/lymphocyte ratio, systemic immune-inflammatory index and platelet indices: a retrospective study. Eur Rev Med Pharmacol Sci. 2016;20(7):1300-6.
  • 23. Atalay F, Kars A, Topal K, Yavuz Z. Systemic immune inflammation index in patients with recurrent aphthous stomatitis. Braz J Otorhinolaryngol. 2022 Jul-Aug; 88(4): 621–624.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kulak Burun Boğaz
Bölüm Original Article
Yazarlar

Murat Yaşar 0000-0003-3300-4430

Burak Mustafa Taş 0000-0002-1983-5329

Erken Görünüm Tarihi 30 Aralık 2024
Yayımlanma Tarihi 31 Aralık 2024
Gönderilme Tarihi 21 Temmuz 2024
Kabul Tarihi 7 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 34 Sayı: 6

Kaynak Göster

Vancouver Yaşar M, Taş BM. Evalutıon of systemıc ınflammaory marker in patients with laryngopharyngeal reflux. Genel Tıp Derg. 2024;34(6):822-6.