The Relationship Between Tonsillar Size and Neutrophil-to-Lymphocyte Ratio in Children With Recurrent Tonsillitis
Journal Title: Otolaryngology – Open Journal - Year 2016, Vol 2, Issue 5
Abstract
Objectives: To explore the relationships between tonsillar sizes and neutrophil-to-lymphocyte ratio (NLR) values in children with recurrent tonsillitis. Subjects and Methods: In total, 236 children (128 males, 108 females; average age 11.80±9.16 years; range, 4-18 years) who underwent tonsillectomy with a diagnosis of recurrent tonsillitis were included. The patients were divided into four groups according to the tonsillar sizes. Group A was consist of 56 children with grade 1 tonsil size, while group B, C and D was consist of 58, 70 and 52 children with grade 2, 3 and 4 tonsil size, respectively. Pre-operative NLR values of all groups were compared with measurements in the post-operative third month. Results: In group A, pre-operative NLR levels were 1.76±0.92, while post-operative NLR were 1.74±1.53. No statistically significant difference in NLR values was observed between pre- and post-operatively in group A (p=0.864). In group B, pre-operative NLR levels were 1.56±1.14, while post-operative NLR were 1.29±0.65. In group C, pre-operative NLR levels were 1.48±1.47, while post-operative NLR were 1.22±0.79. In group D, pre-operative NLR levels were 1.44±1.52, while post-operative NLR were 1.19±0.96. Post-operative NLR values were significantly lower than pre-operative NLR values in both groups B, C, D (p=0.012, p=0.036, p=0.043, respectively). Conclusion: The larger tonsils affect the NLR levels and larger tonsils are strongly suspected to contribute to higher systemic inflammations. However, higher systemic inflammations can be prevented by tonsillectomy.
Authors and Affiliations
Mustafa Çelik
Keywords
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- EP ID EP546255
- DOI 10.17140/OTLOJ-2-127
- Views 124
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