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Use of Neutrophil, Eosinophil, Basophil, and Platelet to Lymphocyte Ratio to Predict Patient Satisfaction After Septoplasty Plus Inferior Turbinate Reduction

Kökoğlu, Kerem, MD*; Şahin, Mehmet Ilhan, MD

doi: 10.1097/SCS.0000000000005527
Original Article: PDF Only

Aim: Investigation of the predictive value of neutrophil, platelet, eosinophil, and basophil to lymphocyte ratio (NLR, PLR, ELR, and BLR) in evaluation of patients’ satisfaction of septoplasty + inferior turbinate reduction operations.

Patients and Methods: Seventy-six patients who were operated because of nasal obstruction were enrolled in the study. They were invited to the hospital and asked to answer a modified nasal obstruction symptom evaluation (NOSE) survey to determine their degree of satisfaction. Patients were divided into 2 groups according to their modified NOSE survey results, dissatisfied and satisfied groups. The 2 groups were compared in terms of demographic data, surgery, and hematological values. In addition, correlation analysis was performed between NLR, PLR, ELR, BLR, and modified NOSE scores.

Results: There were 29 patients in the dissatisfied group and 47 patients in the satisfied group. Both groups were similar in terms of mean age, gender, surgery type, septal deviation type, smoking, hemoglobin, neutrophil, and white blood count (P > 0.05). There were significant differences between the 2 groups in terms of ELR and BLR (P < 0.05). In addition, there were negative and statistically significant correlations between modified NOSE scores and ELR and BLR. As ELR and BLR values increased, the satisfaction rate decreased.

Conclusion: Eosinophil to lymphocyte ratio and BLR could be used to predict patient satisfaction after septoplasty and inferior turbinate reduction and for selection of patients.

*Ear Nose and Throat Clinic, Develi HMK State Hospital

Department of Otolaryngology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Address correspondence and reprint requests to Kerem Kökoğlu, MD, Develi Devlet Hastanesi, KBB 1 Kliniği, 38400 Kayseri, Turkey; E-mail:

Received 4 October, 2018

Accepted 4 March, 2019

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.