Neutrophil/lymphocyte ratio as a predictor of severe postoperative edema and ecchymosis in open rhinoplasty surgery

Year 2022, Volume: 47 Issue: 4, 1568 - 1577, 28.12.2022

Ahmet Beşir , Ersagun Tuğcugil , Ali Akdoğan , Murat Livaoğlu

https://doi.org/10.17826/cumj.1134070

Abstract

Purpose: This study investigated the relationship between preoperative neutrophil-to-lymphocyte ratio (NLR) and severe postoperative edema and ecchymosis after open rhinoplasty.
Materials and Methods: The study was carried out retrospectively in 165 ASA I-II patients aged 18-45 years who underwent open rhinoplasty in the Department of Plastic and Reconstructive Surgery. The patients were grouped based on their scores on the edema and ecchymosis scales. The degree of edema and ecchymosis was considered “minimal” (Group M) in those scoring 0-2 points and “severe” (Group S) in those scoring 3-4 points. Periorbital edema and ecchymosis of the patients in both groups were scored based on the digital photographs taken on the 1st postoperative day.
Results: There was no significant difference in the demographic and clinical characteristics of the patients grouped according to the degree of edema and ecchymosis. The optimal cut-off value of NLR was 2.1 (AUC = 0.747, Sensitivity = 0.666, Specificity = 0.707) for edema and 1.5 (AUC = 0.747, Sensitivity = 0.869, Specificity = 0.470) for ecchymosis. Multivariable analyzes for the development of edema and ecchymosis identified NLR (4.67 [2.38-9.40] and 6.54 [3.02-15.08, respectively) as a statistically significant independent prognostic factor.
Conclusion: This study identified preoperative NLR as a predictor value of severe postoperative edema and ecchymosis after open rhinoplasty.

Keywords

Neutrophil/lymphocyte ratio, open rhinoplasty, edema, ecchymosis, predictive value

Açık rinoplasti cerrahisinde postoperatif şiddetli ödem ve ekimozun bir göstergesi olarak nötrofil/lenfosit oranı

Abstract

Amaç: Çalışmamızda açık rinoplastilerde preoperatif nötrofil/lenfosit oranı (NLR) ile postoperatif şiddetli ödem ve ekimoz arasındaki ilişki araştırılmıştır.
Gereç ve Yöntem: Çalışma Plastik ve Rekonstrüktif Cerrahisi tarafından açık rinoplasti uygulanan 18-45 yaş, ASA I-II 165 hastada retrospektif olarak gerçekleştirildi. Hastalar ödem ve ekimoz skalalarına göre, ödem ve ekimoz skoru 0-2 olanlar “minimal” (Group M), 3-4 olanlar “severe” (Group S) olarak gruplara ayrıldı. Grupların postoperatif 1. günde digital ortamda gerçekleştirilen fotoğraflarından periorbital ödem ve ekimoz skorları incelendi.
Bulgular: Hastaların ödem ve ekimoz varlığına göre grupların karşılaştırılmasında demografik ve klinik veriler arasında anlamlı bir fark yoktu. NLR nin optimal cut-off değeri ödem için 2.1 (AUC = 0.747, Sensitivite = 0.666, Spesifisite = 0.707), ekimoz için 1.5 (AUC = 0.747, Sensitivite = 0.869, Spesifisite = 0.470) olarak bulundu. Ödem ve ekimoz gelişimi için yapılan multivariable analizlerde NLR (sırasıyla, 4.67 [2.38-9.40] and 6.54 [3.02-15.08]) istatistiksel olarak anlamlı bağımsız prognostik faktör olarak saptandı.
Sonuç: Bu çalışmada preoperatif NLR’nin açık rinoplasti operasyonlarından sonra görülen şiddetli ödem ve ekimoz için öngörücü bir değer olduğu sonucuna vardık.

Keywords

nötrofil/lenfosit oranı, açık rinoplasti, ödem, ekimoz

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