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Comparative Analysis of Systemic Immune Inϐlammatory Index in Acute Tonsillitis and Peritonsillar Abscess
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This study aimed to investigate the utility of the Systemic Immune Inflammatory Index (SIII) as a diagnostic biomarker for distinguishing between acute tonsillitis and peritonsillar abscess. Conducted retrospectively at Trakya University, the study analyzed 122 cases of acute tonsillitis and 124 cases of peritonsillar abscess, using data from patients treated at the university's Otorhinolaryngology Department between 2013 and 2023. Ethical approval was obtained from the institution's Ethics Committee. Blood samples were evaluated to assess three key parameters: neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and SIII. Results demonstrated a significant difference in SIII values, with patients suffering from peritonsillar abscess showing significantly higher SIII levels compared to those with acute tonsillitis. Similarly, PLR values were significantly different between the groups, reinforcing the clinical relevance of these markers. In contrast, NLR did not show a statistically significant difference. These findings highlight the potential of SIII as a valuable biomarker for distinguishing between acute tonsillitis and peritonsillar abscess, offering promising applications in otolaryngology to enhance diagnostic accuracy and inform treatment decisions.
Keywords:
Systemic Immune Inϐlammatory Index Acute Tonsillitis Peritonsillar Abscess Diagnostic Biomarker OtorhinolaryngologyReferences
- Sidell, D.; Shapiro, N.L. Acute Tonsillitis. Infect Disord. Drug Targets 2012, 12, 271−276. DOI: https://doi.org/10.2174/187152612801319230
- Windfuhr, J.P.; Toepfner, N.; Steffen, G.; et al. Clinical Practice Guideline: Tonsillitis i. Diagnostics and Nonsurgical Management. Eur. Arch. Otorhinolaryngol. 2016, 273, 973–987. DOI: https://doi.org/10.1007/s00405-015-3872-6
- Klug, T.E.; Greeve, T.; Hentze, M. Complications of Peritonsillar Abscess. Ann. Clin. Microbiol. Antimicrob. 2020, 19, 32. DOI: https://doi.org/10.1186/s12941-020-00375-x
- Aziz, M.H.; Sideras, K.; Aziz, N.A.; et al. The Systemic-Immune Inflammation Index Independently Predicts Survival and Recurrence in Resectable Pancreatic Cancer and Its Prognostic Value Depends on Bilirubin Levels: A Retrospective Multicenter Cohort Study. Ann. Surg. 2019, 270, 139−146. DOI: Https://doi.org/10.1097/sla.0000000000002660
- Oya, R.; Takenaka, Y.; Imai, T.; et al. Neutrophil-to-Lymphocyte Ratio and Platelet to Lymphocyte Ratio as Prognostic Hematologic Markers of Bell’s Palsy: A Meta-Analysis. Otol. Neurotol. 2019, 40, 681–687.
- Ulu, Ş.; Ulu, M.S.; Bucak, A.; et al. Neutrophil to Lymphocyte Ratio as a New, Quick and Reliable Indicator for Diagnosis and Prognosis of Idiopathic Sudden Sensorineural Hearing Loss. Otol. Neurotol. 2013, 34, 1400–1404.
- Yang, R.; Chang, Q.; Meng, X.; et al. Prognostic Value of Systemic Immune-Inflammation Index in Cancer: A Meta-Analysis. J. Cancer 2018, 9, 3295–3302.
- Zhong, J.-H.; Huang, D.-H.; Chen, Z.-Y. Prognostic Role of Systemic Immune-Inflammation Index in Solid Tumors: A Systematic Review and Meta-Analysis. Oncotarget 2017, 8, 75381–75388.
- Xie, Y.; Zhuang, T.; Ping, Y.; et al. Elevated Systemicimmune Inflammation Index Level is Associated with Disease Activity Inulcerative Colitis Patients. Clin. Chim. Acta 2021, 517, 122–126. DOI: https://doi.org/10.1016/j.cca.2021.02.016
- Qin, Z.; Li, H.; Wang, L.; et al. Systemic Immune-Inflammation Index is Associated with Increased Urinary Albumin Excretion: A Population-Based Study. Front. Immunol. 2022, 13, 863640. DOI: https://doi.org/10.3389/fimmu.2022.863640
- Zahorec, R. Ratio of Neutrophil to Lymphocyte Counts—Rapid and Simple Parameter of Systemic Inflammation and Stress in Critically Ill. Bratisl. Lek. Listy 2001, 102, 5–14.
- Smith, R.A.; Ghaneh, P.; Sutton, R.; et al. Prognosis of Resected Ampullary Adenocarcinoma by Preoperative Serum CA19-9 Levels and Platelet–Lymphocyte Ratio. J. Gastrointest. Surg. 2008, 12, 1422–1428.
- Iwata, E.; Kusumoto, J.; Takata, N.; et al. The Characteristics of Oro-Cervical Necrotizing Fasciitis-Comparison with Severe Cellulitis of Oro-Cervical Region and Necrotizing Fasciitis of Other Body Regions. PLoS ONE 2021, 16, e0260740.
- Baglam, T.; Binnetoglu, A.; Yumusakhuylu, A.C.; et al. Predictive Value of the Neutrophil-to-Lymphocyte Ratio in Patients with Deep Neck Space Infection Secondary to Acute Bacterial Tonsillitis. Int. J. Pediatr. Otorhinolaryngol. 2015, 79, 1421–1424.
- Liu, L.; Shao, Z.; Yu, H.; et al. Is the Platelet to Lymphocyte Ratio a Promising Biomarker to Distinguish Acute Appendicitis? Evidence from a Systematic Review with Meta-Analysis. PLoS ONE 2020, 15, e0233470.
- Hu, B.; Yang, X.R.; Xu, Y.; et al. Systemic Immune-Inflammation Index Predicts Prognosis of Patients after Curative Resection for Hepatocellular Carcinoma. Clin. Cancer Res. 2014, 20, 6212–6222.
- Junya Kusumoto, J.; Iwata, E.; Huang, W.; et al. Hematologic and Inflammatory Parameters for Determining Severity of Odontogenic Infections at Admission: A Retrospective Study. BMC Infect. Dis. 2022, 22, 931. DOI: https://doi.org/10.1186/s12879-022-07934-x