Objective. The purpose of this study was to investigate whether or not there was a correlation between the neutrophil-to-lymphocyte ratio (NLR) value and the severity of idiopathic peripheral facial palsy (IPFP) and to determine whether or not NLR could be used as an early predictive parameter in the prognosis of IPFP patients. Material and Method. This retrospective study was conducted on 146 patients who were diagnosed with IPFP. The control group comprised 140 patients. Patients with IPFP were categorized according to the House-Brackmann grading system (HBS). The NLR value was obtained by dividing the neutrophil value by the lymphocyte value. Results. In the IPFP group, the mean NLR value was 3.63 ± 2.74 and, in the control group, 1.84 ± 0.78. The mean NLR value was significantly higher in IPFP patients than in the control subjects (p < 0.0001). The mean NLR value in group A (Grades I-II ) was 2.61 ± 2.28, in group B (Grades III-IV) 3.22 ± 2.65, and in group C (Grades V-VI) 10.69 ± 6.30. Conclusion. We determined that as the severity of IPFP increased, the NLR value increased. The NLR value can be used as a prognostic factor in the early prediction of IPFP prognosis.

Malignant melanoma of the parotid gland is often metastatic and mainly originates from malignant melanomas in the head and neck. Nevertheless, some malignant melanomas may metastasize and subsequently regress. Therefore, it may not be possible to observe a metastatic malignant melanoma and its primary melanoma simultaneously. The investigation of a patient's old photographs may help in the detection of preexisting and regressed pigmented lesions in the facial and neck regions.

Introduction Inflammation causes squamous epithelial transformation of the mucosa in the middle ear cavity and plays a role in the onset, growth, spread, and recurrence of cholesteatoma. Objectives The objective of this study is to investigate the systemic inflammatory effect in chronic otitis with cholesteatoma. Methods The study included a total of 311 patients comprising 156 patients with a pathology diagnosis of cholesteatoma and a control group of 155 with no active inflammation. The Neutrophil-to-lymphocyte Ratio (NLR) was calculated by dividing the neutrophil value by the lymphocyte value. Results The mean NLR was 1.94 ± 0.91 in the patients with cholesteatoma and 1.94 ± 0.85 in the control group. We determined no statistically significant difference between the groups in respect of NLR (p = 0.983). We calculated the NLR as 2.01 ± 1.00 in patients with ossicle erosion and 1.82 ± 0.69 in those without ossicle erosion, 1.86 ± 0.85 in patients with bone erosion and 1.98 ± 0.95 in those without bone erosion. We determined no statistical difference between these values (p = 0.175). Conclusion The results of this study showed that NLR had no predictive value in respect of bone erosions and associated complications in patients with cholesteatoma. The inflammatory effect of cholesteatoma is not systemic but remains more local.

ÖzetAni işitme kaybının (AİK) etyolojileri arasında viral enfeksiyonlar, embolizm, anevrizma ve vasküler olaylar gibi faktörler de bulunmaktadır. 63 yaşında, aort anevrizması cerrahisi ve hipertansiyon öyküsü olan bir hasta AİK şikayeti ile kliniğimi-ze başvurdu. Medikal tedaviden sonra hasta tamamen iyileşti. Üç ay sonra baş-ka bir AİK atağı ile gelen hastanın muayenesinde mikroembolizme sebep olabilecek aort anevrizmanın nüksettiği görüldü. Bu hastada Hiperbarik oksijen tedavisinin (HBOT) rölatif olarak riskli olması nedeniyle tedavi seçeneği olarak düşünül-medi. Ayrıca bu hastanın öncelikle aort anevrizmasından operasyon olması öneril-diğinden dolayı AİK tedavisine ara verildi, ki bu durum kalıcı işitme kaybına sebep oldu. Sonuç olarak aort anevrizması, AİK' na neden olabilen ciddi bir hastalıktır ve bu hastalığın tedavi seçeneklerini kısıtlayabilir. Anahtar KelimelerAni İşitme Kaybı; Aort Anevrizması; Nüks Abstract Etiologies of sudden sensorineural hearing loss (SSNHL) include factors such as viral infections, embolism, aneurysm and vascular events. A 63-year-old male patient with a history of hypertension and aortic aneurysm surgery referred to our clinic with complaints of sensorineural hearing loss. The patient fully recovered after medical treatment. He had another SSNHL attack three months later; the examinations revealed the recurrence of the patient's aortic aneurysms, which suggested that the etiology might be the microembolism associated with aneurysm in that case. We did not consider hyperbaric oxygen treatment (HBOT) an option because it posed a relative risk for the patient. Additionally, as the patient underwent an operation primarily for aneurysm, the SSNHL treatment was interrupted, which resulted in permanent hearing loss. In conclusion, aortic aneurysm is a serious disease that may result in SSNHL, and that may affect the therapeutic options for treatment of SSNHL.