New Predictive Parameters of Bell"s Palsy: Neutrophil to Lymphocyte Ratio and Platelet to Lymphocyte Ratio

Background: Bell’s palsy is the most frequent cause of unilateral facial paralysis. Inflammation is thought to play an important role in the pathogenesis of Bell’s palsy. Aims: Neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) are simple and inexpensive tests which are indicative of inflammation and can be calculated by all physicians. The aim of this study was to reveal correlations of Bell’s palsy and degree of paralysis with NLR and PLR. Study Design: Case-control study. Methods: The retrospective study was performed January 2010 and December 2013. Ninety-nine patients diagnosed as Bell’s palsy were included in the Bell’s palsy group and ninety-nine healthy individuals with the same demographic characteristics as the Bell’s palsy group were included in the control group. As a result of analyses, NLR and PLR were calculated. Results: The mean NLR was 4.37 in the Bell’s palsy group and 1.89 in the control group with a statistically significant difference (p<0.001). The mean PLR was 137.5 in the Bell’s palsy group and 113.75 in the control group with a statistically significant difference (p=0.008). No statistically significant relation was detected between the degree of facial paralysis and NLR and PLR. Conclusion: The NLR and the PLR were significantly higher in patients with Bell’s palsy. This is the first study to reveal a relation between Bell’s palsy and PLR. NLR and PLR can be used as auxiliary parameters in the diagnosis of Bell’s palsy

Extensive Complex Odontoma with Unerupted Tooth in the Posterior Maxilla: A Case Report

Objective: The report addresses points and pitfalls concerning surgery to remove extensive odontoma with unerupted tooth.Case: A 16 year old female presented with pain in relation to left posterior teeth in the upper jaw. Panoramic radiography patient revealed aradiopaque lesion measuring 5 cm × 3 cm approximately in the left maxilla extending from alveolar ridge to the maxillary sinus in relation tothe 27 region, encircled by a radiolucent band, 27 was impacted in an unusual position. Surgical enuclation management was preferred.Conclusion: The present case appears to have similar behavior and prognosis of smaller odontomas. In this way, the conservative surgeryapproach appears to be indicated for such lesions