Association of adenoid size and systemic immune-inflammation index with the severity of orbital complications in pediatric acute bacterial rhinosinusitis
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1080/01676830.2026.2705339
- Dergi Adı: Orbit
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO)
- Anahtar Kelimeler: Adenoid-to-nasopharynx ratio, orbital complications, pediatric rhinosinusitis, systemic immune-inflammation index
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To evaluate the relationship between adenoid size, systemic immune-inflammation index (SII), and the severity of orbital complications in pediatric acute bacterial rhinosinusitis. Methods: A retrospective analysis was conducted on 51 pediatric patients hospitalized with orbital complications of acute bacterial rhinosinusitis between 2011 and 2025. Demographic characteristics, length of hospital stay, adenoid-to-nasopharynx (A/N) ratio, computed tomography findings, and laboratory parameters were analyzed. Patients were classified as having preseptal or postseptal complications. Results: The median age was 8 years (range, 1–18), and 58.8% were male. Preseptal cellulitis was observed in 56.9% of patients, while 43.1% had postseptal complications. The A/N ratio was significantly higher in the postseptal group (0.63 vs. 0.55, p = 0.012), as was the length of hospital stay (15 vs. 7 days, p < 0.001). SII values were similar between groups (p = 0.238), but correlated with C-reactive protein levels and hospitalization duration (p < 0.05). The A/N ratio showed moderate discriminative ability (AUC = 0.72; cut-off: 0.60). Conclusion: A higher A/N ratio may be associated with more severe orbital complications and prolonged hospitalization in pediatric acute bacterial rhinosinusitis. It may serve as an adjunctive radiologic marker for risk stratification, whereas SII appears to reflect systemic inflammatory burden without predicting complication severity.