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May 31, 2026The Laryngoscope

CBC ‐Derived Biomarkers Associated With Recurrence After Sinus Surgery in Chronic Rhinosinusitis

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Authors

VKVirat KirtsreesakulPTParamee ThongsuksaiNSNuttha Sanghan

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Overview

Retrospective cohort study finds AEC and SII associated with CRS recurrence, suggesting predictive value for long-term outcomes.

Key Points

  • This study aims to identify CBC-derived biomarkers linked to the recurrence of chronic rhinosinusitis after sinus surgery.
  • Analyzed a retrospective cohort of 543 CRS patients undergoing endoscopic sinus surgery (ESS) using time-to-event methods.
  • Assessed CBC-derived biomarkers and clinical covariates, selecting variables with LASSO-penalized Cox regression followed by multivariable Cox modeling.
  • Evaluation of incremental prognostic value and changes over time.
  • 254 patients (46.8%) experienced recurrence after surgery.
  • Higher absolute eosinophil count (AEC) (HR: 2.868) and systemic immune-inflammation index (SII) (HR: 1.320) were significantly linked to recurrence.
  • Adding AEC improved model discrimination significantly (C-index 0.778–0.797; p < 0.001), while SII showed minimal additional value.

Cite This Study

Kirtsreesakul et al. (2026) studied this question.

synapsesocial.com/papers/6a1bd2845783ba022b6fe015https://doi.org/10.1002/lary.70647
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