Yeşim BAŞAL, İMRAN KURT ÖMÜRLÜ, Pınar UYSAL, AYLİN ERYILMAZ, HATİCE SEMA BAŞAK

Tonsillotomi hasta seçiminde nötrofil-lenfositoranı, trombosit-lenfosit oranı ve MPV inflamasyonbelirteci olarak kullanılabilir mi?

Amaç: Bu çalışmanın amacı uyku apnesi nedeni ile tonsillotomi yapılması planlanan pediatrik hastaların seçiminde ortalama trombosit hacmi(OTH), nötrofil-lenfosit oranı (NLO) ve trombosit-lenfosit oranının(TLO) inflamasyon belirteci olarak kullanılıp kullanılmayacağını araştırmaktır. Yöntem:2013-2015 yılları arasında uyku apnesi nedeni ile tonsillotomiyapılan pediatrik hastalar tonsillotomi grubunu oluşturdu. Sağlam çocukpolikliniğine başvuran pediatrik hastalar ise kontrol grubunu oluşturdu.Hastaların dosyaları retrospektif olarak incelendi. OTH, NLO ve TLOdeğerleri kaydedildi ve analiz edildi. Bulgular:Tonsillotomi grubunda 23, kontrol grubunda 31 hastamevcuttu. Tonsillotomi grubunda medyan yaş ortalaması 5, kontrolgrubunda 6 idi. OTH, NLO VE TLO değeri tonsillotomi ve kontrolgrubunda istatistiksel olarak anlamlı farklılık göstermiyordu (p=0.838,p=0.314 ve p=0.896). Sonuç:OTH, NLO ve TLO değerleri, uyku apnesi nedeni ile tonsillotomi yapılması planlanan hastaların seçiminde kullanılabilecekinflamasyon belirteçleri değildir.

Can neutrophil-lymphocyte ratio, platelet-lymphocyte ratio and mean platelet volume be used as inflammation markers in patient selection for tonsillotomy?

Objective:The aim of this study was to investigate whether meanplatelet volume (MPV), neutrophil-lymphocyte ratio (NLR) andplatelet-lymphocyte ratio (PLR) can be used as inflammation markersin selection of pediatric patients, who were planned to undergo tonsillotomy for sleep apnea, or not. Methods:The tonsillotomy group consisted of pediatric patients whohad undergone tonsillotomy for sleep apnea between 2013-2015 years.The control group consisted of children who had presented to the WellChild Outpatient Clinics. The patient charts were reviewed retrospectively. MPV, NLR and PLR values were recorded and analyzed. Results: In the tonsillotomy group, there were 23 patients whereas thecontrol group consisted of 31 healthy children. The median age was 5 inthe tonsillotomy group and 6 in the control group. MPV, NLR and PLRvalues did not have statistically significant differences between the tonsillectomy and control groups (p=0.838, p=0.314 and p=0.896, respectively).Conclusion:MPV, NLR and PLR values are not inflammationmarkers that can be used in selection of patients to undergo tonsillotomy for sleep apnea.

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