Can neutrophil-lymphocyte, platelet-lymphocyte ratio and mean platelet volume be marker in tonsil hemorrhage?

The aim of this study was to determine the relationship between neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) and mean platelet volume (MPV) in patients with bleeding after tonsillectomy surgery compared to non-bleeding patients, and to determine the risk of bleeding in patients undergoing surgery. Thirty patients with pediatric hemorrhage after the adenotonsillectomy and tonsillectomy surgery at the Otorhinolaryngology Clinic of Afyon Kocatepe University Hospital between 2012-2016 and 30 patients without any infection were included in the study. Patients were evaluated retrospectively. Neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) and mean platelet volume (MPV) values were recorded in preoperative patients. They were compared with control patients. There were 30 patients in both groups (n=30). The average age was 8 in the control group and 7 in the patient group. There was no significant difference in NLR. (p=0.085). There was a significant difference in terms of PLR (p=0.039). There was a significant difference in MPV. (p=0.022). There was no significant difference in PLR and MPV values in patients with bleeding after tonsillectomy. There was no significant difference in NLR values.

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1. Hsueh WY. Hsu WC, Ko JY et al. Postoperative hemorrhage following tonsillectomy in adults: Analysis of population-based inpatient cohort in Taiwan. Auris Nasus Larynx. 2019;46:397-406.

2. Lescanne E. et al. Pediatric tonsillectomy: clinical practice guidelines. Eur Ann Otorhinolaryngol Head Neck Dis. 2012;129:264-71.

3. Johnson LB, Elluru RG, Myer 3rd CM. Complications of adenotonsillectomy. Laryngoscope 2002;112:35–6.

4. Bhattacharyya N, Kepnes LJ. Revisits and postoperative hemorrhage after adult tonsillectomy. Laryngoscope. 2014;124:1554–6.

5. Kahramanca S, Ozgehan G, Seker D, et al. Neutrophil-to-lymphocyte ratio as a predictor of acute appendicitis. Ulus Travma Acil Cerrahi Derg. 2014;20:19-22.

6. Yıldız A. Kaya H, Ertaş F, et al. Association between neutrophil to lymphocyte ratio and pulmonary arterial hypertension. Turk Kardiyol Dern Ars. 2013;41:604-9.

7. Demirağ, MK, Bedir A. Evaluation of preoperative neutrophil-lymphocyte ratio and platelet-lymphocyte ratio in patients undergoing major vascular surgery. Turk J Thoracic Cardiovascular Surg. 2013;21:930-5.

8. Atan, D, Özcan KM, Köseoğlu S, Et al. New predictive parameters of nasal polyposis: neutrophil to lymphocyte ratio and platelet to lymphocyte ratio. Kulak Burun Bogaz Ihtis Derg. 2015;25:97-101.

9. Bayram A, Yaşar M, Doğan M, et al. Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and mean platelet volume in patients with tinnitus. ENT Updates, 2015;5(3).

10. Baugh RF, Archer SM, Mitchell RB, et al. Clinical practice guideline: tonsillectomy in children. Otolaryngol Head Neck Surg. 2011;144,1-30.

11. Windfuhr JP, Chen, YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg. 2005;132:281-6.

12. Myssiorek D, Alvi A. Post-tonsillectomy hemorrhage: an assessment of risk factors. Int J Pediatr Otorhinolaryngol. 1996;37:35-43.

13. Hultcrantz E, Linder A, Markström, A. Tonsillectomy or tonsillotomy?—A randomized study comparing postoperative pain and long-term effects. Int J Pediatr Otorhinolaryngol. 1999;51:171-6.

14. Spektor Z, Saint-Victor S, Kay D, et al. Risk factors for pediatric post-tonsillectomy hemorrhage. Int J Pediatr Otorhinolaryngol. 2016;84:151-5.

15. Yiu Y, Mahida JB, Cooper JN, et al. The effect of perioperative dexamethasone dosing on post-tonsillectomy hemorrhage risk. Int J Pediatr Otorhinolaryngol. 2017;98:19-24.

16. Windfuhr JP, Verspohl BC, Chen YS, et al. Post-tonsillectomy hemorrhage some facts will never change. Eur Arch Otorhinolaryngol. 2015;272:1211-8.

17. Sakat MS, Kilic K, Kars A, et al. Can red blood cell distribution width be a potential marker in the decision to perform tonsillectomy? Eurasian J Med. 2018;50:11-3.

18. Bulgurcu S, Arslan İB, Dikilitaş B, et al. Neutrophil to lymphocyte ratio and platelet to lymphocyte ratio in malignant and precancerous laryngeal lesions. J Int Adv Otol. 2017;27:122-7.

19. Sengül E, Özbay M, Topçu I. Relationship between neutrophil-to-lymphocyte ratio and prognosis in patients with deep neck space infection. Dicle Tip Dergisi, 2016;43:126.

20. Düzenli U, Bozan N. Timpanoplasti yapılan hastalarda ortalama platelet hacmi ve nötrofil-lenfosit oranlarının değerlendirilmesi. Van Tıp Dergisi, 2018;25:171-4.

21. Ulu S, Ulu MS, Bucak A, et al. Neutrophil-to-lymphocyte ratio as a new, quick, and reliable indicator for predicting diagnosis and prognosis of idiopathic sudden sensorineural hearing loss. Otol Neurotol. 2013;34:1400-4.

22. Bucak A, Ulu S, Oruc S, et al. Neutrophil to lymphocyte ratio as a novel potential marker for predicting prognosis of Bell palsy. Laryngoscope. 2014;124:1678-81.

23. Ulu S, Bucak A, Ulu MS, et al. Neutrophil–lymphocyte ratio as a new predictive and prognostic factor at the hearing loss of diabetic patients. Eur Arch Otorhinolaryngol. 2014; 271:2681-6.

24. Yorulmaz MA, Tüz M, Yasan H, et al. Comparison of neutrophil / lymphocyte ratio and trombocyte / lymphocyte ratio values between tonsillectomy and a control group. J Clin Anal Med 2017;8:280-3.

25. Başal Y, Ömürlü İK, Uysal P, et al. Tonsillotomi hasta seçiminde nötrofil-lenfosit oranı, trombosit-lenfosit oranı ve MPV inflamasyon belirteci olarak kullanılabilir mi?. ENT Updates. 2016;6:126-30.

26. Derin S, Erdogan S, Sahan M, et al. Neutrophil–lymphocyte ratio in patients with adenoidectomy. J Clin Diagn Res. 2016;10:MC03

27. Yenigun, A. The efficacy of tonsillectomy in chronic tonsillitis patients as demonstrated by the neutrophil-to-lymphocyte ratio. J Laryngol Otol. 2015;129:386-9.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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