HACER BARAN, MELİS DEMİRAĞ EVMAN, HAKAN AVCI
Southern Clinics of Istanbul Eurasia - 2021;32(2):181-186
INTRODUCTION: Adenotonsillectomy/tonsillectomy are among the most widely used surgical procedures in ENT. The aim of the study is to compare the pre- and post-operative values of neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and mean platelet volume (MPV) according to the number of recurrent infections and to determine its relation to the normal population. METHODS: Complete blood cell values of 194 patients who underwent surgery for chronic tonsillitis and tonsillar hypertrophy as a study group, 83 patients with normal values as control group were analyzed for NLR, PLR, and mean platelet volume. Annual number of infections and blood parameters were compared before and after surgery. Results: Pre-operative NLR values of 194 patients in the study group were significantly higher than the post-operative values. In terms of MPV, pre-operative, post-operative, and control groups were statistically different from each other in 3 groups. When the parameters were examined in terms of number of infections, no significant difference was observed between groups in terms of NLR, PLR, and MPV values. DISCUSSION AND CONCLUSION: We did not found any relationship between the annual number of infections and inflammatory blood parameters. Therefore, in terms of the number of infections per year, these parameters are not significantly valuable. However, in patients who underwent surgical procedures, NLR was significantly higher in the normal population and postoperatively than in the pre-operative period. Therefore, we believe the NLR may be used as an inflammatory marker in tonsillitis patients.
