The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios

Esma Altan; Volkan Yücel; Güleser Saylam; Ömer Bayır

doi:10.5152/ejra.2024.24124

The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios

Abstract

Objective: Obstructive sleep apnea syndrome (OSAS) is a common sleep disorder characterized by repeated upper airway collapse. As types of surgical modalities have been defined according to the level of airway obstruction, uvu- lopalatal flap and anterior palatoplasty are 2 of the main surgical options for patients with collapse in the soft palate and oropharynx region. The aim of our study is to show the effect of surgery on neutrophil–lymphocyte ratio, plate- let–lymphocyte ratio, and mean platelet volume values in OSAS patients. Methods: The medical records of 125 patients with OSAS diagnosis in between January 2012 and December 2014 were evaluated retrospectively. Age, gender, body mass index, polysomnography results, Epworth Sleepiness scale (ESS), complete blood count values, and surgical results of the patients were evaluated. Results: A statistically significant decrease was observed in the mean apnea–hypopnea index, oxygen desaturation index, and ESS scores in the postoperative period (P < .001). Considering all patients, a statistically significant decrease was observed in th mean platelet volume (MPV) values in the postoperative period (P < .001) and no statistically sig- nificant change was observed in the mean neutrophil–lymphocyte ratio (NLR) and platelet–lymphocyte ratio (PLR) values (P = .808 and P = .117). In patients whose anterior palatoplasty (78 patients) results were considered successful, a statistically significant decrease was observed in MPV and PLR values (P < .001 and P = .038), while no significant change was observed in NLR values (P = .185). In those with successful uvulopalatal flap (47 patients) results, a statisti- cally significant decrease was observed in MPV values (P < .001), while no significant change was observed in NLR and PLR values (P = .809 and P = .154). Conclusion: While it was observed that MPV values were associated with OSAS, no clear relationship was found between NLR and PLR values.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Esma Altan
0000-0002-3080-3571
Türkiye

Volkan Yücel This is me
0000-0003-4364-6138
Türkiye

Güleser Saylam
0000-0002-6499-7140
Türkiye

Ömer Bayır This is me
0000-0001-9445-6129
Türkiye

Publication Date

August 20, 2024

Submission Date

February 26, 2024

Acceptance Date

May 15, 2024

Published in Issue

Year 2024 Volume: 7 Number: 2

DOI

https://doi.org/10.5152/ejra.2024.24124

IZ

https://izlik.org/JA59JY77TG

Cite

RIS / Bibtex

APA

Altan, E., Yücel, V., Saylam, G., & Bayır, Ö. (2024). The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios. European Journal of Rhinology and Allergy, 7(2), 42-49. https://doi.org/10.5152/ejra.2024.24124

AMA

1.Altan E, Yücel V, Saylam G, Bayır Ö. The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios. Eur J Rhinol Allergy. 2024;7(2):42-49. doi:10.5152/ejra.2024.24124

Chicago

Altan, Esma, Volkan Yücel, Güleser Saylam, and Ömer Bayır. 2024. “The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil Lymphocyte, and Platelet Lymphocyte Ratios”. European Journal of Rhinology and Allergy 7 (2): 42-49. https://doi.org/10.5152/ejra.2024.24124.

EndNote

Altan E, Yücel V, Saylam G, Bayır Ö (August 1, 2024) The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios. European Journal of Rhinology and Allergy 7 2 42–49.

IEEE

[1]E. Altan, V. Yücel, G. Saylam, and Ö. Bayır, “The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios”, Eur J Rhinol Allergy, vol. 7, no. 2, pp. 42–49, Aug. 2024, doi: 10.5152/ejra.2024.24124.

ISNAD

Altan, Esma - Yücel, Volkan - Saylam, Güleser - Bayır, Ömer. “The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil Lymphocyte, and Platelet Lymphocyte Ratios”. European Journal of Rhinology and Allergy 7/2 (August 1, 2024): 42-49. https://doi.org/10.5152/ejra.2024.24124.

JAMA

1.Altan E, Yücel V, Saylam G, Bayır Ö. The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios. Eur J Rhinol Allergy. 2024;7:42–49.

MLA

Altan, Esma, et al. “The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil Lymphocyte, and Platelet Lymphocyte Ratios”. European Journal of Rhinology and Allergy, vol. 7, no. 2, Aug. 2024, pp. 42-49, doi:10.5152/ejra.2024.24124.

Vancouver

1.Esma Altan, Volkan Yücel, Güleser Saylam, Ömer Bayır. The Efficacy of Obstructive Sleep Apnea Surgery on Mean Platelet Volume, Neutrophil /Lymphocyte, and Platelet/Lymphocyte Ratios. Eur J Rhinol Allergy. 2024 Aug. 1;7(2):42-9. doi:10.5152/ejra.2024.24124