Evaluation of platelet indices in patients with deep neck space infection as a complication of acute tonsillitis

Yıl 2017, Cilt: 27 Sayı: 4, 179 - 184, 10.09.2017

Adem Binnetoğlu Ali Cemal Yumuşakhuylu Tekin Bağlam Berat Demir Fethullah Gerin Murat Sarı

Öz

Objectives: This study aims to evaluate whether platelet indices are helpful to identify deep neck space infections DNSIs secondary to acute tonsillitis. Patients and Methods: A total of 321 patients diagnosed with acute tonsillitis with or without DNSI admitted to the Otolaryngology Department of Marmara University Pendik Training and Research Hospital between August 2010 and January 2014 were retrospectively reviewed. Patients underwent full otolaryngologic examination and radiological imaging studies including computed tomography CT or magnetic resonance imaging MRI in cases of suspected DNSI. Mean platelet volume MPV , platelet distribution width PDW , and platelet count PC were calculated in all subjects and these were compared between the patients with or without DNSI secondary to acute tonsillitis. Results: With respect to DNSI complications of tonsillitis, 25 of the patients had peritonsillar abscesses 7.8% , 11 had parapharyngeal abscesses 3.4% , and six had retropharyngeal abscesses 1.9% . The MPV, PDW, and PC values were significantly higher in patients with acute tonsillitis and DNSI p<0.05 . The optimum cut-off values for MPV, PDW, and PC were 8.75, 16.65, 278 and 500, respectively. Conclusion: This study is the first to evaluate the relationship between platelet indices and DNSI complications of acute tonsillitis. Our results demonstrate that MPV, PDW, and PC values are potential laboratory parameters for diagnosing DNSIs.

Anahtar Kelimeler

Acute tonsillitis, deep neck infection, inflammation, mean platelet volume, platelets, platelet distribution width

Bademcik iltihabı komplikasyonu olarak derin boyun enfeksiyonlu hastalarda trombosit indekslerinin değerlendirilmesi

Öz

Amaç: Bu çalışmada trombosit indekslerinin bademcik iltihabı sonrası derin boyun enfeksiyonu DBE tanımlamada yararlı olup olmadığı değerlendirildi.Hastalar ve Yöntemler: Ağustos 2010 - Ocak 2014 tarihleri arasında bademcik iltihabı tanısı ile DBE olan ve olmayan Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Bölümü’ne başvuran toplam 321 hasta geriye dönük olarak incelendi. Hastalara, DBE şüphesi olan durumlarda bilgisayarlı tomografi BT veya manyetik rezonans görüntüleme MRI de dahil olmak üzere, tam kulak-burun-boğaz muayenesi ve radyolojik görüntüleme çalışmaları yapıldı. Tüm bireylerin ortalama trombosit hacmi OTH , trombosit dağılım genişliği TDG ve trombosit sayısı PC hesaplandı ve bademcik iltihabı sonrası DBE olan ile olmayan hastalar arasında karşılaştırıldı.Bulgular: Bademcik iltihabının DBE komplikasyonları ile ilgili olarak, hastaların 25’inde peritonsiller apse %7.8 , 11’inde parafarengeal apse %3.4 ve altısında retrofarengeal apse %1.9 vardı. OTH, TDG ve PC değerleri akut bademcik iltihabı ve DBE olan hastalarda belirgin olarak daha yüksekti p

Anahtar Kelimeler

Akut bademcik iltihabı, derin boyun enfeksiyonu, enflamasyon, ortalama trombosit hacmi, trombosit, trombosit dağılım genişliği

Kaynakça

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