Blood Parameter Analysis of Pediatric Patients Who Underwent  Adenotonsillectomy Due to Upper Airway Obstruction

Müslüm Ayral; Servet Erdemes

Makale detayları

Blood Parameter Analysis of Pediatric Patients Who Underwent Adenotonsillectomy Due to Upper Airway Obstruction

Yazarlar:

Müslüm Ayral | Servet Erdemes

Yayıncı:

Harran University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 2, pp.184-189

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001323554

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: The most common cause of obstructive sleep apnea syndrome OSAS in the pediatric age group is adenotonsillar hypertrophy. In our study, we aimed to investigate inflammatory changes in blood parameters in patients who underwent adenotonsillectomy due to upper respiratory tract obst-ruction. Materials and Methods: 50 patients who were operated on due to adenotonsillar hypertrophy, who applied to the outpatient clinic with a complaint of witnessed apnea, were retrospectively examined. Complete blood count CBC parameters of the patients before surgery and at the 6th month postope-rative follow-up were evaluated. In our study, neutrophil-lymphocyte ratio NLR, platelet-lymphocyte ratio PLR, mean platelet volume MPV, the ratio of WBC to MPV WMR, red blood cell distribution width RDW, platelet distribution width PDW. The changes in  values after surgery were examined. Results: The study was conducted with a total of 50 cases, 36 n18 of which were girls and 64 n32 were boys. The ages of the cases ranged between 5 and 13, and the average age was 9.282.53. In our study, the decrease in WMR, MPV, and NLR measurements after surgery was found to be statisti-cally significant p0.01. Additionally, the decrease in PDW measurements was found to be statistically significant p0.05. RDW and PLR measurement changes in our study do not show a statistically signifi-cant difference p0.05. Conclusions: This study showed that prothrombotic values improved after adenotonsillectomy in pa-tients with upper airway obstruction due to adenotonsillar hypertrophy. Our results demonstrate the effectiveness and necessity of surgery in patients with upper airway obstruction.

 Background: The most common cause of obstructive sleep apnea syndrome OSAS in the pediatric age group is adenotonsillar hypertrophy. In our study, we aimed to investigate inflammatory changes in blood parameters in patients who underwent adenotonsillectomy due to upper respiratory tract obst-ruction. Materials and Methods: 50 patients who were operated on due to adenotonsillar hypertrophy, who applied to the outpatient clinic with a complaint of witnessed apnea, were retrospectively examined. Complete blood count CBC parameters of the patients before surgery and at the 6th month postope-rative follow-up were evaluated. In our study, neutrophil-lymphocyte ratio NLR, platelet-lymphocyte ratio PLR, mean platelet volume MPV, the ratio of WBC to MPV WMR, red blood cell distribution width RDW, platelet distribution width PDW. The changes in  values after surgery were examined. Results: The study was conducted with a total of 50 cases, 36 n18 of which were girls and 64 n32 were boys. The ages of the cases ranged between 5 and 13, and the average age was 9.282.53. In our study, the decrease in WMR, MPV, and NLR measurements after surgery was found to be statisti-cally significant p0.01. Additionally, the decrease in PDW measurements was found to be statistically significant p0.05. RDW and PLR measurement changes in our study do not show a statistically signifi-cant difference p0.05. Conclusions: This study showed that prothrombotic values improved after adenotonsillectomy in pa-tients with upper airway obstruction due to adenotonsillar hypertrophy. Our results demonstrate the effectiveness and necessity of surgery in patients with upper airway obstruction.

 Background: The most common cause of obstructive sleep apnea syndrome OSAS in the pediatric age group is adenotonsillar hypertrophy. In our study, we aimed to investigate inflammatory changes in blood parameters in patients who underwent adenotonsillectomy due to upper respiratory tract obst-ruction. Materials and Methods: 50 patients who were operated on due to adenotonsillar hypertrophy, who applied to the outpatient clinic with a complaint of witnessed apnea, were retrospectively examined. Complete blood count CBC parameters of the patients before surgery and at the 6th month postope-rative follow-up were evaluated. In our study, neutrophil-lymphocyte ratio NLR, platelet-lymphocyte ratio PLR, mean platelet volume MPV, the ratio of WBC to MPV WMR, red blood cell distribution width RDW, platelet distribution width PDW. The changes in  values after surgery were examined. Results: The study was conducted with a total of 50 cases, 36 n18 of which were girls and 64 n32 were boys. The ages of the cases ranged between 5 and 13, and the average age was 9.282.53. In our study, the decrease in WMR, MPV, and NLR measurements after surgery was found to be statisti-cally significant p0.01. Additionally, the decrease in PDW measurements was found to be statistically significant p0.05. RDW and PLR measurement changes in our study do not show a statistically signifi-cant difference p0.05. Conclusions: This study showed that prothrombotic values improved after adenotonsillectomy in pa-tients with upper airway obstruction due to adenotonsillar hypertrophy. Our results demonstrate the effectiveness and necessity of surgery in patients with upper airway obstruction.

 Amaç: Pediatrik yaş grubunda obstrüktif uyku apne sendromu OSAS nun en sık görülen nedeni adenotonsiller hipertrofidir. Çalışmamızda üst solunum yolu obstrüksiyonu nedeniyle adenotonsillektomi yapılan hastalarda kan parametrelerindeki inflamatuar değişiklikleri göstermeyi amaçladık. Materyal ve metod: Tanıklı apne nedeniyle polikliniğe başvuran adenotonsiller hipertrofi nedeniyle opere edilen 50 hasta retrospektif olarak incelendi. Hastaların ameliyat öncesi ve ameliyat sonrası 6. Ay kontrolünde bakılan Tam kan sayımı CBC parametreleri değerlendirildi. Çalışmamızda Nötrofil lenfosit oranı NLR, platellet lenfosit oranı PLR, ortalama platellet hacmi MPV, platellet sayısı ve WBC nin MPVye oranı WMR, kırmızı kan hücresi dağılım genişliği RDW, platelet dağılım genişliği PDW değerlerinin ameliyat sonrasındaki değişimi incelendi. Bulgular: Çalışma 36sı n18 kız, 64ü n32 erkek olmak üzere toplam 50 olgu ile yapılmıştır. Olguların yaşları 5 ile 13 arasında değişmekte olup, ortalama yaş 9,282,53tür. Çalışmamızda ameliyat sonrası WMR, MPV, NLR ölçümlerindeki düşüş istatistiksel olarak anlamlı saptanmıştır p0,01. Ayrıca PDW ölçümlerinde de düşüş istatistiksel olarak anlamlı saptanmıştır p0,05. Çalışmamızdaki RDW ve PLR ölçümü değişimleri istatistiksel olarak anlamlı farklılık göstermemektedir p0,05. Sonuç: Bu çalışmamız bize adenotonsiller hipertrofi nedeniyle üst solunum yolu obstrüksiyonu olan hastaların ameliyat sonrası protrombotik değerlerinde düzelme olduğunu göstermektedir. Sonuçlarımız üst solunum yolu obstrüksiyonu olan hastalarda cerrahinin etkililiğini ve gerekliliğini göstermektedir.

Makale detayları

Blood Parameter Analysis of Pediatric Patients Who Underwent Adenotonsillectomy Due to Upper Airway Obstruction

Yazarlar:

Müslüm Ayral | Servet Erdemes

Yayıncı:

Harran University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 2, pp.184-189

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001323554

pISSN:

1304-9623

Adenotonsillectomy

Obstructive sleep apnea syndrome

Pediatric patient

Blood parametersAdenotonsillektomi

Obstüriktif uyku apne Sendromu

Çocuk hasta

Kan parametreleri

Sayı

Makale detayları

Yazarlar: Müslüm Ayral | Servet Erdemes

Yayıncı: Harran University

Ana Başlıklar: Kulak Burun Boğaz

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 2, pp.184-189

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001323554

pISSN: 1304-9623

Sayı

Yazarlar:

Müslüm Ayral | Servet Erdemes

Yayıncı:

Harran University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 2, pp.184-189

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001323554

pISSN:

1304-9623