Hostname: page-component-76fb5796d-2lccl Total loading time: 0 Render date: 2024-04-25T11:21:17.028Z Has data issue: false hasContentIssue false
  • English
  • Français

Diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess

Published online by Cambridge University Press:  11 June 2018

Y Nakao ,
T Tanigawa ,
F Kano ,
H Tanaka ,
N Katahira ,
T Ogawa ,
K Murotani ,
T Nagata  and
R Shibata
Y Nakao
Affiliation:
Department of Otolaryngology, Yoshida General Hospital, Akitakata, Japan
T Tanigawa*
Affiliation:
Department of Otolaryngology, Aichi Medical University, Japan
F Kano
Affiliation:
Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine, Japan
H Tanaka
Affiliation:
Department of Otolaryngology, Aichi Medical University, Japan
N Katahira
Affiliation:
Department of Otolaryngology, Aichi Medical University, Japan
T Ogawa
Affiliation:
Department of Otolaryngology, Aichi Medical University, Japan
K Murotani
Affiliation:
Division of Biostatistics, Clinical Research Center, Aichi Medical University, Japan
T Nagata
Affiliation:
Department of Cardiovascular Surgery, St Marianna University School of Medicine, Kawasaki, Japan
R Shibata
Affiliation:
Department of Advanced Cardiovascular Therapeutics, Nagoya University Graduate School of Medicine, Japan
*
Address for correspondence: Dr Tohru Tanigawa, Department of Otolaryngology, Aichi Medical University, 1–1 Yazakokarimata, Nagakute, Aichi, 480–1195, Japan Fax: +81 561 63 3403 E-mail: tanigawa@aichi-med-u.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To assess the diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess.

Methods

Mean platelet volume and other laboratory data were retrospectively investigated.

Results

Mean platelet volume was significantly lower in the tonsillitis group (7.8 per cent ± 0.7 per cent) than in the control group (8.7 per cent ± 0.6 per cent; p < 0.0001), and it was significantly lower in the abscess group (7.5 per cent ± 0.6 per cent) than in the no abscess group (8.0 per cent ± 0.7 per cent; p = 0.0277). White blood cell counts and C-reactive protein levels were not significantly different between patients with an abscess and those without. The mean platelet volume cut-off values for the diagnosis of tonsillitis and peritonsillar abscess were 7.95 fl and 7.75 fl, respectively.

Conclusion

Our results suggest that a decreased mean platelet volume is associated with the development and severity of tonsillitis. This finding provides useful diagnostic information for physicians treating patients with tonsillitis.

Keywords

Mean Platelet VolumeTonsillitisPlateletsAbscess
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 7 , July 2018 , pp. 615 - 618
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr T Tanigawa takes responsibility for the integrity of the content of the paper

References

1Raut, VV. Management of peritonsillitis/peritonsillar. Rev Laryngol Otol Rhinol (Bord) 2000;121:107–10Google Scholar
2Mohamad, I, Yaroko, A. Peritonsillar swelling is not always quinsy. Malays Fam Physician 2013;8:53–5Google Scholar
3Ozdemir, R, Karadeniz, C, Doksoz, O, Celegen, M, Yozgat, Y, Guven, B et al. Are mean platelet volume and platelet distribution width useful parameters in children with acute rheumatic carditis? Pediatr Cardiol 2014;35:53–6Google Scholar
4Gasparyan, AY, Ayvazyan, L, Mikhailidis, DP, Kitas, GD. Mean platelet volume: a link between thrombosis and inflammation? Curr Pharm Des 2011;17:47–58Google Scholar
5Eryilmaz, MA, Derin, S. Mean platelet volume as a potential predictor of cholesteatoma in children. J Craniofac Surg 2016;27:e575–8Google Scholar
6Şentürk, M, Azgın, İ, Övet, G, Alataş, N, Ağırgöl, B, Yılmaz, E. The role of the mean platelet volume and neutrophil-to-lymphocyte ratio in peritonsillar abscesses. Braz J Otorhinolaryngol 2016;82:662–7Google Scholar
7Suzumoto, M, Hotomi, M, Billal, DS, Fujihara, K, Harabuchi, Y, Yamanaka, N. A scoring system for management of acute pharyngo-tonsillitis in adults. Auris Nasus Larynx 2009;36:314–20Google Scholar
8Arslan, H, Çandar, T, Kuran, S, Akmansu, ŞH, Kocatürk, S. New inflammatory parameters in laryngopharyngeal reflux. J Laryngol Otol 2016;130:878–82Google Scholar
9Mert, DG, Terzi, H. Mean platelet volume in bipolar disorder: the search for an ideal biomarker. Neuropsychiatr Dis Treat 2016;12:2057–62Google Scholar
10Günbey, E, Karabulut, I, Karabulut, H, Zaim, M. Impact of multilevel surgical treatment on mean platelet volume in patients with obstructive sleep apnea syndrome. J Craniofac Surg 2015;26:1287–9Google Scholar
11Ulu, S, Ulu, MS, Ahsen, A, Yucedag, F, Aycicek, A, Celik, S. Increased levels of mean platelet volume: a possible relationship with idiopathic sudden hearing loss. Eur Arch Otorhinolaryngol 2013;270:2875–8Google Scholar
12Kucuk, E, Kucuk, I. Mean platelet volume is reduced in acute appendicitis. Turk J Emerg Med 2016;15:23–7Google Scholar
13Hunt, WM. The relation between tonsillitis & appendicitis. Am J Surg 1929;6:761–4Google Scholar
14Sun, WX, Zhang, JR, Cao, Z, Li, Y, Wang, RT. Decreased mean platelet volume is associated with stable and exacerbated asthma. Respiration 2014;88:31–7Google Scholar
15Mete, E, Akelma, AZ, Cizmeci, MN, Bozkaya, D, Kanburoglu, MK. Decreased mean platelet volume in children with acute rotavirus gastroenteritis. Platelets 2014;25:51–4Google Scholar
16Gurler, M, Aktas, G. A review of the association of mean platelet volume and red cell distribution width in inflammation. Int J Res Med Sci 2016;4:1–4Google Scholar
17Unal, M, Oztürk, C, Görür, K. Effect of tonsillectomy on serum concentrations of interleukins and TNF-alpha in patients with chronic tonsillitis. ORL J Otorhinolaryngol Relat Spec 2002;64:254–6Google Scholar
18Noris, P, Melazzini, F, Balduini, CL. New roles for mean platelet volume measurement in the clinical practice? Platelets 2016;27:607–12Google Scholar
19Steyer, TE. Peritonsillar abscess: diagnosis and treatment. Am Fam Physician 2002;65:93–6Google Scholar
20Powell, J, Wilson, JA. An evidence-based review of peritonsillar abscess. Clin Otolaryngol 2012;37:136–45Google Scholar
21Patel, KS, Ahmad, S, O'Leary, G, Michel, M. The role of computed tomography in the management of peritonsillar abscess. Otolaryngol Head Neck Surg 1992;107:727–32Google Scholar
22Kawabata, M, Umakoshi, M, Makise, T, Miyashita, K, Harada, M, Nagano, H et al. Clinical classification of peritonsillar abscess based on CT and indications for immediate abscess tonsillectomy. Auris Nasus Larynx 2016;43:182–6Google Scholar
23Scott, PM, Loftus, WK, Kew, J, Ahuja, A, Yue, V, van Hasselt, CA. Diagnosis of peritonsillar infections: a prospective study of ultrasound, computerized tomography and clinical diagnosis. J Laryngol Otol 1999;113:229–32Google Scholar
24Teschner, M, Aljeraisi, T, Giesemann, A, Götz, F, Lenarz, T, Kontorinis, G. The role of CT in the diagnosis of peritonsillar abscesses after Punctio Sicca [in German]. Laryngorhinootologie 2013;92:25–9Google Scholar