Objectives: To explore the relationships between mean platelet volume (MPV), neutrophil to lymphocyte ratio (NLR) and the size of adenoid hypertrophy(AH) and the effect of adenoidectomy on MPV levels and NLR values.
Subjects and methods:In total, 132 (66 males, 66 females; average age 7.10 ± 3.62 years; range, 3-18 years) children who underwent adenoidectomy were included in the study. The patients were divided into two groups according to the size of adenoid tissue volume. Group A was consist of 72 patients with grade 3 AH, while group B was consist of 60 patients with grade 4 AH. Preoperative MPV levels and NLR values of group A and B were compared with measurements in the postoperative third month. A p-value <0.05 was considered to reflect statistical significance.
Results:In group A, mean preoperative MPV values were 7.80 ± 1.14 fL and mean postoperative MPV values were 8.06 ± 1.02 fL, respectively. In group B, mean preoperative MPV values were 7.44 ± 1.86 fL and mean postoperative MPV values were 7.68 ± 1.14 fL, respectively. No statistically significant difference in mean MPV values was observed between pre-and postoperatively in both groups A and B (p=0.190, p=0.259, respectively). In group A, the preoperative values of NLR were 1.62 ± 1.10 and the postoperative values of NLR were 1.34 ± 2.86, respectively. In group B, the preoperative values of NLR were 1.38 ± 0.92 and the postoperative values of NLR were 1.40 ± 1.12, respectively. No statistically significant difference in mean NLR values was observed between pre-and postoperatively in both groups A and B (p=0.137, p=0.191, respectively).
Conclusion:Adenoidectomy did not decrease MPV levels and NLR values in patients with grade 3 and 4 AH. Future randomized studies should explore the relationship between the MPV levels, NLR values and all of the size of AH in larger numbers of patients.