“…A sudden acceleration in the production of free radicals (i.e., ischemia reperfusion) or a chronic defi ciency in the antioxidant defense system may alter this balance, which leads to free-radical-induced damage to biomolecules, and may be further involved in the pathogenesis of various disorders and diseases (Valko et al 2007 ). Levels of beta-carotene, retinol, vitamin E, and vitamin C, for example, were observed to be signifi cantly decreased in children with acute otitis media and tonsillitis (Cemek et al 2005 ). Manjunath et al reported that serum MDA levels were signifi cantly elevated and that ferric reducing antioxidant power was dramatically decreased in patients with laryngeal and hypopharyngeal cancer (Manjunath et al 2010 ).…”