{"title":"Actinomyces status and inflammatory biomarkers in post-tonsillectomy hemorrhage cases.","authors":"Burak Hazır, Zeliha Berfu Kastal, Eray Uzunoğlu","doi":"10.1080/00016489.2024.2410330","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The presence of <i>Actinomyces</i> can be associated with complications.</p><p><strong>Aims: </strong>This study aimed to determine the frequency of post-tonsillectomy hemorrhage (PTH), the presence of <i>Actinomyces</i> in palatine tonsils and serum inflammatory biomarker levels in PTH.</p><p><strong>Material and methods: </strong>The cases who underwent tonsillectomy at a single center were included in the study. Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), systemic immune inflammation index (SII) and systemic inflammation response index (SIRI) values were calculated from the complete blood count test. The presence of <i>Actinomyces</i> was recorded from histopathological tonsillectomy material.</p><p><strong>Results: </strong>A total of 1137 patients were included in the study. <i>Actinomyces</i> was detected in 93 (8.18%) patients. Bleeding complications were encountered in 65 cases (5.72%). No relationship was detected between the presence of <i>Actinomyces</i> and PTH rates (<i>p</i> = 0.433). While a relationship was found between age, NLR, and SIRI values and Actinomyces status (respectively, <i>p</i> < 0.001, <i>p</i> = 0.017, <i>p</i> = 0.038), no statistically significant relationship was found between tonsil size, PLR, and SII (<i>p</i> > 0.05).</p><p><strong>Conclusion and significance: </strong>According to the data in our study, NLR and SIRI values were elevated in subjects with <i>Actinomyces</i>. Our findings suggest that this entity has a systemic manifestation. Serum inflammatory biomarkers and the presence of <i>Actinomyces</i> were not found to be associated with PTH.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Oto-Laryngologica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00016489.2024.2410330","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The presence of Actinomyces can be associated with complications.
Aims: This study aimed to determine the frequency of post-tonsillectomy hemorrhage (PTH), the presence of Actinomyces in palatine tonsils and serum inflammatory biomarker levels in PTH.
Material and methods: The cases who underwent tonsillectomy at a single center were included in the study. Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), systemic immune inflammation index (SII) and systemic inflammation response index (SIRI) values were calculated from the complete blood count test. The presence of Actinomyces was recorded from histopathological tonsillectomy material.
Results: A total of 1137 patients were included in the study. Actinomyces was detected in 93 (8.18%) patients. Bleeding complications were encountered in 65 cases (5.72%). No relationship was detected between the presence of Actinomyces and PTH rates (p = 0.433). While a relationship was found between age, NLR, and SIRI values and Actinomyces status (respectively, p < 0.001, p = 0.017, p = 0.038), no statistically significant relationship was found between tonsil size, PLR, and SII (p > 0.05).
Conclusion and significance: According to the data in our study, NLR and SIRI values were elevated in subjects with Actinomyces. Our findings suggest that this entity has a systemic manifestation. Serum inflammatory biomarkers and the presence of Actinomyces were not found to be associated with PTH.
期刊介绍:
Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.