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Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 33 Issue: 2

Mean Platelet Volume and Red Blood Cell Distribution Width as Predictors of Post-Tonsillectomy Hemorrhage

Yaşar Kemal Duymaz(University of Health Sciences, Umraniye Training and Research Hospital, Department of Otolaryngology)0000-0002-4887-4677
Burak Karabulut0000-0002-3958-3683
Serap Şahin Önder(Acibadem Atasehir Hospital, Department of Otolaryngology)0000-0002-3576-0953
Mehmet Sürmeli(MediEnt Ear, Nose and Throat Hospital, Department of Otolaryngology)0000-0002-7936-2957
Arzu Tarlanova(Hekimler Tıp Merkezi)0000-0001-9042-041X
Fatih Savran(Özel Bölge Hastanesi)0000-0001-5338-8641
Pages
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Publication Date
2023-06-22
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, more research is needed to better understand the association between RDW values, MPV values, and PTH.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Post-tonsillectomy hemorrhage (PTH) is one of the most common sources of postoperative morbidity especially in children.
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Key Findings & Data:Material and Methods: A retrospective, case-control study was conducted involving 40 patients with PTH and 40 patients without PTH.
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Conclusion & Impact:However, more research is needed to better understand the association between RDW values, MPV values, and PTH.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Post-tonsillectomy hemorrhage · tonsillectomy · postoperative complications

Abstract

Objective: Post-tonsillectomy hemorrhage (PTH) is one of the most common sources of postoperative morbidity especially in children. Gender, age, tonsillectomy indication, surgical technique, surgeon’s skill level, INR (International Normalized Ratio) and aPTT (activated Partial Thromboplastin Time) values, localized and systemic conditions have been described as risk factors for PTH. This study focuses on determining the effect mean platelet volume (MPV) and red blood cell distribution width (RDW) levels have on PTH. Material and Methods: A retrospective, case-control study was conducted involving 40 patients with PTH and 40 patients without PTH. The patients who had diseases that might affect the levels of MPV or RDW, were excluded. Median MPV and RDW values were compared for the two groups. Results: The MPV median value was 7.73±0.93 fL in the hemorrhage group and 8.38±1.27 fL in the control group (p=0.038). The RDW median value was 15.4%±1.61 in the hemorrhage group and 14.6%±1.21 in the control group (p=0.007). It was determined that high RDW levels increased PTH and high MPV levels decreased PTH. Conclusion: Low MPV value and high RDW values can be useful in predicting the risk of PTH. However, more research is needed to better understand the association between RDW values, MPV values, and PTH.

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Cite This Article

Duymaz, Y. K., Karabulut, B., Önder, S. Ş., Sürmeli, M., Tarlanova, A., Savran, F. (2023). Mean Platelet Volume and Red Blood Cell Distribution Width as Predictors of Post-Tonsillectomy Hemorrhage. The Turkish Journal of Ear Nose and Throat, Volume: 33 Issue: 2. https://doi.org/10.26650/Tr-ENT.2023.1250887

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