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A novel predictive marker for the viscosity of otitis media with effusion

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dc.contributor.authorBoztepe, Osman Fatih
dc.contributor.authorDemir, Meltem
dc.contributor.authorGun, Taylan
dc.contributor.authorBilal, Nagihan
dc.contributor.authorEnsari, Nuray Akmeşe
dc.contributor.authorDoǧru, Harun
dc.contributor.institutionBoztepe, Osman Fatih, Medical Park Hospital, Bursa, Turkey
dc.contributor.institutionDemir, Meltem, Medical Park Hospital, Bursa, Turkey
dc.contributor.institutionGun, Taylan, Department of Otorhinolaryngology, Bahçeşehir Üniversitesi, Istanbul, Turkey
dc.contributor.institutionBilal, Nagihan, Department of Otorhinolaryngology, Kahramanmaras Sütçü Imam Üniversitesi, Kahramanmaras, Turkey
dc.contributor.institutionEnsari, Nuray Akmeşe, Antalya Training and Research Hospital, Antakya, Turkey
dc.contributor.institutionDoǧru, Harun, Department of Otorhinolaryngology, Medical Park Hospital, Bursa, Turkey
dc.date.accessioned2025-10-05T16:29:33Z
dc.date.issued2015
dc.description.abstractObjectives: To evaluate the significance of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio for the prediction of the viscosity of otitis media with effusion. Methods: This retrospective study was performed on 81 patients who were admitted to the otolaryngology clinic.The patients were divided into two groups according to their effusion type, as serous or mucoid, which was defined intraoperatively after myringotomy. The NLR and PLR were calculated as a simple ratio between the absolute neutrophil/platelet and absolute lymphocyte counts.Tympanostomy tube insertion was performed for all cases.Under direct visualization, the effusion was aspirated and classified as serous or mucous. Results: We postulated that an NLR value of less than 1.38 may show mucoid effusion and if the PLR value is less than 97.96, the effusion is mucoid. Conclusions: We speculate that a useful predictor of viscosity for a middle ear effusion could prevent unnecessary surgeries and additional costs in the treatment of EMO. Additional studies are needed to confirm our results. © 2016 Elsevier B.V., All rights reserved.
dc.identifier.doi10.1016/j.ijporl.2015.10.043
dc.identifier.endpage2358
dc.identifier.issn01655876
dc.identifier.issn18728464
dc.identifier.issue12
dc.identifier.pubmed26590001
dc.identifier.scopus2-s2.0-84955215327
dc.identifier.startpage2355
dc.identifier.urihttps://doi.org/10.1016/j.ijporl.2015.10.043
dc.identifier.urihttps://hdl.handle.net/20.500.14719/12646
dc.identifier.volume79
dc.language.isoen
dc.publisherElsevier Ireland Ltd
dc.relation.sourceInternational Journal of Pediatric Otorhinolaryngology
dc.subject.authorkeywordsNeutrophil-to-lymphocyte Ratio
dc.subject.authorkeywordsOtitis Media With Effusion
dc.subject.authorkeywordsPlatelet-to-lymphocyte Ratio
dc.subject.authorkeywordsViscosity
dc.subject.authorkeywordsBiomarkers
dc.subject.authorkeywordsAnalysis Of Variance
dc.subject.authorkeywordsArea Under The Curve
dc.subject.authorkeywordsArticle
dc.subject.authorkeywordsAspiration
dc.subject.authorkeywordsBlood Cell Count
dc.subject.authorkeywordsChild
dc.subject.authorkeywordsControlled Study
dc.subject.authorkeywordsDiagnostic Test Accuracy Study
dc.subject.authorkeywordsDisease Marker
dc.subject.authorkeywordsFemale
dc.subject.authorkeywordsHuman
dc.subject.authorkeywordsKruskal Wallis Test
dc.subject.authorkeywordsLeukocyte Count
dc.subject.authorkeywordsMajor Clinical Study
dc.subject.authorkeywordsMale
dc.subject.authorkeywordsMyringotomy
dc.subject.authorkeywordsNeutrophil Lymphocyte Ratio
dc.subject.authorkeywordsPlatelet Lymphocyte Ratio
dc.subject.authorkeywordsPrediction
dc.subject.authorkeywordsPredictive Value
dc.subject.authorkeywordsPriority Journal
dc.subject.authorkeywordsRetrospective Study
dc.subject.authorkeywordsSecretory Otitis Media
dc.subject.authorkeywordsSensitivity And Specificity
dc.subject.authorkeywordsViscosity
dc.subject.authorkeywordsAdolescent
dc.subject.authorkeywordsBlood
dc.subject.authorkeywordsChemistry
dc.subject.authorkeywordsCytology
dc.subject.authorkeywordsExudate
dc.subject.authorkeywordsLymphocyte
dc.subject.authorkeywordsMiddle Ear Ventilation
dc.subject.authorkeywordsNeutrophil
dc.subject.authorkeywordsOtitis Media With Effusion
dc.subject.authorkeywordsPathophysiology
dc.subject.authorkeywordsPreschool Child
dc.subject.authorkeywordsProcedures
dc.subject.authorkeywordsThrombocyte
dc.subject.authorkeywordsBiological Marker
dc.subject.authorkeywordsAdolescent
dc.subject.authorkeywordsBiomarkers
dc.subject.authorkeywordsBlood Cell Count
dc.subject.authorkeywordsBlood Platelets
dc.subject.authorkeywordsChild
dc.subject.authorkeywordsChild, Preschool
dc.subject.authorkeywordsExudates And Transudates
dc.subject.authorkeywordsFemale
dc.subject.authorkeywordsHumans
dc.subject.authorkeywordsLymphocytes
dc.subject.authorkeywordsMale
dc.subject.authorkeywordsMiddle Ear Ventilation
dc.subject.authorkeywordsNeutrophils
dc.subject.authorkeywordsRetrospective Studies
dc.subject.authorkeywordsViscosity
dc.subject.indexkeywordsanalysis of variance
dc.subject.indexkeywordsarea under the curve
dc.subject.indexkeywordsArticle
dc.subject.indexkeywordsaspiration
dc.subject.indexkeywordsblood cell count
dc.subject.indexkeywordschild
dc.subject.indexkeywordscontrolled study
dc.subject.indexkeywordsdiagnostic test accuracy study
dc.subject.indexkeywordsdisease marker
dc.subject.indexkeywordsfemale
dc.subject.indexkeywordshuman
dc.subject.indexkeywordsKruskal Wallis test
dc.subject.indexkeywordsleukocyte count
dc.subject.indexkeywordsmajor clinical study
dc.subject.indexkeywordsmale
dc.subject.indexkeywordsmyringotomy
dc.subject.indexkeywordsneutrophil lymphocyte ratio
dc.subject.indexkeywordsplatelet lymphocyte ratio
dc.subject.indexkeywordsprediction
dc.subject.indexkeywordspredictive value
dc.subject.indexkeywordspriority journal
dc.subject.indexkeywordsretrospective study
dc.subject.indexkeywordssecretory otitis media
dc.subject.indexkeywordssensitivity and specificity
dc.subject.indexkeywordsviscosity
dc.subject.indexkeywordsadolescent
dc.subject.indexkeywordsblood
dc.subject.indexkeywordschemistry
dc.subject.indexkeywordscytology
dc.subject.indexkeywordsexudate
dc.subject.indexkeywordslymphocyte
dc.subject.indexkeywordsmiddle ear ventilation
dc.subject.indexkeywordsneutrophil
dc.subject.indexkeywordsOtitis Media with Effusion
dc.subject.indexkeywordspathophysiology
dc.subject.indexkeywordspreschool child
dc.subject.indexkeywordsprocedures
dc.subject.indexkeywordsthrombocyte
dc.subject.indexkeywordsbiological marker
dc.subject.indexkeywordsAdolescent
dc.subject.indexkeywordsBiomarkers
dc.subject.indexkeywordsBlood Cell Count
dc.subject.indexkeywordsBlood Platelets
dc.subject.indexkeywordsChild
dc.subject.indexkeywordsChild, Preschool
dc.subject.indexkeywordsExudates and Transudates
dc.subject.indexkeywordsFemale
dc.subject.indexkeywordsHumans
dc.subject.indexkeywordsLymphocytes
dc.subject.indexkeywordsMale
dc.subject.indexkeywordsMiddle Ear Ventilation
dc.subject.indexkeywordsNeutrophils
dc.subject.indexkeywordsRetrospective Studies
dc.subject.indexkeywordsViscosity
dc.titleA novel predictive marker for the viscosity of otitis media with effusion
dc.typeArticle
dcterms.referencesTos, Mirko K., Epidemiology and natural history of secretory otitis, American Journal of Otology, 5, 6, pp. 459-462, (1984), Clinical Practice Guideline, (1994), Park, Chul-won, Detection rates of bacteria in chronic otitis media with effusion in children, Journal of Korean Medical Science, 19, 5, pp. 735-738, (2004), Liu, Yea S., Chronic Middle Ear Effusions: Immunochemical and Bacteriological Investigations, Archives of otolaryngology (Chicago, Ill. : 1960), 101, 5, pp. 278-286, (1975), Lin, Jizhen, Expression of mucins in mucoid otitis media, JARO - Journal of the Association for Research in Otolaryngology, 4, 3, pp. 384-393, (2003), Bucak, Abdülkadir, Neutrophil-to-lymphocyte ratio as a novel-potential marker for predicting prognosis of Bell palsy, Laryngoscope, 124, 7, pp. 1678-1681, (2014), Türkmen, Kültigin, Platelet-to-lymphocyte ratio better predicts inflammation than neutrophil-to-lymphocyte ratio in end-stage renal disease patients, Hemodialysis International, 17, 3, pp. 391-396, (2013), U-Nikolajsen, Mogens Fiella, Tympanomentry and secretory otitis media: Observation on diagnoisis, epidemiology, treatment, and prevention in prospective cohort studies of three-year-old children, Acta Oto-Laryngologica, 95, S394, pp. 1-73, (1983), ASHA, (1990), Coates, Harvey L.C., The role of chronic infection in children with otitis media with effusion: Evidence for intracellular persistence of bacteria, Otolaryngology - Head and Neck Surgery, 138, 6, pp. 778-781, (2008)
dspace.entity.typePublication
local.indexed.atScopus
person.identifier.scopus-author-id56346602100
person.identifier.scopus-author-id56689396100
person.identifier.scopus-author-id24464751700
person.identifier.scopus-author-id24068616900
person.identifier.scopus-author-id8842189400
person.identifier.scopus-author-id7003964322

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