Abstract
Mean platelet volume (MPV) is one of the platelet function indices which reflects the platelet production rate and functions. While vascular occlusion, acute or chronic syndromes and vasculitis are increasing the MPV levels, infections, autoimmune diseases, and inflammatory situations reduce it. The indicator for idiopathic sudden sensorineural hearing loss (ISHL) etiology remains a matter of debate because it is associated with many different disorders. We evaluated MPV levels in ISHL patients. Forty patients with ISHL and 40 healthy, age and sex matched subjects were enrolled to the study. Audiometer and laboratory results were recorded. Comparative multivariate analyses between indicator factors and hearing outcomes were conducted. MPV and platelet distribution width is significantly higher in ISHL. Platelet count is lower in the ISHL than control group (p < 0.001), (p < 0.001), (p = 0.003), respectively. Our findings indicate that, ISHL appears to be characterized by ischaemic or thrombotic events. Considering the increased MPV levels; MPV may be used to evaluate ISHL as an hepler indicator.
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Wilson WR, Byl FM, Laird N (1980) The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol 106:772–776
Mattox DE, Simmons FB (1977) Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 86:463–468
Chen CY, Halpin C, Rauch SD (2003) Oral steroid treatment of sudden sensorineural hearing loss: a ten year retrospective analysis. Otol Neurotol 24:728–733
Fetterman BL, Saunders JE, Luxford WM (1996) Prognosis and treatment of sudden sensorineural hearing loss. Am J Otol 17(4):529–536
Hughes GB, Freedman MA, Haberkamp TJ, Guay ME (1996) Sudden sensorineural hearing loss. Otolaryngol Clin North Am 29(3):393–405
Wilson WR, Byl FM, Laird N (1980) The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol 106(12):772–776
Moskowitz D, Lee KJ, Smith HW (1984) Steroid use in idiopathic sudden sensorineural hearing loss. Laryngoscope 94(5 Pt 1):664–666
Chandrasekhar SS (2001) Intratympanic dexamethasone for sudden sensorineural hearing loss: clinical and laboratory evaluation. Otol Neurotol 22(1):18–23
Gianoli GJ, Li JC (2001) Transtympanic steroids for treatment of sudden hearing loss. Otolaryngol Head Neck Surg 125(3):142–146
Saunders WH (1972) Sudden deafness and its several treatments. Laryngoscope 82(7):1206–1213
Narozny W, Kuczkowski J, Kot J, Stankiewicz C, Sicko Z, Mikaszewski B (2006) Prognostic factors in sudden sensorineural hearing loss: our experience and a review of the literature. Ann Otol Rhinol Laryngol 115(7):553–558
Amin JM (1993) Idiopathic sudden sensorineural hearing loss: university hospital experience. Med J Malaysia 48(4):407–409
Briggs C (2009) Quality counts: new parameters in blood cell counting. Int Jnl Lab Hem 31:277–297
Sandhaus LM, Meyer P (2002) How useful are CBC and reticulocyte reports to clinicians? Am J Clin Pathol 118:787–793
Kapsoritakis AN, Koukourakis MI, Sfiridaki A et al (2001) Mean platelet volume: a useful marker of inflammatory bowel disease activity. Am J Gastroenterol 96:776–781
Milovanovic M, Nilsson E, Jaremo P (2004) Relationships between platelets and inflammatory markers in rheumatoid arthritis. Clin Chim Acta 343:237–240
Yazici S, Yazici M, Erer B et al (2010) The platelet indices in patients with rheumatoid arthritis: mean platelet volume reflects disease activity. Platelets 21:122–125
Kisacik B, Tufan A, Kalyoncu U et al (2008) Mean platelet volume (MPV) as an inflammatory marker in ankylosing spondylitis and rheumatoid arthritis. Joint Bone Spine 75:291–294
Martin JF, Shaw T, Heggie J et al (1983) Measurement of the density of platelets and its relationship to volume. Br J Haematol 54:337–352
Machin SJ, Briggs C (2009) Mean platelet volume: a quick easy determinant of thrombotic risk? J Thromb and Haemost 8:146–147
Braekken SK, Mathiesen EB, Njolstad I et al (2009) Mean platelet volume is a risk factor for venous thromboembolism: the Tromso study. J Thromb Haemost 8:157–162
Bath PM, Butterworth RJ (1996) Platelet size: measurement, physiology and vascular disease. Blood Coagul Fibrinolysis 7:157–161
Butterworth R, Bath P (1998) The relationship between mean platelet volume, stroke subtype and clinical outcome. Platelets 9:359–364
Del Zoppo GJ (1998) The role of platelets in ischemic stroke. Neurology 51:9–14
Khandekar MM, Khurana AS, Deshmukh SD, Kakrani AL, Katdare AD, Inamdar AK (2006) Platelet volume indices in patients with coronary artery disease and acute myocardial infarction: an Indian scenario. J Clin Pathol 59:146–149
Jakubowski JA, Thomson CB, Vaillancourt R et al (1983) Arachidonic acid metabolism by platelets of differing size. Br J Haematol 53:503–511
Merchant SN, Durand ML, Adams JC (2008) Sudden deafness: is it viral? ORL J Otorhinolaryngol Relat Spec 70(1):52–60
Simmons FB (1968) Theory of membrane breaks in sudden hearing loss. Arch Otolaryngol 88(1):41–48
Goodhill V, Harris I (1979) Sudden hearing syndromes. Harper-Collins, New York, pp 664–861
McCabe BE (1979) Autoimmune sensorineural hearing loss. Ann Otol Rhinol Laryngol 88(585–589):31
Gopinath B, Schneider J, Rochtchina E, Leeder SR, Mitchell P (2009) Association between age-related hearing loss and stroke in an older population. Stroke 40(4):1496–1498
Fusconi M, Chistolini A, Angelosanto N, Pignoloni P, Tombolini M, De Virgilio A, Pagliarella M, de Vincentiis M (2011) Role of genetic and acquired prothrombotic risk factors in genesis of sudden sensorineural hearing loss. Audiol Neurootol 16(3):185–190
Capaccio P, Ottaviani F, Cuccarini V, Bottero A, Schindler A, Cesana BM, Censuales S, Pignataro L (2007) Genetic and acquired prothrombotic risk factors and sudden hearing loss. Laryngoscope 117(3):547–551
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Ulu, S., Ulu, M.S., Ahsen, A. et al. Increased levels of mean platelet volume: a possible relationship with idiopathic sudden hearing loss. Eur Arch Otorhinolaryngol 270, 2875–2878 (2013). https://doi.org/10.1007/s00405-013-2348-9
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DOI: https://doi.org/10.1007/s00405-013-2348-9