Ulu et al. [1] recently published an interesting paper in this journal on the subject of mean platelet volume in patients with sudden idiopathic sensorial hearing loss (SISHL). The authors found a significant increase in the volume of circulating platelets in 40 patients treated in the past 6 years when compared to a group of 40 healthy individuals of identical age and gender.
It has been proposed that increased mean platelet volume (and increased platelet activity) may be linked with sudden idiopathic sensorineural hearing loss and that it may indicate ischemia or atherosclerosis as possible causes of SISHL. The publication of Ulu et al. [1] raised considerable interest among readers: editors repeatedly received Letters to the Editor with consensual as well as contradictory opinions, and Ulu et al. published additional interesting ideas in their responses to these Letters to the Editor.