Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 11, Volume 46, Issue 1, January 2022, Page 65-71 PDF (8.08 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2022.220432 | ||||
View on SCiNiTO | ||||
Authors | ||||
Mostafa B. Abdel Wahab* 1; Mohamed S. Sadek2; Ahmed M. F. SalamA1; Ahmed Elfeky1; Mohamed T. Younes1 | ||||
1The Department of General Surgery, Faculty of Medicine, Benha University | ||||
2The Department and Chest Disease, Faculty of Medicine, Benha University | ||||
Abstract | ||||
Background: Macromastia has been related with number of physical and mental issues in spite of the fact that it is basically a physiological condition. This study aimed to discuss the effect of reduction mammoplasty on pulmonary function tests and back pain in patients with macromastia. Patients and Methods: This is a clinical study including thirty female patients with macromastia suffered from back pain, all underwent reduction mammoplasty, we used three pedicles techniques for reduction mammoplasty; medial, superior medial and inferior pedicles. Regarding pulmonary function test (spirometry) and carbon monoxide diffusion test, pre-operative and 3 months postoperative was done. Back pain was assessed preoperative and 3 months post operative according to facial pain scale. Results: The mean preoperative Forced Expiratory Volume 1% in this study was 89.10±19.45% which significantly increased to 100.28±19.87% post-operatively (p=0.0010). Regarding Forced Vital Capacity in this study, it significantly increased from 86.22%±21.08% pre-operatively to 100.42% ±19.85% post-operatively (p < 0.001). Diffusion Capacity for Carbon Monoxide (DLCO) significantly increased from 99.90 ±11.08mL/min/mmHg preoperatively to 90.15±13.21mL/ min/mmHg post-operatively (p < 0.001). There was significant improvement of back pain after breast reduction compared to preoperative back pain. Conclusion: Breast reduction surgery through different surgical pedicles has positive effects on pulmonary function test values as it leads to decrease breast weight, hence improve respiratory function and chest wall movement. Also, it decreases patient's back pain in different surgical pedicles used. | ||||
Keywords | ||||
Mammoplasty; Pulmonary function; Back pain; Macromastia | ||||
References | ||||
1- Pérez-Panzano E., Gascón-Catalán A., Sousa-Domínguez R., Carrera-Lasfuentes P., García-Campayo J. and Güemes- Sánchez A.: Reduction mammaplasty improves levels of anxiety, depression and body image satisfaction in patients with symptomatic macromastia in the short and long term. J. Psychosom. Obstet. Gynecol., 38 (4): 268-75, 2017. 2- Lewin R.: Breast hypertrophy and outcome of breast reduction surgery, 2016. 3- Ugurlu E., Topkara A., Özkan A., Özcan R.H., Can I . and Altınıs¸ık G.: Effect of reduction mammoplasty on the pulmonary function tests, 2017. 4- Lonie S., Sachs R., Shen A., Hunter-Smith D.J., Rozen W.M. and Seifman M.: A systematic review of patient reported outcome measures for women with macromastia who have undergone breast reduction surgery. Gland Surg., 8 (4): 431, 2019. 5- Onuk A.A., et al.: "Effects of bilateral breast reduction on peak airway pressure and pulmonary function tests". Nigerian Journal of Clinical Practice, 21.8: 949-953, 2018. 6- Aboul Nasr L.A., Ramadan H.A., Rizk I.N., Shalaby A.E. and Raafat S.S.: The Correlation between Weight of Resected Breast Tissue During Reduction Mammaplasty and Pulmonary Functions Parameters: An Objective Analysis The Egyptian Journal of Plastic and Reconstructive Surgery, 44 (4): 479-485, 2020. 7- Walker B.J., Polaner D.M. and Berde C.B.: Acute pain. In: A practice of anesthesia for infants and children. Elsevier, p. 1023-62, 2019. 8- Cunha M.S., Santos L.L., Viana A.A., Bandeira N.G., Limafilho J.A. and Meneses V.L.: Evaluation of pulmonary function in patients submitted to reduction mammaplasty. Rev. Col. Bras. Cir., 38 (1): 011-014, 2011. 9- Ceber M., Yuksek A., Mutlu L.C., Bali I. and Topcu B.: Reduction mammaplasty effect on pulmonary function and arterial blood gas in the overweight female. Aesthetic Plast. Surg., 39 (4): 540-6, 2015. 10- Turhan-Haktanır, Nurten, et al.: "Effects of Breast Size on Lung Function". Eur. J. Gen. Med., 7.2: 150-154, 2010. 11- Jones G.: Breast Reduction. In: Plastic Surgery McCarthy, 2nd ed. Saunders Company, Philadelphia, pp. 539-584, 2006. 12- Aly A.M., Salam M.H.A. and Gad D.M.: Effect of reduction mammoplasty on the pulmonary function test. Zagazig Univ. Med. J., 17 (3), 2015. 13- Kececi Y. and Dagistan S.: Effects of breast reduction on pulmonary function. Int. Surg., 99 (4): 300-4, 2014. 14- Mizgala C.L. and MacKenzie K.M.: Breast reduction outcome study. Ann. Plast. Surg., 44 (2): 125-33, 2000. 15- Foreman K.B., Dibble L.E., Droge J., Carson R. and Rockwell W.B.: The impact of breast reduction surgery on low-back compressive forces and function in individuals with macromastia. Plast. Reconstr. Surg., 124 (5): 1393- 9, 2009. 16- Knox J.A., Nelson D.A., Latham K.P. and Kurina L.M.: Objective effects of breast reduction surgery on physical fitness. Ann. Plast. Surg., 80 (1): 14-7, 2018 | ||||
Statistics Article View: 181 PDF Download: 284 |
||||