elfeky, A., Ibrahim, A., sadek, M., younis, M., abdelwahab, M. (2021). Effect of reduction mammoplasty on pulmonary function test and back pain in patients with macromastia. The Egyptian Journal of Plastic and Reconstructive Surgery, (), -. doi: 10.21608/ejprs.2021.105692.1129
ahmed elfeky; ahmed Mohamed Fathi Ibrahim; mohamed shaker sadek; mohamed tawfeek younis; mostafa abdelwahab. "Effect of reduction mammoplasty on pulmonary function test and back pain in patients with macromastia". The Egyptian Journal of Plastic and Reconstructive Surgery, , , 2021, -. doi: 10.21608/ejprs.2021.105692.1129
elfeky, A., Ibrahim, A., sadek, M., younis, M., abdelwahab, M. (2021). 'Effect of reduction mammoplasty on pulmonary function test and back pain in patients with macromastia', The Egyptian Journal of Plastic and Reconstructive Surgery, (), pp. -. doi: 10.21608/ejprs.2021.105692.1129
elfeky, A., Ibrahim, A., sadek, M., younis, M., abdelwahab, M. Effect of reduction mammoplasty on pulmonary function test and back pain in patients with macromastia. The Egyptian Journal of Plastic and Reconstructive Surgery, 2021; (): -. doi: 10.21608/ejprs.2021.105692.1129
Effect of reduction mammoplasty on pulmonary function test and back pain in patients with macromastia
Articles in Press, Accepted Manuscript, Available Online from 12 December 2021
1Plastic surgery unit, General surgery department, faculty of medicine, Benha university
2Lecturer, General surgery department, faculty of medicine, Benha university
3chest disease Department, faculty of medicine, Benha university
4plastic surgery unit banha faculty of medicine, banha university
5General surgery department, 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 upper back pain in patients with macromastia. Methods: This is a clinical study included thirty women complaining of macromastia and suffered from upper back pain. All underwent reduction mammoplasty. Pre and 3 months postoperative pulmonary function test (spirometer) and lung diffusion test (DLCO) was performed. Upper back pain was assessed preoperative, and 3 months post operative according to numeric rating scale for pain (NRS). 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=0.001).Regarding Forced Vital Capacity in this study, it significantly increased from 86.22% ± 21.08% preoperatively to 100.42% ± 19.85%post-operatively (p < 0.001).Diffusion Capacity for Carbon Monoxide (DLCO) significantly decreased 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 upper back pain after breast reduction compared to preoperative upper back pain. Conclusion: Breast reduction surgery 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 upper back pain. Keywords: mammoplasty; pulmonary function; back pain; macromastia
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