Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia

Abdel Wahab, Mostafa B.; Sadek, Mohamed S.; SalamA, Ahmed M. F.; Elfeky, Ahmed; Younes, Mohamed T.

doi:10.21608/ejprs.2022.220432

Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia

Document Type : Original Article

Authors

¹ The Department of General Surgery, Faculty of Medicine, Benha University

² The Department and Chest Disease, Faculty of Medicine, Benha University

10.21608/ejprs.2022.220432

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

Main Subjects

Aesthetics

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