Abdel Wahab, M., Sadek, M., SalamA, A., Elfeky, A., Younes, M. (2022). Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(1), 65-71. doi: 10.21608/ejprs.2022.220432
Mostafa B. Abdel Wahab; Mohamed S. Sadek; Ahmed M. F. SalamA; Ahmed Elfeky; Mohamed T. Younes. "Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 1, 2022, 65-71. doi: 10.21608/ejprs.2022.220432
Abdel Wahab, M., Sadek, M., SalamA, A., Elfeky, A., Younes, M. (2022). 'Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(1), pp. 65-71. doi: 10.21608/ejprs.2022.220432
Abdel Wahab, M., Sadek, M., SalamA, A., Elfeky, A., Younes, M. Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(1): 65-71. doi: 10.21608/ejprs.2022.220432
Effect of Reduction Mammoplasty on Pulmonary Function Test and Back Pain in Patients with Macromastia
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.
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