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.