Investigation of the relationship between the amounts of tissue removed in breast reduction operations and the change in symptoms
Öz
Aim: Breast reduction operations are frequently performed operations with satisfactory both aesthetic and functional results. In this article, we presented our study in which we investigated the effect of the amount of tissue resected during the breast reduction operation on the symptoms.
Materials and Methods: 57 patients were included in the study. The groups were divided into 3 groups according to the weight of the tissue resected from both breasts. Group 1: 1000 grams of tissue and less, group 2: 1000-2000 grams of tissue, group 3: The group in which 2000 grams and more tissue is resected. Patients' ages, body mass indexes (BMI), total amount of tissue removed from the bilateral breasts were noted. Before and after the operation, neck/back/shoulder pain, redness and itching in the breast area, bra marks and symptoms of limitation of movement in daily life of the patients were evaluated and compared. The correlation between BMI and the amount of tissue removed was evaluated.
Results: While there was a significant difference between the groups in terms of the amount of tissue removed and BMI, there was no significant difference in age. Back/shoulder pain in group 2-3, neck pain, redness-itch in group 3, bra scar and limitation of movement changed significantly in all groups. The preoperative shoulder pain, bra mark and limitation of motion score in group 3 and the postoperative bra mark score in group 3 were found to be significantly higher than other groups. When the correlation between the amount of tissue removed and BMI was evaluated, a significant positive correlation was found in group 3 in terms of two values.
Conclusion: Symptomatic improvement after breast reduction surgery is not significantly different among women with different breast sizes.
Anahtar Kelimeler
Kaynakça
- Foreman KB, Dibble LE, Droge J, Carson R, Rockwell WB. The impact of breast reduction surgery on low-back compressive forces and function in individuals with macromastia. Plastic and Reconstructive Surgery. 2009;124(5):1393-9.
- Collins DE, Kerrigan CL, Kim M, Lowery JC, Striplin DT, Cunningham B, et al. The effectiveness of surgical and nonsurgical interventions in relieving the symptoms of macromastia. Plastic and reconstructive surgery. 2002;109(5):1556-66.
- Spector JA, Singh SP, Karp NS. Outcomes after breast reduction: does size really matter? Annals of Plastic Surgery. 2008;60(5):505-9.
- Blomqvist L, Brandberg Y. Three-year follow-up on clinical symptoms and health-related quality of life after reduction mammaplasty. Plastic and reconstructive surgery. 2004;114(1):49-54.
- Chadbourne EB, Zhang S, Gordon MJ, Ro EY, Ross SD, Schnur PL, et al., editors. Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clinic Proceedings; 2001: Elsevier.
- Yao A, LaFontaine S, Sultan SM, Rizzo AM, Draper L, Benacquista T, et al. Do larger reductions yield larger returns? patient-reported outcomes as a function of specimen weight in bilateral reduction mammoplasty. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2021;74(10):2537-49.
- Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plastic and reconstructive surgery. 1999;104(3):748-59.
- Cruz-Korchin N, Korchin L. Vertical versus Wise pattern breast reduction: patient satisfaction, revision rates, and complications. Plastic and reconstructive surgery. 2003;112(6):1573-8.
- Glatt BS, Sarwer DB, O'Hara DE, Hamori C, Bucky LP, LaRossa D. A retrospective study of changes in physical symptoms and body image after reduction mammaplasty. Plastic and reconstructive surgery. 1999;103(1):76-82.
- Papanastasiou C, Ouellet JA, Lessard L. The effects of breast reduction on back pain and spine measurements: a systematic review. Plastic and Reconstructive Surgery Global Open. 2019;7(8).
- Chao JD, Memmel HC, Redding JF, Egan L, Odom LC, Casas LA. Reduction mammaplasty is a functional operation, improving quality of life in symptomatic women: a prospective, singlecenter breast reduction outcome study. Plastic and reconstructive surgery. 2002;110(7):1644-52.
- Mandrekas A, Zambacos G, Anastasopoulos A, Hapsas D. Reduction mammaplasty with the inferior pedicle technique: early and late complications in 371 patients. British journal of plastic surgery. 1996;49(7):442-6.
- Hidalgo DA. Improving safety and aesthetic results in inverted T scar breast reduction. Plastic and reconstructive surgery. 1999;103:874-86.
- Spector JA, Kleinerman R, Culliford IV AT, Karp NS. The vertical reduction mammap
Meme küçültme operasyonlarında çıkarılan doku miktarı ile semptomların değişmesi arasındaki ilişkinin araştırılması
Öz
Amaç: Meme küçültme operasyonları sıklıkla yapılan hem estetik hem de fonksiyonel sonuçları yüz güldürücü olan operasyonlardır. Çıkartılan doku miktarı ile semptomların iyileşmesi ile ilgili literatürde kısıtlı sayıda çalışma mevcuttur. Biz bu yazımızda meme küçültme operasyonu sırasında rezeke edilen doku miktarının semptomlara etkisini araştırdığımız çalışmamızı sunduk.
Gereç ve Yöntem: Çalışmamız Ocak 2018-Nisan 2021 tarihleri arasında yapılmış retrospektif bir çalışmadır. Çalışmaya 57 hasta dahil edildi. Gruplar her iki memeden çıkarılan dokunun ağırlığına göre üç gruba ayrıldı. Grup 1: 1000 gram ve daha az doku, grup 2: 1000-2000 gram arası doku, grup 3: 2000 gram ve daha fazla dokunun çıkarıldığı grup. Hastaların yaşları, beden kitle indeksleri (BKİ), bilateral memeden çıkartılan toplam doku miktarları not edildi. Operasyon öncesi ve sonrası boyun ağrısı, sırt ağrısı, omuz ağrısı, meme bölgesindeki kızarıklık ve kaşıntı, sutyen izi ve hastaların günlük hayattaki hareket kısıtlılığı semptomları değerlendirilmiş ve karşılaştırılmıştır. BKİ ile çıkartılan doku miktarı arasındaki korelasyon değerlendirildi.
Bulgular: Çıkartılan doku miktarı ve BKİ açısından gruplar arasında anlamlı bir fark varken, yaş arasından anlamlı bir fark saptanmadı. Operasyon öncesi ve sonrası değerlendirildiğinde, sırt ağrısı, omuz ağrısı grup 2 ve grup 3’te, boyun ağrısı, kızarıklık-kaşıntı grup 3’te, sutyen izi ve hareket kısıtlılığı ise üç grupta da anlamlı olarak değişmiştir. Grupların preoperatif ve postoperatif değerleri kendi arasında değerlendirildiğinde; Grup 3’te preoperatif omuz ağrısı, sutyen izi ve hareket kısıtlılığı skoru ve yine grup 3’te postoperatif sutyen izi skoru diğer gruplardan anlamlı olarak büyük saptanmıştır. Çıkartılan doku miktarı ve BKİ arasındaki korelasyon değerlendirildiğinde grup 3’te iki değer açısından anlamlı bir pozitif korelasyon saptandı.
Sonuç: Meme küçültme operasyonu sonrası oluşan semptomatik iyileşme, farklı meme boyutlarına sahip kadınlar arasında önemli ölçüde farklı değildir.
Anahtar Kelimeler
Kaynakça
- Foreman KB, Dibble LE, Droge J, Carson R, Rockwell WB. The impact of breast reduction surgery on low-back compressive forces and function in individuals with macromastia. Plastic and Reconstructive Surgery. 2009;124(5):1393-9.
- Collins DE, Kerrigan CL, Kim M, Lowery JC, Striplin DT, Cunningham B, et al. The effectiveness of surgical and nonsurgical interventions in relieving the symptoms of macromastia. Plastic and reconstructive surgery. 2002;109(5):1556-66.
- Spector JA, Singh SP, Karp NS. Outcomes after breast reduction: does size really matter? Annals of Plastic Surgery. 2008;60(5):505-9.
- Blomqvist L, Brandberg Y. Three-year follow-up on clinical symptoms and health-related quality of life after reduction mammaplasty. Plastic and reconstructive surgery. 2004;114(1):49-54.
- Chadbourne EB, Zhang S, Gordon MJ, Ro EY, Ross SD, Schnur PL, et al., editors. Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clinic Proceedings; 2001: Elsevier.
- Yao A, LaFontaine S, Sultan SM, Rizzo AM, Draper L, Benacquista T, et al. Do larger reductions yield larger returns? patient-reported outcomes as a function of specimen weight in bilateral reduction mammoplasty. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2021;74(10):2537-49.
- Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plastic and reconstructive surgery. 1999;104(3):748-59.
- Cruz-Korchin N, Korchin L. Vertical versus Wise pattern breast reduction: patient satisfaction, revision rates, and complications. Plastic and reconstructive surgery. 2003;112(6):1573-8.
- Glatt BS, Sarwer DB, O'Hara DE, Hamori C, Bucky LP, LaRossa D. A retrospective study of changes in physical symptoms and body image after reduction mammaplasty. Plastic and reconstructive surgery. 1999;103(1):76-82.
- Papanastasiou C, Ouellet JA, Lessard L. The effects of breast reduction on back pain and spine measurements: a systematic review. Plastic and Reconstructive Surgery Global Open. 2019;7(8).
- Chao JD, Memmel HC, Redding JF, Egan L, Odom LC, Casas LA. Reduction mammaplasty is a functional operation, improving quality of life in symptomatic women: a prospective, singlecenter breast reduction outcome study. Plastic and reconstructive surgery. 2002;110(7):1644-52.
- Mandrekas A, Zambacos G, Anastasopoulos A, Hapsas D. Reduction mammaplasty with the inferior pedicle technique: early and late complications in 371 patients. British journal of plastic surgery. 1996;49(7):442-6.
- Hidalgo DA. Improving safety and aesthetic results in inverted T scar breast reduction. Plastic and reconstructive surgery. 1999;103:874-86.
- Spector JA, Kleinerman R, Culliford IV AT, Karp NS. The vertical reduction mammap
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Mart 2023 |
| Gönderilme Tarihi | 2 Ocak 2023 |
| Yayımlandığı Sayı | Yıl 2023Cilt: 62 Sayı: 1 |
