Effect of reduction mammoplasty on pulmonary function / Heidi Ashraf Ramadan ; Supervised Ibrahim Naguib Rezk , Alaa Eldeen Omar Ali , Laila Ahmed Aboul Nasr

Thesis (M.Sc.) - Cairo University - Faculty of Medicine- Department of General Surgery

Macromastia is commonly associated with physical symptoms, including neck, back, shoulder, and breast pain; painful brassiere strap grooving; intertrigo; poor posture; spinal kyphosis. It is also often associated with psychological symptoms related to unwanted attention, difficulty finding clothing that fits, and low self-esteem and in more severe cases the chest weight can cause breathing difficulty, which can make exercise difficult or impossible. The hypothesis that weight on the chest may diminish the compliance of the chest wall and affect chest wall dynamics guided this research. Few previous studies investigated the possibility of increasing chest compliance and pulmonary function after reduction mammoplasty. The results available were contradictory. The aim of this study was to determine the relation between reduction mammoplasty and pulmonary function. Methodology & Results: Twenty Five adult female patients who presented for reduction mammoplasty were included in the study. Paired t test showed significant change in some spirometric parameters (FVC, FVC%B/P, FEV1, FEV1 %B/P) after reduction mammoplasty. Spearman correlation coefficient of statistical analysis revealed a significant positive correlation between the total weight of breast tissue resected and pulmonary functions, and a non-significant correlation between the age, BMI and the pulmonary functions. Conclusion: The study concluded that the more the breast tissue weight removed, the better the postoperative pulmonary function

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