Effects of Reduction Mammaplasty Operations on the Spinal Column: Clinical and Radiological Response

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dc.authoridTurkmen, Arif/0000-0001-8774-830X
dc.authoridtemel, metin/0000-0002-1829-9894
dc.contributor.authorBerberoglu, Omer
dc.contributor.authorTemel, Metin
dc.contributor.authorTurkmen, Arif
dc.date.accessioned2024-09-18T20:55:43Z
dc.date.available2024-09-18T20:55:43Z
dc.date.issued2015
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractWomen with macromastia suffer from bodily disproportions like increased spinal curvature owing to the mass effect caused by severely large breasts. In such cases, the erector spinae muscles generate an overcompensatory pressure to maintain a normal posture, resulting in neck, back, and lumbar pain. This study aimed to objectively show the improvement of physical symptoms after reduction mammaplasty and evaluate psychological and physical changes of patients. Pre- and postoperative cervical, thoracic, and lumbar bidirectional (anteroposterior and lateral) radiographs were obtained from 40 patients who underwent reduction mammaplasty. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and lumbosacral angles were evaluated. Body mass index, breast tissue volume, and excised tissue amount were recorded for each patient. Visual Analog Scores (VAS) were used to qualify the severity of neck, back, and lumbar pain, the Nottingham Health Profile (NHP) to evaluate quality of life (QoL), and the Beck Depression Inventory (BDI) to evaluate depression severity. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and lumbosacral angle improved, and patients' neck, back, and lumbar pain decreased. The positive correlation between the excised glandular tissue amount and the decrease in neck, back, and lumbar pain was reflected in the results of VAS, NHP, and BDI tests. After reduction mammaplasty, depression symptoms caused by macromastia decreased. Parameters of QoL, including physical activity, socialization, fatigue, sleeping, and emotional reactions, significantly improved. Patients with macromastia should be considered for reduction mammaplasty before the onset of postmenopausal osteoporosis to improve QoL.en_US
dc.identifier.doi10.1007/s00266-015-0516-6
dc.identifier.endpage522en_US
dc.identifier.issn0364-216X
dc.identifier.issn1432-5241
dc.identifier.issue4en_US
dc.identifier.pmid26088463en_US
dc.identifier.scopus2-s2.0-84937816152en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage514en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-015-0516-6
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12014
dc.identifier.volume39en_US
dc.identifier.wosWOS:000358025400009en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofAesthetic Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectReduction mammaplastyen_US
dc.subjectLumbar painen_US
dc.subjectBody postureen_US
dc.subjectVisual analog score (VAS)en_US
dc.subjectNottingham Health Profile (NHP)en_US
dc.subjectBeck Depression Inventory (BDI)en_US
dc.titleEffects of Reduction Mammaplasty Operations on the Spinal Column: Clinical and Radiological Responseen_US
dc.typeArticleen_US

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