Does reduction mammaplasty revert skeletal disturbances in the vertebral column of patients with macromastia? A preliminary study

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dc.authorid0000-0002-3060-6420en_US
dc.authorid0000-0002-1706-4444en_US
dc.authorid0000-0002-3060-6420
dc.authorid0000-0003-2710-9615
dc.authorid0000-0002-5502-7046
dc.authorid0000-0001-9077-2976
dc.contributor.authorKarabekmez, Furkan Erol
dc.contributor.authorGökkaya, Ali
dc.contributor.authorIşık, Cengiz
dc.contributor.authorSağlam, İbrahim
dc.contributor.authorEfeoğlu, Fatih Burak
dc.contributor.authorGörgü, Metin
dc.date.accessioned2021-06-23T19:36:22Z
dc.date.available2021-06-23T19:36:22Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractEnlarged breasts are associated with many physical and psychological symptoms. It is important to use objective criteria in documenting physical changes of a patient's body due to enlarged breasts and the benefits of surgery. This preliminary study aimed to determine whether the reduction mammaplasty procedure changes the angles of cervical lordosis, thoracic kyphosis, and lumbar lordosis. The study population consisted of 22 patients who underwent breast reduction surgery. All the patients had lateral cervicothoracolumbar radiographs taken preoperatively and at least 2 months postoperatively. Cervical lordosis, thoracic kyphosis, and lumbar lordosis angles, as well as sagittal balance, were examined. The body mass index (BMI), breast tissue volume, and excised tissue amount of each patient were recorded. All the patients had increased cervical lordosis and thoracic kyphosis angles preoperatively, and the angles were significantly decreased postoperatively. Of the 22 patients, 7 had decreased and 8 had increased lumbar lordosis angles. All the lordosis angles showed significant improvement at the last examination. Seven patients had disturbed sagittal balance preoperatively, and all had normal sagittal balance postoperatively. Preoperative total breast tissue volume was positively correlated with the differences in cervical lordosis angles, BMI, preoperative cervical lordosis angles, and cervical lordosis angles. Hypertrophic breasts are not only a cosmetic but also a functional problem complicated by pathologic conditions in the vertebral column such as increased cervical lordosis, thoracic kyphosis, and increased or decreased lumbar lordosis. Breast reduction may improve these pathologic angles. Reducing the nonphysiologic weight of enlarged breasts located anterior to the main axis of the body may correct pathologic angulation and disturbed sagittal balance of the vertebral column. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.en_US
dc.identifier.doi10.1007/s00266-013-0194-1
dc.identifier.endpage112en_US
dc.identifier.issn0364-216X
dc.identifier.issn1432-5241
dc.identifier.issue1en_US
dc.identifier.pmid23949126en_US
dc.identifier.scopus2-s2.0-84894677791en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage104en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-013-0194-1
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7980
dc.identifier.volume38en_US
dc.identifier.wosWOS:000331984400018en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKarabekmez, Furkan Erol
dc.institutionauthorGökkaya, Ali
dc.institutionauthorIşık, Cengiz
dc.institutionauthorSağlam, İbrahim
dc.institutionauthorEfeoğlu, Fatih Burak
dc.institutionauthorGörgü, Metin
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.subjectBreast Reductionen_US
dc.subjectSagittal Balanceen_US
dc.subjectVertebral Columnen_US
dc.titleDoes reduction mammaplasty revert skeletal disturbances in the vertebral column of patients with macromastia? A preliminary studyen_US
dc.typeArticleen_US

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