Efficacy of the Reduction Mammaplasty Measured by Infrared Thermography-MDbP 304
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Purpose: Gigantomastia is associated with several physical symptoms. Reduction mammaplasty can resolve discomfort, but an objective and quantitative analysis of the symptomatic relief associated with reduction mammaplasty is limited. Therefore, we evaluated the efficacy of reduction mammaplasty, as measured by the symptomatic relief using objective indicators. Methods: Between January and May 2009, patients who visited our clinic for gigantomastia were retrospectively evaluated, for neck, shoulder, and back pain. Fifteen subjects were enrolled in this study; they all underwent treatment by reduction mammaplasty, and presented neck and shoulder pain. The surface body temperature was measured at the cervical and thoracic areas, by infrared thermography (Iris-5000; Medicore, Seongnam, Korea). Infrared thermography was re-assessed in nine of 15 cases who returned for follow-up examinations 3 to 4 months after surgery. Results: The mean age of the group was 40.6±10.3 years; the mean body mass index was 24.6±2.1 kg/m2. The average weight of the removed breast tissue after surgery was 616±241.8 g on the right, and 603±259.6 g on the left. On pre-, and post-operative infrared thermography, the average absolute value of the thoracic and cervical surface temperatures changed siginificantly (p<0.050). Conclusion: We observed significant changes in the surface temperature in the cervical and thoracic areas by using an infrared thermography. Therefore, infrared thermography can be used to detect the relief of symptoms, due to heavy breasts, objectively and quantitatively.
Abstract
Purpose: Gigantomastia is associated with several physical symptoms. Reduction mammaplasty can resolve discomfort, but an objective and quantitative analysis of the symptomatic relief associated with reduction mammaplasty is limited. Therefore, we evaluated the efficacy of reduction mammaplasty, as measured by the symptomatic relief using objective indicators. Methods: Between January and May 2009, patients who visited our clinic for gigantomastia were retrospectively evaluated, for neck, shoulder, and back pain. Fifteen subjects were enrolled in this study; they all underwent treatment by reduction mammaplasty, and presented neck and shoulder pain. The surface body temperature was measured at the cervical and thoracic areas, by infrared thermography (Iris-5000; Medicore, Seongnam, Korea). Infrared thermography was re-assessed in nine of 15 cases who returned for follow-up examinations 3 to 4 months after surgery. Results: The mean age of the group was 40.6±10.3 years; the mean body mass index was 24.6±2.1 kg/m2. The average weight of the removed breast tissue after surgery was 616±241.8 g on the right, and 603±259.6 g on the left. On pre-, and post-operative infrared thermography, the average absolute value of the thoracic and cervical surface temperatures changed siginificantly (p<0.050). Conclusion: We observed significant changes in the surface temperature in the cervical and thoracic areas by using an infrared thermography. Therefore, infrared thermography can be used to detect the relief of symptoms, due to heavy breasts, objectively and quantitatively.
참고문헌 (22)
- 이상달, "유방축소술 100예-단일외과의사 시행-MDbP302", 대한외과학회지, 71(2), pp.95~99 (2006), 대한외과학회
- Lawson R, "Thermography; a new tool in the investigation of breast lesions", Can Serv Med J, 8, pp.517~524 (1957)
- Bertmaring I, "Infrared imaging of the anterior deltoid during overhead static exertions", Ergonomics, 51, pp.1606~1619 (2008)
- Herry CL, "Quantitative assessment of pain-related thermal dysfunction through clinical digital infrared thermal imaging", Biomed Eng Online, 3, pp.19~ (2004)
- Jiang LJ, "A perspective on medical infrared imaging", J Med Eng Technol, 29, pp.257~267 (2005)
- Meeker WC, "Neuromusculoskeletal thermography:a valuable diagnostic tool?", J Manipulative Physiol Ther, 9, pp.257~266 (1986)
- Mir y Mir L, "The value of preoperative thermography in patients undergoing reduction mammaplasty and mastopexy", Ann Plast Surg, 3, pp.504~515 (1979)
- Letterman G, "The effects of mammary hypertrophy on the skeletal system", Ann Plast Surg, 5, pp.425~431 (1980)
- Cailliet R, "Pain in the neck and arm. Diagnosis by history and examination", Calif Med, 108, pp.99~103 (1968)
- Kaye BL, "Neurologic changes with excessively large breasts", South Med J, 65, pp.177~180 (1972)
- Chadbourne EB, "Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies", Mayo Clin Proc, 76, pp.503~510 (2001)
- Miller BJ, "Prospective study of outcomes after reduction mammaplasty", Plast Reconstr Surg, 115, pp.1025~1031 (2005)
- Hughes LA, "Patient satisfaction with reduction mammaplasty:an early survey", Aesthetic Plast Surg, 17, pp.345~349 (1993)
- Gonzalez F, "Reduction mammaplasty improves symptoms of Gigantomastia", Plast Reconstr Surg, 91, pp.1270~1276 (1993)
- Schnur PL, "Reduction mammaplasty: an outcome study", Plast Reconstr Surg, 100, pp.875~883 (1997)
- Swerdlow B, "An evaluation of the sensitivity and specificity of medical thermography for the documentation of myofascial trigger points", Pain, 48, pp.205~213 (1992)
- Hakguder A, "Efficacy of low level laser therapy in myofascial pain syndrome: an algometric and thermographic evaluation", Lasers Surg Med, 33, pp.339~343 (2003)
- Sherman RA, "Thermographic correlates of chronic pain: analysis of 125 patients incorporating evaluations by a blind panel", Arch Phys Med Rehabil, 68, pp.273~279 (1987)
- Ammer K, "Thermal imaging in acute herpes zoster or post-zoster neuralgia", Skin Res Technol, 7, pp.219~222 (2001)
- Savastano DM, "Adiposity and human regional body temperature", Am J Clin Nutr, 90, pp.1124~1131 (2009)
- Freire M, "Functional capacity and postural pain outcomes after reduction mammaplasty", Plast Reconstr Surg, 119, pp.1149~1156 (2007)
- Mizgala CL, "Breast reduction outcome study", Ann Plast Surg, 44, pp.125~133 (2000)