Department of Plastic Reconstructive Aesthetic Surgery, Balıkesir University, Balıkesir, Turkey.
Aesthet Surg J. 2021 May 18;41(6):NP322-NP326. doi: 10.1093/asj/sjaa330.
Several studies have reported that neck, back, and shoulder pain can be reduced after macromastia. However, only 1 study has specifically investigated the relation between macromastia and headaches.
This study aimed to determine the frequency of headaches in patients with macromastia by examining a sample from our clinic and to determine whether the patients experienced headache relief following breast reduction surgery.
One hundred patients, out of 456 patients who met the criteria, were contacted by telephone and administered a questionnaire. Statistical analysis was performed with SPSS version 17.0. Normal distribution of the variables was examined by histograms and Kolmogorov-Smirnov tests. Pearson's chi-square and Fisher's exact tests were used to compare groups. The Mann-Whitney U test was used to evaluate nonparametric variables between the patients who has 1500 grams or less breast tissue removed and the patients more than 1500 grams breast tissue removed.
The incidence of headaches in patients with macromastia was found to be 29%. Among the patients with headaches, 65.52% reported relief after surgery. The relief rate for headaches was found to be associated with the amount of tissue removed.
The incidence of headaches increased in patients with macromastia compared with the general population, and patients reported headache relief after surgery. In addition, as the amount of tissue removal increased, the relief rate for headaches after surgery also increased. Although additional studies are essential, preoperative headaches should be evaluated in breast reduction patients, and the removal of larger amounts of breast tissue should be considered among patients who report headaches.
多项研究报告称，巨乳症患者的颈、背和肩部疼痛可得到缓解。然而，仅有一项研究专门探讨了巨乳症与头痛之间的关系。
本研究旨在通过检查我们诊所的样本，确定巨乳症患者头痛的发生频率，并确定乳房缩小手术后患者的头痛是否得到缓解。
通过电话联系了符合标准的 456 名患者中的 100 名患者，并对他们进行了问卷调查。使用 SPSS 版本 17.0 进行统计分析。通过直方图和柯尔莫哥洛夫-斯米尔诺夫检验检查变量的正态分布。使用 Pearson 卡方检验和 Fisher 确切检验比较组间差异。使用 Mann-Whitney U 检验评估去除 1500 克或更少乳房组织的患者和去除超过 1500 克乳房组织的患者之间的非参数变量。
巨乳症患者头痛的发生率为 29%。在有头痛的患者中，65.52%的患者术后报告头痛缓解。头痛缓解率与切除的组织量有关。
与一般人群相比，巨乳症患者头痛的发生率增加，且患者术后报告头痛缓解。此外，随着切除组织量的增加，术后头痛缓解率也随之增加。尽管需要进一步研究，但在乳房缩小手术患者中应评估术前头痛，并应考虑在报告头痛的患者中去除更大量的乳房组织。
