Şebnem KOLDAŞ, Tülay ERÇALIK, Dilek ŞENEN, Füsun TORAMAN, Tuncay ÇAKIR

Redüksiyon Mammoplasti Sonrası Fiziksel ve Psikolojik Semptomlar ile Postür ve Postüral Salınım Değişiklikleri

Amaç: Makromeme hastalarda psikolojik ve fiziksel olarak birçok şikayete yol açmaktadır. Bu nedenle yapılan memeküçültme ameliyatlarının hastalarda yaşam kalitesini olumlu yönde etkilediği bilinmektedir. Bu çalışmada memeküçültme ameliyatı sonrası postür ve postüral salınımın hastalarda nasıl etkilendiğinin belirlenmesi amaçlanmıştır. Yöntem ve Gereçler: Bu çalışmaya meme küçültme cerrahisi uygulanan 20 hasta dahil edilmiştir. Hastalar cerrahiöncesi ve cerrahi sonrası 2. ay değerlendirilmiştir. Postüral denge ve salınım bozukluğunun değerlendirilmesindebilgisayar destekli posturografi cihazı (tetrax) kullanılmıştır. Bulgular: Cerrahi öncesi tüm hastalarda sütyen askısı rahatsızlığı ve meme altı pişik problemleri varken cerrahi son- rası 2.ay kontrollerde hastaların tamamında şikayetler kaybolmuştu. Cerrahi öncesi boyun ve sırt ağrısı ortalama GAS değerleri, cerrahi sonrası 2. ay değerlendirildiğinde anlamlı azal- malar kaydedildi. Sonuç: Çalışmamızın sonuçları cerrahi sonrası fiziksel ve psikolojik iyileşmeyi göstermiştir. Bu çalışma; postüralsalınımların değerlendirildiği ilk çalışma olup, cerrahi sonrası postür ve postüral salınımındaki düzelmeleri işaretetse de Tetrax ile ölçülen tüm parametrelerde anlamlılığa ulaşmak için daha fazla hastanın katıldığı ve cerrahi sonrasıdaha uzun süreli değerlendirmelere ihtiyaç vardır.

Evaluation of Differences of Physical And Psychological Complaints, Postur And Postural Sway After Reduction Mammoplasty Surgery

Aim: Patients with breast hypertrophia have a lot of physical and psychological complaints. For this reason reductionmammoplasty operation increase patient s quality of life. The aim of this study is to determine postur and posturalsway change of patients after reduction mammoplasty operations. Material and Methods: 20 patients which required reduction mammoplasty operation was included to this study.Patients were evaluated before and 2 months after operation. Posturography tool supported by computer (tetrax) wasused to evaluate patient s postur.Results: Before operation all patients were complaining from brassiere strap trace and inframammarial sulcus skinproblems. 2 months after operation all of the patients informed that they have no problem. 2 months after the surgeryGAS values of neck and back pain were decreased significantly. Discussion: Result of our study showed physical and psychological healing after surgery. This is a first study for thepostural and postural sway determination after reduction mamoplasty surgery. Although we have showed significantdifference in all Tetrax parameters, it is necessary to investigate with longer followups in more patients.

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