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Tytuł:
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Capsulectomy, Implant Exchange, and Placement of Acellular Dermal Matrix Is Effective in Treating Capsular Contracture in Breast Augmentation Patients.
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Autorzy:
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Wagner DS; Northeast Ohio Medical University, Akron, OH, USA.
Mirhaidari SJ; Northeast Ohio Medical University, Akron, OH, USA.
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Źródło:
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Aesthetic surgery journal [Aesthet Surg J] 2021 Feb 12; Vol. 41 (3), pp. 304-312.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: 2015-: Oxford : Oxford University Press
Original Publication: St. Louis, MO : Mosby-Year Book, c1997-
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MeSH Terms:
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Acellular Dermis*
Breast Implantation*/adverse effects
Breast Implants*/adverse effects
Contracture*/surgery
Mammaplasty*/adverse effects
Humans ; Implant Capsular Contracture/epidemiology ; Implant Capsular Contracture/etiology ; Implant Capsular Contracture/surgery
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Entry Date(s):
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Date Created: 20191212 Date Completed: 20210315 Latest Revision: 20210920
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Update Code:
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20240105
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DOI:
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10.1093/asj/sjz358
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PMID:
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31826242
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Background: Capsular contracture is a common complication of breast augmentation surgery and many techniques to prevent and treat it have been suggested with inconsistent or variably effective results.
Objectives: The aim of this paper was to describe a protocol for treating established capsular contracture after breast augmentation with a low recurrence rate.
Methods: From January 2009 to December 2012, 79 previous bilateral breast augmentation patients presented for treatment of established capsular contracture. There were 135 breasts with capsular contracture: 56 were bilateral and 23 were unilateral. Ten patients opted for no treatment; 2 patients opted for implant removal. Twenty-four were treated with the ICES (implant exchange, capsulectomy, and possible exchange of site) protocol and 43 were treated with the SPICES (Strattice placement in the reconstructive position, implant exchange, capsulectomy, and possible exchange of site) protocol.
Results: The 24 patients treated with the ICES protocol had a recurrent capsular contracture rate of 15%. The 43 patients treated with the SPICES protocol had a 2.7% recurrent capsular contracture incidence and an 2.7% complication rate.
Conclusions: Capsular contracture after breast augmentation, whether primary or recurrent, can be successfully treated with the SPICES protocol.
(© 2019 The Aesthetic Society. Reprints and permission: journals.permissions@oup.com.)
Comment in: Aesthet Surg J. 2020 Jun 15;40(7):NP434-NP435. (PMID: 32304320)
Comment in: Aesthet Surg J. 2020 Jun 15;40(7):NP436-NP437. (PMID: 32328621)
Comment in: Aesthet Surg J. 2021 Feb 12;41(3):313-317. (PMID: 33346784)
Comment in: Aesthet Surg J. 2021 Aug 13;41(9):NP1255-NP1258. (PMID: 33623994)
