Role of mammography to assess complications of silicone gel breast implants

1995 ◽  
Vol 3 (3) ◽  
pp. 1-9 ◽  
Author(s):  
Walter Peters ◽  
Dennis Smith ◽  
Harvey Grosman ◽  
Victor Fornasier
Keyword(s):  
Breast Imaging ◽  
Breast Implant ◽  
Breast Implants ◽  
Cystic Mass ◽  
Implant Removal ◽  
The Other ◽  
Serous Effusion ◽  
Implant Rupture ◽  
Sensitivity Rate

Mammography is not accurate to predict implant rupture in most patients. Its sensitivity rate is only 11 to 16%. However, two mammographic findings appear to suggest implant rupture: the appearance of large areas of implant herniation, and the appearance of silicone globules lying outside the margins of the implant. Mammography is also helpful to predict capsular calcification and to assess certain complications of retained breast implant capsules. Two patients presented with retained capsules which had not resolved, two and five years after implant removal. One patient developed a spiculated mass, suspicious for carcinoma, that proved to be a cystic mass resulting from persistent serous effusion. The other patient demonstrated a large densely calcified capsule which interfered with breast imaging.

scholarly journals Life-Saving Silicone Breast Implant After Firearm Injury: Case Report and Treatment Recommendations

2020 ◽  
Vol 6 ◽  
pp. 2513826X1989882
Author(s):  
Giancarlo McEvenue ◽  
Anastasia Oikonomou ◽  
Noah Ditkofsky ◽  
Joan Lipa
Keyword(s):  
Breast Implant ◽  
Breast Implants ◽  
Operative Management ◽  
Implant Removal ◽  
Silicone Implants ◽  
High Resolution Computed Tomography ◽  
Firearm Injury ◽  
Firearm Injuries ◽  
Life Saving ◽  
Ballistic Injury

Breast augmentation with silicone implants is one of the most commonly performed operations by plastic surgeons. Here, we report a case of a 30-year-old female patient with a ballistic injury to bilateral breast implants, where the silicone implant was likely responsible for deflecting the bullets trajectory and saving the women’s life. Ballistics analysis of bullet trajectory was performed with high-resolution computed tomography scan analysis. Operative management was implant removal, pocket irrigation, and a short course of antibiotics. A literature review was performed on all previously published breast implant–related firearm injuries. The authors advise operative management with implant removal and delay of replantation for minimum 6 months’ time.

scholarly journals Thoracic migration of silicone gel after breast implant rupture: a case report and literature review

2021 ◽  
Author(s):  
Benedetta Fanelli ◽  
Marco Marcasciano ◽  
Stefano Lovero ◽  
Luca Codolini ◽  
Donato Casella ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Biological Membrane ◽  
Breast Implant ◽  
Granulomatous Inflammation ◽  
Breast Implants ◽  
Silicone Implants ◽  
Axillary Lymph ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

AbstractNowadays silicone is a widespread material for medical devices. In particular, it is commonly used for implants manufacturing, for that patients undergoing breast augmentation or breast reconstruction after mastectomy. However, the use of silicone implants is not free from risks. Ruptures of silicone breast implants are uncommon, in general post-traumatic or iatrogenic, and usually related to implant’s wall weakness of unknown origin but probably due to biochemical reactions that cause wall rupture. As a consequence of a rupture, silicone gel from damaged implants may have a continuity migration to the chest wall, axillae, and upper extremities, resulting in granulomatous inflammation or siliconoma, or a lymphatic migration to axillary lymph nodes. In this regard, silicone thoracic migration is extremely rare, and nowadays a leakage is unlikely to happen with more modern cohesive silicone gel implants. Nevertheless, procedures such as thoracic surgery and thoracotomies may be responsible for accidental breast implant rupture, capsular discontinuity, and eventually intrathoracic silicone migration, especially when dealing with older generations of breast implants. We report a rare case of a 75-year-old woman presenting with pleural silicone effusion, 18 years after a right breast reconstruction for breast cancer, followed by right upper lobe resection for a lung carcinoma. A combination of muscular flap and DTI pre-pectoral breast reconstruction with biological membrane (ADM) has been used for treatment. Literature was reviewed for cases of breast implants free silicone localization in the chest cavity, focusing on previous surgeries, anamnestic relevances, and surgical management.Level of Evidence: Level V, risk/prognostic study.

scholarly journals The State of the Art about Etiopathogenetic Models on Breast Implant Associated–Anaplastic Large Cell Lymphoma (BIA-ALCL): A Narrative Review

2021 ◽  
Vol 10 (10) ◽  
pp. 2082
Author(s):  
Roberto Cuomo
Keyword(s):  
Anaplastic Large Cell Lymphoma ◽  
Bacterial Contamination ◽  
Cell Lymphoma ◽  
State Of The Art ◽  
Breast Implant ◽  
Breast Implants ◽  
Large Cell ◽  
Large Cell Lymphoma ◽  
Rare Malignancy

Background: Breast-implant-associated anaplastic large cell lymphoma is a rare malignancy linked to texturized breast implants. Although many researchers focus on its etiopathogenesis, this topic is affected by a lack of evidence. Materials and Methods: A literature review about BIA-ALCL was made. Results and conclusions: Although the incidence is reported between 1:355–1:30,000, there is great attention to BIA-ALCL. The incidence is uncertain due to many reasons. It may well be lower, due to inclusion in multiple databases as pointed out by the FDA and undiagnosed cases. The role of chronic inflammation, bacterial contamination, and mechanical forces was discussed. Clarification is needed to understand the mechanisms underlying the progression of alterations and mutations for BIA-ALCL; new molecular analysis and pathogenetic models should be investigated.

scholarly journals BellaGel breast implant: 6-Year results of a prospective cohort study

2020 ◽  
Vol 47 (3) ◽  
pp. 235-241
Author(s):  
Joon Seok Oh ◽  
Jae Hoon Jeong ◽  
Yujin Myung ◽  
Jeongseok Oh ◽  
Shin Hyeok Kang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Study ◽  
Breast Reconstruction ◽  
Breast Implant ◽  
Capsular Contracture ◽  
Breast Implants ◽  
Asian Women ◽  
Safety And Efficacy ◽  
Implant Rupture ◽  
Cohesive Silicone Gel

Background This is the first clinical study conducted among Asian women using breast implants manufactured by an Asian company. Four-year data regarding the safety and efficacy of BellaGel breast implants have already been published, and we now report 6-year data.Methods This study was designed to take place over 10 years. It included 103 patients who underwent breast reconstruction or augmentation using BellaGel breast implants. The rates of implant rupture and capsular contracture were measured and analyzed to evaluate the effectiveness of the breast implant.Results At patients’ 6-year postoperative visits, the implant rupture and capsular contracture rates were 1.15% and 2.30%, respectively. The implant rupture rate was 3.77% among reconstruction cases and 0% among augmentation cases. The capsular contracture rate was 5.66% among reconstruction cases and 0.83% among augmentation cases.Conclusions The 6-year data from this planned 10-year study suggest that the BellaGel cohesive silicone gel-filled breast implant is an effective and safe medical device that can be used in breast reconstruction and augmentation.

Misdiagnosis of Breast Implant Rupture with Mammography

1998 ◽  
Vol 6 (1) ◽  
pp. 17-18
Author(s):  
Bert Van Brenk ◽  
James L Mahoney
Keyword(s):  
False Positive ◽  
Breast Implant ◽  
False Negative ◽  
Breast Implants ◽  
False Negative Result ◽  
Silicone Breast Implants ◽  
Implant Rupture ◽  
Breast Implant Rupture

B Van Brenk, JL Mahoney. Misdiagnosis of breast implant rupture with mammography. Can J Plast Surg 1998;6(1):17-18. Diagnosis of intracapsular ruptures of silicone breast implants with mammography can be difficult. A case is presented where mammography was used to diagnose an implant rupture with both a false positive and false negative result in the same patient. The mammographic features of breast implant ruptures are discussed.

scholarly journals Self-Reported Health Complaints In Women Undergoing Explantation of Breast Implants

2020 ◽  
Author(s):  
Renée M L Miseré ◽  
René R W J van der Hulst
Keyword(s):  
Breast Reconstruction ◽  
Medical Center ◽  
Breast Implant ◽  
Tissue Expander ◽  
Retrospective Chart Review ◽  
Breast Implants ◽  
Good Alternative ◽  
Health Complaints ◽  
Implant Rupture ◽  
Patient Reported

Abstract Background Concerns about the safety of silicone breast implants have existed for years, but a causal relationship between systemic complaints and SBI has not been proven. Nevertheless, women are worried and even request explantation. Objectives This study aimed to review the explantation procedures performed, focusing on patient-reported symptoms preoperatively, the effect of explantation, and the effect of breast reconstruction on these symptoms. Methods A retrospective chart review was performed for patients who had undergone explantation between 2010 and 2020 at Maastricht University Medical Center. Patients excluded were those who had undergone tissue expander (TE) removal, TE to implant exchange, and direct implant exchange. Results More than half of the patients undergoing explantation reported complaints, mostly pain. Some 15% reported suggested implant-related systemic complaints. Breast implant illness (BII) was found to be the fifth most common indication for explantation (11.2%). A history of either allergies or implant rupture resulted in higher odds ratios of having BII (OR=2.1 and 2.1, respectively). Subjective improvement of BII after explantation was reported in about 60%. Conclusions A relatively low prevalence of suggested BII exists among women undergoing explantation; one in nine procedures was performed for this reason. Allergy and implant rupture may increase the likelihood of having BII. About 60% of BII patients experienced an improvement in their complaints after implant removal. Autologous breast reconstruction appears a good alternative. Prospective studies into health complaints and quality of life should be performed to confirm the effectiveness of explantation as a therapy for BII.

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