피막구축 Capsular Contracture
보형물 주변의 피막이 두꺼워지는 합병증
이 분야 핵심 논문
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Results of closed compression capsulotomy for treatment of contracted breast implant capsules.
A prospective study of 544 nonsurgical, closed compression capsulotomies performed on 243 patients for rupture of contracted breast capsule, with at least 1 year follow-up after the last closed capsulotomy procedure, is reported. Two-thirds…
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Reconstruction of the breast after mastectomy for carcinoma.
Over a period of five years 20 primary and 60 secondary reconstructions after mastectomy for cancer were performed. The breast mound was created by a silicone implant. In cases of Halsted mastectomy an additional silicone implant was used f…
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Reconstruction of the breast.
The treatment of patients with breast cancer is approached by a team preferably including the plastic surgeon. The selection of patients for reconstruction is based on the type and stage of the tumor. The usual delay is 6 month to one year …
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Patient satisfaction following augmentation mammaplasty with the gel prosthesis.
No evaluation of patient responses to augmentation mammaplasty has been published in the medical literature. This has left the area open for opinion and speculation by both physicians and laity.All patients undergoing pure augmentation mamm…
- [Constrictive capsular fibrosis around breast implantations after subcutaneous mastectomy. Comparative clinical and morphological findings].
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Capsular contracture and steroid-related complications after augmentation mammaplasty. A preliminary study.
Ninety-one patients who had had augmentation mammaplasties were evaluated retrospectively. The intra-implant use of steroids appeared to reduce the incidence of breast firmness--at least over the short follow-up period--but there were compl…
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High-pressure injection of silicone gel into an axilla--a complication of closed compression capsulotomy of the breast. Case report.
A case is reported in which a closed compression capsulotomy for fibrous capsular contracture was followed by rupture of the implant bag with the immediate appearance of silicone gel in the axilla. A possible mechanism, analogous to that of…
- Augmentation mammaplasty. Fibrous capsular contracture and other complications.
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A pneumatic tourniquet as an aid to release of capsular contracture around a breast implant.
The use of a pneumatic tourniquet to release fibrous capsular contracture around a breast implant is described. This method protects the operator's hands and, we believe, is potentially safer for the patient and for the breast prosthesis.…
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Influence of some operative and postoperative factors on capsular contracture around breast prostheses.
In a follow-up of 490 patients with breast implants, neither the size of the prosthesis nor the nature of the surgical procedure (simple augmentation mammaplasty or after subcutaneous mastectomy) increased the incidence of capsular contract…
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Migration of silicone gel after the "squeeze technique" to rupture a contracted breast capsule. Case report.
While the squeeze capsulotomy is a simple and effective method for managing capsular contracture around a breast implant, with extreme force the rupture of the prostheses can occur. With the concomitant use of a pressure dressing and breast…
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Method for the prevention of firm breasts from capsular contraction.
The permeability of inflatable silicone implants to water creates a diffusion gradient which may result in a continuous early disparity between the volume of the implant and its fibrous capsule. We submit suggestive evidence that the additi…
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Histological investigation of the etiology of capsule contracture following augmentation mammaplasty.
Sections obtained from contracted breast capsules were examined by light and electron microscopy. We observed the presence of multiple areas of a particulate foreign material, consistent with the appearance of droplets of dimethylpolysiloxa…
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Spherical contracture of fibrous capsules around breast implants. Prevention and treatment.
A follow-up of 82 patients who had had augumentation mammaplasties is reported. Though the number of patients having had each form of ancillary treatment is small, we believe that intraoperative instillation of triamcinolone and postoperati…
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Primary recognition and treatment of congenital dislocation of the hip.
The pathology associated with congenital dislocation of the hip has been reviewed. The pathophysiology as it affects the development of the hip under treatment makes a strong case for the avoidance of the "frog leg" position with fixed flex…
- Letter: Failure of steroid instillation to prevent capsular contracture after augmentation mammaplasty.