Effect of cortisone on capsular contracture in double-lumen breast implants: ten years' experience.
Abstract
Two groups of patients are compared with respect to capsular contracture after insertion of silicone breast prostheses. Six hundred seventy four women received single-lumen gel prostheses and 700 received double-lumen prostheses with cortisone. The addition of 12.5 mg of prednisolone to double-lumen prostheses diminished capsular contracture (Baker II to IV) dramatically; in patients with simple augmentation from 19% to 4.9%, in patients with subcutaneous mastectomy from 54% to 14.9%, and in patients with breast reconstruction from 64% to 24.4%. The use of double-lumen implants has three distinct advantages: (1) There is no bleeding and therefore no contact of the body with the silicone gel. (2) There is no danger of ruptured implants, even if the outer shell shows leakage. (3) If prednisolone is administered, capsular contracture is prevented to a significant degree.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 합병증 | capsular contracture
|
피막구축 | dict | 4 | |
| 해부 | breast
|
유방 | dict | 3 | |
| 해부 | subcutaneous
|
피하조직 | dict | 1 | |
| 해부 | double-lumen
|
scispacy | 1 | ||
| 합병증 | single-lumen
|
scispacy | 1 | ||
| 약물 | cortisone
|
C0010137
cortisone
|
scispacy | 1 | |
| 약물 | prednisolone
|
C0032950
prednisolone
|
scispacy | 1 | |
| 약물 | silicone
|
C0037114
silicones
|
scispacy | 1 | |
| 질환 | contracture
|
C0009917
Contracture
|
scispacy | 1 | |
| 질환 | silicone breast prostheses
|
scispacy | 1 | ||
| 질환 | bleeding
|
C0019080
Hemorrhage
|
scispacy | 1 | |
| 질환 | ruptured
|
C0443294
Ruptured behavior
|
scispacy | 1 | |
| 질환 | double-lumen breast
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | capsular
|
scispacy | 1 | ||
| 기타 | women
|
scispacy | 1 | ||
| 기타 | double-lumen
|
scispacy | 1 |
MeSH Terms
Contracture; Dose-Response Relationship, Drug; Female; Follow-Up Studies; Humans; Injections, Subcutaneous; Mammaplasty; Mastectomy, Subcutaneous; Postoperative Complications; Prednisolone; Prostheses and Implants; Reoperation; Silicones; Triamcinolone
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