Capsular contracture after augmentation mammaplasty—A retrospective study

Blecourt, R. A. de; Wijk, M. van; Zeeman, R. J.; Posma, A. N.

doi:10.1007/bf02892657

Eur. J. Plast. Surg.

1989

DOI: 10.1007/bf02892657

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Capsular contracture after augmentation mammaplasty—A retrospective study

R. A. de Blecourt

M. van Wijk

R. J. Zeeman

et al.

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Cited by 4 publications

(1 citation statement)

References 14 publications

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“…11 Usually seen within 2 years of the original implantation, mild to moderate capsular contracture was not always an unacceptable result to patients as it was tolerated and occasionally preferred by some. 7,12,13 Various interventions are used to treat capsular contracture. 14 Previously, primary treatment of a contracted breast often consisted of a closed capsulotomy (the compressive tearing of the scar around the implant), a procedure all but abandoned over concerns of implant rupture.…”

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confidence: 99%

Talc and Capsular Contracture

Chandler¹

2004

Annals of Plastic Surgery

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Capsular contracture, constrictive tightening of scar tissue around implants, was historically the primary reason for reoperating breast-implanted women. Yet, capsular contracture remains of unknown etiology. Contamination with foreign material is one of several suspected causes. Talc, a known fibrogenic agent, was recently found in peri-implant scars. A comparison of 192 explanted women was designed to investigate the role of talc in the induction of capsular contracture. This study included women implanted with silicone gel-filled implants for whom tissue samples were available. Patients were evaluated for the occurrence of capsular contracture and the presence of intracellular talc particles in peri-implant tissues. There was a significant association between talc and capsular contracture (odds ratio = 18.0, 95% confidence interval = 5.9-55, P < 1 x 10(-9)). This study indicates that talc was a major risk factor for capsular contracture in women augmented before 1992.

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mentioning

confidence: 99%

Talc and Capsular Contracture

Chandler¹

2004

Annals of Plastic Surgery

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Breast tonometry ? a practical device for accurate measurement of capsule-formation

Mulder

Nicolai²

1990

Eur J Plast Surg

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Subclinical infection of the silicone breast implant surface as a possible cause of capsular contracture

Virden

Dobke

Stein

et al. 1992

Aesth. Plast. Surg.

212

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In order to reexamine the possible association between bacterial presence and capsular contracture, 55 silicone devices (mammary implants or tissue expanders) were cultured at the time of their removal from 40 patients. Special culture techniques were used in an attempt to recover bacteria adhering to the smooth-surfaced implant and encased in glycocalyx biofilm. Bacteria were detected on 56% (15 of 27) of implants surrounded by contracted capsules and on 18% (5 of 28) of those without capsular contracture (p less than 0.05). Only three implants tested positive using routine plating techniques. The predominant isolate was Staphylococcus epidermidis. The concept that capsular contracture is associated with subclinical infection of silicone implants is supported by this study. With changes in the microbiological technique, bacterial recovery and growth occurs at a frequency greater than previously thought.

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Capsular contracture after augmentation mammaplasty—A retrospective study

Cited by 4 publications

References 14 publications

Talc and Capsular Contracture

Talc and Capsular Contracture

Breast tonometry ? a practical device for accurate measurement of capsule-formation

Subclinical infection of the silicone breast implant surface as a possible cause of capsular contracture

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