title: [Recurrent periprosthetic capsular retraction under the pectoralis major muscle. Treatment, 2 unusual clinical cases].
abstract: Capsular contracture around breast prostheses still represents a challenge, in spite of the numerous papers published on this topic. The etiology and pathogenesis of this condition are perplexing resulting in considerable controversy concerning the rationale for surgical treatment. The authors report two cases of recurrent disease: one patient with recurrent contracture after breast augmentation, the other patient with recurrence after breast reconstruction. Both patients were operated according to an original technique which consists in a square-shaped incision of the pectoralis major muscle via an inframammary approach. This surgical technique allows the prosthesis to sink into deeper layers leading to a better shape of the breast and providing satisfactory skin cover of the prosthesis.
authors.affiliation: Service d'Anatomie Pathologique, Hospices Civils, Strasbourg.
authors.forename: A
authors.initials: A
authors.lastname: Wilk
authors.forename: C
authors.initials: C
authors.lastname: Rodier
authors.forename: H
authors.initials: H
authors.lastname: Chekkoury
authors.forename: F
authors.initials: F
authors.lastname: Stricher
authors.forename: M
authors.initials: M
authors.lastname: Weil-Bousson
mesh_terms: D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000601:surgery*; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D012008:Recurrence; D012826:Silicone Elastomers / Q000009:adverse effects; D013518:Surgery, Plastic
chemical_list: D012826:Silicone Elastomers
vernacular_title: Rétraction capsulaire péri-prothétique récidivante sous le muscle grand pectoral: Traitement, deux histoires cliniques curieuses.