Regional silicone-gel migration in patients with ruptured implants.
The current literature is reviewed, and four clinical cases of silicone-gel migration are reported. All 4 patients reported here had histories of closed capsulotomy, and all were symptomatic. Preoperative magnetic resonance imaging demonstrated the anatomical locations of silicone-gel migration into the chest wall muscles, axillae, and upper extremity. Intraoperative and pathological findings correlated with the presence of silicone-gel migration and granulomas in various anatomical regions. With the recent advances in diagnostic breast imaging of silicone-implant patients, intracapsular rupture can be identified. Implant removal may be indicated for intracapsular ruptures to prevent silicone-gel migration into parenchyma, chest wall muscles, axillae, and the upper extremity.
Division of Plastic and Reconstructive Surgery, University of California, Los Angeles 90024-1665.
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Ahn
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Shaw
D000328:Adult; D018427:Breast Implants / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery; D005782:Gels; D015745:Granuloma, Foreign-Body / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D016462:Mammaplasty; D008875:Middle Aged; D012828:Silicones
D005782:Gels; D012828:Silicones