title: Evaluation of ultrasound as a tool in the follow-up of patients with breast implants: a preliminary, prospective study.
abstract: We prospectively reviewed clinical findings in 93 patients with 154 silicone breast implants (SBIs), as well as ultrasound findings in 57 patients with 94 SBIs. Ultrasound findings of implant wall redundancy, combined with abnormal silicone echogenicity, correlated well with predicted and surgically confirmed SBI rupture. Age-related implant findings (i.e., length of time since implant placement) included capsular contracture, a variety of abnormal ultrasound findings, subjective reports of joint pain or fatigue, and a greater probability of rupture. Prospective screening of otherwise satisfied patients with SBIs raises concerns about the need for removal when satisfactory alternatives for maintaining breast size are limited. The ability to predict impending rupture will increase this dilemma.
authors.affiliation: Department of Surgery, Westchester County Medical Center, New York Medical College, Valhalla 10595.
authors.forename: J A
authors.initials: JA
authors.lastname: Petro
authors.forename: S A
authors.initials: SA
authors.lastname: Klein
authors.forename: Z
authors.initials: Z
authors.lastname: Niazi
authors.forename: C A
authors.initials: CA
authors.lastname: Salzberg
authors.forename: D
authors.initials: D
authors.lastname: Byrne
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005782:Gels; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects* / Q000379:methods*; D011446:Prospective Studies; D019736:Prostheses and Implants / Q000009:adverse effects*; D012828:Silicones / Q000009:adverse effects*; D013997:Time Factors; D016217:Ultrasonography, Mammary
chemical_list: D005782:Gels; D012828:Silicones