[The value of sonography for the discovery of complications after the implantation of silicone gel prostheses for breast augmentation or reconstruction].
OBJECTIVE
To determine sensitivity and specificity of real-time ultrasonography in detecting breast implant complications.


METHODS
The results of preoperative ultrasonography of 121 silicone implants in 65 patients were compared with the results after operative implant removal.


RESULTS
With a sensitivity of 89.25% and a specificity of 92.1%, complications such as gel bleeding (n = 43), rupture with leakage (n = 63), and implant dissolution (n = 4) become manifest. Capsule formation, fibrosis, siliconoma and calcifications were often underestimated in their extent. Negative ultrasonography findings were found in 10.7% (n = 13) with positive clinical findings.


CONCLUSIONS
The combination of clinical and ultrasonography findings leads to the detection of implant complications.
Lorenz
R
R
Abteilung für Diagnostische Radiologie, Städt. Krankenhaus Solingen.
Stark
G B
GB
Hedde
J P
JP
D000328:Adult; D000368:Aged; D018427:Breast Implants / Q000009:adverse effects*; D005188:False Negative Reactions; D005260:Female; D005782:Gels; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D011475:Prosthesis Failure; D012680:Sensitivity and Specificity; D012826:Silicone Elastomers / Q000009:adverse effects*; D016217:Ultrasonography, Mammary
D005782:Gels; D012826:Silicone Elastomers
Stellenwert der Sonographie für die Aufdeckung von Komplikationen nach Implantation von Silikongelkissen zur Mammaaugmentation bzw. -rekonstruktion.