Risk of progressive sensorineural hearing loss and Meniere's disease after breast implantation.
OBJECTIVE
The association of various immunologic abnormalities with the presence of silicone breast implants in women has been described. In addition, some studies report a correlation between autoimmune disorders and silicone breast implants, whereas other studies indicate no difference in the incidence of disease between women with silicone breast implants and control groups. Until recently, no reports had attempted to identify an association between silicone breast implants and hearing impairment. A recent study suggested a possible correlation between prior silicone breast implants and the development of various forms of hearing loss. This study tried to determine whether such a correlation could be duplicated.


METHODS
To determine whether such a correlation could be established, we studied 119 female patients with either Meniere's disease or progressive sensorineural hearing loss and 100 age-matched healthy controls. Subjects completed questionnaires that provided various types of information, including the presence or absence of previous silicone breast implants. Serum from all 119 patients with Meniere's disease and progressive sensorineural hearing loss had been subjected to previous Western blot testing for reactivity to a 68 kD protein associated with certain forms of autoimmune hearing loss.


RESULTS
Results indicated no significant difference in frequency of prior silicone breast implants among the patients with Meniere's disease, patients with sensorineural hearing loss, or controls. The presence or absence of the 68 kD protein also was not significantly relevant to the frequency of silicone breast implants.


CONCLUSIONS
Our data did not show evidence of a significant relationship between the presence of silicone breast implants and later development of Meniere's disease, progressive sensorineural hearing loss, or positive 68 kD serum.
Kim
D W
DW
Division of Otolaryngology--Head and Neck Surgery, University of California Medical Center, San Diego, La Jolla 92037-09709 USA.
Harris
J P
JP
D000328:Adult; D018427:Breast Implants / Q000009:adverse effects*; D016022:Case-Control Studies; D018450:Disease Progression; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000209:etiology / Q000276:immunology*; D006801:Humans; D008575:Meniere Disease / Q000209:etiology / Q000276:immunology*; D008875:Middle Aged; D012826:Silicone Elastomers
D012826:Silicone Elastomers