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- W2278097611 abstract "Formation of fibrous capsule around the prosthesis is an inevitable consequence when silicone implants are used for augmentation mammaplasty or post-mastectomy breast reconstruction. Fibrous contracture of the capsule leads to a firm irregular shaped breast, which is unacceptable for both the physicians and the patients. In this paper, we report an unusual case of severe capsular contracture with massive liquefied necrosis of the pectoralis major, minor, and the intercostal muscles secondary to the silicone implants rupture. The large siliconoma invaded not only the adjacent musculature but also the underlying sixth, seventh and eighth ribs, along with the costal cartilage and the parietal pleura. The surgical treatment was open capsulectomy via transverse mammary incisions. Meticulous debridement of the adhered capsule over the ribs, costal cartilage and pleura was performed. The pathology of the debrided material was necrotic tissue and fibrosis with foreign body reaction. The tissue culture was negative for microorganisms. After the removal of the bilateral capsules and siliconomas, the patient did not have any discomfort and denied further reconstruction of the breasts." @default.
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- W2278097611 date "2000-12-01" @default.
- W2278097611 modified "2023-09-22" @default.
- W2278097611 title "The Fate of Capsular Contracture in Augmentation Mammaplasty with Silicone Gel Implants" @default.
- W2278097611 doi "https://doi.org/10.7096/jpsa.200012.0262" @default.
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