Distant Migration of Silicone Gel From a Ruptured Breast Implant

Capozzi, Angelo; Bou, Richard Du; Pennisi, Vincent R.

doi:10.1097/00006534-197808000-00038

Cited by 60 publications

(23 citation statements)

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“…Extracapsular rupture (21%) occurs when there is the interruption both of the Silastic membrane and of the fibrous capsule, with the escape of free silicone gel through the fibrous capsule and overflowing into the breast tissue, forming siliconomas [22][23][24][25] or migrating to the axillary lymph nodes. Free silicone in the breast seems not to increase the incidence of cancer.…”

Section: Annals Of Plastic Surgery • Volume 56 Number 3 March 2006mentioning

confidence: 99%

See 1 more Smart Citation

Ultrasonographic Appearance of Breast Implant Complications

Cilotti¹,

Marini²,

Iacconi

et al. 2006

Annals of Plastic Surgery

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Section: Annals Of Plastic Surgery • Volume 56 Number 3 March 2006mentioning

confidence: 99%

“…Free silicone in the breast seems not to increase the incidence of cancer. 24,25 Pure silicone is not allergenic; instead, the allergenic reaction is due to vegetal oils and fatty acids inside the lumen. 23 Extracapsular rupture has several causes.…”

Section: Annals Of Plastic Surgery • Volume 56 Number 3 March 2006mentioning

confidence: 99%

Ultrasonographic Appearance of Breast Implant Complications

Cilotti¹,

Marini²,

Iacconi

et al. 2006

Annals of Plastic Surgery

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“…14 Distant migration as far as the abdominal wall and groin can also occur. 15,16 Intraparenchymal silicone gel usually elicits a mild foreign body response, 17 but in some patients severe local inflammation and granuloma formation may result. 18 Teuber and associates 19 reported a patient with atrophic hidebound scarring and ulcerations of her arm that developed over a 7-year period after implant rupture.…”

Section: Baack and Wagnermentioning

confidence: 99%

Silicone Gel Breast Implant Rupture Presenting as a Fluctuant Back Mass After Latissimus Dorsi Breast Reconstruction

Baack

Wagner

2003

Annals of Plastic Surgery

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The authors describe a patient who presented with acute onset of a lower back fluctuant mass 12 years after breast reconstruction with a latissimus dorsi musculocutaneous flap and silicone gel implant. Aspiration and subsequent surgical exploration revealed this mass to be free-flowing silicone gel within a cavity that was confluent with the breast implant capsule through an axillary tunnel. Excision of the back cavity, explantation with subtotal capsulectomy, and implant replacement resolved the problem. Although distant migration of extracapsular silicone gel from the breast to the axilla, arm, abdomen, and groin has been described, the authors think this represents the first reported case of distant migration of silicone gel to the lower back.

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“…In contrast, silicone-gel breast implant rupture may be "silent" or asymptomatic [19]. When silicone-gel breast implants rupture, the gel may be retained inside the fibrous scar capsule that forms around the breast implant, or silicone-gel may escape the capsule (extracapsular) and migrate into the breast, chest, axial lymph nodes, arm, fingers, abdomen, and inguinal area [20][21][22][23][24][25][26][27][28]. In our study, silicone-gel that had migrated beyond the scar capsule was detected by MRI in one or both breasts in 73 (21.2%) of 344 participating women [14••].…”

Section: Breast Implant Rupturementioning

confidence: 99%

An association of silicone-gel breast implant rupture and fibromyalgia

2002

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Silicone-gel breast implant rupture is common. Silicone-gel from ruptured implants may escape the scar capsule that forms around breast implants and become "extracapsular silicone." Our previously published study found that women with extracapsular silicone gel were at higher risk of reporting that they were diagnosed with fibromyalgia. There has been a limited number of studies addressing this association in the literature. Some studies addressing the issue of silicone breast implants and connective tissue disease specifically exclude patients with fibromyalgia from the sample or do not include the syndrome in the analysis. Case series describing fibromyalgia in patients with implants have been published, but many of these papers lack information on extracapsular silicone and are not representative because the patients are typically from referral populations. In addition, most studies do not have control groups of women without implants for comparison or do not distinguish between saline and silicone implants. Additional observational studies of women from nonreferral populations are necessary to validate an association. These studies should provide information on how the rupture is diagnosed, state whether the rupture extended beyond the capsule, and provide an appropriate control group for comparison. The findings from such studies may be important to physicians as they describe potential risks associated with implants to their patients. These findings should also be important for regulatory decision making on silicone-gel breast implants.

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Distant Migration of Silicone Gel From a Ruptured Breast Implant

Cited by 60 publications

References 0 publications

Ultrasonographic Appearance of Breast Implant Complications

Ultrasonographic Appearance of Breast Implant Complications

Silicone Gel Breast Implant Rupture Presenting as a Fluctuant Back Mass After Latissimus Dorsi Breast Reconstruction

An association of silicone-gel breast implant rupture and fibromyalgia

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