Abstract | OBJECTIVES: To evaluate ultrasound (US)-guided treatment of capsular contracture (CC) in patients with reconstructed/augmented breast. METHODS: Twenty-five patients with grade IV CC were treated with peri-implant US-guided injection of triamcinolone acetonide. Before/ after treatment, maximum capsular thickness (MCT) was measured by ultrasound and pain assessed with visual analogue score ( pain-VAS). Patients with pain relief at 1 month were considered early responders (ERs). Another injection was performed in patients without pain relief at 1 month (late responders, LRs). RESULTS: One patient (treated with chemo- radiotherapy) experienced severe pain and local reaction after the second injection, requiring surgery. Twenty-four patients had baseline MCT of 1.8 ± 0.3 mm and pain-VAS of 4.9 ± 0.5, the baseline MCT of 19 ERs (1.7 ± 0.2 mm) being significantly lower than that of 5 LRs (2.1 ± 0.2 mm) (p = 0.030). ERs had significantly reduced MCT and pain-VAS at one (1.1 ± 0.3 mm; 1.5 ± 0.5) and 6 months (1.1 ± 0.2 mm; 0.9 ± 0.7, respectively) (p < 0.001). At 1 month, LRs had a significantly reduced MCT (1.6 ± 0.1 mm, p = 0.042) but non-significantly changed pain-VAS (4.7 ± 0.2); 5 months later, MCT reached 1.0 ± 0.1 mm, pain-VAS reached 0.8 ± 0.5 (p < 0.044). Significant correlation between the relative variation of MCT and pain-VAS (1 month/baseline) was found. CONCLUSIONS:
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Authors | Luca Maria Sconfienza, Carmelina Murolo, Simone Callegari, Massimo Calabrese, Edoardo Savarino, Pierluigi Santi, Francesco Sardanelli |
Journal | European radiology
(Eur Radiol)
Vol. 21
Issue 3
Pg. 575-81
(Mar 2011)
ISSN: 1432-1084 [Electronic] Germany |
PMID | 20694816
(Publication Type: Journal Article)
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Chemical References |
- Anti-Inflammatory Agents
- Triamcinolone
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Topics |
- Anti-Inflammatory Agents
(administration & dosage)
- Breast Diseases
(diagnostic imaging, drug therapy, etiology)
- Breast Implants
(adverse effects)
- Contracture
(diagnostic imaging, drug therapy, etiology)
- Female
- Humans
- Injections, Intralesional
(methods)
- Treatment Outcome
- Triamcinolone
(administration & dosage)
- Ultrasonography, Interventional
(methods)
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