Chien Chih-Hsuan Chang, Ding Xiao-Zeng, Yang Zheng-San
Chia-Yi Christian Hospital, No.34-5, Reservoir Area, Chiayi City, Taiwan, 600, Republic of China.
Aesthetic Plast Surg. 2006 Jan-Feb;30(1):113-7. doi: 10.1007/s00266-005-0124-y.
A rare late complication of textured, double-lumen breast implants developed 15 years after routine augmentation mammaplasty. The patient required secondary surgery for removal of the implants in both breasts because of their spontaneous autoinflation and deflation. Mammography showed autoexpansion of the right breast implant and deflation of left breast implant in the outer lumen without evidence of silicone leakage 15 years after implantation. The spherical shape of the right implant was filling with red-brown fluid. The deflated left implant had a thick capsule. Both implants were characterized during surgery and removed. Few reports have described spontaneous autoinflation of breast implants. Several causes of implant autoinflation have been proposed, such as valve defects, osmotic swelling, and inorganic salts produced by the texturization process or injection of saline with nonstandard salt concentrations. However, the exact mechanism remains unknown.
在常规隆乳术后15年出现了一种罕见的带纹理双腔乳房植入物晚期并发症。患者因植入物自发充气和放气，需要进行二次手术以取出双侧乳房的植入物。乳房X线摄影显示，植入15年后，右侧乳房植入物自动膨胀，左侧乳房植入物外腔放气，且无硅胶渗漏迹象。右侧植入物呈球形，内部充满红棕色液体。放气的左侧植入物有一层厚厚的包膜。术中对两个植入物进行了特征描述并取出。很少有报告描述乳房植入物的自发自动膨胀情况。有人提出了植入物自动膨胀的几种原因，如瓣膜缺陷、渗透性肿胀、纹理化过程产生的无机盐或注射了非标准盐浓度的盐水。然而，确切机制仍不清楚。
