Melmed E P
Humana Medical City Hospital, Dallas, Texas.
Plast Reconstr Surg. 1990 Aug;86(2):270-4. doi: 10.1097/00006534-199008000-00011.
Capsular contracture around gel and gel-saline implants is the most common complication following breast augmentation and reconstruction. Thirty-one patients with postaugmentation gel-implant contractures were treated with open capsulotomy and replacement with polyurethane-covered implants. Eighty-seven percent remain soft after a minimum follow-up of 14 months. Results of replacement after subcutaneous mastectomy and reconstruction are more varied and less successful. Results in 14 patients are presented.
硅胶和硅胶-盐水乳房植入物周围的包膜挛缩是隆胸和乳房重建术后最常见的并发症。31例隆胸后硅胶植入物挛缩患者接受了开放性包膜切开术，并更换为聚氨酯包膜的植入物。在至少14个月的随访后，87%的患者乳房仍保持柔软。皮下乳房切除术后乳房重建并更换植入物的结果差异更大，成功率更低。本文介绍了14例患者的结果。
