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液态硅胶注射后发生肺限制性综合征的罕见病例：整形外科医生的作用

A Rare Case of Pulmonary Restrictive Syndrome after Liquid Silicone Injection: The Role of the Plastic Surgeon.

作者信息

Bonfirraro Pier Paolo, Sallam Davide, Verga Maurizio, Righi Bernardo, Mevio Gabriele, Codazzi Denis, Leone Francesco, Carminati Marcello

机构信息

Department of Plastic and Reconstructive Surgery, ASST Papa Giovanni XXIII, Bergamo, Italy.

出版信息

Indian J Plast Surg. 2021 Jan;54(1):90-93. doi: 10.1055/s-0040-1721862. Epub 2021 Feb 22.

DOI:10.1055/s-0040-1721862
PMID:33814749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8012792/
Abstract

Despite being especially used in its solid form, silicone is still injected as a liquid filler for breast contouring in many countries. Here, we present a rare case of a woman with silicone pneumonitis and extended breast scarring after breast silicone injection. Because of evidence of a restrictive syndrome due to the thoracic extensive scarring tissue and the high demand of oxygen therapy, as jointly agreed with the pulmonologists, we decided to perform a surgical asportation of the scarring tissue and covering with microsurgical flap. We chose the deep inferior epigastric perforator flap mainly because of the large amount of skin that is possible to use, the good skin texture matching, and the possibility of double team working without changing patient's position.

摘要

尽管硅酮尤其以固态形式使用，但在许多国家它仍被作为液体填充物注射用于乳房塑形。在此，我们报告一例罕见病例，一名女性在乳房注射硅酮后发生硅酮肺炎并伴有乳房广泛瘢痕形成。由于存在因胸部广泛瘢痕组织导致的限制性综合征的证据，且氧疗需求高，经与肺科医生共同商定，我们决定对瘢痕组织进行手术切除并采用显微外科皮瓣覆盖。我们选择腹壁下深动脉穿支皮瓣主要是因为其可用皮肤量大、皮肤质地匹配良好，以及有可能在不改变患者体位的情况下进行双人协作手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/64c1107d0980/10-1055-s-0040-1721862_7_0654_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/0f77a431a300/10-1055-s-0040-1721862_7_0654_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/4f68114344fa/10-1055-s-0040-1721862_7_0654_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/1269850d9cb7/10-1055-s-0040-1721862_7_0654_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/c6a8b236b14b/10-1055-s-0040-1721862_7_0654_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/a2a75dba6f03/10-1055-s-0040-1721862_7_0654_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/64c1107d0980/10-1055-s-0040-1721862_7_0654_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/0f77a431a300/10-1055-s-0040-1721862_7_0654_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/4f68114344fa/10-1055-s-0040-1721862_7_0654_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/1269850d9cb7/10-1055-s-0040-1721862_7_0654_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/c6a8b236b14b/10-1055-s-0040-1721862_7_0654_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/a2a75dba6f03/10-1055-s-0040-1721862_7_0654_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3774/8012792/64c1107d0980/10-1055-s-0040-1721862_7_0654_06.jpg

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本文引用的文献

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Silicone pneumonitis after gluteal filler: a case report and literature review.臀部填充后硅酮肺炎：一例报告及文献综述
Respirol Case Rep. 2020 Feb 18;8(3):e00538. doi: 10.1002/rcr2.538. eCollection 2020 Apr.
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Siliconosis and the long-term implications of silent breast implant rupture.矽肺病与无症状性乳房植入物破裂的长期影响。
Breast J. 2019 Sep;25(5):1002-1003. doi: 10.1111/tbj.13393. Epub 2019 Jun 20.
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Acute pneumonitis following breast silicone liquid injection.乳房硅胶液体注射后急性肺炎
Respirol Case Rep. 2018 Jun 5;6(6):e00335. doi: 10.1002/rcr2.335. eCollection 2018 Aug.
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Spectrum of Chronic Complications Related to Silicone Leakage and Migration.与硅树脂渗漏和迁移相关的慢性并发症谱。
Am J Med. 2018 Nov;131(11):1383-1386. doi: 10.1016/j.amjmed.2018.03.041. Epub 2018 Apr 20.
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Silicone pulmonary embolism: report of 10 cases and review of the literature.硅酮肺栓塞：10例报告并文献复习
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Liquid injectable silicone: a review of its history, immunology, technical considerations, complications, and potential.液体注射用硅酮：其历史、免疫学、技术考量、并发症及潜力综述
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Clinicopathologic review of pulmonary silicone embolism with special emphasis on the resultant histologic diversity in the lung--a review of five cases.肺硅酮栓塞的临床病理回顾，特别强调肺部由此产生的组织学多样性——5例病例回顾
Yonsei Med J. 2002 Apr;43(2):152-9. doi: 10.3349/ymj.2002.43.2.152.
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Acute pneumonitis after subcutaneous injections of silicone in transsexual men.
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