Tristant H, Hazebroucq V, Benmussa M, Bokobsa J, Elbaz P
Cabinet de Radiologie et d'Echographie, Paris.
Ann Chir Plast Esthet. 1997 Apr;42(2):183-91.
In order to stabilize the curves of a surgically remodelled breast, Bustos associated to a periareolar mammaplasty a synthetic internal supporting lamina. At the beginning, in 1985, a smooth perforated silicone sheet was used. Since then, other materials were proposed (radioopaque ou radiotransparent, resorbable or not). Because of their superficial situation, in front of the mammary gland, it was essential to study the consequences of the presence of such a material on the mammographic follow-up. We radiographied all the different types of sheet in vitro, and also in vivo, 3 to 19 months after surgery. At the same time we studied the modifications in the breast tissue, in 117 patients after surgical treatment for ptosis or mammary hypertrophy, using different kinds of incisions (periareolar or anchor-shaped, J or L shaped, inferolateral oblique or lower vertical incisions). We also studied the effects of mammary implants covered with Dacron, since some internal mammary supporting lamina are made with this material. The silicone sheet gives some artifacts and may calcify. The resorbable sheet has no effects on the mammography. The radiotransparent non resorbable ones causes no problems on short terms, but we are not sure whether some calcifications appear on long term or not.
为了稳定手术重塑乳房的曲线，布斯托斯将一种合成内部支撑薄片与乳晕周围乳房成形术相结合。起初，在1985年，使用的是一种光滑的穿孔硅胶片。从那时起，人们又提出了其他材料（不透射线或透射线的，可吸收或不可吸收的）。由于它们位于乳腺前方的浅表位置，研究这种材料的存在对乳房X线摄影随访的影响至关重要。我们对所有不同类型的薄片进行了体外X线摄影，也在术后3至19个月进行了体内X线摄影。同时，我们研究了117例因乳房下垂或乳腺肥大接受手术治疗的患者乳房组织的变化，这些患者采用了不同类型的切口（乳晕周围或锚形、J形或L形、下外侧斜切口或下垂直切口）。我们还研究了覆盖有涤纶的乳房植入物的影响，因为一些内部乳房支撑薄片就是用这种材料制成的。硅胶片会产生一些伪影并且可能会钙化。可吸收薄片对乳房X线摄影没有影响。透射线的不可吸收薄片短期内不会引起问题，但我们不确定长期是否会出现一些钙化。
