Autologous Fat Transplantation and Delayed Silicone Implant Insertion in a Case of Mycobacterium avium Breast Infection
| Autor: | Luiz Haroldo Pereira, Aris Sterodimas |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Reoperation
medicine.medical_specialty Breast Implants Skin flora medicine.disease_cause Transplantation Autologous Silicone Gels Breast Diseases Clarithromycin medicine Humans skin and connective tissue diseases Breast Implantation Breast augmentation Mastectomy Mycobacterium avium-intracellulare Infection biology business.industry Middle Aged biology.organism_classification Anti-Bacterial Agents Prosthesis Failure Surgery Transplantation Plastic surgery Treatment Outcome Autologous fat Adipose Tissue Otorhinolaryngology Staphylococcus aureus Female business Mycobacterium avium Mycobacterium |
| Zdroj: | Aesthetic Plastic Surgery. 34:1-4 |
| ISSN: | 1432-5241 0364-216X |
| DOI: | 10.1007/s00266-009-9357-5 |
| Popis: | Infection after breast augmentation is uncommon, occurring in 1-3% of cases. They are typically caused by bacterial skin flora, specifically Staphylococcus aureus and the coagulase-negative staphylococci. There have been infrequent reports of breast implant infection caused by the atypical mycobacteria.This report summarizes the case of a female patient who was infected by Mycobacterium avium after undergoing augmentation mammoplasty. This is the second case reported in the literature. Conservative recommendations include antibiotic therapy and removal of the implant until resolution of the infection or until healing of the wound. Salvage methods include one or more of the following: antibiotic therapy, debridement, curettage, pulse lavage, capsulectomy, device exchange, primary closure, and/or flap coverage.After removal of the implant and antibiotic therapy, autologous fat transplantation for correction of breast tissue depressions caused by the mycobacterium infection was done. Delayed bilateral breast augmentation by inserting polyurethane-covered silicone implants in subpectoral position and round block mastopexy to resect the periareolar scars were performed.Although this kind of complication has significantly compromised the aimed result and has caused frustration to both the patient and the physicians involved, we believe that the combination of autologous fat transplantation and delayed silicone implant insertion can be a safe strategy and can produce an acceptable aesthetic result. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink