Subclinical Infection of the Silicone Breast Implant Surface as a Possible Cause of Capsular Contracture
| Autor: | Paul C. Stein, David H. Frank, Marek Dobke, Charles P. Virden, C. Lowell Parsons |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Contracture Prosthesis-Related Infections Breast Implants Mammaplasty Silicones chemistry.chemical_compound Silicone Staphylococcus epidermidis Implant Capsular Contracture Humans Medicine Asymptomatic Infections Aged Subclinical infection biology business.industry Tissue Expansion Devices Capsule Prostheses and Implants Capsular contracture Middle Aged biology.organism_classification Surgery Plastic surgery chemistry Female Implant medicine.symptom business |
| Zdroj: | Aesthetic Plastic Surgery. 44:1141-1147 |
| ISSN: | 1432-5241 0364-216X |
| DOI: | 10.1007/s00266-020-01816-w |
| Popis: | In order to reexamine the possible association between bacterial presence and capsular contracture, 55 silicone devices (mammary implants or tissue expanders) were cultured at the time of their removal from 40 patients. Special culture techniques were used in an attempt to recover bacteria adhering to the smooth-surfaced implant and encased in glycocalyx biofilm. Bacteria were detected on 56% (15 of 27) of implants surrounded by contracted capsules and on 18% (5 of 28) of those without capsular contracture (p less than 0.05). Only three implants tested positive using routine plating techniques. The predominant isolate was Staphylococcus epidermidis. The concept that capsular contracture is associated with subclinical infection of silicone implants is supported by this study. With changes in the microbiological technique, bacterial recovery and growth occurs at a frequency greater than previously thought. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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