2003, Number 3
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Cir Plast 2003; 13 (3)
Mastectomy and immediate bilateral breast reconstruction after sclerosing lipogranuloma caused by injecting modelants.
Gutiérrez SE, Durán VHC, Duffy VBE, Fernández SG, Papadópulos CAA, Ochoa GJR
Language: Spanish
References: 12
Page: 123-127
PDF size: 91.30 Kb.
ABSTRACT
Body contouring using by foreign materials has been performed historically. This popular practice carried out by charlatans, “aesthetic physicians”, or any unscrupulous person, has grown due to their easy application and low prices materials like silicon fluids, synthetic industrial oils, paraffin and other materials prepared with unknown substances, develops an intense local and systemic inflammatory response with devastating consequences in the short or middle term in the injected body areas. A woman´s breast was injected twelve years before with mineral oil to increase its size. This patient suffered chronic, inflammatory tissue deformity and hardening as well as substance migration. She was treated with bilateral simple mastectomy and immediate reconstruction using a pedicled double TRAM flap and areola-nipple complex in a subsequent surgery.
REFERENCES
Hage J, Kanhai R, van Diest P, Karim R. The devastating outcome of massive subcutaneous injection of highly viscous fluids in male-to-female transsexuals. Plast Reconstr Surg 2001; 107(3): 734-741.
Gersuny R. Ueber eme subcutane prothese. Z Heilknde 1900; 1: 199.
Behar T, Anderson E, Barwick w, Mohíer J. Sclerosing lipogranulomatosis: A case report of scrotal injection of automobile transmission fluid and literature review of subcutaneous injection of oils. Plast Reconstr Surg 1993; 91(2): 352-361.
Di Benedetto G, Pierangel M, Scalise A, Bertani A. Paraffin oil injection in the body: an obsolete and destructive procedure. Ann Plast Surg 2002; 49(4): 391-396.
Lai Y, Weng C, Noordhoff M. Breast reconstruction with TRAM flap after subcutaneous mastectomy for injected material (Siliconoma). Br J Plast Surg 2001; 54: 331-334.
Ortiz-Monasterio F, Trigos I. Management of patients with complications from injections of foreign material into the breast. Plast Reconstr Surg 1972; 50: 42.
Hartcourt D, Rumsey N. Psychological aspects of breast reconstruction: a review of the literature. J Adv Nurs 2001; 35: 477-487.
Smetana H, Bernhard W. Sclerosing lipogranuloma. Arch Pathol 1950; 50: 296.
Clugston P, Gingrass M, Azurin F, Fisher J, Maxwell P. Ipsilateral pedicled TRAM flaps: The safer alternative? Plast Reconstr Surg 2000; 105(1): 77-82.
Khouri, Ahn C, Salzhauer M, Schertf D, Shaw W. Simultaneous bilateral breast reconstruction with the transverse rectus abdominus musculocutaneous free flap. Ann Surg 1997; 226(1):, 25-34.
Spear S, Spittler Ch. Breast reconstruction with implants and expanders. Plast Reconstr Surg 2001; 107(1): 177-188.
Alderman A, Wilkins E, Lowery J, Kim M, Davis J. Determinants of patient satisfaction in postmastectomy breast reconstruction. Plast Reconstr Surg 2000; 106(4): 769-776.