2002, Number 3
<< Back Next >>
Cir Plast 2002; 12 (3)
Dimethyl sulfoxide effect in capsule formation surrounding silicon implants in rats
Meza-Pérez A, Cortez GE
Language: Spanish
References: 28
Page: 94-99
PDF size: 112.12 Kb.
ABSTRACT
Mammary hardening due to capsule contracture surrounding silicon implants continues to be a frequent complication of augmentation mammaplasty. Several treatments have been used, but none has succeeded in eliminating the problem completely. Since dimethyl sulfoxide (DMSO) dissolves the pathological deposits of collagen, reduces the tensile strength and preserves the normal elastic fibers, this study was aimed at identifying the effect of this substance in the formation of the capsule, applying it around miniature silicon gel implants in experimental animals. The study included 18 laboratory rats in which two implants on the submuscular pocket of each dorsum were placed (36 total); in six DMSO was irrigated, in six triamcinolone and in six (the control group) no medicine was used. The biopsies in block of implants and adjacent tissues of the rats given DMSO, at 30, 45 and 60 days, in comparison with the control group, showed a meaningful decrease in the thickness of the capsule, minimal fibroblastic formation of uniform and lineal collagen fibers, as well as scarce inflammatory response, concluding that DMSO in the experimental animal is useful in reducing the formation of the capsule surrounding the implant and that if this is even minimally formed the collagen fibers, are uniform and lineal.
REFERENCES
Burkhardt BR. Capsular contracture: Hard breast, soft data. Clin Plast Surg 1988; 15: 521.
Mc. Craw JB, Maxwell GP. Early and late capsular “deformation” as a cause of unsatisfactory results in the latissimus dorsi breast reconstruction. Clin Plast Surg 1988; 15: 717.
Schunur PL, Weinzeig J, Harris JB. Silicon analysis of breast and periprosthetic capsular tissue from patients with saline or silicone gel breast implants. Plast Reconstr Surg 1996; 98: 798.
Pollock H. Capsular contracture: A retrospective study of the effects of textured silicone implants. Plast Surg Forum 1991; 14: 250.
Mc Curdy JA. Relationships between spherical fibrous capsulare contracture and mammary prosthesis type: A comparison of smooth and textured implants. Am J Cosmetic Surg 1990 ;7: 235.
Virden CP, Dobke MK, Stein P, Parson CL, Frank DH. Subclinical infection of the silicone breast implant surface as a possible cause of capsulare contracture. Aesthetic Plast Surg 1992; 16: 173.
Young UL. Guidelines and Indications for breast implants capsulectomy. Plast Reconstr Surg 1998; 102: 884.
Peterson H, Burt G. The role the steroid in prevention of circunferential capsular scaring in augmentation mammaplasty. Plast Reconstr Surg 1974; 54: 28.
Bigss TM, Yarish RS. Augmentation mammaplasty: Retropectoral versus retromammary implantation. Clin Plast Surg 1988; 15: 549.
Asplund O. Capsular contraction in silicon gel and saline filled breast implant after reconstruction. Plast Reconstr Surg 1984; 73: 720.
Brand KE. Polyurethane cated silicone implants and the question of capsulare contracture. Plast Reconstr Surg 1984; 73: 498.
Burkhard BR, Dempsey PD, Schnur PL, Tofield JJ. Capsular contracture: A prospective study of the effect of local antibacterial agents. Plast Reconstr Surg 1986; 77: 919.
Edmon J. Versaci A. Late complication of closed capsulotomy of the breast. Plast Reconstr Surg 1980; 66: 478.
Trice JM, Pinals RS. Dimethyl sulfoxide: A review of its use in the rheumatic disorders. Semin Arthritis Rheum 1985; 15: 45.
Vitsnes LM, Ksander GA, Kosek J. Study of encapsulation of silicon rubber implants in animals: A foreign body reaction. Plast Reconstr Surg 1978; 62: 580.
Jacob St W, Bischel M, Herschler RJ. Dimethyl sulfoxide: Effects on the permeability of biologic membranes (preliminary report ). Curr Ther Res 1964; 6: 193.
Scherbel AL, Mc Comark LJ, Poppo MJ. Alteration of collagen in generalized scleroderma (progressive systemic sclerosis) after treatment with dimethyl sulfoxide: Preliminary report. Cleveland Clin Quart 1965; 32: 47.
Topical agents in the treatment of rheumatic disorders Rosentein ED. Rheum Dis Clin North Am 1999; 25: 899.
Carpenter RJ, Angel MF, Morgan RF. Dimethyl sulfoxide increases the survival of primarily ischemic island flaps. Otolaryngol Head Neck Surg 1994; 110: 228.
Adamson JE, Hotton CE, Crawford HH, Ayers W. Studies on the action of dimethyl sulfoxide on the experimental pedicle flap. Plast Reconstr Surg 1989; 22: 321.
Raposio E, Santi PL. Topical application of DMSO as an adjunct to tissue expansion for breast reconstruction. Br J Plast Surg 1999; 52: 194.
Ravid M, Van-Dyk D, Bernheim J. The protective effect of dimethyl sulfoxide in experimental ischemia of the intestine. Ann NY Acad Sci 1983; 411: 100.
Kedar I, Jacob ET, Bar-Natan R, Ravid M. Dimethyl sulfoxide in acute ischemia of the kidney. Ann NY Acad Sci 1983; 411: 131.
Morales A, Emerson L, Nickel JC. Treatment of refractory interstitial cystitis. Int Urogynecol J Pelvic Floor Dysfunct 1996; 7: 215.
Silbert L, Khalaf A, Bugel H, Sfaxi M. Intravesical dimethyl sulfoxide installation can be useful in the symptomatic treatment of profuse hematuria die to eosinophilic cystitis. J Urol 2000; 164: 446.
Maehara M. Dimethyl sulfoxide (DMSO) increases expression of sialyl Lewis x antigen and enhances of human gastric carcinoma (NUGC4) cells to activated endothelial cells. Intern J Cancer 1993; 54: 296.
Grunt T. Comparative analysis of effects of DMSO and retinoic acid on the antigenic pattern of human ovarian adenocarcinoma cells. J of Cell Science 1992; 103: 501.
Rijteman M, Mosig D, Drukker A, Guignard JP. The effect of dimethyl sulfoxide on renal function of the newborn rabbit. Biol Neonate 1999; 76: 335.