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Anales de Otorrinolaringología Mexicana

2013, Number 4

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Otorrinolaringología 2013; 58 (4)

Neck Silicone Granulomatous Lymphadenitis. Attitude Based on Experience

García CJF, Calvo GJ, Bécares MC, Sánchez VO, Monzó GR, Pla GI

Language: Spanish
References: 27
Page: 198-206
PDF size: 705.35 Kb.


ABSTRACT

Background Silicone is able to generate distant inflammatory response after its administration inside the organism with aesthetic or reconstructive aims. The foreign body reaction provoked at its infiltration site or the territories where silicone can migrates is known as siliconoma.
Objective To communicate the complications observed in patients submitted to procedures of major or minor surgery with compounds of silicone.
Patients and method The cases of patients with enlarged neck lymph nodes who previously underwent to minor o major surgery procedures with silicone compounds have been reviewed.
Results In ten years we have detected twenty-two patients with neck lymphadenopathy related to silicone infiltration. Of them, in nineteen it could be demonstrated this swelling as secondary to migration of this substance through lymphatic vessels. Seven patients were submitted to a facial fine-needle silicone infiltration in lips or cheekbones, and twelve underwent a breast augmentation or reconstruction with implants. Lymphadenopathies detected on physic examination and CT studies were removed in three of those with facial infiltration, discovering again in one case of them after surgery, and in five women with breast prostheses. In these, postsurgical neck nodes were observed too in the three patients operated by mean of a large cervicotomy, but not in the two cases with a classic functional dissection. Moreover, an increase in size of nodes was identified in five of eleven patients who were only submitted to a control. Four of them were finally operated.
Conclusions Liquid silicone used in facial infiltration procedures or cohesive gel mammary implants can produce an enlargement in neck lymph nodes as collateral effect due to systemic reactions if the substance migrates. Surgical options for involved nodes do not offer good results in a long-term follow-up.


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