In a retrospective study, 34 women with silicone gel breast implants were examined, 22 patients had intact (Group A) and 12 had ruptured (Group B) implants. The objective of the study was to investigate if there are any differences between Groups A and B regarding the clinical profile and the results of immunological and rheumatoid parameters. In addition, when connective tissue disease was diagnosed, was it associated with a leak of silicone gel. The average age of the women in the study was 46.9 years. The average duration of implant placement was 5.4 years in Group A and 11.3 years in Group B. The patients underwent a general clinical check-up with emphasis on symptoms of connective tissue disease. A clinical examination of the breast was performed to detect possible complications after augmentation. The laboratory studies were immunological and rheumatoid. Clinical results: In Group A, 1 woman (4.5%) demonstrated joint pain, 1 (4.5%) muscle pain, and 8 (36.4%) breast-specific symptoms. In Group B, one patient (8.3%) experienced joint pain and 6 (50%) breast-specific symptoms. There was no statistically significant difference in the frequency of abnormal clinical findings between the two groups. Laboratory results: Abnormal laboratory values were obtained in 15 women (68.2%) from Group A and in 5 women (41.7%) from Group B. There was no significant difference between the two groups. At follow-up, 22 patients with intact and 12 women with ruptured silicone gel breast implants demonstrated no significantly different abnormal clinical findings or laboratory results. None of the patients with pathological findings showed any evidence of connective tissue disease.
European Journal of Plastic Surgery – Springer Journals
Published: Sep 16, 1998
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