SUBCLINICAL INFECTION OF THE SILICONE BREAST IMPLANT SURFACE AS A POSSIBLE CAUSE OF CAPSULAR CONTRACTURE

被引：182

作者：

VIRDEN, CP ^{[1
]}

DOBKE, MK ^{[1
]}

STEIN, P ^{[1
]}

PARSONS, CL ^{[1
]}

FRANK, DH ^{[1
]}

机构：

[1] UNIV CALIF SAN DIEGO,DIV PLAST SURG,225 DICKINSON ST 8890,SAN DIEGO,CA 92103

来源：

AESTHETIC PLASTIC SURGERY | 1992年 / 16卷 / 02期

关键词：

BREAST; IMPLANT; CAPSULE; CONTRACTURE; INFECTION;

D O I：

10.1007/BF00450610

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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 < 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.

引用

页码：173 / 179

页数：7

共 38 条

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