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Pneumothorax as a complication of breast augmentation
John M Osborn1, Thomas R Stevenson
1Division of Plastic Surgery, University of California, Davis, School of Medicine, Sacramento, California, USA. osborn@pscmail.com
Plastic and Reconstructive Surgery
|September 16, 2005
Summary
Pneumothorax, or collapsed lung, is a more common complication of breast augmentation than previously believed. This study surveyed plastic surgeons, finding it occurs more frequently than anticipated, necessitating updated patient consent and preparedness for treatment.
Area of Science:
- Plastic Surgery
- Thoracic Surgery
- Medical Complications
Background:
- Pneumothorax is a known complication of breast augmentation surgery.
- Previously, this complication was considered rare, but current research suggests it is more frequent than appreciated.
Purpose of the Study:
- To investigate the actual incidence of pneumothorax following breast augmentation.
- To identify potential causes and management strategies for this complication.
Main Methods:
- A fax survey was distributed to 363 members of the California Society of Plastic Surgeons in 2001.
- The survey collected data on surgeons' experiences with pneumothorax as a complication of breast augmentation.
Main Results:
- A 50% response rate indicated that one in three surgeons had encountered at least one pneumothorax case.
- One in ten surgeons reported two or more pneumothorax complications.
- Reported causes included intraoperative pleural laceration, needle puncture, ruptured pulmonary blebs, and high anesthetic ventilation pressures.
Conclusions:
- Pneumothorax is a more common complication of breast augmentation than generally recognized.
- The complication is not always linked to surgical negligence.
- Recommendations include updating informed consent forms and maintaining equipment for tension pneumothorax treatment.