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Exploration of Point-of-Care Ultrasonography for Silicone Breast Implant Rupture Detection and Classification
Jae-Hong Kim1, Yun-Gyoung Kim2, Keun-Yeong Song3
1THE W Clinic, Seoul 06038, Republic of Korea.
Medicina (Kaunas, Lithuania)
|February 24, 2024
Summary
Ultrasonography accurately diagnoses silicone breast implant ruptures and silicone migration. This imaging technique aids in surgical decisions for capsulectomy, improving patient care.
Area of Science:
- Radiology
- Pathology
- Plastic Surgery
Background:
- Increasing breast surgeries necessitate accurate diagnosis of silicone implant complications.
- Existing diagnostic methods show discrepancies between ultrasound and pathology for implant ruptures.
- Need for improved tools to detect silicone implant rupture and migration.
Approach:
- Reviewed 5557 breast implants in 2790 patients using ultrasound.
- Identified 249 cases (8.9%) with silicone implant rupture via ultrasound.
- Pathologically analyzed 111 periprosthetic capsules from 89 patients undergoing capsulectomy.
Key Points:
- 100% diagnostic agreement between preoperative ultrasound and postoperative pathology for implant ruptures.
- Ultrasound's 'snowstorm sign' accurately predicted silicone migration to capsules.
- High-resolution ultrasonography reliably detects silicone implant ruptures and migration extent.
Conclusions:
- Ultrasonography is a reliable tool for diagnosing silicone implant ruptures and assessing silicone migration.
- Diagnostic precision aids in planning capsulectomy during revisional surgery.
- Proposed a three-tiered classification (subcapsular, intracapsular, extracapsular) based on pathology.
