TY - JOUR
T1 - Ultrasound-guided percutaneous injection of triamcinolone acetonide for treating capsular contracture in patients with augmented and reconstructed breast
AU - Sconfienza, Luca Maria
AU - Murolo, Carmelina
AU - Callegari, Simone
AU - Calabrese, Massimo
AU - Savarino, Edoardo
AU - Santi, Pierluigi
AU - Sardanelli, Francesco
PY - 2011/3
Y1 - 2011/3
N2 - Objectives: To evaluate ultrasound (US)-guided treatment of capsular contracture (CC) in patients with reconstructed/augmented breast. Methods: Twenty-five patients with grade IV CC were treated with peri-implant US-guided injection of triamcinolone acetonide. Before/after treatment, maximum capsular thickness (MCT) was measured by ultrasound and pain assessed with visual analogue score (pain-VAS). Patients with pain relief at 1 month were considered early responders (ERs). Another injection was performed in patients without pain relief at 1 month (late responders, LRs). Results: One patient (treated with chemo-radiotherapy) experienced severe pain and local reaction after the second injection, requiring surgery. Twenty-four patients had baseline MCT of 1.8±0.3 mm and pain-VAS of 4.9±0.5, the baseline MCT of 19 ERs (1.7±0.2 mm) being significantly lower than that of 5 LRs (2.1±0.2 mm) (p=0.030). ERs had significantly reduced MCT and pain-VAS at one (1.1±0.3 mm; 1.5±0.5) and 6 months (1.1±0.2 mm; 0.9±0.7, respectively) (p
AB - Objectives: To evaluate ultrasound (US)-guided treatment of capsular contracture (CC) in patients with reconstructed/augmented breast. Methods: Twenty-five patients with grade IV CC were treated with peri-implant US-guided injection of triamcinolone acetonide. Before/after treatment, maximum capsular thickness (MCT) was measured by ultrasound and pain assessed with visual analogue score (pain-VAS). Patients with pain relief at 1 month were considered early responders (ERs). Another injection was performed in patients without pain relief at 1 month (late responders, LRs). Results: One patient (treated with chemo-radiotherapy) experienced severe pain and local reaction after the second injection, requiring surgery. Twenty-four patients had baseline MCT of 1.8±0.3 mm and pain-VAS of 4.9±0.5, the baseline MCT of 19 ERs (1.7±0.2 mm) being significantly lower than that of 5 LRs (2.1±0.2 mm) (p=0.030). ERs had significantly reduced MCT and pain-VAS at one (1.1±0.3 mm; 1.5±0.5) and 6 months (1.1±0.2 mm; 0.9±0.7, respectively) (p
KW - Breast
KW - Capsular contracture
KW - Triamcinolone acetonide
KW - Ultrasound guidance
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U2 - 10.1007/s00330-010-1921-5
DO - 10.1007/s00330-010-1921-5
M3 - Article
C2 - 20694816
AN - SCOPUS:79751537317
VL - 21
SP - 575
EP - 581
JO - European Radiology
JF - European Radiology
SN - 0938-7994
IS - 3
ER -