Prevalence of Rupture in Inamed Silicone Breast Implants

@article{Hedn2006PrevalenceOR,
  title={Prevalence of Rupture in Inamed Silicone Breast Implants},
  author={Per Hed{\'e}n and Maurizio Bruno Nava and J P van Tetering and Guy Magalon and Le Roux Fourie and R. James Brenner and Laura E Lindsey and Diane K. Murphy and Patricia S. Walker},
  journal={Plastic and Reconstructive Surgery},
  year={2006},
  volume={118},
  pages={303-308}
}
Background: Silicone breast implants have been used for decades and are arguably the most studied implantable device. However, the vast body of scientific literature has been unable to establish a definitive rupture rate. Various studies have evaluated implant rupture, but the meaningfulness of these data was confounded by the inclusion of different generations of implants and multiple manufacturers’ implants and the selection of subjects who were already suspected of having ruptured implants… 
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The results show that rupture of only the inner layers of the implant shell with integrity of the outer shell leads to a misdiagnosis on MRI.
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TLDR
The weight of the scientific literature suggests that silicone gel-filled breast implants do not increase a patient’s risk of cancer, autoimmune disease, reproductive effects or suicide.
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TLDR
The authors conclude that at worst, the Mentor posterior valve is not more prone to rupture than the anterior valve model in breast augmentation and reconstruction and believe that the postoperative flexibility of the posterior valve implants makes them more useful clinically.
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TLDR
In the future, the authors plan to examine the women in their cohort with a second magnetic resonance imaging scan to establish the incidence of rupture, a parameter unknown to date in the literature, and to further characterize those factors associated with the actual risk of rupture.
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TLDR
The risk of implant rupture increases with implant age, and double-lumen implants were associated with substantially lower rupture risk than single- lumen implants.
Prevalence of rupture of silicone gel breast implants revealed on MR imaging in a population of women in Birmingham, Alabama.
TLDR
The prevalence of silent or occult silicone gel breast implant rupture is higher than was previously suspected.
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TLDR
There was a positive correlation between the duration of implantation time and the number of ruptured and leaking implants.
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TLDR
MRI is highly accurate for identification of silicone breast implant rupture, with a high sensitivity and specificity when evaluation of images are based on presence of well-defined rupture criteria.
The Diagnosis of Silicone Breast Implant Rupture
TLDR
The spectrum of imaging appearances of normal silicone gel implants and the appearances of silicone breast implant ruptures is illustrated.
Screening mammography in 350 women with breast implants: prevalence and findings of implant complications.
TLDR
The authors' analysis revealed a wide range of mammographic findings in this group of asymptomatic women with breast augmentation, especially worrisome is the 5% prevalence of unsuspected silicone extravasation.
MRI for Detecting Silicone Breast Implant Rupture: Meta-analysis and Implications
TLDR
MRI is moderately accurate in detecting silicone breast implant rupture, however, MRI should remain a confirmatory diagnostic test and should not be used to screen asymptomatic women.
Self‐Reported Diseases and Symptoms by Rupture Status among Unselected Danish Women with Cosmetic Silicone Breast Implants
TLDR
This study of unselected women with silicone breast implants could establish no association between silicone implant rupture and specific diseases or symptoms related to connective tissue disease or other rheumatic conditions, except for an excess of capsular contracture among women with extracapsular rupture.
Breast augmentation and reconstructive surgery: MR imaging of implant rupture and malignancy
TLDR
Magnetic resonance imaging is a reliable and reproducible technique for diagnosing both implant rupture and malignant lesions in women after breast augmentation and reconstruction.
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