Journal of Long-Term Effects of Medical Implants

ISSN for PRINT: 1050-6934

For Online Access

Best Paper Award Selection - Editorial Board Site

2005, Volume15

Issue 1

124 pages

DOI: 10.1615/JLongTermEffMedImplants.v15.i1

Issue price - $175.00

Ilona Kulmala, MSc
Tampere School of Public Health, Tampere, Fınland

John D. Boice, Jr., ScD
International Epidemiology Institute, Rockville, Maryland; and Department of Medicine and Vanderbilt—Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA

Joseph K. McLaughlin, MD, PhD
International Epidemiology Institute, Rockville, Maryland; and Department of Medicine, Vanderbilt University Medical Center, Vanderbilt—Ingram Cancer Center, Nashville, Tennessee, USA

Lisbet R. Holmich, MD
Institute of Cancer Epidemiology, Danish Cancer Society; and Department of Plastic Surgery, Herlev University Hospital, Copenhagen, Denmark

Matti Pakkanen, MD
Hospital Siluetti, Suomen Kirurgipalvelu Oy; and Clinic of Plastic and Aesthetic Surgery, Helsinki, Finland

Kai Lassila, MD
Hospital Siluetti, Suomen Kirurgipalvelu Oy, Helsinki Finland

Jussi-Pekka Usenius, MD
Keski-Suomen Magneettikuvaus Oy,Jyvaskyla, Finland

Lyly Teppo, MD
Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland

Kim Kjoller,MD
Department of Plastic Surgery, Herlev University Hospital, Copenhagen, Denmark

Riitta Luoto, MD
Tampere School of Public Health, Tampere, Fınland

Cosmetic breast implants have become increasingly popular throughout the world. However, there is insufficient knowledge about the frequency and severity of local complications such as rupture and capsular contracture. A pilot study of 25 Finnish women with 50 cosmetic breast implants was organized to determine the feasibility of conducting a magnetic resonance imaging (MRI)-based study of rupture incidence. The pilot investigation included a clinical examination by a plastic surgeon, MRI scan, and self-administered questionnaire. The participation rate was 100%. Implants in our study represented a cross-section of the different generations of implants in Finland, with implant ages varying from 4 months to 20 years. The average implant size was 215 mL, typical in Finnish cosmetic surgery. MR images were evaluated by two independent readers. The first reader diagnosed six implants with intracapsular rupture, while the other diagnosed all implants as intact. The procedures of the feasibility study proved successful, and the results demonstrate the importance of a rigid image evaluation protocol with employment of well-defined rupture criteria, as well as the benefits of several image readers.

DOI: 10.1615/JLongTermEffMedImplants.v15.i1.20 Download article, 9-14 pages

Article price - $35.00

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