| 摘要 |
From January, 1985 to December, 1992, 684 cases of augmentation mammaplasty were performed in this Hospital’s Esthetic Center. Apart from revision cases, due to siliconoma, capsular contracture and malposition, and cases of loss of follow up, 348 cases were new cases, and thus included in this study. All these 348 patients were followed up closely for at least 6 months postoperatively. The
tudy was divided into four areas of interest including an epidemiological survey of each patient’s psychological background, capsular contracture, relationship between silicone implant and breast cancer and autoimmune disease. Most surgery were performed in 1988 and 1990 and took place in July, August and December. In decreasing order, age distribution was from 31 to 35, 26 to 30 and 36 to 40. Two-thirds of the patients were married with only one-fourth being single. Patient’s mean age increased gradually, from 31.3 y/o in 1985 to 35.4 y/o in 1991. The implant size also increased year by year with 150cc to 250cc in 1985 and 200 cc to 300cc in 1992. Motivation included mainly personal desire to improve appearance; however, some patients were accompanied by their husbands and others expressed a desire to marry. The ratio of satisfied, acceptable and unsatisfied patients were 71.6%; 18.4% and 10.8% respectively. Most of our early complications were hematoma, and the most common late complication was capsular contracture, with 6.3% for the former and 8.3% for the latter. A lower incidence of contracture was seen with polyurethane implants, retropectoral posit ion and absence of hematoma than with Double-Lumen implants, retroglandular position and presence of hematoma. This, however, was not statistically significant. Of the 348 cases with 1 to 9 years of follow-up, no instance of breast cancer occurred and only one case of Hashimoto’s thyroiditis was recorded. Thus there was no evidence of increased incidence of breast cancer or autoimmune · disease with silicone breast implants. |
