The Impact of Triamcinolone Acetonide in Early Breast Capsule Formation in a Rabbit Model

• Type: Article in International Scientific Journal
• Date: 2012

Authors

Marisa Marques (Author) FMUP; Spencer Brown (Author) Other; Ines Correia Sa (Author) Other; Natalia N D S Cordeiro (Author) FCUP; Pedro Rodrigues Pereira (Author) Other; Acacio Goncalves Rodrigues (Author) FMUP; Jose Amarante (Author) FMUP

Journal

Title: Aesthetic Plastic Surgery

Vol. 36

Pages: 986-994

ISSN: 0364-216X

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 23 Citations

Scopus - 22 Citations

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

Other information

Authenticus ID: P-002-7H3

DOI: 10.1007/s00266-012-9888-z

Abstract (EN): The etiology and clinical treatment of capsular contracture remain unresolved as the causes may be multifactorial. Triamcinolone acetonide applied in the pocket during surgery was reported to be ineffective in prevention of capsular contracture. However, if injected 4-6 weeks after surgery or as a treatment for capsular contracture, decreased applanation tonometry measurements and pain were observed. It was assumed that intraoperative application of triamcinolone was not effective because its effect does not last long enough. However, betadine, antibiotics, and fibrin were found to be effective in preventing capsular contracture with intraoperative applications and are more effective in the early phases of wound healing than in later stages. The role of triamcinolone acetonide in capsule formation is unknown. The purpose of this study was to determine if triamcinolone acetonide modulates breast capsule formation or capsular contracture in the early phases of wound healing in a rabbit model. Rabbits (n = 19) were implanted with one tissue expander and two breast implants and were killed at 4 weeks. Implant pocket groups were (1) Control (n = 10) and (2) Triamcinolone (n = 9). Pressure/volume curves and histological, immunological, and microbiological evaluations were performed. Operating room air samples and contact skin samples were collected for microbiological evaluation. In the triamcinolone group, a decreased capsular thickness, mild and mononuclear inflammation, and negative or mild angiogenesis were observed. There were no significant differences in intracapsular pressure, fusiform cell density, connective tissue, organization of collagen fibers, and microbiological results between the groups. There was no significant difference in the dialysate levels of IL-8 and TNF-alpha, but correlation between IL-8 and TNF-alpha was observed. Triamcinolone acetonide during breast implantation influences early capsule formation and may reduce capsular contracture. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 9