gms | German Medical Science

77. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

24.05. - 28.05.2006, Mannheim

Supraclavicular implant migration following augmentation mammaplasty with hydrophilic polyacrylamide gel

Meeting Abstract

  • corresponding author presenting/speaker Robert Schatton - Department of Otolaryngology, Alfried-Krupp-Hospital, Essen, Germany
  • Alexander Hafften - Department of Otolaryngology, Alfried-Krupp-Hospital, Essen, Germany
  • Rolf Schnabel - Department of Pathology, Essen, Germany
  • Romuald Wielgosz - Department of Otolaryngology, Alfried-Krupp-Hospital, Essen, Germany

German Society of Otorhinolaryngology, Head and Neck Surgery. 77th Annual Meeting of the German Society of Otorhinolaryngology, Head and Neck Surgery. Mannheim, 24.-28.05.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06hno057

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2006/06hno057.shtml

Veröffentlicht: 7. September 2006

© 2006 Schatton et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Supraclavicular masses have a variety of differential diagnoses such as lymphoma, metastasis or mycobacterial infection.

A forty year old woman attended our clinic complaining of a left sided soft supraclavicular swelling since eight weeks. Physical examination did not reveal other pathologic findings. MRI and ultrasound imaging showed a supra- and infraclavicular mass with well defined margins and a diameter of about 40mm. Choosing a supraclavicular incision we removed a cystic lesion with sticky jelly content. The histopathology report was of a pseudocystic lesion filled with amorphous material surrounded by a foreign body reaction. Asking the patient she confirmed that she had undergone augmentation mammaplasty with injection of hydrophilic polyacrylamide gel (PAAG) in the Ukraine ten years ago. Since some months she observed an irregular contour of her left breast. CT scan of the chest detected another cystic mass of the left axilla.

As a conclusion in this case supraclavicular swelling occurred as a symptom of lymphatic implant migration after breast augmentation with PAAG. Only few authors reported about long term results and possible late complications following PAAG-injection mammaplasty.


References

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Qiao Q, Wang X, Sun J et al. Management for postoperative complications of breast augmentation by injected polyacrylamide hydrogel. Aesthetic Plast Surg. 2005;29(3):156-161
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Cheng NX, Wang YL, Wang JH et al. Complications of breast augmentation with injected hydrophilic polyacrylamide gel. Aesthetic Plast Surg. 2002;26(5):375-382