Siliconomas of the lower limb: Tumour-like excision and reconstruction
Background: Silicone oil injection can cause several complications including pain, cellulitis, abscesses, skin compromise, migration, embolism and multiorgan failure. Oil-infested tissue excision remains the solely treatment to prevent such complications. Objectives: The authors evaluate tumor-like...
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| Format: | Article |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2016-09-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197228 |
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| author | Tommaso Agostini Raffaella Perello |
| author_facet | Tommaso Agostini Raffaella Perello |
| author_sort | Tommaso Agostini |
| collection | DOAJ |
| description | Background: Silicone oil injection can cause several complications including pain, cellulitis, abscesses, skin compromise, migration, embolism and multiorgan failure. Oil-infested tissue excision remains the solely treatment to prevent such complications. Objectives: The authors evaluate tumor-like excision of the oil-infested tissue as a treatment for patients experiencing silicone injections in the lower limbs, to both preserve aesthetic appearance and solve further risk of complication from silicone. Methods: Between January 2004 and January 2011 a total of 12 consecutive, nonrandomized female patients underwent surgical management of siliconoma of the lower limb. The mean age was 41-years, range from 22 to 61 years and all patients didn’t referred comorbidities. Eight siliconomas were located on the leg and 4 were on the thigh. The mean area of siliconoma was 35 cm2, range from 25 to 60 cm2. Each patient was evaluated by ultrasonography and EchocolorDoppler of the soft tissue and in order to achieve a “staging” of siliconoma. Results: Healing was uneventful in all cases. Three patients (25%) suffering hypertrophic scarring underwent further injection of corticosteroids to improve hypertrophic scars quality. Two patients (16.6%) required a further session of structural fat grafting to improve thigh’s profile. All patients were satisfied with the cosmetic results and indispositions requiring medical therapy disappeared. Conclusions: Tumor-like excision and immediate reconstruction appears to be a safe and consistent surgical option that preserves aesthetic appearance for patients victims of illegal oil silicone injection of the lower limbs. |
| format | Article |
| id | doaj-art-2387a3315fa0457c984ea07503de3500 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2016-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-2387a3315fa0457c984ea07503de35002025-08-20T03:17:51ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2016-09-01490338438910.4103/0970-0358.197228Siliconomas of the lower limb: Tumour-like excision and reconstructionTommaso Agostini0Raffaella Perello1Department of Plastic and Reconstructive Surgery, Centro Chirurgico San Paolo, Pistoia, ItalyDepartment of Plastic and Reconstructive Surgery, Centro Chirurgico San Paolo, Pistoia, ItalyBackground: Silicone oil injection can cause several complications including pain, cellulitis, abscesses, skin compromise, migration, embolism and multiorgan failure. Oil-infested tissue excision remains the solely treatment to prevent such complications. Objectives: The authors evaluate tumor-like excision of the oil-infested tissue as a treatment for patients experiencing silicone injections in the lower limbs, to both preserve aesthetic appearance and solve further risk of complication from silicone. Methods: Between January 2004 and January 2011 a total of 12 consecutive, nonrandomized female patients underwent surgical management of siliconoma of the lower limb. The mean age was 41-years, range from 22 to 61 years and all patients didn’t referred comorbidities. Eight siliconomas were located on the leg and 4 were on the thigh. The mean area of siliconoma was 35 cm2, range from 25 to 60 cm2. Each patient was evaluated by ultrasonography and EchocolorDoppler of the soft tissue and in order to achieve a “staging” of siliconoma. Results: Healing was uneventful in all cases. Three patients (25%) suffering hypertrophic scarring underwent further injection of corticosteroids to improve hypertrophic scars quality. Two patients (16.6%) required a further session of structural fat grafting to improve thigh’s profile. All patients were satisfied with the cosmetic results and indispositions requiring medical therapy disappeared. Conclusions: Tumor-like excision and immediate reconstruction appears to be a safe and consistent surgical option that preserves aesthetic appearance for patients victims of illegal oil silicone injection of the lower limbs.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197228reconstructionsiliconoma functional outcomesilicone |
| spellingShingle | Tommaso Agostini Raffaella Perello Siliconomas of the lower limb: Tumour-like excision and reconstruction Indian Journal of Plastic Surgery reconstruction siliconoma functional outcome silicone |
| title | Siliconomas of the lower limb: Tumour-like excision and reconstruction |
| title_full | Siliconomas of the lower limb: Tumour-like excision and reconstruction |
| title_fullStr | Siliconomas of the lower limb: Tumour-like excision and reconstruction |
| title_full_unstemmed | Siliconomas of the lower limb: Tumour-like excision and reconstruction |
| title_short | Siliconomas of the lower limb: Tumour-like excision and reconstruction |
| title_sort | siliconomas of the lower limb tumour like excision and reconstruction |
| topic | reconstruction siliconoma functional outcome silicone |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197228 |
| work_keys_str_mv | AT tommasoagostini siliconomasofthelowerlimbtumourlikeexcisionandreconstruction AT raffaellaperello siliconomasofthelowerlimbtumourlikeexcisionandreconstruction |