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Journal of Korean Cleft Palate-Craniofacial Association 2004;5(2):137-140.
Clinical Experience of Hyperfibrosis Occurred after Silicone Implant Insertion.
Yong Ah Ryu, Hyung Soo Kim, Ki Ho Lee, Seung Ryul Lee, Nak Heon Kang
Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University, Daejeon, Korea. yongaryu@hanmail.net
Facial depression is not rare conditions caused by soft tissue loss or bone distortion. In such conditions, autogenous bone, cartilage and bioacceptible materials are used for soft tissue augmentation. De Nicola used silicone rubber implant first in 1950. That after, silicone implants are used for bone defect and soft tissue augmentation. We experienced 31-year-old male patient who injured open depressed fracture of right temporal bone. He was operated with autogenous bone graft for bone defect area and silicone implants for soft tissue augmentation. After about 6 years later, mass palpated in right temporal area. There was no inflammatory sign in physical examination and CT finding. So we removed hyperfibrotic tissue totally with previous inserted silicone implants and augmented soft tissue with pored Medpor(R) block. In light microscopic findings, only tissue hyperfibrosis were proved without inflammatory cell, such as giant cell or ephithelioid cell.
Keywords: Silicone implant; Hyperfibrosis
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