Zusammenfassung
Bei Brustimplantaten unterscheidet man frühe postoperative (Nachblutung, Wundinfektion
und Heilungsstörung) von späteren (Rotation, Hernierung, Kapsulitis, Kapselfibrose)
und sehr späten Komplikationen (Gelbluten, intra- und extrakapsuläre Ruptur). Unabhängig
davon können externe Kräfte in jeder Phase zu einer Ruptur des Implantates führen.
Der MRT kommt beim Nachweis aller Veränderungen und Komplikationen eine besondere
Bedeutung zu.
Abstract
In the diagnostics of breast implants, early postoperative changes were differentiated
from complications that occur later. Postoperative complications apply to secondary
haemorrhage, infection or delayed healing. These changes are typically diagnosed by
clinical and/or ultrasound examination. Later complications can be separated in rotation,
herniation, and inflammation or fibrosis of the capsula (preferred within the first
years after implantation), and gel bleeding, and intra- or extracapsular rupture typically
many years after implantation. Moreover, an implant can be ruptured due to external
force effects associated with an extension of extracapsular silicone (siliconoma,
granuloma). MRI is preferred to demonstrate such changes and complications of breast
implants.
Schlüsselwörter
Brustdiagnostik - Mamma MRT - Brustimplantate - Komplikationen
Key words
breast imaging - MRI of the breast - breast implants - complications
