%0 Journal Article
%T Complica  es locais ap¨®s a inje  o de silicone l¨ªquido industrial: s¨¦rie de casos Local complications after industrial liquid silicone injection: case series
%A Daniel Francisco Mello
%A Karen Chicol Gon£¿alves
%A Murilo F. Fraga
%A Luis Fernando Perin
%J Revista do Col¨¦gio Brasileiro de Cirurgi£¿es
%D 2013
%I Col¨¦gio Brasileiro de Cirurgi?es
%X OBJETIVO: analisar uma s¨¦rie de casos de pacientes submetidos ¨¤ inje  o de silicone l¨ªquido industrial de maneira clandestina e por pessoas n o habilitadas. M¨¦TODOS: an¨¢lise retrospectiva de prontu¨¢rios de pacientes atendidos no per¨ªodo de setembro de 2003 a dezembro de 2010. Foram avaliados: sexo, idade, local e volume de silicone injetado, tempo decorrido entre a aplica  o e as manifesta  es cl¨ªnicas, complica  es, tratamento e evolu  o. Definiu-se como precoce as manifesta  es ocorridas at¨¦ 30 dias da inje  o e manifesta  es tardias ap¨®s este per¨ªodo. RESULTADOS: Foram atendidos 12 pacientes, oito eram do sexo masculino, sendo sete transexuais. O volume injetado variou de 5ml a 2000ml, sendo desconhecido em tr¨ºs casos. Os locais mais frequentemente utilizados para inje  o foram a regi o de coxas e gl¨²teos. Oito casos apresentaram manifesta  es precoces, com quadros de inflama  o e/ou infec  o. Foi necess¨¢ria a realiza  o de desbridamento cir¨²rgico em cinco casos. Tr¨ºs pacientes com hist¨®rico de inje  o na regi o mam¨¢ria foram submetidas ¨¤ adenomastectomia. Houve um ¨®bito por quadro de choque s¨¦ptico refrat¨¢rio. CONCLUS O: O uso do silicone l¨ªquido industrial deve ser totalmente contraindicado como material de preenchimento e modifica  o do contorno corporal, podendo apresentar graves complica  es e at¨¦ mesmo ¨®bito. OBJECTIVE: To analyze a case series of patients who underwent injection of industrial liquid silicone in a clandestine manner and by unauthorized persons. METHODS: We conducted a retrospective analysis of medical records of patients treated between September 2003 and December 2010. Data regarding gender, age, location and volume of silicone injected, time between application and clinical manifestations, complications, treatment and outcome were collected. Early manifestations were defined as occurring within 30 days of injection and late manifestations, the ones arising after this period. RESULTS: We treated 12 patients, eight were male, seven transsexuals. The volume injected ranged from 5ml to 2000ml, being unknown in three cases. The most often used injected sites were the thighs and buttocks. Eight patients had early manifestations, with inflammation and/or infection. Surgical debridement was necessary in five cases. Three patients with a history of injection in the breast region underwent adenomastectomy. There was one death due to refractory septic shock. CONCLUSION: The use of industrial liquid silicone should be completely contraindicated as a filling material and modification of body contouring, and may have serious complications,
%K ¨®leos de silicone
%K Fasciite
%K Transplante de pele
%K Cicatriza  o
%K Infec  o dos ferimentos
%K Silicone oils
%K Fasciitis
%K Skin transplantation
%K Healing
%K Infection of injuries
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912013000100007