ABSTRACT
PURPOSE: To evaluate the effect of propranolol on capsular architecture around silicone implants by measuring the inflammation, capsular thickness, and collagen fiber density, using a guinea pig experimental model. METHODS: Thirty six adult male guinea pigs randomly divided into two groups (n=18) were used. Each one received a silicone implant with textured-surface. The capsular tissue around implants from untreated or treated animals with the beta-adrenoceptor antagonist propranolol (10 mg/kg, dissolved in daily water) were analyzed for inflammation by histological scoring, capsular thickness by computerized histometry, and collagen fibers type I and Type III density by picrosirius polarization at different time points (7, 14 or 21 days after silicone implantation). RESULTS: Propranolol treatment reduced inflammation and impaired capsular thickness and delayed collagen maturation around the textured implant. CONCLUSION: Propranolol reduces the risk of developing capsular contracture around silicone implants with textured surface. .
Subject(s)
Animals , Guinea Pigs , Humans , Male , Adrenergic beta-Antagonists/pharmacology , Implant Capsular Contracture/prevention & control , Propranolol/pharmacology , Silicone Gels/adverse effects , Adrenergic beta-Antagonists/therapeutic use , Breast Implants/adverse effects , Collagen Type I/analysis , Collagen Type I/drug effects , Collagen Type III/analysis , Collagen Type III/drug effects , Disease Models, Animal , Implant Capsular Contracture/pathology , Implants, Experimental/adverse effects , Propranolol/therapeutic use , Random Allocation , Reproducibility of Results , Subcutaneous Tissue/drug effects , Subcutaneous Tissue/pathology , Time Factors , Treatment OutcomeABSTRACT
O trabalho teve por objetivo avaliar a resposta tecidual à implantação de discos de poliuretana derivada do óleo de mamona confeccionados de duas formas distintas, na forma pré-moldada fornecida pela indústria e em biomassa moldada no momento da aplicação, de forma a observar se haveria algum tipo de reação local tardia associada à possível continuidade do processo de endurecimento final do biomaterial. Foram utilizados 20 ratos, linhagem Wistar, fêmeas, com peso de 300-350g, nos quais foi inserido o disco pré-moldado no tecido subcutâneo do flanco direito e o de biomassa moldada no flanco esquerdo. Ambos os discos tinham 0,8cm de diâmetro por 0,5cm de espessura. Para o procedimento histológico, cinco ratos foram submetidos à eutanásia aos 3, 7, 15 e 30 dias de pós-cirúrgico. Os implantes e tecidos circundantes foram colhidos, processados e corados pela técnica de hematoxilina-eosina. Foi observada inicialmente uma reação inflamatória moderada, composta especialmente por células polimorfonucleares e macrófagos. Os linfócitos variaram de ausentes a discretos. A reação inflamatória diminui de intensidade à medida que se intensificou a formação de tecido conjuntivo fibroso ao redor dos implantes, porém sem modificação dos números de macrófagos. Sendo assim, conclui-se que ambos os discos de poliuretana induzem uma reação inflamatória similar, que varia de moderada a discreta na dependência do momento de avaliação.
The aim of this study was to histologically evaluate the tissue reaction to implantation of polyurethane disks containing castor oil produced in premolded form, supplied commercially, and biomass molded at the moment of application; since a late tissue reaction may occur during the total hardening process of the biomaterial. Twenty female Wistar rats, about 3 months of age, weighing 300-350g, and polyurethane disks 0.8cm in diameter and 0.5cm in thickness were used. The premolded disk was implanted into the subcutaneous tissue at the right flank and the molded biomass disk at the left flank. Five rats each were submitted to euthanasia at 3, 7, 15 and 30 days after surgery, and the polyurethane disks and surrounding tissue were collected. The specimens were processed for HE staining and examined microscopically. A moderate inflammatory reaction was primarily composed of polymorphonuclear cells and macrophages. The lymphocytes varied from absent to discreet. The intensity of the inflammatory reaction decreased at the same time the formation of fibrous conjunctive tissue increased around the implants. However, the numbers of macrophages remained the same. In conclusion, both polyurethane disks induce the same type of inflammatory reaction that varies from slight to moderate according to evaluation time.