Use of the Scar Acceleration Method/Método de Aceleração Cicatricial—MAC®—in the Treatment of Capsular Contracture: Case Report

• 作者: Alexandre Sancho Aline Ronis Sampaio Andres Felipe Mantilla Santamaria Carolina Gonçalves Pinheiro Carolina Macedo Alves Moreira Cristine Brandenburg Esteban Fortuny Felice Picariello Mara Alessandra Porto dos Reis Oliveira Marcus Vinicius de Mello Pinto Michele Paula dos Santos Miriam Viviane Baron Nathália Ken Pereira Iketani
• 来源期刊: 康复医学(英文)
• 学科: 数学
• 关键词: Breast Implants Fibroses Methylene Blue Semiconductor Diode Laser Photodynamic Therapy
• 年，卷（期）: 2020,（4）
• 页码范围: 131-142
• 页数: 12页
• 分类号: O17

摘要

<span style="font-family:Verdana;">Capsular contracture is a frequent complication in the postoperative period of breast implantation. It usually accompanies the appearance of a firm breast that can progress to pain, distortion, and asymmetry of the breasts, requiring surgical revision. The present study is a case report. A 58-year-old woman with a medical diagnosis of capsular contracture of the right breast evidenced by ultrasound. She was referred to the physiotherapy clinic in October 2019 with an initial complaint of pain on palpation, swelling, and stiffness in her right breast. The patient was evaluated and the MAC</span><span style="font-family:Verdana;"><span style="font-family:Verdana;">^{<span style="font-family:Verdana;"><span style="font-family:Verdana;">ò</span></span>}</span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> method was used to treat capsular contracture. For this, 12 sessions of photodynamic therapy were carried out. The treatment included the use of LED by doping: red (300</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s), violet (60</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s) and blue (120</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s), with the use of 1% methylene blue in target areas, three times a week. The patient had the beginning of symptoms’ remission in the fourth visit and total remission in the 12th visit. It was concluded that the use of photodynamic therapy using the MAC</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><sup><span style