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Assessment of the cosmetic result was performed after 12 months by questionnaire and clinical examination. Four prostheses were removed within 1 year because of infection (two patients), wound breakdown (one) and pain (one). Seven prostheses were subsequently removed because of severe capsular contraction. Capsular contraction was more common in patients who had received radiotherapy. Only 23 patients found the results of the implant acceptable or satisfactory. The immediate use of intramammary implants after wide local excision is currently associated with a poor cosmetic result, and the problem of the distorted breast after such excision requires continued attention.<\/jats:p>","DOI":"10.1002\/bjs.1800800720","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T18:57:38Z","timestamp":1172948258000},"page":"868-870","source":"Crossref","is-referenced-by-count":18,"title":["Use of silicone implants after wide local excision of the breast"],"prefix":"10.1093","volume":"80","author":[{"given":"P R S","family":"Thomas","sequence":"first","affiliation":[{"name":"Breast Units, St George's Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H T","family":"Ford","sequence":"additional","affiliation":[{"name":"Breast Units, St George's Hospital , London,","place":["UK"]},{"name":"The Royal Marsden Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J C","family":"Gazet","sequence":"additional","affiliation":[{"name":"Breast Units, St George's Hospital , London,","place":["UK"]},{"name":"The Royal Marsden Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,7,1]]},"reference":[{"key":"2024092812560924700_bib1","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1056\/NEJM198903303201302","article-title":"Eight-year results of a randomized clinical trial comparing total mastectomy and lumpectomy with or without irradiation in the treatment of breast cancer","volume":"320","author":"Fisher","year":"1989","journal-title":"N Engl J Med"},{"key":"2024092812560924700_bib2","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/0167-8140(89)90037-6","article-title":"Cosmetic evaluation of breast conserving treatment for mammary cancer. 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