{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T02:59:10Z","timestamp":1764212350585,"version":"3.30.1"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Neben operativen Verfahren zur Brust- und Ges\u00e4\u00dfaugmentation\n                    besteht die M\u00f6glichkeit, mittels einer Injektion von Copolyamidfillern eine\n                    Volumenzunahme des gew\u00fcnschten Areals zu erreichen. Dieses Verfahren erfreut\n                    sich insbesondere im asiatischen Raum gro\u00dfer Beliebtheit.<\/jats:p><jats:p>\n          Patientin Eine 39-j\u00e4hrige Patientin hatte eine Ges\u00e4\u00dfaugmentation mit einem\n                    Copolyamidfiller (Aquafilling) erhalten. Mit einer Zeitverz\u00f6gerung von sechs\n                    Jahren zeigten sich multiple Abszedierungen und eine Migration des Fillers, mit\n                    furchsbauartiger Fistelgangbildung bis in die Oberschenkelmuskulatur. Es bestand\n                    die Notwendigkeit einer wiederholten operativen Therapie.<\/jats:p><jats:p>\n          Ergebnisse In dem demonstrierten Fall zeigen sich bei diesem Produkt\n                    vorbekannte Komplikationen wie eine Fillermigration, eine Abszedierung und eine\n                    chronische Infektion. Diese traten erst mit einer deutlichen Zeitverz\u00f6gerung\n                    auf. Eine vollst\u00e4nde Entfernung des Fillers ist nur mit dem umliegenden Gewebe\n                    m\u00f6glich. Eine operative Therapie mittels wiederholten D\u00e9bridements und Gabe\n                    eines intraven\u00f6sen Breitspektrumantibiotikums sind aktueller Therapiestandard.\n                    Die hier vorgestellte SWOP-Technik erscheint demgegen\u00fcber weniger invasiv und\n                    weniger lokalrezidivtr\u00e4chtig.<\/jats:p><jats:p>\n          Schlussfolgerung Die Ges\u00e4\u00df- oder Brustaugmentation mit Copolyamidfillern\n                    ist mit dem erheblichen Risiko einer chronischen Eiterung und Fistelbildung\n                    verbunden, das bis zu einer Entstellung des Patienten f\u00fchren kann.<\/jats:p>","DOI":"10.1055\/a-2288-5002","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T22:54:50Z","timestamp":1719269690000},"page":"463-467","source":"Crossref","is-referenced-by-count":1,"title":["Subcutaneous Washout Procedure (SWOP) zur Behandlung schwerwiegender\n                    Komplikationen einer \u00e4sthetischen Glutealaugmentation durch\n                    Copolyamid-Filler"],"prefix":"10.1055","volume":"56","author":[{"given":"Katharina","family":"Oster","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    St.-Rochus-Hospital, Castrop-Rauxel, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrej","family":"Ring","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    St.-Rochus-Hospital, Castrop-Rauxel, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niklas","family":"Dellmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    St.-Rochus-Hospital, Castrop-Rauxel, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosmaria","family":"Thomas","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    St.-Rochus-Hospital, Castrop-Rauxel, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrij","family":"Zilakov","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    St.-Rochus-Hospital, Castrop-Rauxel, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Witt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    St.-Rochus-Hospital, Castrop-Rauxel, Deutschland"},{"name":"Institut f\u00fcr Ethik, Geschichte und Theorie der Medizin, LMU M\u00fcnchen,\n                    M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1997","DOI":"10.1007\/s00266-020-01889-7","article-title":"Clinical Experience with Treatment of Aquafilling Filler-Associated\n                    Complications: A Retrospective Study of 146 Cases","volume":"44","author":"S Namgoong","year":"2020","journal-title":"Aesthetic Plast Surg"},{"key":"ref2","first-page":"178","article-title":"Distal Hand Migration of Polyacrylamide Gel after Breast Augmentation: A Case\n                    Report and Review of the Literature","volume":"56","author":"P Gierej","year":"2022","journal-title":"Indian J Plast Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"45","DOI":"10.14730\/aaps.2016.22.1.45","article-title":"Letter: Position Statement of Korean Academic Society of Aesthetic and\n                    Reconstructive Breast Surgery: Concerning the Use of Aquafilling\u00ae for\n                    Breast Augmentation","volume":"22","author":"T S Roh","year":"2016","journal-title":"Arch Aesthetic Plast Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"2831","DOI":"10.1016\/j.bjps.2022.06.047","article-title":"Los Deline Copolyamide Filler for Breast and Buttock Augmentation. 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