Ultrasound Guided Treatment of Steroids for Capsular Contracture in Patients With Reconstructed/Augmented Breast

NCT ID: NCT03171974

Last Updated: 2017-10-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-01

Study Completion Date

2019-12-31

Brief Summary

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Ultrasound guided treatment of steroids for capsular contracture in patients with reconstructed/augmented breast

Detailed Description

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The aim of this study is to evaluate ultrasound (US)-guided treatment of capsular contracture (CC) in patients with reconstructed/ augmented breast.

Capsular contraction is the one of the most common complications of both esthetic and reconstructive breast surgery with an incidence of 0.5-30% and 1-38%, respectively. In irradiated patients the incidence is higher, in the range of 30-67%. It appears most commonly in the first year but in some patients, belated capsular contracture has been noticed. The more severe forms of contraction, Baker grades 3 and 4 with a firm often deformed and painful breast, have been shown to recur as often as 67% after capsulotomy

steroid injection has been demonstrated to be effective for the treatment of this condition.

20-30 female with grade III\\IV CC will be included. Patients will be treated with peri-implant US-guided injection of Dexamethasone

The purpose of our study is to use a longer acting steroid (Dexamethasone) injected intra capsular with US-guide. By that getting a better effect on the level of fibrosis.

This Clinical study will be conducted in the tertiary academic Rabin Medical Center.

Several measures will be taken, including: capsular contracture grading by two plastic surgeons, a VAS-score of breast pain, maximal capsular thickness (MCT) in sonography

Conditions

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Capsular Contracture, Implant

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

one treatment group
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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treatment group

The treatment group will be injected with dexamethasone instracapsular under US according to our built protocol.

Group Type EXPERIMENTAL

Dexamethasone

Intervention Type DRUG

dexamethasone will be injected intracapsular under US

US

Intervention Type DEVICE

dexamethasone will be injected intracapsular under US

Interventions

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Dexamethasone

dexamethasone will be injected intracapsular under US

Intervention Type DRUG

US

dexamethasone will be injected intracapsular under US

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

• female patient with grade 3-4 capsular contraction after alloplastic breast reconstruction\\ augmentation

Exclusion Criteria

* intake of steroids, anti-inflammatory, anti-coagulate or immunomodulatory medications on a regular basis
* Patients with skin atrophy of the breast
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Rabin Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Muhamad Mansur

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Muhammad Mansour, MD

Role: PRINCIPAL_INVESTIGATOR

Rabin Medical Center

Locations

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Rabin Medical Center

Petah Tikva, IL, Israel

Site Status

Countries

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Israel

Central Contacts

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Muhammad Mansour, MD

Role: CONTACT

omri dominsky, MD

Role: CONTACT

Other Identifiers

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0213-17-RMC

Identifier Type: -

Identifier Source: org_study_id