Inflammation après injection de silicone

Je viens de tomber tout à fait par hasard sur un article scientifique que vous pouvez voir ici :  http://www.springerlink.com/content/017537j580037u6w/  .  Je trouve le constat très intéressant. Il rejoind bien tout ce je crainds au sujet du silicone que l'on emploit dans les soins et je me pose des questions quant à mes futures difficultés à venir si dans l'avenir on devait me soigner avec ce genre de médicament. Quand aura-t-on des tests mis au point pour déterminer si une personne ne peut supporter le silicone ?  Et que l'on puisse appliquer ces tests AVANT une intervention ! Dans un cas comme le mien par exemple.

Je copie l'extrait : Received: 4 June 2006  Accepted: 17 November 2006  Published online: 9 January 2007

• Abstract  A rare case of repeated granulomatous inflammation after silicone injection laryngoplasty for vocal fold immobility as well as its treatment by endoscopic approach is reported. The patient presented a right-sided vocal fold immobility after laryngeal trauma and remained dysphonic despite of logopedic voice therapy because of severe glottal insufficiency. An endoscopic transoral intrafold silicone injection was applied to improve the vocal function. Silicone granuloma inflammation was observed 8 days after the vocal fold augmentation. Oral broad-spectrum antibiotics and corticosteroids did not improve the inflammation. A cordotomy was performed to remove the silicone implant. After 3 months, a second endoscopic surgical intervention was necessary to remove a recurrent silicone granuloma. Eight months after the second surgical intervention, the inflammation had disappeared. An autologous fat injection to restore the glottal closure was performed successfully. Type IV contact allergy was excluded with an epicutaneous patch and scratch test with components of the silicone implant. Clinical and treatment observations are reported and the literature on complications of intrafold injected silicone for vocal fold augmentation is reviewed.

• Keywords  Vocal fold paralysis - Dysphonia - Vocal fold augmentation - Silicone granuloma

Auteur de l'article : Dr Laura Baijens  Email: LBA@skno.azm.nl