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Baker Classification of Capsular Contracture of Breast

MedGen UID:
1704149
•Concept ID:
C5206784
•
Finding
Synonym: Baker Classification

Definition

A classification system that refers to breast capsular contraction proposed by J.L. Baker Jr., et al. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBaker Classification of Capsular Contracture of Breast

Professional guidelines

PubMed

Selection criteria for expander/implant breast reconstruction following radiation therapy.
Parsa AA, Jackowe DJ, Johnson EW, Lye KD, Iwahira Y, Huynh TV, Pedro P, Pang J, Parsa FD
Hawaii Med J 2009 Apr;68(3):66-8. PMID: 19441617

Recent clinical studies

Etiology

Prevalence of risk factors associated with development of capsular contracture after placement of breast implants.
Sánchez-Delgado Y, Mendoza-Ramírez JB, Gómez-Calva B, Kushida-Contreras BH, Ugalde-Vitelly JA, García-García JA, Gómez-Navarro JA
Cir Cir 2023;91(4):561-566. doi: 10.24875/CIRU.22000307. PMID: 37677962
Risk factors for capsular contracture after breast reconstruction with tissue expanders and silicone implants in nonirradiated patients: A retrospective observational cohort study.
Iwahira Y, Nakagami G, Sanada H
Medicine (Baltimore) 2022 Dec 2;101(48):e31837. doi: 10.1097/MD.0000000000031837. PMID: 36482544Free PMC Article
Reduced capsular contracture with smooth and textured breast implants following submuscular mammoplasty: systematic literature review.
Zhu L, Zhu J, Qian Y, Jiang H
Future Oncol 2021 Dec;17(36):5177-5187. Epub 2021 Nov 3 doi: 10.2217/fon-2021-0510. PMID: 34730405
Ultrasound elastography for the detection of capsular fibrosis in breast implants: First results.
Jung E, Hösl V, von Fraunberg S, Jung F, Prantl L
Clin Hemorheol Microcirc 2021;77(3):247-257. doi: 10.3233/CH-200875. PMID: 32924990
Imaging of breast implant and implant-associated complications: Capsular contracture and intra- or extracapsular rupture.
Georgieva M, Kammerer S, Prantl L, Jung F, Stroszczynski C, Jung EM
Clin Hemorheol Microcirc 2020;76(2):221-231. doi: 10.3233/CH-209218. PMID: 32925022

Diagnosis

Development and Validation of a Diagnostic Histopathological Scoring System for Capsular Contracture Based on 720 Breast Implant Capsules.
Larsen A, Timmermann AM, Kring M, Mathisen SB, Bak EEF, Weltz TK, Ørholt M, Vester-Glowinski P, Elberg JJ, Trillingsgaard J, Mielke LV, Hölmich LR, Damsgaard TE, Roslind A, Herly M
Aesthet Surg J 2024 May 15;44(6):NP391-NP401. doi: 10.1093/asj/sjae050. PMID: 38429010
Imaging of breast implant and implant-associated complications: Capsular contracture and intra- or extracapsular rupture.
Georgieva M, Kammerer S, Prantl L, Jung F, Stroszczynski C, Jung EM
Clin Hemorheol Microcirc 2020;76(2):221-231. doi: 10.3233/CH-209218. PMID: 32925022
The Baker Classification for Capsular Contracture in Breast Implant Surgery Is Unreliable as a Diagnostic Tool.
de Bakker E, Rots M, Buncamper ME, Niessen FB, Smit JM, Winters HAH, Özer M, de Vet HCW, Mullender MG
Plast Reconstr Surg 2020 Nov;146(5):956-962. doi: 10.1097/PRS.0000000000007238. PMID: 32852468
Surface Texturization of Breast Implants Impacts Extracellular Matrix and Inflammatory Gene Expression in Asymptomatic Capsules.
Brigaud I, Garabédian C, Bricout N, Pieuchot L, Ponche A, Deltombe R, Delille R, Atlan M, Bigerelle M, Anselme K
Plast Reconstr Surg 2020 Mar;145(3):542e-551e. doi: 10.1097/PRS.0000000000006606. PMID: 32097311
Transaxillary totally subfascial breast augmentation with anatomical breast implants: review of 27 cases.
Aygit AC, Basaran K, Mercan ES
Plast Reconstr Surg 2013 May;131(5):1149-1156. doi: 10.1097/PRS.0b013e3182865d68. PMID: 23629095

Therapy

The Value of Capsule Thickness on Breast Ultrasound as an Indicator of the Severity of Capsular Contracture and Its Correlation with the Baker Classification.
Kim JH, Nam SE, Sung JY, Song KY, Bang BS, Lee EK
Aesthetic Plast Surg 2022 Apr;46(2):621-629. Epub 2021 Aug 30 doi: 10.1007/s00266-021-02544-5. PMID: 34462798
Reduced capsular contracture with smooth and textured breast implants following submuscular mammoplasty: systematic literature review.
Zhu L, Zhu J, Qian Y, Jiang H
Future Oncol 2021 Dec;17(36):5177-5187. Epub 2021 Nov 3 doi: 10.2217/fon-2021-0510. PMID: 34730405
Ultrasound elastography for the detection of capsular fibrosis in breast implants: First results.
Jung E, Hösl V, von Fraunberg S, Jung F, Prantl L
Clin Hemorheol Microcirc 2021;77(3):247-257. doi: 10.3233/CH-200875. PMID: 32924990
Imaging of breast implant and implant-associated complications: Capsular contracture and intra- or extracapsular rupture.
Georgieva M, Kammerer S, Prantl L, Jung F, Stroszczynski C, Jung EM
Clin Hemorheol Microcirc 2020;76(2):221-231. doi: 10.3233/CH-209218. PMID: 32925022
The Baker Classification for Capsular Contracture in Breast Implant Surgery Is Unreliable as a Diagnostic Tool.
de Bakker E, Rots M, Buncamper ME, Niessen FB, Smit JM, Winters HAH, Özer M, de Vet HCW, Mullender MG
Plast Reconstr Surg 2020 Nov;146(5):956-962. doi: 10.1097/PRS.0000000000007238. PMID: 32852468

Prognosis

Reduced capsular contracture with smooth and textured breast implants following submuscular mammoplasty: systematic literature review.
Zhu L, Zhu J, Qian Y, Jiang H
Future Oncol 2021 Dec;17(36):5177-5187. Epub 2021 Nov 3 doi: 10.2217/fon-2021-0510. PMID: 34730405
Surface Texturization of Breast Implants Impacts Extracellular Matrix and Inflammatory Gene Expression in Asymptomatic Capsules.
Brigaud I, Garabédian C, Bricout N, Pieuchot L, Ponche A, Deltombe R, Delille R, Atlan M, Bigerelle M, Anselme K
Plast Reconstr Surg 2020 Mar;145(3):542e-551e. doi: 10.1097/PRS.0000000000006606. PMID: 32097311
Clinical, histological, and ultrasound follow-up of breast reconstruction with one-stage muscle-sparing "wrap" technique: A single-center experience.
Onesti MG, Maruccia M, Di Taranto G, Albano A, Soda G, Ballesio L, Scuderi N
J Plast Reconstr Aesthet Surg 2017 Nov;70(11):1527-1536. Epub 2017 Jun 29 doi: 10.1016/j.bjps.2017.06.023. PMID: 28736191
Transaxillary totally subfascial breast augmentation with anatomical breast implants: review of 27 cases.
Aygit AC, Basaran K, Mercan ES
Plast Reconstr Surg 2013 May;131(5):1149-1156. doi: 10.1097/PRS.0b013e3182865d68. PMID: 23629095
Clinical and morphological conditions in capsular contracture formed around silicone breast implants.
Prantl L, Schreml S, Fichtner-Feigl S, Pöppl N, Eisenmann-Klein M, Schwarze H, Füchtmeier B
Plast Reconstr Surg 2007 Jul;120(1):275-284. doi: 10.1097/01.prs.0000264398.85652.9a. PMID: 17572576

Clinical prediction guides

Risk factors for capsular contracture after breast reconstruction with tissue expanders and silicone implants in nonirradiated patients: A retrospective observational cohort study.
Iwahira Y, Nakagami G, Sanada H
Medicine (Baltimore) 2022 Dec 2;101(48):e31837. doi: 10.1097/MD.0000000000031837. PMID: 36482544Free PMC Article
Reduced capsular contracture with smooth and textured breast implants following submuscular mammoplasty: systematic literature review.
Zhu L, Zhu J, Qian Y, Jiang H
Future Oncol 2021 Dec;17(36):5177-5187. Epub 2021 Nov 3 doi: 10.2217/fon-2021-0510. PMID: 34730405
Ultrasound elastography for the detection of capsular fibrosis in breast implants: First results.
Jung E, Hösl V, von Fraunberg S, Jung F, Prantl L
Clin Hemorheol Microcirc 2021;77(3):247-257. doi: 10.3233/CH-200875. PMID: 32924990
Imaging of breast implant and implant-associated complications: Capsular contracture and intra- or extracapsular rupture.
Georgieva M, Kammerer S, Prantl L, Jung F, Stroszczynski C, Jung EM
Clin Hemorheol Microcirc 2020;76(2):221-231. doi: 10.3233/CH-209218. PMID: 32925022
The Baker Classification for Capsular Contracture in Breast Implant Surgery Is Unreliable as a Diagnostic Tool.
de Bakker E, Rots M, Buncamper ME, Niessen FB, Smit JM, Winters HAH, Özer M, de Vet HCW, Mullender MG
Plast Reconstr Surg 2020 Nov;146(5):956-962. doi: 10.1097/PRS.0000000000007238. PMID: 32852468

Recent systematic reviews

Reduced capsular contracture with smooth and textured breast implants following submuscular mammoplasty: systematic literature review.
Zhu L, Zhu J, Qian Y, Jiang H
Future Oncol 2021 Dec;17(36):5177-5187. Epub 2021 Nov 3 doi: 10.2217/fon-2021-0510. PMID: 34730405

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