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      </address>       <address align="left"><a href="http://www.vigotmaloine.fr/"><font color="#FFFFFF" size="1"><u>Commander</u></font></a>       </address>       <p align="center"><span style="font-size:28.0pt; mso-bidi-font-size:10.0pt;mso-bidi-font-family:Arial;text-shadow:none"><font color="#FFFFFF"><img border="0" src="buttonproth2.gif" align="right" width="128" height="27"></font></span>       <hr>       <p align="center"><span style="font-size:28.0pt; mso-bidi-font-size:10.0pt;mso-bidi-font-family:Arial;text-shadow:none"><font color="#FFFFFF">Les       Prothses Mammaires</font></span>       <ol style="color: #FFFFFF">         <li>           <h3>       </o:p><a name="_Toc470364508" href="#qu'est ce"><font color="#00FFFF" size="2"><span style="font-family: Arial; text-shadow: none">Qu'est           ce qu'</span></font><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF" size="2">           une prothse mammaire&nbsp;?</font></span></a></h3>         </li>         <li>           <h3><a name="_Toc470364508" href="#age"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF" size="2"><span style="font-style: normal; font-variant: normal; font-weight: normal; font-family: Times New Roman">&nbsp;</span>A quel ge peut-on poser une prothse mammaire&nbsp;?</font></span></a></h3>         </li>         <li>           <h3><a name="_Toc470364509" href="#taille"><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none">Peut-on choisir la taille des prothses</span><!--[if supportFields]><span style='mso-bookmark:_Toc470364509'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364509'><span style='font-family:Arial;text-shadow: none'> XE &quot;taille des prothses&quot; </span></span><![endif]--><span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364509">&nbsp;?</span><span style="font-family:Arial;text-shadow:none"><o:p>           &nbsp;         </span></font></a></h3>         </li>         <li>           <h3><a name="_Toc470364510" href="#autorise"><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none">Quelles sont<span style="mso-spacerun: yes">&nbsp; </span>les         prothses autorises en France</span><!--[if supportFields]><span style='mso-bookmark:_Toc470364510'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364510'><span style='font-family:Arial;text-shadow: none'> XE &quot;prothses autorises en France&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364510'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364510">&nbsp;?</span><span style="font-family:Arial;text-shadow:none"><o:p>           &nbsp;         </span></font></a></h3>         </li>         <li>           <h3><a name="_Toc470364508" href="#silicone"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF" size="2">La           silicone est elle dangereuse pour la sant&nbsp;?</font></span></a></h3>         </li>         <li>           <h3><a name="_Toc470364517" href="#pose"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF" size="2">Comment est pose une prothse mammaire&nbsp;?</font></span></a></h3>         </li>         <li>           <h3><a name="_Toc470364518" href="#dure"><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none">Quelle est la dure moyenne de lintervention</span><span style="font-family: Arial; text-shadow: none">?</span></font></a></h3>         </li>         <li>           <h3><a name="_Toc470364508" href="#travail"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF" size="2">&nbsp;Au           bout de combien de temps peut on reprendre une activit           professionnelle</font></span><font color="#00FFFF" size="2"><span style="font-family: Arial; text-shadow: none">?</span></font></a><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none"><o:p>           &nbsp;         </span></font></h3>         </li>         <li>           <h3 style="text-align:justify"><a name="_Toc470364528" href="#inconv"><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none">Quels sont les inconvnients</span><!--[if supportFields]><span style='mso-bookmark: _Toc470364528'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364528'><span style='font-family:Arial;text-shadow: none'> XE &quot;inconvnients&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364528'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364528"><span style="mso-spacerun: yes">&nbsp;</span>associs aux prothses mammaires&nbsp;? Quelle est leur frquence&nbsp;?</span><span style="font-family:Arial;text-shadow:none"><o:p>           &nbsp;</span></font></a></h3>         </li>         <li>           <h3 style="text-align:justify"><font color="#00FFFF" size="2"><span style="font-family:Arial"></o:p></span></font><a name="_Toc470364508" href="#cancer"><font color="#00FFFF" size="2"><span style="font-family: Arial; text-shadow: none">Y           a t'il un risque de cancer avec les </span></font><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF" size="2">prothses mammaires&nbsp;?</font></span></a></h3>         </li>         <li>           <h3 style="text-align:justify"><a name="_Toc470364564" href="#prix"><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none">Quel           est le cot moyen</span><!--[if supportFields]><span style='mso-bookmark: _Toc470364564'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364564'><span style='font-family:Arial;text-shadow: none'> XE &quot;cot moyen&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364564'></span><span style='mso-element:field-end'></span><![endif]--><span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364564">de cette intervention&nbsp;?</span><span style="font-family: Arial;text-shadow:none"><o:p>           &nbsp;         </span></font></a></h3>         </li>         <li>           <h3 style="text-align:justify"><a name="_Toc470364566" href="#dure im"><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none">Doit-on remplacer un implant mammaire&nbsp;? Au bout de combien         de temps&nbsp;?<o:p>           </span><span style="font-size:14.0pt; mso-bidi-font-size:10.0pt;font-family:Arial">&nbsp;<o:p>           &nbsp;       </span></font></a></h3>         </li>         <li>           <h3 style="text-align:justify"><a name="_Toc470364567" href="#usure"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF" size="2">Existe-t-il des signes &nbsp;dusure&nbsp; dun implant&nbsp;?<o:p>           &nbsp;</font></span></a></h3>         </li>         <li>           <h3 style="text-align:justify"><a name="_Toc470364575" href="#infos"><font color="#00FFFF" size="2"><span style="font-family:Arial;text-shadow:none">O trouver dautres informations sur les prothses mammaires</span><!--[if supportFields]><span style='mso-bookmark:_Toc470364575'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364575'><span style='font-family:Arial;text-shadow: none'> XE &quot;autres informations sur les prothses mammaires&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364575'></span><span style='mso-element:field-end'></span><![endif]--><span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364575">?</span><span style="font-family:Arial;text-shadow:none"><o:p>         </span><span style="font-family:Arial">&nbsp;<o:p>           &nbsp;       </span></font></a></h3>         </li>       </ol>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial">       </o:p>       </span></p>       <p class="MsoNormal">&nbsp;<o:p>       </o:p>       </p>       <hr>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364503"><span style="font-family:Arial;text-shadow:none">1.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span>Quest ce quune prothse mammaire</span></a><!--[if supportFields]><span style='mso-bookmark:_Toc470364503'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364503'><span style='font-family:Arial;text-shadow: none'> XE &quot;prothse mammaire&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364503'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364503">&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         <a name="qu'est ce"></a></o:p>         </span></h2>       </div>       <p class="Corpsdetexte4" style="margin-top:0cm;margin-right:49.55pt;margin-bottom: 0cm;margin-left:2.0cm;margin-bottom:.0001pt"><font color="#FFFFFF"><span style="font-family:Arial">Un       implant mammaire est compos dune enveloppe en lastomre</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;lastomre&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial"><span style="mso-spacerun: yes">&nbsp;</span>de       silicone (silicone solide) habituellement remplie de srum physiologique</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;srum physiologique&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial"><span style="mso-spacerun: yes">&nbsp;</span>(eau       et sel) ou de gel de silicone</span><!--[if supportFields]><span style='font-family: Arial'><span style='mso-element:field-begin'></span> XE &quot;gel de silicone&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial">. <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-top:0cm;margin-right:49.55pt;margin-bottom: 0cm;margin-left:2.0cm;margin-bottom:.0001pt"><font color="#FFFFFF"><span style="font-family:Arial">La       forme de limplant est gnralement ronde mais dans certains cas on       peut utiliser des implants dits&nbsp;&nbsp;anatomiques</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;anatomique&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial">&nbsp; ayant une forme en goutte       deau. <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-top:0cm;margin-right:49.55pt;margin-bottom: 0cm;margin-left:2.0cm;margin-bottom:.0001pt"><span style="font-family:Arial"><font color="#FFFFFF">Lenveloppe       de limplant peut tre lisse ou rugueuse (texture) diminuant dans ce       cas le risque de formation de coque autour de limplant.<o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" align="center"><span style="font-family:Arial">&nbsp;</span><span style="font-size:8.0pt;mso-bidi-font-size:10.0pt; font-family:Arial">&nbsp;<o:p>       &nbsp;       </span></p>       <table border="1" width="100%">         <tr>           <td width="50%">             <p align="center"><img border="0" src="pro1.jpg" width="321" height="248"></td>           <td width="50%">             <p align="center"><img border="0" src="pro2.jpg" width="279" height="250"></td>         </tr>       </table>       <p class="MsoBodyText" align="right"><span style="font-size:8.0pt;mso-bidi-font-size:10.0pt; font-family:Arial">       </o:p></span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="MsoBodyText" align="right">&nbsp;</p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><a name="_Toc470364508"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF">2.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span></font></span></a><span style="font-family:Arial;text-shadow:none"><a name="age"></a></span><a name="_Toc470364508"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF">A quel ge peut-on poser une prothse mammaire&nbsp;?</font></span></a><span style="font-family:Arial;text-shadow:none"><o:p>         <font color="#FFFFFF">         </o:p>         </font>         </span></h2>       </div>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Il ny a pas       dge limite pour la pose dune prothse mammaire. En chirurgie       plastique on peut implanter une prothse mammaire aprs la pubert,       surtout dans le cas dasymtrie* mammaire importante. <o:p>       </o:p>       <o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Chez la jeune       fille, lvolution hormonale et la prise ventuelle dun       contraceptif sont des facteurs qui peuvent modifier la taille de la       poitrine. Il est prfrable dattendre la fin de la pubert afin       dapprcier le volume des seins.<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;Aprs       cancer la reconstruction du sein par prothse reste le moyen le plus       simple et le plus rapide de reconstruction, dans la majorit des cas. Il       ny  pas de limite dage, seul ltat gnral de la patiente       autorisant une anesthsie gnrale est le facteur limitant.<o:p>       </font>       </o:p>       </span></p>       <p align="right">       <span style="font-size:14.0pt;mso-bidi-font-size:10.0pt;font-family:&quot;Arial Rounded MT Bold&quot;; mso-fareast-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;; mso-ansi-language:FR;mso-fareast-language:FR;mso-bidi-language:AR-SA; layout-grid-mode:line"><br clear="all" style="mso-special-character:line-break; page-break-before:always">       </span>       <a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a>       <p class="Corpsdetexte4"><span style="font-family:Arial">&nbsp;<font color="#00FFFF"><o:p>       </o:p>       </font></span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364509"><span style="font-family:Arial;text-shadow:none">3.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span>Peut-on choisir la taille des prothses</span></a><!--[if supportFields]><span style='mso-bookmark:_Toc470364509'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364509'><span style='font-family:Arial;text-shadow: none'> XE &quot;taille des prothses&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364509'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364509">&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         <a name="taille"></a></o:p>         </span></h2>       </div>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">En <b style="mso-bidi-font-weight: normal">chirurgie esthtique</b> il faut discuter avec son chirurgien de la       taille de la poitrine dsire. Ce dernier saura vous conseiller un       volume dimplant adapt  votre morphologie. <o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Parfois certaines       patientes saident dune photo de magazine pour prciser le volume       mammaire dsir.&nbsp;<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><font color="#FFFFFF"><span style="font-family:Arial">En <b style="mso-bidi-font-weight: normal">reconstruction mammaire</b>, le chirurgien adaptera le volume de la       prothse  celui du sein restant. Dans certains cas un geste de       remodelage du sein restant est possible, dans le mme temps, pour       harmoniser la poitrine. Cela est appel une plastie de symtrisation</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;plastie de symtrisation&quot; </span><![endif]-->.</font></p>       <p class="MsoNormal" align="right"><span style="font-size:18.0pt; mso-bidi-font-size:10.0pt;font-family:Arial">&nbsp;<o:p>       </span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="MsoNormal" style="text-align:justify"><span style="font-size:18.0pt; mso-bidi-font-size:10.0pt;font-family:Arial">       </o:p>       </span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364510"><span style="font-family:Arial;text-shadow:none">4.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span></span></a></font><span style="font-family:Arial;text-shadow:none"><a name="autorise"></a></span><font color="#00FFFF"><a name="_Toc470364510"><span style="font-family:Arial;text-shadow:none">Quelles sont<span style="mso-spacerun: yes">&nbsp; </span>les         prothses autorises en France</span></a><!--[if supportFields]><span style='mso-bookmark:_Toc470364510'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364510'><span style='font-family:Arial;text-shadow: none'> XE &quot;prothses autorises en France&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364510'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364510">&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         </o:p>         </span></h2>       </div>       <p class="Corpsdetexte4"><span style="font-family:Arial">&nbsp;<o:p>       <font color="#FFFFFF">       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Actuellement, en       France, seuls les <b style="mso-bidi-font-weight:normal">implants remplis       de srum physiologique</b> sont autoriss depuis larrt de 1996.       Lutilisation des autres types dimplants a t interdite dans       lattente de plus amples informations scientifiques sur leur innocuit.<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><font color="#FFFFFF"><span style="font-family:Arial">Depuis le 14 juin       1998 le marquage CE</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;marquage CE&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial"><span style="mso-spacerun: yes">&nbsp;</span>est       obligatoire pour tout dispositif mdical. Tout produit obtenant son       marquage CE dans un des pays de l'Union Europenne peut tre       commercialis dans toute l'Europe ds cette obtention. <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Une clause, dite       de &nbsp;sauvegarde&nbsp; permet actuellement  la France de limiter       le type dimplants utilisables sur son territoire.<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Dans certains       cas, essentiellement en reconstruction du sein, une drogation peut tre       obtenue pour la pose dimplants en gel de silicone. <o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Il semble,        l'heure actuelle, quasiment impossible d'obtenir une drogation pour une       premire implantation <b style="mso-bidi-font-weight:normal">esthtique</b>,       celle-ci peut toutefois tre obtenue en cas d'insuffisance de rsultat       sur prothse gonflable au srum ou en cas de ncessit de changement       de prothse dj implante et pr-remplie de silicone<i style="mso-bidi-font-style:normal">.</i><o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4" align="right"><span style="font-family:Arial">&nbsp;</span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="Corpsdetexte4" align="right">&nbsp;</p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364511"><span style="font-family:Arial;text-shadow:none">5.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;</span></span></a><span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364513">La         silicone est-elle dangereuse pour la sant&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         <a name="silicone"></a></o:p>         </span></h2>       </div>       <p class="Corpsdetexte4"><font color="#FFFFFF"><span style="font-family:Arial">&nbsp;La&nbsp;silicone</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;silicone&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]--><span style="font-family:Arial">&nbsp;(et non pas <u>le</u> silicone) est       utilise depuis 1950 comme matriau implantable. Elle est considre       comme le biomatriau le mieux tolr car non allergisante et inerte. <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;Les molcules       de silicone sont introduites dans le corps humain ds la naissance. On       estime  environ 6 g la quantit de silicone prsente dans l'organisme       d'un adulte<i style="mso-bidi-font-style:normal">.<o:p>       </o:p>       </i></font></span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Les silicones       sont utilises comme lubrifiants d'aiguilles, de seringues et       d'instruments de chirurgie mais aussi comme anti-mousse dans les colles,       comme anti-adhsifs dans certains pansements, mais surtout en cosmtologie       dans certains fards. On les retrouve aussi bien dans les ttines pour bbs,       que dans les crmes solaires, les rouges  lvres, les dodorants et       de nombreux mdicaments. <o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><font color="#FFFFFF"><span style="font-family:Arial">&nbsp;La silicone       a t incrimine comme pouvant dclencher des maladies auto-immunes</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;maladies auto-immunes&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       </font>       <span style="font-family:Arial"><font color="#FFFFFF"><span style="mso-spacerun: yes">&nbsp;</span>chez       certaines personnes. En raison du nombre considrable de femmes ayant des       prothses mammaires (estim  plus de 10 Millions), il est normal       d'observer chez ces femmes des associations de pathologies.<o:p>       </font>       </o:p>       </span></p>       <p class="Corpsdetexte4" align="center"><span style="font-family:Arial">&nbsp;<font color="#FFFF00"><o:p>       </o:p>       </font></span></p>       <div style="border:solid blue 1.5pt;padding:1.0pt 4.0pt 1.0pt 4.0pt">         <p class="Corpsdetexte4" style="border:none;mso-border-alt:solid blue 1.5pt; padding:0cm;mso-padding-alt:1.0pt 4.0pt 1.0pt 4.0pt" align="center"><span style="font-family: Arial"><font color="#FFFF00">Aujourdhui, il n'existe aucune preuve tangible         scientifiquement reconnue d'augmentation du risque de maladie         auto-immune sur prothse pr-remplie de gel de silicone </font><i style="mso-bidi-font-style:normal"><font color="#FFFF00">.</font><o:p>         </o:p>         </i></span></p>       </div>       <p class="Corpsdetexte4" align="right"><i style="mso-bidi-font-style:normal"><span style="font-family:Arial">&nbsp;</span></i><span style="font-family:Arial">&nbsp;<o:p>       </span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="Corpsdetexte4" align="right">&nbsp;</p>       <p class="Corpsdetexte4" align="right"><span style="font-family:Arial"></o:p>       </span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><a name="_Toc470364517"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF">6.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span>Comment est pose une prothse mammaire&nbsp;?</font></span></a><span style="font-family:Arial; text-shadow:none"><o:p>         <a name="pose"></a></o:p>         </span></h2>       </div>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial">&nbsp;<o:p></o:p><font color="#FFFFFF">Un implant       mammaire s'insre soit sous la <b style="mso-bidi-font-weight:normal">glande       </b>(position rtro-glandulaire</font></span><font color="#FFFFFF"><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;rtro-glandulaire&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial">), soit sous le <b style="mso-bidi-font-weight:normal">muscle</b>       Grand pectoral (position rtro-pectorale</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;rtro-pectoral&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial">) <i style="mso-bidi-font-style:normal">(figure       1</i>). <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Cette deuxime       technique permet, entre autres, de sentir moins la prothse au toucher,       surtout lorsquil y a peu de tissu glandulaire (chez les femmes avec un       faible volume de seins) ou aprs une mastectomie. <o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><font color="#FFFFFF"><span style="font-family:Arial">En <b style="mso-bidi-font-weight: normal">chirurgie esthtique</b> lincision utilise pour insrer l'implant       s'effectue classiquement au niveau de l'arole</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;l'arole&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial">, soit dans le creux axillaire (aisselle)</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;creux axillaire&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial">, soit dans le sillon sous le sein <i style="mso-bidi-font-style:normal">(figure       2).</i> Le chirurgien doit expliquer  sa patiente, de manire prcise,       la technique et la mthode la plus adapte  son cas.<o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       </font>       </span><span style="font-family:Arial">       </o:p>       </span></p>       <p class="Corpsdetexte4" align="center"><font color="#FFFFFF"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span style="font-family:Arial">Figure       1</span></i></b><span style="font-family:Arial">&nbsp;<o:p>       </o:p>       </span></font></p>       <p class="MsoBodyText" align="center"><span style="font-family:Arial"><font color="#FFFFFF"><!--[if gte vml 1]><v:shapetype  id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t"  path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f">  <v:stroke joinstyle="miter"/>  <v:formulas>   <v:f eqn="if lineDrawn pixelLineWidth 0"/>   <v:f eqn="sum @0 1 0"/>   <v:f eqn="sum 0 0 @1"/>   <v:f eqn="prod @2 1 2"/>   <v:f eqn="prod @3 21600 pixelWidth"/>   <v:f eqn="prod @3 21600 pixelHeight"/>   <v:f eqn="sum @0 0 1"/>   <v:f eqn="prod @6 1 2"/>   <v:f eqn="prod @7 21600 pixelWidth"/>   <v:f eqn="sum @8 21600 0"/>   <v:f eqn="prod @7 21600 pixelHeight"/>   <v:f eqn="sum @10 21600 0"/>  </v:formulas>  <v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"/>  <o:lock v:ext="edit" aspectratio="t"/> </v:shapetype><v:shape id="_x0000_i1025" type="#_x0000_t75" style='width:340.2pt;  height:158.4pt' fillcolor="window">  <v:imagedata src="file:///C:/WINDOWS/TEMP/msoclip1/01/clip_image001.jpg"   o:title="dessin esthe" cropleft="1027f" cropright="1026f"/> </v:shape><![endif]-->       <o:p>       <img border="0" src="../PROTHESES_fichiers/image001.jpg" width="444" height="202"></o:p>       </font>       </span></p>       <p class="Corpsdetexte4" align="center" style="text-align:center"><span style="font-family:Arial"><font color="#FFFFFF">Position       de limplant en chirurgie esthtique&nbsp;:<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4" align="center" style="text-align:center"><span style="font-family:Arial"><font color="#FFFFFF">rtro-glandulaire       ou rtro-pectorale<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       &nbsp;       </font>       </span></p>       <p class="Corpsdetexte4">&nbsp;</p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span style="font-family:Arial"><font color="#FFFFFF">Figure       2<o:p>       &nbsp;       </font>       </span></i></b></p>       <p class="Corpsdetexte4" align="center" style="text-align:center"><img border="0" src="../images/incisionproth.jpg" width="407" height="306"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span style="font-family:Arial"><font color="#FFFFFF"></o:p>       </font>       </span></i></b></p>       <p class="MsoBodyText" align="center"><span style="font-family:Arial"><font color="#FFFFFF"><!--[if gte vml 1]><v:shape  id="_x0000_i1026" type="#_x0000_t75" style='width:321.6pt;height:240pt'  o:bordertopcolor="red" o:borderleftcolor="red" o:borderbottomcolor="red"  o:borderrightcolor="red" fillcolor="window">  <v:imagedata src="file:///C:/WINDOWS/TEMP/msoclip1/01/clip_image003.jpg"   o:title="incisions couleur"/>  <w:bordertop type="single" width="4"/>  <w:borderleft type="single" width="4"/>  <w:borderbottom type="single" width="4"/>  <w:borderright type="single" width="4"/> </v:shape><![endif]-->       <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBlockText" align="center"><span style="font-family:Arial"><font color="#FFFFFF">Voies dabord       pour la mise en place de limplant en chirurgie esthtique<i style="mso-bidi-font-style: normal"><o:p>       </o:p>       </i></font></span></p>       <span style="font-family:Arial"><font color="#FFFFFF">       </o:p>       </font>       </span>       <p align="right">       <span style="font-size:14.0pt;mso-bidi-font-size:10.0pt;font-family:&quot;Arial Rounded MT Bold&quot;; mso-fareast-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;; mso-ansi-language:FR;mso-fareast-language:FR;mso-bidi-language:AR-SA; layout-grid-mode:line"><br clear="all" style="mso-special-character:line-break; page-break-before:always">       </span>       <a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a>       <p class="Corpsdetexte4"><span style="font-family:Arial">&nbsp;<font color="#00FFFF"><o:p>       &nbsp;       </font></span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#00FFFF">       </o:p>       </font></span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364518"><span style="font-family:Arial;text-shadow:none">7.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span>Quelle est la dure moyenne de lintervention</span></a><!--[if supportFields]><span style='mso-bookmark:_Toc470364518'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364518'><span style='font-family:Arial;text-shadow: none'> XE &quot;dure de lintervention&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364518'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364518">&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         <a name="dure"></a></o:p>         </span></h2>       </div>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;En       chirurgie esthtique, dans la majorit des cas, il sagit dune       intervention courte denviron 1 heure  1 heure 30.&nbsp;<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><font color="#FFFFFF"><span style="font-family:Arial">En reconstruction       du sein aprs cancer, lintervention peut tre plus longue (2 heures)       surtout si un apport cutan est ncessaire (lambeau de Grand dorsal).</span></font><span style="font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:Arial"><font color="#FFFFFF"><o:p>       </font>       </o:p>       </span></p>       <p class="MsoNormal" align="right"><span style="font-size:18.0pt; mso-bidi-font-size:10.0pt;font-family:Arial">&nbsp;<o:p></span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="MsoNormal" align="right"><span style="font-size:18.0pt; mso-bidi-font-size:10.0pt;font-family:Arial"></o:p>       </span></p>       <p class="MsoNormal" align="right">&nbsp;</p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><span style="font-family: Arial;text-shadow:none">8.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span></span><span style="mso-spacerun: yes">&nbsp;</span></font><span style="font-family:Arial;text-shadow:none"><a name="travail"></a></span><font color="#00FFFF"><span style="font-family:Arial;text-shadow:none"><a name="_Toc470364520">Au bout de combien de temps peut on         reprendre une activit professionnelle</a></span><!--[if supportFields]><span style='mso-bookmark:_Toc470364520'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364520'><span style='font-family:Arial;text-shadow:none'> XE &quot;activit professionnelle&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364520'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364520">&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         </o:p>         </span></h2>       </div>       <p class="Corpsdetexte4"><span style="font-family:Arial">&nbsp;<o:p>       <font color="#FFFFFF">       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Il faut compter       environ 24  48 heures dhospitalisation et 8  10 jours darrt de       travail avec une limitation dans la vie quotidienne (port de charge       lourde, conduite automobile, pratique de sports). <o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       &nbsp;</font>       </span></p>       <p class="Corpsdetexte4" align="right"><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a><span style="font-family:Arial"></o:p>       </span></p>       <p class="MsoNormal" style="text-align:justify"><span style="font-family:Arial">&nbsp;<o:p>       </o:p>       </span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364528"><span style="font-family:Arial;text-shadow:none">9.</span></a></font><span style="font-family:Arial;text-shadow:none"><a name="inconv"></a></span><font color="#00FFFF"><a name="_Toc470364528"><span style="font-family:Arial;text-shadow:none"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;         </span>Quels sont les inconvnients</span></a><!--[if supportFields]><span style='mso-bookmark: _Toc470364528'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364528'><span style='font-family:Arial;text-shadow: none'> XE &quot;inconvnients&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364528'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364528"><span style="mso-spacerun: yes">&nbsp;</span>associs aux prothses mammaires&nbsp;? Quelle est leur frquence&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         </o:p>         </span></h2>       </div>       <p class="Corpsdetexte4"><span style="font-family:Arial">&nbsp;<o:p>       <font color="#FFFFFF">       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Comme pour tous       les matriaux trangers au corps humain, il existe un risque       dapparition dinconvnients ou de complications avec les implants       mammaires.<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><span style="font-family:Arial"><font color="#FFFFFF">Dans la littrature       mdicale lon retrouve surtout les risques suivants:<o:p>       </o:p>       </font>       </span></p>       <p class="Corpsdetexte4"><font color="#FFFFFF"><span style="font-family:Arial">&nbsp;</span><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Modification de la       sensibilit du sein et/ou de larole, <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l8 level1 lfo6;tab-stops:list 18.0pt"><font color="#FFFFFF"><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Interfrence avec la       mammographie, <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l9 level1 lfo8;tab-stops:list 18.0pt"><font color="#FFFFFF"><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Dplacement de limplant,       <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l5 level1 lfo10;tab-stops:list 18.0pt"><font color="#FFFFFF"><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Formation dune coque       contractile, <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l0 level1 lfo12;tab-stops:list 18.0pt"><font color="#FFFFFF"><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Formation de plis ou       daspect de vagues, <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l6 level1 lfo14;tab-stops:list 18.0pt"><font color="#FFFFFF"><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Rupture pour les implants pr-remplis       de gel de silicone,<o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l7 level1 lfo16;tab-stops:list 18.0pt"><font color="#FFFFFF"><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Dgonflement pour les       implants gonflables au srum physiologique, <o:p>       </o:p>       </span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l1 level1 lfo18;tab-stops:list 18.0pt"><font color="#FFFFFF"><span style="font-family:Symbol;mso-bidi-font-family:Arial"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;       </span></span><span style="font-family:Arial">Calcifications.</span></font></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l1 level1 lfo18;tab-stops:list 18.0pt" align="right"><span style="font-family:Arial"><o:p>       </span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="Corpsdetexte4" style="margin-left:18.0pt;text-indent:-18.0pt; mso-list:l1 level1 lfo18;tab-stops:list 18.0pt" align="right"><span style="font-family:Arial"></o:p>       </span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364541"><span style="font-family:Arial;text-shadow:none">10.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;</span></span></a></font><span style="font-family:Arial;text-shadow:none"><a name="cancer"></a></span><font color="#00FFFF"><a name="_Toc470364541"><span style="font-family:Arial;text-shadow:none"><span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;         </span>Y a-t-il un risque de cancer</span></a><!--[if supportFields]><span style='mso-bookmark:_Toc470364541'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364541'><span style='font-family:Arial;text-shadow: none'> XE &quot;cancer&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364541'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364541">avec les prothses mammaires&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         </o:p>         </span></h2>       </div>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Non,       la question a fait lobjet de nombreuses recherches. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Il       est reconnu et prouv quil ny a pas de risque de dclencher un       cancer du sein par la prsence dun implant mammaire. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Il       n'a jamais t observ d'augmentation de l'incidence du cancer du sein       chez les femmes implantes.<o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">La       silicone est employe depuis plus de 30 ans et tudie par des       chirurgiens, des biologistes, des cancrologues et des fabricants       dimplants et tous reconnaissent labsence de risque de cancer induit       par la silicone<i style="mso-bidi-font-style:normal">.<o:p>       </o:p>       </i></font></span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Les       mmes implants sont utiliss pour la reconstruction du sein aprs       cancer et certaines tudes ont montr quil ny avait pas de diffrence       de survie chez les patientes reconstruites.<o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">En       revanche la prsence dun implant ncessite un suivi rgulier avec       mammographie, surtout aprs une dizaine dannes. Cet examen       mammographique ncessite un radiologue entran et des techniques       appropries<i style="mso-bidi-font-style: normal">.<o:p>       </o:p>       </i></font></span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">entre       2  15%, en fonction de la dure de suivi des implants, ce qui est bien       suprieur au pourcentage de rupture des silicones.<o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Il       semble, dautre part, que ce risque augmente avec le temps. Lusure       normale de limplant favorise la survenue dun dgonflement. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Le       temps est un facteur qui augmente lusure normale dun implant et       favorise son dgonflement ainsi aprs 10 ans plus de 25% des implants       gonflables prsentent un risque de dgonflement. <o:p>       </font>       </o:p>       </span></p>       <p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt; mso-bidi-font-size:10.0pt;font-family:Arial">&nbsp;<o:p>       </o:p>       </span></p>       <p class="MsoBodyText" align="right"><span style="font-family:Arial"><font color="#00FFFF">&nbsp;<o:p>       </font></span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a><span style="font-family:Arial"><font color="#00FFFF"></o:p>       </font></span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><font color="#00FFFF"><a name="_Toc470364564"><span style="font-family:Arial;text-shadow:none">11.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;         </span>Quel est le cot moyen</span></a><!--[if supportFields]><span style='mso-bookmark: _Toc470364564'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364564'><span style='font-family:Arial;text-shadow: none'> XE &quot;cot moyen&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364564'></span><span style='mso-element:field-end'></span><![endif]--><span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364564"><span style="mso-spacerun: yes">&nbsp;</span>de cette intervention&nbsp;?</span></font><span style="font-family: Arial;text-shadow:none"><o:p>         <a name="prix"></a><font color="#FFFFFF"></o:p>         </font>         </span></h2>       </div>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Il       varie entre 3000 et 4500 </font></span><font color="#FFFFFF" size="2" face="Arial">       (de </font><span style="font-family:Arial"><font color="#FFFFFF"> 20.000        30.000 Fr </font></span><font color="#FFFFFF" size="2" face="Arial">)</font><span style="font-family:Arial"><font color="#FFFFFF">       en fonction de divers lments&nbsp;:<o:p>       </o:p>       </font>       </span></p>       <ul>         <li>           <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">le       type dimplants utiliss (les implants dits anatomiques sont plus       chers),<o:p>       </o:p>       </font>       </span></li>         <li>           <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">le       lieu de lintervention&nbsp;: clinique ou hpital,<o:p>       </o:p>       </font>       </span></li>         <li>           <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">la       dure dhospitalisation,<o:p>       </o:p>       </font>       </span></li>         <li>           <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">les       honoraires du chirurgien et de lanesthsiste.<o:p>       </o:p>       </font>       </span></li>       </ul>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;En       cas de reconstruction aprs cancer, la prise en charge par lassurance       maladie est automatique. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;En       chirurgie esthtique, cette intervention est totalement  la charge de       la patiente.<o:p>       </o:p>       </font>       </span></p>       <p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt; mso-bidi-font-size:10.0pt;font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       </font>       </o:p>       </span></p>       <p class="MsoNormal" align="right"><span style="font-size:14.0pt; mso-bidi-font-size:10.0pt;font-family:Arial">&nbsp;<o:p>       </span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="MsoNormal" align="right"><span style="font-size:14.0pt; mso-bidi-font-size:10.0pt;font-family:Arial"></o:p>       </span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><a name="_Toc470364566"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF">12.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;         </span></font></span></a><span style="font-family:Arial;text-shadow:none"><a name="dure im"></a></span><a name="_Toc470364566"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF">Doit-on remplacer un implant mammaire&nbsp;? Au bout de combien         de temps&nbsp;?</font></span></a><span style="font-family:Arial;text-shadow:none"><o:p>         </o:p>         </span></h2>       </div>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Certaines       patientes ont des implants qui ne posent aucun problme depuis plus de 20       ans. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Nanmoins,       un implant mammaire nest jamais pos  titre dfinitif. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Comme       tout biomatriau lusure normale et les inconvnients inhrents  sa       prsence dtermine sa dure de vie. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><font color="#FFFFFF"><span style="font-family:Arial">Dans       notre tude, nous avons calcul la mdiane de vie</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;mdiane de vie&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial"><span style="mso-spacerun: yes">&nbsp;</span>dun       implant mammaire sur une srie de 949 implants et un suivi maximal de 14       ans.<o:p>       </o:p>       </span></font></p>       <p class="MsoBodyText" style="text-align:justify"><font color="#FFFFFF"><span style="font-family:Arial">La       dure de vie</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;dure de vie&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial"><span style="mso-spacerun: yes">&nbsp;</span>dun       implant en gel de silicone est suprieure  celle dun implant       gonflable au srum physiologique et ceci  cause de la plus grande frquence       de dgonflement de ces derniers.<o:p>       </o:p>       </span></font></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Toutefois       le pourcentage rel de rupture des implants en gel de silicone peut tre       sous-valu par le nombre inconnu de rupture asymptomatique. <o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       </font>       </o:p>       </span></p>       <p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt; mso-bidi-font-size:10.0pt;font-family:Arial"><font color="#FFFF00">On estime que       la dure de vie dune prothse mammaire est       au total, de <b style="mso-bidi-font-weight:normal">127 mois (plus de 10       ans)</b> avec une incidence annuelle de perte de 7%. </font><o:p>       </o:p>       </span></p>       <p class="MsoNormal" style="margin-left: 35.4pt" align="right"><span style="font-size:14.0pt;mso-bidi-font-size:10.0pt;font-family:Arial;color:red">&nbsp;<o:p>       </span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="MsoNormal" style="margin-left: 35.4pt" align="right"><span style="font-size:14.0pt;mso-bidi-font-size:10.0pt;font-family:Arial;color:red"></o:p>       </span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><a name="_Toc470364567"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF">13.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></font></span></a><span style="font-family:Arial;text-shadow:none"><a name="usure"></a>         </span><a name="_Toc470364567"><span style="font-family:Arial;text-shadow:none"><font color="#00FFFF">Existe-t-il des signes &nbsp;dusure&nbsp; dun implant&nbsp;?</font></span></a><span style="font-family:Arial;text-shadow:none"><o:p>         <font color="#FFFFFF">         </o:p>         </font>         </span></h2>       </div>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">Pour       un implant pr-rempli en gel de silicone, sur le plan clinique, la dcouverte       dune hernie de la prothse peut tre suspecte de rupture. De la mme       manire, la mammographie numrise peut diagnostiquer une rupture       intra-capsulaire.<o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" style="text-align:justify"><font color="#FFFFFF"><span style="font-family:Arial">Pour       une prothse gonflable, le problme essentiel est le dgonflement, dont       le risque augmente avec lanciennet de limplant. Le dgonflement</span><!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-begin'></span> XE &quot;dgonflement&quot; </span><![endif]-->       <!--[if supportFields]><span style='font-family:Arial'><span style='mso-element:field-end'></span></span><![endif]-->       <span style="font-family:Arial"><span style="mso-spacerun: yes">&nbsp;</span>tant       un vnement apparaissant rapidement et brutalement, il ny a pas de       signe prcurseur.<o:p>       </o:p>       </span></font></p>       <p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt; mso-bidi-font-size:10.0pt;font-family:Arial"><font color="#FFFFFF">&nbsp;<o:p>       </o:p>       </font>       </span></p>       <p class="MsoBodyText" align="right"><span style="font-family:Arial">&nbsp;<o:p>       </span><a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a></p>       <p class="MsoBodyText" align="right"><span style="font-family:Arial"></o:p>       </span></p>       <div style="border:none;border-bottom:solid blue 1.5pt;padding:0cm 0cm 1.0pt 0cm">         <h2 style="text-align:justify"><span style="font-family:Arial;text-shadow:none"><a name="infos"></a></span><font color="#00FFFF"><a name="_Toc470364575"><span style="font-family:Arial;text-shadow:none">14.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;         </span>O trouver dautres informations sur les prothses mammaires</span></a><!--[if supportFields]><span style='mso-bookmark:_Toc470364575'></span><span style='mso-element:field-begin'></span><span style='mso-bookmark:_Toc470364575'><span style='font-family:Arial;text-shadow: none'> XE &quot;autres informations sur les prothses mammaires&quot; </span></span><![endif]-->         <!--[if supportFields]><span style='mso-bookmark:_Toc470364575'></span><span style='mso-element:field-end'></span><![endif]-->         <span style="font-family: Arial; text-shadow: none; mso-bookmark: _Toc470364575">&nbsp;?</span></font><span style="font-family:Arial;text-shadow:none"><o:p>         <font color="#FFFFFF">         </o:p>         </font>         </span></h2>       </div>       <p class="MsoBodyText" style="text-align:justify"><span style="font-family:Arial"><font color="#FFFFFF">La       littrature mdicale regorge darticles sur ce sujet depuis une       dizaine danne. Toutefois on peut conseiller la consultation de sites       Internet ddis aux implants mammaires et aux multiples interrogations       quils apportent.<o:p>       </o:p>       </font>       </span></p>       <ul>         <li>           <p class="MsoBodyText" style="text-align:justify"><span style="font-family: Arial"><font color="#FFFFFF"><font size="3">&nbsp;</font><font size="2"><o:p><span lang="EN-GB" style="font-family:Arial;mso-ansi-language:EN-GB">American       Society of Plastic and Reconstructive Surgeons&nbsp;:&nbsp;</span></font></font></span></li>       </ul>       <p class="MsoBodyText" align="center"><a href="http://www.plasticsurgery.org"><span lang="EN-GB" style="font-family:Arial;mso-ansi-language:EN-GB"><font size="3" color="#00FFFF">www.plasticsurgery.org</font></span></a></p>       <ul>         <li>           <p class="MsoBodyText" style="text-align:justify"><span lang="EN-GB" style="font-family:Arial;mso-ansi-language:EN-GB"><font size="2" color="#FFFFFF">National       Alliance of Breast Cancer Organizations (NABCO)&nbsp;: <o:p></font></span></li>       </ul>       <p class="MsoBodyText" align="center"><span style="font-family: Arial; mso-ansi-language: EN-GB; mso-bidi-font-size: 10.0pt"><a href="http://www.nabco.org/"><span style="mso-bidi-font-size: 10.0pt; font-family: Arial; mso-ansi-language: EN-GB"><font size="3" color="#00FFFF">www.nabco.org</font></span></a><font size="3" color="#00FFFF"><span style="mso-bidi-font-size: 10.0pt; font-family: Arial; mso-ansi-language: EN-GB" lang="EN-GB"><o:p>       </o:p>       </span></font></span></p>       <ul>         <li>           <p class="MsoNormal" align="left"><span style="font-family: Arial"><font size="2" color="#FFFFFF"><span lang="EN-GB">&nbsp;</span><span lang="EN-GB" style="mso-bidi-font-size: 10.0pt; font-family: Arial; mso-ansi-language: EN-GB">Y-ME National Organization for       Breast Cancer Info and Support&nbsp;:</span></font></span></li>       </ul>       <p class="MsoNormal" align="center"><span style="font-family: Arial" lang="EN-GB"><font size="3" color="#00FFFF">&nbsp;</font><a href="http://www.y-me.org"><span style="mso-bidi-font-size: 10.0pt; font-family: Arial; mso-ansi-language: EN-GB"><font size="3" color="#00FFFF">www.y-me.org</font></span></a></span></p>       <ul>         <li>           <p class="MsoNormal" align="left"><span style="font-family: Arial"><font size="2" color="#FFFFFF"><span lang="EN-GB">&nbsp;</span><span lang="EN-GB" style="mso-bidi-font-size: 10.0pt; font-family: Arial; mso-ansi-language: EN-GB">Thse           sur les complications des prothses mammaires (tude du centre           Rn-Huguenin)&nbsp;:</span></font></span></li>       </ul>       <p class="MsoNormal" align="center"><span style="mso-bidi-font-size: 10.0pt; font-family: Arial; mso-ansi-language: EN-GB" lang="EN-GB"><a href="http://laurent.benadiba.free.fr/"><font size="2" color="#00FFFF">Cliquez       ici</font></a></span></p>       <p class="MsoNormal" align="center">&nbsp;</p>       <p class="MsoBodyText" align="center"><span style="font-family:Arial"><font color="#FFFF99">Si       certaines de vos questions restent sans rponse, nhsitez  nous questionner&nbsp;:&nbsp;<o:p>       </font>       </o:p>       </span></p>       <p class="MsoBodyText" align="center"><span style="font-family:Arial"><font color="#FFFF99">Email&nbsp;:</font><font color="#FF0000"><blink>       </blink></font><blink><a href="mailto:infos@doc-esthetique.com"><font color="#00FFFF">infos@doc-esthetique.com</font></a></blink></span>        <p class="MsoBodyText" align="center"><font color="#FFFF00"><span style="position: absolute; left: 179; top: 46; z-index: -1"><a href="http://www.estem.fr"><img border="2" src="bouquin.jpg" width="157" height="221" style="border-style: ridge; border-color: #000000"></a></span><a href="NOUVEAU.html"><img border="0" src="bouquin.jpg" width="93" height="141"></a></font>       <p align="center">       <font color="#FFFF00">Toutes ces informations sont tires de l'ouvrage du</font>       <p align="center"><font color="#CCFFFF"><a href="cv.htm">&nbsp;</a></font><font size="3" color="#CCFFFF">Dr       Laurent BENADIBA:</font>       <p align="center"><font color="#FFFF00">&nbsp;&quot;Femmes en questions /       Les prothses mammaires&quot;</font>       <p align="center"><font color="#CCFFFF">Edition ESTEM</font>       <p class="MsoBodyText" align="center"><span style="font-family:Arial"><o:p>       </span> <p class="MsoBodyText" align="right"><font color="#FFFFFF">retour</font> <a href="#top"><img border="0" src="flec028.gif" width="27" height="43"></a><span style="font-family:Arial"></o:p>       </span> </td>   </tr>   <tr>      <td height="23"></td>     <td height="23" valign="top"> </td>   </tr> </table> <p>&nbsp; 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