A staging system for gluteal foreign body reaction to injectables

Rebecca C. Novo, Christopher Salgado, Elizabeth Yim, Varsha Sinha, Harvey Chim, Paolo Romanelli

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Esthetic augmentation of the gluteal region can lead to complications including debilitating pain, infections, wounds, and scars. To our knowledge, a general consensus of staging and treatment guidelines for managing gluteal foreign body reaction to injectables has not yet been established. Objective: The objective of this study was to develop a reliable staging system that can be used to implement a treatment algorithm for gluteal foreign body reactions. Methods: A retrospective review of 40 patients treated for complications of gluteal injections between September 2010 and May 2014 was performed. Patient symptoms, imaging, and photographs were used to develop a staging system of disease. Institutional review board approval was obtained from the University of Miami Miller School of Medicine. Five independent observers reviewed the patients' documented symptoms and photographs. Using our staging system, the independent observers reviewed the patient cases at two separate time intervals. Intra- and interclass correlation coefficients (ICCs) were computed to assess the reliability for each of the observers. Results: Seven patients were classified as Stage I, fifteen as Stage IIa, nine as Stage IIb, and nine as Stage III. The mean patient age was 34 years (21-50). Analysis of the independent reviewer results revealed ICC for each rater to range from 0.96 to 0.98, demonstrating high indexes of intra-rater reliability. Conclusions: Based on our statistical analysis, we found an excellent inter- and intra-observer reliability, indicating that the staging system is reproducible and reliable. A treatment strategy dependent on the stage can be implemented as a guideline to optimize functional and esthetic outcomes.

Original languageEnglish (US)
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
DOIs
StateAccepted/In press - Jan 6 2016

Fingerprint

Foreign-Body Reaction
Injections
Esthetics
Guidelines
Buttocks
Research Ethics Committees
Wound Infection
Cicatrix
Consensus
Therapeutics
Medicine
Pain

Keywords

  • Complications
  • Foreign body reaction
  • Gluteal augmentation
  • Gluteal injections

ASJC Scopus subject areas

  • Surgery

Cite this

A staging system for gluteal foreign body reaction to injectables. / Novo, Rebecca C.; Salgado, Christopher; Yim, Elizabeth; Sinha, Varsha; Chim, Harvey; Romanelli, Paolo.

In: Journal of Plastic, Reconstructive and Aesthetic Surgery, 06.01.2016.

Research output: Contribution to journalArticle

Novo, Rebecca C. ; Salgado, Christopher ; Yim, Elizabeth ; Sinha, Varsha ; Chim, Harvey ; Romanelli, Paolo. / A staging system for gluteal foreign body reaction to injectables. In: Journal of Plastic, Reconstructive and Aesthetic Surgery. 2016.
@article{b0de70bbff504ce5a05055a542a0fc43,
title = "A staging system for gluteal foreign body reaction to injectables",
abstract = "Background: Esthetic augmentation of the gluteal region can lead to complications including debilitating pain, infections, wounds, and scars. To our knowledge, a general consensus of staging and treatment guidelines for managing gluteal foreign body reaction to injectables has not yet been established. Objective: The objective of this study was to develop a reliable staging system that can be used to implement a treatment algorithm for gluteal foreign body reactions. Methods: A retrospective review of 40 patients treated for complications of gluteal injections between September 2010 and May 2014 was performed. Patient symptoms, imaging, and photographs were used to develop a staging system of disease. Institutional review board approval was obtained from the University of Miami Miller School of Medicine. Five independent observers reviewed the patients' documented symptoms and photographs. Using our staging system, the independent observers reviewed the patient cases at two separate time intervals. Intra- and interclass correlation coefficients (ICCs) were computed to assess the reliability for each of the observers. Results: Seven patients were classified as Stage I, fifteen as Stage IIa, nine as Stage IIb, and nine as Stage III. The mean patient age was 34 years (21-50). Analysis of the independent reviewer results revealed ICC for each rater to range from 0.96 to 0.98, demonstrating high indexes of intra-rater reliability. Conclusions: Based on our statistical analysis, we found an excellent inter- and intra-observer reliability, indicating that the staging system is reproducible and reliable. A treatment strategy dependent on the stage can be implemented as a guideline to optimize functional and esthetic outcomes.",
keywords = "Complications, Foreign body reaction, Gluteal augmentation, Gluteal injections",
author = "Novo, {Rebecca C.} and Christopher Salgado and Elizabeth Yim and Varsha Sinha and Harvey Chim and Paolo Romanelli",
year = "2016",
month = "1",
day = "6",
doi = "10.1016/j.bjps.2016.05.007",
language = "English (US)",
journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery",
issn = "1748-6815",
publisher = "Churchill Livingstone",

}

TY - JOUR

T1 - A staging system for gluteal foreign body reaction to injectables

AU - Novo, Rebecca C.

AU - Salgado, Christopher

AU - Yim, Elizabeth

AU - Sinha, Varsha

AU - Chim, Harvey

AU - Romanelli, Paolo

PY - 2016/1/6

Y1 - 2016/1/6

N2 - Background: Esthetic augmentation of the gluteal region can lead to complications including debilitating pain, infections, wounds, and scars. To our knowledge, a general consensus of staging and treatment guidelines for managing gluteal foreign body reaction to injectables has not yet been established. Objective: The objective of this study was to develop a reliable staging system that can be used to implement a treatment algorithm for gluteal foreign body reactions. Methods: A retrospective review of 40 patients treated for complications of gluteal injections between September 2010 and May 2014 was performed. Patient symptoms, imaging, and photographs were used to develop a staging system of disease. Institutional review board approval was obtained from the University of Miami Miller School of Medicine. Five independent observers reviewed the patients' documented symptoms and photographs. Using our staging system, the independent observers reviewed the patient cases at two separate time intervals. Intra- and interclass correlation coefficients (ICCs) were computed to assess the reliability for each of the observers. Results: Seven patients were classified as Stage I, fifteen as Stage IIa, nine as Stage IIb, and nine as Stage III. The mean patient age was 34 years (21-50). Analysis of the independent reviewer results revealed ICC for each rater to range from 0.96 to 0.98, demonstrating high indexes of intra-rater reliability. Conclusions: Based on our statistical analysis, we found an excellent inter- and intra-observer reliability, indicating that the staging system is reproducible and reliable. A treatment strategy dependent on the stage can be implemented as a guideline to optimize functional and esthetic outcomes.

AB - Background: Esthetic augmentation of the gluteal region can lead to complications including debilitating pain, infections, wounds, and scars. To our knowledge, a general consensus of staging and treatment guidelines for managing gluteal foreign body reaction to injectables has not yet been established. Objective: The objective of this study was to develop a reliable staging system that can be used to implement a treatment algorithm for gluteal foreign body reactions. Methods: A retrospective review of 40 patients treated for complications of gluteal injections between September 2010 and May 2014 was performed. Patient symptoms, imaging, and photographs were used to develop a staging system of disease. Institutional review board approval was obtained from the University of Miami Miller School of Medicine. Five independent observers reviewed the patients' documented symptoms and photographs. Using our staging system, the independent observers reviewed the patient cases at two separate time intervals. Intra- and interclass correlation coefficients (ICCs) were computed to assess the reliability for each of the observers. Results: Seven patients were classified as Stage I, fifteen as Stage IIa, nine as Stage IIb, and nine as Stage III. The mean patient age was 34 years (21-50). Analysis of the independent reviewer results revealed ICC for each rater to range from 0.96 to 0.98, demonstrating high indexes of intra-rater reliability. Conclusions: Based on our statistical analysis, we found an excellent inter- and intra-observer reliability, indicating that the staging system is reproducible and reliable. A treatment strategy dependent on the stage can be implemented as a guideline to optimize functional and esthetic outcomes.

KW - Complications

KW - Foreign body reaction

KW - Gluteal augmentation

KW - Gluteal injections

UR - http://www.scopus.com/inward/record.url?scp=84977550480&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84977550480&partnerID=8YFLogxK

U2 - 10.1016/j.bjps.2016.05.007

DO - 10.1016/j.bjps.2016.05.007

M3 - Article

C2 - 27325516

AN - SCOPUS:84977550480

JO - Journal of Plastic, Reconstructive and Aesthetic Surgery

JF - Journal of Plastic, Reconstructive and Aesthetic Surgery

SN - 1748-6815

ER -