Background
The aim of this study was to investigate the effects of zafirlukast on capsule thickness, collagen fiber density, and myofibroblast
cell count of the healing tissue around silicone textured implants in rats.
Methods
Thirty-six male Wistar rats were divided (n = 18) into two groups. In one group, two parallel incisions (1.5 cm long) were made into the right and left sides of the
spine. Two pockets were then created in which shell-shaped textured implants were inserted. The left-side pocket was injected
with 0.2 ml of saline solution (SSG) and the right-side pocket with a dose of 1.25 mg/kg of zafirlukast (ZLG). The other 18
rats (sham, SG) had only one pocket created, followed by the placement of an implant and injection of 0.2 ml of saline solution.
The rats were euthanized on the 7th, 35th, or 90th days followed by careful dissection of the implant. The capsules and peri-implant
tissues were prepared for histologic analysis. An ANOVA test and Tukey test were applied (p < 0.05).
Results
ZL was effective in impairing the capsule thickness on the 35th and 90th days compared to the other two groups (sham and saline).
Not only was it effective in impairing the collagen density on the 35th and 90th days, but it also showed the same effect
in the SSG (systemic); fewer myofibroblasts were counted on the 90th day in the ZLG compared to the SG group; the number of
myofibroblasts was significantly lower in the ZLG than in the SSG.
Conclusions
Pocket delivery of one dose of Zafirlukast was effective in impairing capsule formation around the textured implant.
Keywords Mammary implants - Inflammation - Immunohistochemistry - Zafirlukast - Capsular thickness - Wistar rats - Capsule contracture