Autologous Reconstruction of a Complex Form of Poland Syndrome Using 2 Abdominal Perforator Free Flaps

Jaume Masia, Gemma Pons, Pietro Loschi, Lidia Sanchez Porro-Gil, Maria Luisa Nardulli, Leyre Olivares

Research output: Contribution to journalArticle

Abstract

Poland syndrome is the most frequent cause of congenital breast aplasia and hypoplasia. Breast and possible chest wall deformities can be treated with several surgical techniques, including implants, and pedicled or free flaps. We describe the case of a young patient with severe Poland syndrome with amastia, athelia, and deformity of the chest wall, and aplasia of 2 ribs. Marked hypoplasia of the ipsilateral latissimus dorsi muscle ruled out a reliable reconstructive option. Two perforator flaps were performed in a single-stage operation. A hemi-deep inferior epigastric perforator flap was harvested to correct the chest deformity, whereas the contralateral superficial inferior epigastric artery flap allowed breast reconstruction. No complications occurred and a subjectively and objectively pleasing cosmetic result was maintained at 3-year follow-up.

Original languageEnglish
Pages (from-to)580-583
Number of pages4
JournalAnnals of Plastic Surgery
Volume74
Issue number5
DOIs
Publication statusPublished - May 4 2015

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Keywords

  • abdominal perforator flap
  • DIEP flap
  • microsurgical breast reconstruction
  • Poland syndrome
  • SIEA flap

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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