TY - JOUR
T1 - Autologous Reconstruction of a Complex Form of Poland Syndrome Using 2 Abdominal Perforator Free Flaps
AU - Masia, Jaume
AU - Pons, Gemma
AU - Loschi, Pietro
AU - Sanchez Porro-Gil, Lidia
AU - Nardulli, Maria Luisa
AU - Olivares, Leyre
PY - 2015/5/4
Y1 - 2015/5/4
N2 - 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.
AB - 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.
KW - abdominal perforator flap
KW - DIEP flap
KW - microsurgical breast reconstruction
KW - Poland syndrome
KW - SIEA flap
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U2 - 10.1097/SAP.0b013e31829a39b1
DO - 10.1097/SAP.0b013e31829a39b1
M3 - Article
C2 - 24322640
AN - SCOPUS:84942772862
VL - 74
SP - 580
EP - 583
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 5
ER -