[Surgical reconstruction options in Poland's syndrome]

Area of Science:

• Plastic Surgery
• Congenital Abnormalities
• Chest Wall Reconstruction

Background:

• Poland's anomaly is a rare congenital condition characterized by chest wall deformities.
• It often involves the absence or underdevelopment of the pectoral muscles and associated abnormalities.

Observation:

• Two cases of Poland's anomaly are presented: a 36-year-old male with chest wall deformity and partial pectoral muscle absence, and a 27-year-old female with complete pectoral muscle absence, mammary gland aplasia, and mammalia.
• Both patients underwent surgical reconstruction.

Findings:

• A one-stage chest wall reconstruction using a prefabricated silicone implant and latissimus dorsi muscle flap was performed in the male patient.
• The female patient received a similar reconstruction with a prefabricated silicone implant and latissimus dorsi muscle flap, augmented by an inflatable silicone prosthesis for breast mound reconstruction.

Implications:

• These cases demonstrate the successful application of a one-stage surgical approach for complex Poland's anomaly reconstructions.
• The described technique offers a viable option for restoring chest wall contour and addressing associated breast deformities.