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[Reconstruction of chest wall deformity in Poland's syndrome with soft silicone prosthesis]
Qing-guo Zhang1, Wei-dong Wan, Guan-sen Ning
1Department of Plastic Surgery, Affiliated Zong Da Hospital of Southeast University, Nanjing 210009, China.
Objective:
To explore a method for reconstruction of Poland's chest wall deformity.
Methods:
The customized, textured silicone prosthesis was fabricated from a soft silicone polymer that approximated to the softness of the pectoralis major muscle. A lateral incision of 6 cm on the affected chest was made. After a subcutaneous pocket above the ribs was created through the incision, the prosthesis was placed in the pocket.
Results:
Since October 2000, chest wall reconstruction for Poland's syndrome deformity has been performed in 7 male patients (18 to 45 years) with the customized soft silicone prosthesis. Follow-up for 3 to 17 months showed that all patients were satisfied with the aesthetical results. Seroma occurred in 2 patients, and needle aspiration was used to solve the problem.
Conclusion:
This method is simple and less traumatic. The reconstructed chest wall approximates to the softness and appearance of the contralateral pectoralis muscle.