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Poland's syndrome and vascular malformations

G M Beer1, P Kompatscher, K Hergan

  • 1Department of Plastic, Aesthetic and Reconstructive Surgery, Landeskrankenhaus Feldkirch, Vorarlberg, Austria.

British Journal of Plastic Surgery
|October 1, 1996
PubMed
Summary

Poland's syndrome can cause breast and chest wall deformities. Reconstruction may involve contralateral latissimus dorsi muscle transfer, requiring preoperative angiography due to potential vascular issues.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Congenital Abnormalities

Background:

  • Poland's syndrome presents with unilateral breast and pectoralis muscle hypoplasia, impacting anterior axillary fold development.
  • Breast and anterior thorax reconstruction are significant concerns, particularly for female patients.

Observation:

  • The latissimus dorsi muscle is a primary choice for reconstructive flaps.
  • Hypoplasia or absence of the latissimus dorsi can necessitate alternative surgical strategies.

Findings:

  • Free tissue transfer of the contralateral latissimus dorsi muscle is a viable option when the ipsilateral muscle is inadequate.
  • Poland's syndrome is frequently associated with vascular anomalies in the affected hemithorax, including hypoplastic or absent vessels.

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Implications:

  • Preoperative angiography is essential for planning microvascular tissue transfer in Poland's syndrome patients.
  • Careful vascular assessment ensures successful reconstructive outcomes for Poland's syndrome.
  • This approach addresses functional and aesthetic deficits in Poland's syndrome.