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Individualized Implant-Based Reconstruction of Poland Syndrome Breast and Soft Tissue Deformities

Borschel, Gregory H. MD*; Costantino, David A. MD; Cederna, Paul S. MD

doi: 10.1097/SAP.0b013e31803384f2
Original Article

Background: Poland syndrome encompasses a constellation of congenital chest wall, breast, and upper-extremity deformities, which present a significant reconstructive challenge for the plastic surgeon. The broad range of chest wall and breast anomalies has led to an equally broad variety of surgical solutions. Often, however, initial attempts at surgical correction fall short because of failure to identify the best reconstructive option for an individual's particular deformity.

Methods: In a retrospective series of 29 patients, we report our institution's experience with reconstructing breast and chest contour deformities associated with Poland syndrome. We also present a review of the literature.

Results: The breast and chest wall deformities associated with Poland syndrome can be effectively treated in an algorithmic, individualized fashion.

Conclusions: We propose an algorithmic approach to the patient with a Poland syndrome chest wall and breast deformity.

Twenty-nine Poland's deformities were corrected in algorithmic fashion with a variety of latissimus flap, implant, and expansion combinations.

From the *Department of Surgery, Division of Plastic Surgery, Washington University School of Medicine, Saint Louis, MO; †Department of Surgery, Emory University School of Medicine, Atlanta, GA; and the ‡Department of Surgery, Section of Plastic Surgery, University of Michigan, Health Systems, Ann Arbor, MI.

Received September 16, 2006, and accepted for publication, after revision, January 7, 2007.

Reprints: Paul S. Cederna, MD, FACS, 2130 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109. E-mail:

© 2007 Lippincott Williams & Wilkins, Inc.