Chest Wall Implants: Their Use for Pectus Excavatum, Pectoralis Muscle Tears, Poland's Syndrome, and Muscular Insufficiency

ABSTRACTThis study aims to present the case of a female patient with Poland’s syndrome and pectus excavatum deformity who underwent breast and chest wall reconstruction with a pre-shaped free deep inferior epigastric perforator flap. A 57-year-old female patient with Poland’s syndrome and pectus excavatum presented with a Baker III capsular contracture following a previously performed implant-based right breast reconstruction. After a chest and abdominal CT angiography, she was staged as 2A1 chest wall deformity according to Park’s classification and underwent implant removal and capsulectomy, followed by a pre-shaped free abdominal flap transfer, providing both breast reconstruction and chest wall deformity correction in a single stage operation. Post-operative course was uneventful, and the aesthetic result remains highly satisfactory 24 months after surgery. Deep inferior epigastric free flap represents an interesting reconstructive solution when treating Poland’s syndrome female patients with chest wall and breast deformities.

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Breast and Pectoralis Muscle Hypoplasia

Acta Radiologica ◽

10.1177/02841851960373p266 ◽

1996 ◽

Vol 37 (3P2) ◽

pp. 759-762 ◽

Cited By ~ 13

Author(s):

J. M. Perez Aznar ◽

J. Urbano ◽

E. Garcia Laborda ◽

P. Quevedo Moreno ◽

L. Ferrer Vergara

Keyword(s):

Upper Extremity ◽

Male Patient ◽

Clinical Manifestation ◽

Pectoralis Major Muscle ◽

Pectoralis Major ◽

Breast Size ◽

Pectoralis Muscle ◽

Clinical Expression ◽

Poland’S Syndrome ◽

Poland's Syndrome

Purpose: Poland's syndrome is a congenital and unilateral aplasia of the pectoralis major muscle (PMM), with other anomalies of the ipsilateral upper extremity. We present 6 cases in which the only clinical expression was asymmetry of the breasts associated with partial absence of the PMM. Material and Methods: We reviewed 95000 mammograms (obtained 1985–1995) to find patients with asymmetrical breast size. Where the asymmetry could not be ascribed to any other cause, the patients were recalled for an examination of the PMM which was conducted at rest and with active contraction of the muscle. Results: Unilateral volume reduction of the PMM was found in 5 women of whom 2 were studied with MR. A 6th case was a fortuitous finding in a male patient. Conclusion: Mild forms of Poland's syndrome are more frequent than severe forms, and may go undiagnosed. Hypoplasia of one breast or a horizontal anterior axillary fold may be the sole clinical manifestation of this syndrome.

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Poland’s syndrome: a rare case report

International Surgery Journal ◽

10.18203/2349-2902.isj20174530 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3526 ◽

Cited By ~ 1

Author(s):

Reshma S. ◽

Vijai R. ◽

Chakarvarthy N.

Keyword(s):

Case Report ◽

Chest Wall ◽

Male Patient ◽

Rare Case ◽

Pectoralis Major Muscle ◽

Poland’S Syndrome ◽

Documented Case ◽

Poland's Syndrome ◽

Rare Case Report ◽

Congenital Condition

Poland’s syndrome is a rare congenital condition. It is classically characterized by absence of unilateral chest wall muscles and sometimes ipsilateral symbrachydactyly (abnormally short and webbed fingers). The condition typically presents with unilateral absence of the sternal or breast bone portion of the pectoralis major muscle which may or may not be associated with the absence of nearby musculoskeletal structures. We report a 25-year-old male patient with typical features of Poland’s syndrome. To the best of our knowledge, this is the first documented case of a patient with Poland’s syndrome reported from Chennai.

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Correction of Poland's syndrome in a male with solid chest wall implants

European Journal of Plastic Surgery ◽

10.1007/s002380050163 ◽

1999 ◽

Vol 22 (2-3) ◽

pp. 128-131

Author(s):

J. F. Hönig

Keyword(s):

Chest Wall ◽

Poland’S Syndrome ◽

Poland's Syndrome

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Simultaneous correction of the chest wall deformity and prosthetic augmentation mammaplasty in a case of poland's syndrome

British Journal of Plastic Surgery ◽

10.1016/0007-1226(76)90020-5 ◽

1976 ◽

Vol 29 (4) ◽

pp. 347-351 ◽

Cited By ~ 9

Author(s):

James L. Baker ◽

John E. Mara

Keyword(s):

Chest Wall ◽

Augmentation Mammaplasty ◽

Chest Wall Deformity ◽

Poland’S Syndrome ◽

Poland's Syndrome

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Computed Tomography of the Pectoralis Muscles in Poland's Syndrome.

HAND ◽

10.1016/s0072-968x(83)80033-3 ◽

1983 ◽

Vol os-15 (1) ◽

pp. 35-41 ◽

Cited By ~ 9

Author(s):

T. Suzuki ◽

H. Takazawa ◽

T. Koshino Yokohama

Keyword(s):

Computed Tomography ◽

Chest Wall ◽

Pectoralis Major ◽

Ct Scans ◽

Poland’S Syndrome ◽

Pectoralis Minor ◽

Poland's Syndrome ◽

Pectoralis Muscles

Computed tomography (CT) can demonstrate disorders of the chest wall muscles clearly. CT scans of the thorax were carried out in seven patients with Poland's Syndrome. All patients with Poland's Syndrome had the clavicular portion of the pectoralis major, but were lacking the sternocostal portion of the pectoralis major. The pectoralis minor was absent in four of seven patients.

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