Congenital

Miscellaneous

Poland Syndrome: Evaluation and Treatment of the Chest Wall in 63 Patients

Seyfer AE, Fox JP, Hamilton CG (F. Edward Hebert School of Medicine, Bethesda, MD; Walter Reed Army Med Ctr; Wright State Univ and Wright-Patterson U.S. Air Force Med Ctr, Dayton, OH; et al) Plast Reconstr Surg 126:902-911, 2010^§

Abstract

Background

Poland syndrome is a sporadic, congenital unilateral absence of the sternocostal head of the pectoralis major muscle that can occur with other ipsilateral chest wall and limb derangements. The chest wall deficiency is primarily cosmetic, its incidence is unknown, male patients may be affected more than female patients, the right side is affected more than the left, and associated comorbidities may exist. Chest wall repair depends on anatomical type and gender.

Methods

Sixty-three patients with Poland syndrome were divided into two treatment groups by chest wall anatomy and gender. Surgical repair was based on this division. Seventy-six operations were performed by the senior author (A.E.S.) during a 30-year period, and long-term outcomes are presented. Corrective methods included use of custom-made chest wall prostheses, mammary prostheses, latissimus dorsi muscle transfers, transverse rectus abdominis musculocutaneous flaps, sternal/rib reconstruction, or a combination of methods. Follow-up ranged from 1 to 21 years.

Results

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