Breast Reconstruction Using Saline Implants in a Woman with Poland Syndrome.
- Author:
Sang Dal LEE
1
Author Information
1. M.D. Clinic (Lee Sangdal Breast Clinic), Korea. br21c@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Poland syndrome;
Breast reconstruction;
Tissue expansion with implant
- MeSH:
Anesthesia, General;
Breast*;
Cartilage;
Female;
Humans;
Mammaplasty*;
Muscles;
Pleura;
Poland Syndrome*;
Poland*;
Ribs;
Superficial Back Muscles;
Syndactyly;
Tissue Expansion;
Tissue Expansion Devices;
Young Adult
- From:Journal of the Korean Surgical Society
2004;67(6):476-479
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Poland syndrome is a rare anomaly characterized by a unilateral absence of the pectoral muscles, ipsilateral syndactyly and microdactyly. Associated anomalies include defects of the ipsilateral ribs and costal cartilages, and breast parenchyma in women. Herein, a case of a 22 years old woman is reported. She had no right pectoralis major, ipsilateral breast parenchyma and anterior parts of the ipsilateral 2nd, 3rd, 4th and 5th ribs. Under general anesthesia, a tissue expander was placed laterally between the subcutaneous and intercostal tissues and anteriorly to the pleura. A repeated saline injection via the expander connected port induced tissue expansion. The total amount of injected saline was 550 cc, and the expander was replaced with a 300 cc prefilled saline implant. The other breast was augmented by insertion of a 150 cc saline implant for symmetry as this was requested by the patient. There were no specific complications, with the exception of a persisting ipsilateral axillary wrinkle. To remove this wrinkle, a combined latissimus dorsi flap may be helpful.
