Abstract
Poland Syndrome is a congenital anomaly of the thoracic wall characterized by a variable degree of unilateral agenesis of pectoralis major and minor muscles associated with ipsilateral breast, rib and upper arm anomalies. Many different techniques have been used to treat the thoracic anomaly, including fat transfer, positioning of implants alone or associated with invasive procedures such as latissimus dorsi transposition. The objective of this chapter is to describe a new approach to breast reconstruction in patients with Poland syndrome: a pedicled omentum flap harvested laparoscopically covering the breast or pectoral implant positioned in a subcutaneous pocket. In our opinion this approach can avoid the invasiveness and morbidity of latissimus dorsi transposition, obtaining satisfactory results in selected cases.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Baban A, Torre M, Bianca S, Buluggiu A, Rossello MI, Calevo MG, Valle M, Ravazzolo R, Jasonni V, Lerone M (2009) Poland syndrome with bilateral features: case description with review of the literature. Am J Med Genet A 149A(7):1597–1602
Bostwick J III (2000) Latissimus dorsi flap reconstruction. In: Bostwick J III (ed) Plastic and reconstructive breast surgery, 2nd edn. Quality Medical Publishing Inc, St. Louis, pp 867–980
Bainbridge LC, Wright AR, Kanthan R (1991) Computed tomography in the preoperative assessment of Poland’s syndrome. Br J Plast Surg 44(8):604–607
Wright AR, Milner RH, Bainbridge LC, Wilsdon JB (1992) MR and CT in the assessment of Poland syndrome. J Comput Assist Tomogr 16(3):442–447
Coleman SR (2006) Structural fat grafting, more than a permanent filler. Plast Reconstr Surg 118(3 Suppl):108s–120s
Delay E, Sinna R, Chekaroua K, Delaporte T, Garson S, Toussoun G (2010) Lipomodeling of Poland’s syndrome: a new treatment of the thoracic deformity. Aesthetic Plast Surg 34(2):218–225
Tabit C, Slack G, Fan K, Wan DC, Bradley JP (2012) Fat grafting versus adipose-derived stem cell therapy: distinguishing indications, techniques, and outcomes. Aesthetic Plast Surg 36(3):704–713
Liebermann-Meffert D (2000) The greater omentum: anatomy, embriology and surgical applications. Surgical clinics of America 80(1):275–293
Kiricuta I (1963) L’emploi du grand epiploon dans la chirurgie du sein cancereux. Press Med 71:15–17
Jurkiewicz MJ, Arnold PG (1977) The omentum: account of its use in the reconstruction of the chest wall. Ann Surg 185(5):548–554
Jimenez AG, St Germain P, Sirois M, Hatheway M, Lethbridge R (2002) Free omental flap for skin-sparing breast reconstruction harvested laparoscopically. Plast Reconstr Surg 110(2):545–551
Zaha H, Inamine S (2010) Laparoscopically harvested omental flap: results for 96 patients. Surg Endosc 24(1):103–107
Dos Santos Costa S, Blotta RM, Mariano MB, Meurer L, Edelweiss MI (2010) Aesthetic improvements in Poland’s syndrome treatment with omentum flap. Aesthetic Plast Surg 34(5):634–639
Costa SS, Blotta RM, Mariano MB, Meurer L, Edelweiss MI (2010) Laparoscopic treatment of Poland’s syndrome using the omentum flap technique. Clinics (Sao Paulo) 65(4):401–406
Romanini MV, Vidal C, Godoy J, Morovic CG (2013) Laparoscopically harvested omental flap for breast reconstruction in Poland syndrome. J Plast Reconstr Aesthet Surg 66(11):e303–e309
Tanner JM (1962) Growth at adolescence. Blackwell Scientific, Oxford
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Romanini, M.V., Morovic, C.G. (2016). Laparoscopically Harvested Omental Flap for Breast Reconstruction in Poland Syndrome. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_47
Download citation
DOI: https://doi.org/10.1007/978-3-319-18726-6_47
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18725-9
Online ISBN: 978-3-319-18726-6
eBook Packages: MedicineMedicine (R0)