Zhang Qing-guo, Wan Wei-dong, Ning Guan-sen, Wang Lei, Liu Yu-feng, Leng Yong-cheng
Department of Plastic Surgery, Affiliated Zong Da Hospital of Southeast University, Nanjing 210009, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2003 May;19(3):195-6.
To explore a method for reconstruction of Poland's chest wall deformity.
The customized, textured silicone prosthesis was fabricated from a soft silicone polymer that approximated to the softness of the pectoralis major muscle. A lateral incision of 6 cm on the affected chest was made. After a subcutaneous pocket above the ribs was created through the incision, the prosthesis was placed in the pocket.
Since October 2000, chest wall reconstruction for Poland's syndrome deformity has been performed in 7 male patients (18 to 45 years) with the customized soft silicone prosthesis. Follow-up for 3 to 17 months showed that all patients were satisfied with the aesthetical results. Seroma occurred in 2 patients, and needle aspiration was used to solve the problem.
This method is simple and less traumatic. The reconstructed chest wall approximates to the softness and appearance of the contralateral pectoralis muscle.
