Marks M W, Argenta L C, Izenberg P H, Mes L G
Department of Plastic and Reconstructive Surgery, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, N.C.
Plast Reconstr Surg. 1991 Apr;87(4):674-8; discussion 679-81.
The chest-wall deformity associated with Poland's syndrome was reconstructed in eight male patients 16 to 38 years old (average age 20 years). Follow-up ranged from 1 to 10 years. Two patients had custom silicone implants placed subcutaneously. In one of these patients, the edge of the implant could be seen. Three patients had transfer of an ipsilateral pedicled latissimus dorsi muscle flap with intact thoracodorsal nerve. All these patients had noticeable atrophy of the flap, and one underwent subsequent implantation of a custom silicone implant beneath the flap. Three other patients had a custom silicone implant covered immediately by a latissimus dorsi muscle flap. All four patients who had a combination of silicone implant and latissimus dorsi muscle flap had satisfactory correction of their deformity.
8例年龄在16至38岁（平均年龄20岁）的男性患者接受了与波兰综合征相关的胸壁畸形重建手术。随访时间为1至10年。2例患者皮下植入了定制硅胶假体。其中1例患者可看到假体边缘。3例患者转移了保留胸背神经的同侧带蒂背阔肌肌瓣。所有这些患者的肌瓣均有明显萎缩，1例随后在肌瓣下方植入了定制硅胶假体。另外3例患者在定制硅胶假体上立即覆盖了背阔肌肌瓣。所有4例同时采用硅胶假体和背阔肌肌瓣的患者畸形均得到满意矫正。
