Department of Surgery, Universidade Federal do Rio Grande do Sul, Rio Branco, PA, Brazil.
Clinics (Sao Paulo). 2010 Apr;65(4):401-6. doi: 10.1590/S1807-59322010000400009.
For patients with Poland's syndrome, a transverse skin fold in the anterior axillary pillar, infra-clavicular depression and an anomalous breast contour are the most uncomfortable disfigurements. This study aims to demonstrate that superior aesthetic results can be achieved by using a laparoscopically harvested omentum flap to treat this condition.
From a prospectively maintained clinical database of patients undergoing a laparoscopic omentum flap procedure for breast reconstruction, all of the patients with Poland's syndrome were identified and their outcomes were studied.
Thirteen consecutive patients with Poland's syndrome were treated and evaluated regarding breast contour, reconstruction of the anterior axillary pillar and filling of the infra-clavicular depression. Implants were employed beneath the flap in 76% of cases to improve symmetry. In 23% of cases, a contra-lateral mastopexy was performed, and in 15% of cases, a breast implant was used. The consistency of the flap is similar to natural breast tissue and only a small incision in the breast fold is needed. The majority of patients (85%) were female, with a mean age of 26 (18-53). The flap is extremely malleable, adapts to irregular surfaces, and has a long vascular pedicle. Additionally, its removal does not leave a scar at the donor site as the removal of muscular flaps does. For example, the removal of the latissimus dorsi flap causes a deformity in the dorsal contour. The mean operative time was 201 minutes (80-350) and the mean hospital stay was 2.3 days (1-5).
The outcomes of these patients revealed that the omentum flap technique provided superior amelioration of the deformities caused by Poland's syndrome when compared with other reconstructive options.
对于波兰氏综合征患者，前腋窝柱的横形皮褶、锁骨下凹陷和异常的乳房轮廓是最令人不适的畸形。本研究旨在证明，通过使用腹腔镜采集的网膜瓣来治疗这种情况，可以获得更好的美学效果。
从接受腹腔镜网膜瓣乳房重建术的患者的前瞻性维护临床数据库中，确定所有波兰氏综合征患者，并研究他们的结果。
13 例连续的波兰氏综合征患者接受了治疗，并对乳房轮廓、前腋窝柱重建和锁骨下凹陷填充进行了评估。在 76%的病例中，使用植入物来改善对称性。在 23%的病例中，进行了对侧乳房提升术，在 15%的病例中，使用了乳房植入物。皮瓣的质地与天然乳房组织相似，只需在乳房褶皱处做一个小切口。大多数患者（85%）为女性，平均年龄为 26 岁（18-53 岁）。皮瓣非常柔韧，能适应不规则表面，且血管蒂较长。此外，与肌肉瓣的切除不同，它不会在供体部位留下疤痕。例如，背阔肌皮瓣的切除会导致背部轮廓变形。平均手术时间为 201 分钟（80-350 分钟），平均住院时间为 2.3 天（1-5 天）。
与其他重建选择相比，这些患者的结果表明，网膜瓣技术为波兰氏综合征引起的畸形提供了更好的改善。
