Garcia V F, Seyfer A E, Graeber G M
George Washington University School of Medicine, Washington, D.C.
Surg Clin North Am. 1989 Oct;69(5):1103-18. doi: 10.1016/s0039-6109(16)44941-8.
Pectus deformities and Poland's syndrome are two relatively common congenital deformities of the chest wall that are amenable to reconstruction. The extent of the structural deformity in pectus deformity and the degree of associated cardiopulmonary dysfunction are critical variables in preoperative assessment. The operative approaches range from more extensive sternal eversion to the more popular subperichondrial cartilage resection with or without internal fixation. In Poland's syndrome, the options for reconstruction include anterior transfer of the ipsilateral latissimus dorsi muscle through a transaxillary tunnel and attachment to the clavicle and sternum. Submuscular insertion of a mammary prosthesis can be added in the female patient.
漏斗胸畸形和波兰综合征是两种相对常见的胸壁先天性畸形，适合进行重建手术。漏斗胸畸形的结构畸形程度以及相关心肺功能障碍的程度是术前评估的关键变量。手术方法范围从更广泛的胸骨翻转到更常用的带或不带内固定的软骨膜下软骨切除术。对于波兰综合征，重建选择包括通过腋窝隧道将同侧背阔肌向前转移并附着于锁骨和胸骨。女性患者可加用乳房假体的肌下植入。
