摘要

Objectives: - to describe the anatomical abnormalities associated with Poland Syndrome - To enumerate the different surgical options in the correction of Poland syndrome chest wall abnormalities - To show the utility of fat grafting as a safe and effective method in correcting the chest wall in Poland Syndrome patients Introduction: Poland Syndrome is a congenital condition characterized by the absence of the pectoral muscles, short webbed fingers, short ribs, lack of fat, breast and nipple abnormalities on one side. It was first described by sir Alfred Poland in 1841. We describe a case of a 48 year-old with Poland Syndrome who wanted correction of his chest wall. The sternocostal portion of his pectoralis major was absent. He had no functional impairment, and his past medical and surgical history was unremarkable. Materials / method: After explaining the risks, benefits, and complications of the procedure, the patient underwent fat transfer to the left lower chest wall. Approximately 200 ml of fat was harvested from his abdomen and hips, using power-assisted liposuction. Fat was then harvested using a closed system technique, using a disposable canister and gravity-filtration system. 100 ml of fat was injected to the lower left chest wall. Results: The chest wall appeared symmetrical after the procedure, with slight overcorrection of the left chest, allowing for a certain degree of fat resorption. The left nipple, which was higher pre-operatively, remained unchanged. There were no complications postoperatively. Conclusion: Surgical management of the chest wall deformities in Poland Syndrome still remains the mainstay. Fat transfer to the chest is a viable and useful option, as shown in this case. Multiple sessions of fat transfer may be required to attain the desirable cosmetic result.