Poland's syndrome and vascular malformations

Beer, Gertrude M.; Kompatscher, Peter; Hergan, Klaus

doi:10.1016/s0007-1226(96)90037-5

Cited by 50 publications

(27 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is an ongoing discussion about a causal role of vascular malformations in the aetiology of PS [5]. Vascular malformations (dextrocardia, stenosis or hypoplasia of the subclavian artery) seem to be associated more often than anticipated [6].…”

Section: Discussionmentioning

confidence: 99%

Radiological aspects of the Poland syndrome and implications for treatment: a case study and review

et al. 2002

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Radiological aspects of the Poland syndrome and implications for treatment: a case study and review

et al. 2002

View full text Add to dashboard Cite

show abstract

“…The only free flap which met our reconstruction requirements and might work despite the patient's phys- ical features was the latissimus dorsi free flap, 17 combined with the positioning of a breast implant. This reconstruction, mentioned as a possible alternative to the latissimus dorsi pedicle flap by Hester and Bostwick, 10 was described by Beer et al 18 in 1996 and by Kelly et al 17 in 1999. The considerable size of the transferred muscle enabled us to anchor it fairly close to the rib cartilage, so as to fill the infraclavicular space, and to the bicipital groove of the humerus, so as to recreate the anterior axillary pillar.…”

Section: Discussionmentioning

confidence: 98%

Microsurgical latissimus dorsi flap in a case of breast aplasia caused by radiation therapy

et al. 2005

View full text Add to dashboard Cite

The use of ionizing radiation in the breast region while a patient is at developmental age is still responsible for most monolateral hypoplasias and iatrogenic-based breast asymmetries. These alterations often involve several anatomical structures, thus causing severe hypoplasia of the breast and muscle tissues and stiffness of soft tissues, with atrophic and cicatricial skin. Reconstruction methods vary from case to case, but most of the time reconstruction with a homolateral latissimus dorsi with or without a breast implant seems most suitable. In some cases, however, this is not a viable alternative due to particular general and local conditions, making it necessary to consider other solutions. We present the case of a young prepubertal patient who came under our observation due to a radiotherapy outcome in the right breast and thoracic region; she had been previously subjected to breast reconstruction elsewhere, with the fitting of a subcutaneous prosthesis. Due to the patient's particular general and local conditions and the pathological involvement of the homolateral thoracic musculature, to improve the clinical picture, we deemed it appropriate to use the microsurgical reinnervated contralateral latissimus dorsi muscle, which so far has enabled us to obtain considerable and lasting results.

show abstract

“…The breast and nipple may be hypoplastic or even absent [4,6,14]. Vascular malformations combined with Poland's syndrome have been described: the subclavian artery or branches of this artery may be hypoplastic or even missing [3]. Ribs may be absent (particularly ribs two to four), which may even lead to herniation of the lung.…”

Section: Discussionmentioning

confidence: 99%

“…This may be achieved by X-rays, computed tomography, magnetic resonance imaging, and angiography [1,2,3,13].…”

Section: Discussionmentioning

confidence: 99%

Poland's syndrome: a review of 23 cases

Hamburg

Oldenbeuving

Nicolai

et al. 2002

European Journal of Plastic Surgery

View full text Add to dashboard Cite

In 1841, Sir Alfred Poland described congenital deficiency of the pectoralis major muscle associated with brachysyndactyly. In this report a description of the variety of Poland's syndrome is presented by reviewing 23 patients treated in three different hospitals in The Netherlands. Sixteen patients were subjected to a meticulous physical examination and the medical records of all patients were reviewed. There were 15 males and 8 females in our group. Nineteen patients had right-sided Poland's syndrome, four left-sided. Two patients were related to each other (mother-daughter). The severity of the syndrome varied from mild hypoplasia of the pectoralis major muscle and mild hypoplasia of the hand to aplasia of the pectoralis major and serratus anterior muscles, rib and sternal defects, aplasia of the breast, and complete aplasia of the radius and hand. Thirteen patients required surgery for hand, chest, or breast deformities, ranging from 1 to 8 operations per patient. This study shows that Poland's syndrome is an extremely varied condition, which appears to involve an entire upper quadrant. The milder forms may easily be overlooked and do not require surgical intervention. The more severe cases may require hand, chest wall, and/or breast reconstruction. In general, expert specialist attention in a multidisciplinary setting is required for patients with this condition.

show abstract

Poland's syndrome and vascular malformations

Cited by 50 publications

References 13 publications

Radiological aspects of the Poland syndrome and implications for treatment: a case study and review

Radiological aspects of the Poland syndrome and implications for treatment: a case study and review

Microsurgical latissimus dorsi flap in a case of breast aplasia caused by radiation therapy

Poland's syndrome: a review of 23 cases

Contact Info

Product

Resources

About