The use of Fat-Augmented Latissimus Dorsi (FALD) flap for male Poland Syndrome correction: a case report

Pompeo, Fabio Santanelli di; Sorotos, Michail; Paolini, Guido; D’Orsi, Gennaro; Firmani, Guido

doi:10.1080/23320885.2022.2117701

Cited by 3 publications

(4 citation statements)

References 32 publications

(21 reference statements)

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“…Previous studies have shown that a suitable flap adaptation to the recipient site, together with a correct fat-grafting technique, 9 allows the grafting of reasonably large volumes without increasing complications, including fat necrosis. 25 26 The oncological safety of lipofilling techniques has been demonstrated. Fat grafting in a previously treated area of carcinoma has not been associated with increased recurrence rates.…”

Section: Discussionmentioning

confidence: 99%

Conversion to Autologous Breast Reconstruction with Latissimus Dorsi and Immediate Fat Grafting in Patients with Previous Implant Failure: An Efficient, Reproducible, and Safe Technique

Couto-González,

Brea-García,

Fernández-Marcos

et al. 2024

Indian J Plast Surg

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Introduction Implant-based breast reconstructions (IBBRs) increased last years despite the growing indications for radiotherapy in the treatment of breast cancer. As a result, complications and reconstructive failures associated to IBBR have increased. Autologous breast reconstruction (ABR) using fat-augmented latissimus dorsi (FALD) has become popular in recent years. Methods We aimed to evaluate conversion to ABR using latissimus dorsi and immediate fat grafting in 61 cases with IBBR failure. Results Immediate reconstruction was found significatively related with an increased number of surgeries resulting from IBBR complications (p < 0.001). Note that 41% of the cases presented a grade III/IV Baker and Palmer capsular contracture, 29% implant extrusion, and 21% implant infection. Mean survival of the first implant was 16.95 months. ABR process was completed in 47% of cases with a single surgery. Statistically significant differences were observed between this fact and previous IBBR failure due to infection (p = 0.03) or extrusion (p = 0.01). Mean volume of fat graft was 429.61 mL, mean length of the surgical procedure was 3.17 hours, and the average length of hospital stay after surgery was 2.67 days. Only 3.3% of the cases developed some major complication. None of the cases presented reconstructive failure. Conclusion FALD is a very safe total ABR technique, an important fact in patients with previous reconstructive failures. The large volume of fat that can be grafted in a single surgery allows the reconstruction of breast in a reasonable size. The reduced length of surgery and hospital stay make the FALD technique an option to consider when an autologous but efficient and safe reconstruction is desired.

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Section: Discussionmentioning

confidence: 99%

Conversion to Autologous Breast Reconstruction with Latissimus Dorsi and Immediate Fat Grafting in Patients with Previous Implant Failure: An Efficient, Reproducible, and Safe Technique

Couto-González,

Brea-García,

Fernández-Marcos

et al. 2024

Indian J Plast Surg

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“…Some of the commonly used options to this day include custommade silicone implants and/or flap based techniques which can improve the appearance of the chest wall in men, and the breast in women. 19 While surgical practices vary from surgeon to surgeon, indeed some use axillary incisions when harvesting the latissimus dorsi flap while others only use a dorsal one to harvest the flap, transposing it through a subcutaneous channel. 20 Typically, surgical reconstruction is based on utilizing the latissimus dorsi muscle and should be performed before the age of 13 in males who have intact latissimus dorsi muscles.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the commonly used options to this day include custom-made silicone implants and/or flap based techniques which can improve the appearance of the chest wall in men, and the breast in women. 19 …”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Features in Poland Syndrome: Report of 3 Cases and Review of Literature

Chait,

Bahlouli,

Chehrastane

et al. 2023

Global Pediatric Health

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Poland syndrome is indeed a rare congenital malformation that can present with various degrees of thoracic and homolateral upper limb anomalies. The classic features of Poland syndrome include agenesis or hypoplasia of the sternocostal head of the pectoralis major muscle, hypoplasia of the nipple, absence of subcutaneous fat, multiple rib abnormalities, and sometimes Sprengel deformity (elevation of the scapula). Additionally, ipsilateral symbrachydactyly (combination of “short fingers” with cutaneous syndactyly [fused fingers]) may also be observed. However, it’s important to note that not all of these findings are always present in every patient, and the combination of features can vary greatly. Surgical treatment for Poland syndrome primarily focuses on improving pulmonary functions resulting from severe thoracic deformities. However, it is frequently performed with the additional goal of enhancing cosmetic appearance. In recent times, the use of adipose-derived mesenchymal stem cells and fat transfer has shown promising results for correcting chest defects and breast augmentation. In our study, we present a series of 3 cases that were referred to our institution due to thoracic deformities associated with Poland syndrome.

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“…Due to its privileged location, the LS muscle has been utilized in a wide variety of procedures as flaps: from the reconstruction of the chest wall on a patient with Poland syndrome who had a complete absence of the pectoralis major muscle as demonstrated by Santanelli di Pompeo et al [ 8 ] To total reconstruction of the breast in patients that are small to medium-breasted when abdominal tissues are not available [ 9 ]. But in this regard, it has also been demonstrated that they can be used as a good option for axillary reconstruction after radical excision of severe lesions of HS, as this option offers notable benefits such as improved arm abduction range, anatomical proximity to the axilla, similar thickness, and high-quality skin, setting it apart from alternative coverage methods [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical management of axillary hidradenitis suppurativa with latissimus dorsi flap on a 24-year-old patient: A case report

Olvera-Yarza,

Campos-Jiménez,

Téllez-Pallares

et al. 2023

International Journal of Surgery Case Reports

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The use of Fat-Augmented Latissimus Dorsi (FALD) flap for male Poland Syndrome correction: a case report

Cited by 3 publications

References 32 publications

Conversion to Autologous Breast Reconstruction with Latissimus Dorsi and Immediate Fat Grafting in Patients with Previous Implant Failure: An Efficient, Reproducible, and Safe Technique

Conversion to Autologous Breast Reconstruction with Latissimus Dorsi and Immediate Fat Grafting in Patients with Previous Implant Failure: An Efficient, Reproducible, and Safe Technique

Clinical and Radiological Features in Poland Syndrome: Report of 3 Cases and Review of Literature

Surgical management of axillary hidradenitis suppurativa with latissimus dorsi flap on a 24-year-old patient: A case report

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