Deep inferior epigastric perforator flap for successful simultaneous breast and chest wall reconstruction in a Poland anomaly patient.
Breast reconstruction in female Poland anomaly remains a surgical challenge with variable chest wall deformity and nipple position. Pedicled latissimus dorsi myocutaneous flap with implant reconstruction may have several drawbacks and complications. Free deep inferior epigastric flap (DIEP) flap is a reliable option for postmastectomy breast reconstruction, but rarely reported in Poland anomaly. We presented a 52-year-old Poland anomaly patient who underwent successful reconstruction for breast and chest wall deformity using DIEP flap. Preoperative ultrasound Doppler study for internal mammary vessels is recommended for microsurgical anastomosis. Care should be taken with regard to the flap inset and the location of the nipple areolar complex.
Liao
Han-Tsung
HT
Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Cheng
Ming-Huei
MH
Ulusal
Betul Gozel
BG
Wei
Fu-Chan
FC
D000009:Abdominal Muscles / Q000637:transplantation*; D001940:Breast / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D011045:Poland Syndrome; D013902:Radiography, Thoracic; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed