title: Aesthetic improvements in Poland's syndrome treatment with omentum flap.
abstract: BACKGROUND
  There are many techniques that can be used to reconstruct anomalous breast volume in Poland's syndrome, but repair of the stigmatizing deformities such as the transverse skin fold in the anterior axillary pillar, infraclavicular depression, and anomalous breast contours continues to be a challenge. This study aimed to demonstrate the superior results of laparoscopically harvested omentum flap to achieve these aesthetic improvements.
  
  
  METHODS
  Patients with Poland's syndrome from a clinical database were identified and their outcomes were studied.
  
  
  RESULTS
  In 15 consecutive patients with Poland's syndrome, the breast contour, the anterior axillary pillar, and the infraclavicular depression were treated with omentum flap and evaluated. Silicone implants were used beneath the flap in 80% of cases to improve symmetry. Flap consistency was similar to that of the natural breast and only a small incision in the breast fold was needed. The flap is extremely malleable, adapts to irregular surfaces, and has a long vascular pedicle. It does not leave a scar at the donor site as muscular flaps do. The omentum can repair small irregularities in breast contour, achieving a natural result different from all other flaps. Due to its malleability, it is possible to reconstruct even the extension to the axillary pillar, which is impossible with all other techniques.
  
  
  CONCLUSIONS
  The omentum flap technique is a means of repairing the deformities caused by Poland's syndrome and improves the aesthetic result with outcomes that seem superior to any other reconstructive option.
authors.affiliation: Department of Surgery, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos 2350, Bairro Rio Branco, Porto Alegre, RS, 90035-003, Brazil. sirlei@sirleicosta.com.br
authors.forename: Sirlei
authors.initials: S
authors.lastname: dos Santos Costa
authors.forename: Rosa Maria
authors.initials: RM
authors.lastname: Blotta
authors.forename: Mirandolino Batista
authors.initials: MB
authors.lastname: Mariano
authors.forename: Luise
authors.initials: L
authors.lastname: Meurer
authors.forename: Maria Isabel Albano
authors.initials: MI
authors.lastname: Edelweiss
mesh_terms: D000293:Adolescent; D000328:Adult; D001940:Breast / Q000002:abnormalities*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D010369:Pectoralis Muscles / Q000002:abnormalities; D011045:Poland Syndrome / Q000150:complications / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000002:abnormalities / Q000601:surgery*; D055815:Young Adult