title: [Poland's syndrome in women: Therapeutic indications according to the grade. Apropos of 11 cases and review of the literature].
abstract: BACKGROUND
  Correction of chest and breast abnormalities in Poland's syndrome differs among authors. The aim of this study is to discuss surgical protocols according to the grade of Poland's syndrome in women.
  
  
  METHODS
  The authors present a series of 11 women with Poland's syndrome among which nine were operated. Several surgical techniques were used. Cosmetic results were analysed according to the treatment and grade. Median follow up is 9 years.
  
  
  RESULTS
  In grade I, a round breast implant seems to be the best choice. In grade II, a latissimus dorsi flap combined with a breast implant gives better results than a breast implant alone. In grade III, breast and chest reconstruction are linked. The authors present a case of costal reconstruction followed by an expansion without a latissimus flap.
  
  
  CONCLUSIONS
  Many authors recommend a latissimus flap combined with a breast implant in severe grades of Poland's syndrome. Using this flap is not always possible nor mandatory. According to soft tissue quality, expansion may be an alternative way or a temporary solution during growth.
authors.affiliation: Service de chirurgie D, hôpital Bonsecours, 1, place Philippe-de-Vigneulles, 57000 Metz, France. alexandre.baratte@hotmail.fr
authors.forename: A
authors.initials: A
authors.lastname: Baratte
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.forename: D
authors.initials: D
authors.lastname: Del Pin
authors.forename: A
authors.initials: A
authors.lastname: Wilk
authors.forename: C
authors.initials: C
authors.lastname: Bruant
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008875:Middle Aged; D011045:Poland Syndrome / Q000145:classification / Q000601:surgery*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D055815:Young Adult