title: Poland syndrome: an algorithm to select the appropriate chest wall surgical reconstructive treatment.
abstract: OBJECTIVE
  Poland syndrome is a constellation of rare congenital anomalies of the chest wall, with or without alterations to the ipsilateral superior extremity. Actually Foucras' classification is commonly used to choose the most appropriate surgical treatment, but often only a radiological classification proves unsatisfactory in order to achieve the best aesthetic result.
  
  
  METHODS
  Since November 2006 in our institute have been treated 6 patients (3 M, 3 F) with Poland Syndrome affected by only chest wall and/or breast deformities.
  
  
  RESULTS
  We treated 6 patients opting for different surgical procedures, depending on the deformity detected. We experienced only one procedural complication, a fat necrosis with superior migration of the prosthesis, successfully managed.
  
  
  CONCLUSIONS
  Surgical alternative treatments of the Poland's abnormalities of the chest wall are independent from the corrective surgery of the ipsilateral affected forearm ad hand. Surgeons should be able to develop an operative plan to address aesthetic goals while preserving muscular functionality. Indeed surgical techniques should be minimally invasive and possible available in every hospital structure.
  
  
  CONCLUSIONS
  This study has been designed to review a series of surgical options of breast reconstruction in patients with Poland Syndrome in order to develop a new flow chart to plan the best surgical choice analyzing only breast/chest wall deformities according to Blondeel's point of view about reconstruction of the new breast and thoracic wall.
  
  
  BACKGROUND
  Breast reconstruction, Poland syndrome.
authors: Stefano
authors: S
authors: Chiummariello
authors: Alessandra
authors: A
authors: Pica
authors: Giuseppe
authors: G
authors: Guarro
authors: Sergio
authors: S
authors: Arleo
authors: Carmine
authors: C
authors: Alfano
mesh_terms: D000293:Adolescent; D000328:Adult; D000465:Algorithms; D001940:Breast / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D016462:Mammaplasty / Q000379:methods; D017060:Patient Satisfaction; D011045:Poland Syndrome / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D035441:Thoracic Wall / Q000002:abnormalities* / Q000601:surgery*; D016896:Treatment Outcome