Both Breast Sizes are Different, is it “Poland Syndrome”

In 1841, Alfred Poland first discovered patients without pectoralis major muscles, later known as the Polish syndrome, which included partial pectoralis major muscle defects or hypoplasia, ipsilateral phalanges, and malformations, breast hypoplasia. Patients have symptoms ranging from mild to severe, and even affect the muscles of the serratus anterior, latissimus dorsi, and flat ribs or partial rib defects, sometimes accompanied by chicken breasts, funnel chests, and scoliosis.

Reports of the incidence of Poland syndrome in foreign countries indicate that one in 10,000 to 100,000 babies is born. The right side is twice the incidence on the left side. Men and women have the same chance of occurrence, but women often seek out plastic surgeons. Breast reconstruction. The cause of Poland syndrome is inconclusive. Some people say that it is caused by abnormal blood vessels or trauma, and it is also caused by genetics.

Most of these patients do not have much dysfunction, and hand deformities are also mild symptoms. The diagnosis includes a medical history, especially a prenatal medical history, and a physical examination including chest, shoulder, and hand. Serum immunological tests may be performed to exclude other diseases. If there is a hypoplasia of the thorax and ribs, a computed tomography of the chest should be performed. The earliest method of breast treatment was implanted with implants, but whether it was silicone or saline bags, the results were not good, because pectoralis major muscle defects often caused capsular contracture, and the skin was too tight. The shape doesn’t look good either.

The second method is to implant a tissue expander. After two to three months of injection of physiological saline, the tissue expander is enlarged, the skin is loosened to expand the breast, and then replaced with a permanent Milk, this method also has the chance of capsular contracture, breast shape is more natural.

The third method is to use a local flap to transfer. You can use the latissimus dorsi flap to transfer. The latissimus dorsi is sometimes underdeveloped in such patients, and its fat mass is sometimes insufficient. It may be necessary to add a prosthetic milk. The latissimus musculature is hard to touch.

The fourth method is to use autologous fat transfer, using the advantages of abdominal fat (DIEP flap) with the supply of nutritional blood vessels to transfer, and it is less painful without sacrificing the rectus abdominis muscle. After successful surgery, the breast is permanently soft and natural. Satisfaction is highest.

 

 

 

 

 

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Is it Poland Syndrome - /10

Summary

In 1841, Alfred Poland first discovered patients without pectoralis major muscles, later known as the Polish syndrome, which included partial pectoralis major muscle defects or hypoplasia

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