Poland 증후군 여자 환자에 대한 유방재건성형술
Breast Reconstruction Using Saline Implants in a Woman with Poland Syndrome
이상달,
소속 상세정보
이상달 ( Lee Sang-Dal )
엠디클리닉
KMID : 0371320040670060476
Abstract
Poland syndrome is a rare anomaly characterized by a unilateral absence of the pectoral muscles, ipsilateral syndactyly and microdactyly. Associated anomalies include defects of the ipsilateral ribs and costal cartilages, and breast parenchyma in women. Herein, a case of a 22 years old woman is reported. She had no right pectoralis major, ipsilateral breast parenchyma and anterior parts of the ipsilateral 2nd, 3rd, 4th and 5th ribs. Under general anesthesia, a tissue expander was placed laterally between the subcutaneous and intercostal tissues and anteriorly to the pleura. A repeated saline injection via the expander connected port induced tissue expansion. The total amount of injected saline was 550 cc, and the expander was replaced with a 300 cc prefilled saline implant. The other breast was augmented by insertion of a 150 cc saline implant for symmetry as this was requested by the patient. There were no specific complications, with the exception of a persisting ipsilateral axillary wrinkle. To remove this wrinkle, a combined latissimus dorsi flap may be helpful. (J Korean Surg Soc 2004;67:476-479)
키워드
Poland 증후군;유방재건술;유방보형물;Poland syndrome;Breast reconstruction;Tissue expansion with implant
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