ABSTRACT
Poland’s syndrome (PS) is a congenital monolateral deformity that may involve breast,
chest wall, and upper limb with different degrees of clinical expressions. In some
cases, the problem is mainly cosmetic, and the reconstruction should be performed
to achieve minimal scarring and donor site morbidity. The authors describe a case
report of a male patient with PS who developed a severe capsular contraction after
25 years implant reconstruction, who was treated after explantation using free gracilis
flap (FGF). In this patient, only the pectoralis major muscle was missing. An FGF
was performed to reconstruct the anterior axillary fold and the soft tissue defect.
There was no flap loss, the patient had a clearly improved appearance of the chest
wall, and the pain syndrome was solved. In this case report, we demonstrate our experience
with the use of an FGF for chest wall reconstruction in male patients with PS after
prosthesis explantation.
KEY WORDS
Capsular contracture - chest wall deformity - gracilis free flap - Poland’s syndrome
