[Surgical correction of Poland's syndrome in children].

OBJECTIVE

To introduce a method of the surgical correction of Poland's syndrome in children.

METHODS

From May 1990 to May 2002, 3 female children with Poland's syndrome were treated. One child of 12 years old with defects of the right second and third costal cartilages, pectoralis major and pectoralis minor underwent repair of chest wall with graft of autologous costal cartilage from left sixth costal cartilage and transfer of the latissimus dorsi flap. The other 2 children, 3 and 16 years old, with defects of the left second, third and fourth costal cartilages, pectoralis major and pectoralis minor underwent graft of autogenous costal cartilage from the right sixth costal cartilage and implant of Dexon mesh.

RESULTS

Three patients were followed up 1, 7 and 10 years postoperatively, respectively. The contour of chest wall in 3 patients were improved. The functions of the chest, back and upper limbs in the deformitis side were good and the growth and development of the children were normal during follow-up postoperatively.

CONCLUSION

The congenital deformities of multiple systems and parts in the body are involved in Poland's syndrome so that it is necessary to make a proper surgical plan according to the extent of lesions for a satisfactory result.