Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap

This study aims to present the case of a female patient with Poland’s syndrome and pectus excavatum deformity who underwent breast and chest wall reconstruction with a pre-shaped free deep inferior epigastric perforator flap. A 57-year-old female patient with Poland’s syndrome and pectus excavatum p...

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Main Authors: Dimitrios Dionyssiou, Efterpi Demiri, Georgios Batsis, Leonidas Pavlidis
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.155277
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author Dimitrios Dionyssiou
Efterpi Demiri
Georgios Batsis
Leonidas Pavlidis
author_facet Dimitrios Dionyssiou
Efterpi Demiri
Georgios Batsis
Leonidas Pavlidis
author_sort Dimitrios Dionyssiou
collection DOAJ
description This study aims to present the case of a female patient with Poland’s syndrome and pectus excavatum deformity who underwent breast and chest wall reconstruction with a pre-shaped free deep inferior epigastric perforator flap. A 57-year-old female patient with Poland’s syndrome and pectus excavatum presented with a Baker III capsular contracture following a previously performed implant-based right breast reconstruction. After a chest and abdominal CT angiography, she was staged as 2A1 chest wall deformity according to Park’s classification and underwent implant removal and capsulectomy, followed by a pre-shaped free abdominal flap transfer, providing both breast reconstruction and chest wall deformity correction in a single stage operation. Post-operative course was uneventful, and the aesthetic result remains highly satisfactory 24 months after surgery. Deep inferior epigastric free flap represents an interesting reconstructive solution when treating Poland’s syndrome female patients with chest wall and breast deformities.
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spelling doaj-art-895b5144a54b45d8abd1e02b1feeb41c2025-08-20T02:09:37ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2015-01-01480108508810.4103/0970-0358.155277Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flapDimitrios Dionyssiou0Efterpi Demiri1Georgios Batsis2Leonidas Pavlidis3Department of Plastic Surgery, Medical School, Papageorgiou Hospital, Aristotle University of Thessaloniki, Periferiaki odos Thessalonikis, Thessaloniki 56403, GreeceDepartment of Plastic Surgery, Medical School, Papageorgiou Hospital, Aristotle University of Thessaloniki, Periferiaki odos Thessalonikis, Thessaloniki 56403, GreeceDepartment of Plastic Surgery, Medical School, Papageorgiou Hospital, Aristotle University of Thessaloniki, Periferiaki odos Thessalonikis, Thessaloniki 56403, GreeceDepartment of Plastic Surgery, Medical School, Papageorgiou Hospital, Aristotle University of Thessaloniki, Periferiaki odos Thessalonikis, Thessaloniki 56403, GreeceThis study aims to present the case of a female patient with Poland’s syndrome and pectus excavatum deformity who underwent breast and chest wall reconstruction with a pre-shaped free deep inferior epigastric perforator flap. A 57-year-old female patient with Poland’s syndrome and pectus excavatum presented with a Baker III capsular contracture following a previously performed implant-based right breast reconstruction. After a chest and abdominal CT angiography, she was staged as 2A1 chest wall deformity according to Park’s classification and underwent implant removal and capsulectomy, followed by a pre-shaped free abdominal flap transfer, providing both breast reconstruction and chest wall deformity correction in a single stage operation. Post-operative course was uneventful, and the aesthetic result remains highly satisfactory 24 months after surgery. Deep inferior epigastric free flap represents an interesting reconstructive solution when treating Poland’s syndrome female patients with chest wall and breast deformities.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.155277deep inferior epigastric perforator flappectus excavatumpoland’s syndrome
spellingShingle Dimitrios Dionyssiou
Efterpi Demiri
Georgios Batsis
Leonidas Pavlidis
Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap
Indian Journal of Plastic Surgery
deep inferior epigastric perforator flap
pectus excavatum
poland’s syndrome
title Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap
title_full Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap
title_fullStr Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap
title_full_unstemmed Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap
title_short Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap
title_sort revision breast and chest wall reconstruction in poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap
topic deep inferior epigastric perforator flap
pectus excavatum
poland’s syndrome
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.155277
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