241 posters, 10 topics, 7 sessions, 899 authors, 296 institutions
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The AAPS 103rd Annual Meeting 2025
May 24-27, 2025 | Austin, Texas
D21
Approach to the pediatric Poland syndrome patient: A 20-year academic experience and update of the literature
Poster Presenter
Part of Topic
Breast Reconstruction
Approach to the pediatric Poland syndrome patient: A 20-year academic experience and update of the literature
Gerardo Perla, BA; Mattia Mah’moud, MPhil; Oksana Jackson, MD; David W Low, MD; Cassandra A Ligh, MD FACS Division of Plastic, Reconstructive, and Oral Surgery
Abstract:
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Background: Poland syndrome is a spectrum of deformities involving the chest and breast tissues. There is a lack of studies on long-term outcomes and patient-reported results for pediatric patients.
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Methods: A retrospective chart review of 47 pediatric patients who underwent surgery for Poland syndrome (2003-24). Patients were classified using Foucras and TBN systems. Analysis was done for surgical trends.
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Results: 12 males and 35 females were included. Initial surgeries were fat grafting (45%) and latissimus dorsi reconstruction (55%). Higher Foucras classifications correlated with more procedures (p=0.029). Seven surgical complications occurred. Appearance concerns were the main psychosocial stressor (87%).
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Conclusions: Pediatric Poland syndrome treatment requires a multidisciplinary approach, addressing both physical and psychological development. Patient education and psychological support are key for improved outcomes.