Reconstruction of Female Poland Syndrome with De-epithelialized Pedicled Transverse Rectus Abdominis Myocutaneous Flap

Poland's syndrome is a rare congenital anomaly characterized by deformities of the breast and chest wall that can be highly disfiguring in both men and women. We report a 41-year-old female presented with significant unilateral hypoplasia of right breast and chest wall developmental scarcity. We transferred a de-epithelialized pedicled transverse rectus abdominis myocutaneous (TRAM) flap into a subcutaneous pocket created through small transaxillary incision. Satisfied result was achieved with additional aesthetic effect of the abdominoplasty and no obvious scar was made over the breast region. We presented this interesting case and review the literatures.