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Poland´s syndrome has been reported by Alfred Poland in 1841, and its clinical characteristics have been identified : abscence or deficiency of breast tissue, abscence or deficiency of skin and subcutaneous tissue on axilla and chest wall, abscence of sternal head of pectoralis major, and various abnormalities of hadns. Since deformities of breast and chest wall have been serious physcial and psychological problems to young female, various kinds of methods such as autogeneous fat graft or silicone implant have been developed to reconstruct breast tissue. In Poland´s syndrome, however, simple breast reconstruction cannot provide symmetrical chest appearance which needs sufficient soft tissue of chest wall and a definite anterior axillary line. For reconstruction of anterior axillary fold, transposition of latissimus dorsi muscle, by moving the insertion of latissimus dorsi muscle to the defected site of sternal head of pectoralis major, has been introduced and for reconstruction of deficient soft tissue, the method which enlarges skin and soft tissue by using tissue expander has been applied. Authors have experienced two cases of breast reconstruction in Poland´s syndrome. We inserted tissue expander through the small axillary Z-incision to expand the necessary amount of soft tissue and later made dissection and transposition of latissimus dorsi muscle with ease by adding Bra incision on the back, avoiding unnecessary periareolar incision or submammary incision. We substituted the tissue expander locating under the latissimus dorsi muscle with permanent implant and successfully reconstructed the symmetrical anterior axillary fold and breast tissue. We have represented our surgical method and cases with a brief review of literatures.
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