Después del artículo publicado en 2016 sobre la corrección del Pectus Excavatum en la revista Plastic and Reconstructive Surgery (PRS), un nuevo artículo científico acaba de salir sobre el Síndrome de Poland. Los autores del artículo "Correcting Poland Syndrome with a Custom-Made Silicone Implant: Contribution of ThreeDimensional Computer-Aided Design Reconstruction", incluido el profesor JP Chavoin, detallan la tecnología innovadora utilizada para tratar el Síndrome de Poland con implantes 3D a medida. La Sociedad Americana de Cirujanos Plásticos (ASPS) ha seleccionada esta publicación para un comunicado de prensa.
El estudio se basa sobre 25 años de experiencia y 129 pacientes padeciendo del Síndrome de Poland y tratados con implantes a medida, primero con moldes de yieso y luego a partir de 2007 diseñados por computadora. Demuestra que esta técnica permite obtener resultados estéticos de alta calidad y así responder al fuerte impacto psicológico inducido por esta patología.
De hecho, los resultados estéticos se consideraron buenos o excelentes en más del 90% de los casos, y los pacientes se declararon satisfechos o muy satisfechos en el 80% de los casos. Se han identificado muy pocas complicaciones. Para resultados estéticos optimizados, el lipofilling o la colocación de implantes mamarios, se pueden asociar al implante a medida en una segunda etapa.
Ver el artículo del PRS (Plastic and Reconstructive Surgery)
Ver el comunicado de prensa de la ASPS (American Society of Plastic Surgeons)
Referencias
Chavoin, Jean-Pierre, M.D.; Taizou, Mohcine, M.D.; Moreno, Benjamin; Leyx, Pierre; Grolleau, Jean-Louis, M.D.; Chaput, Benoit, M.D., Ph.D.
"Correcting Poland Syndrome with a Custom-Made Silicone Implant: Contribution of Three-Dimensional Computer-Aided Design Reconstruction"
Plast Reconstr Surg. 2018 August;142(2)
Background: Poland syndrome is historically associated with hypoplasia of the pectoral major muscle and abnormalities of the upper limbs. The authors propose an innovative procedure for correcting Poland syndrome thoracic malformations using three-dimensional modeling. Moreover, the authors evaluated aesthetic improvement, satisfaction, and quality of life after reconstruction with computer-aided design customized silicone implants.
Methods: Since 1993, the authors have treated 129 patients for Poland syndrome. Before 2007, the implants were made from plaster molds; since 2007, they have been made using three-dimensional computer-aided design. Patient satisfaction was assessed using a standardized questionnaire, and quality of life was evaluated using the Medical Outcomes Study 36-Item Short-Form Health Survey.
Results: Lipofilling was performed in combination with computer-aided design in one-third of cases, and breast prostheses were required in 24 percent of cases. We found three exposed prostheses and two infections. Cosmetic results were excellent in more than 90 percent of cases, and more than 80 percent of patients were very satisfied or satisfied, with no significant difference between men and women (p = 0.382). The Medical Outcomes Study 36-Item Short-Form Health Survey scores revealed significant improvements in role emotional (p < 0.05), emotional well-being (p < 0.001), and social functioning (p < 0.001).
Conclusions: Correcting Poland syndrome using a computer-aided design silicone implant fulfilled aesthetic and psychological demands, and significant improvements were seen in quality of life. The technique is simple and reliable and yields high-quality results, and three-dimensional computer-aided design has optimized the authors’ reconstructions. Nevertheless, associated procedures and secondary corrections remain necessary to obtain optimal results
