Microneurovascular transfer of contralateral latissimus dorsi in Poland's syndrome

A 2-year-old girl with Poland's syndrome presented with syndactyly of the f irst, second and third webs of the left hand and ipsilateral absence of the sternocostal portion of pectoralis major. Latissimus dorsi on the same sid e was also absent. A microvascular free contralateral latissimus dorsi musc le transfer was undertaken to reconstruct the chest wall and anterior axill ary fold. The transfer was innervated by intercostal nerve transfer and pro duced a neuromuscular unit of good aesthetic appearance and function.