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Poland syndrome (PS) is an unusual congenital syndrome characterised the one-sided non-existence of the pectoralis major muscle, upper extremity and, rib anomaly. It is observed more frequently in men and is occasionally right-sided. Physical examination and radiological imaging are very important in diagnosing the condition. Constructive surgery is primarily the preferred in treatment. We aimed to discuss a case of PS with unilateral vocal fold paralysis for the first time in the literature.