From 1981 to 1989, a total of 13 procedures were performed on 12 patie
nts requiring complex reconstructions of the thoracic wall. The most c
ommon cause of these defects was cancer. Muscle flaps remain the treat
ment of choice for thoracic wall reconstruction and have been used in
10 cases. Microsurgical tissue transfer opens even larger therapeutic
perspectives. A team approach is recommended.