Major changes to the chest wall's structure can have disastrous effects on the body's respiratory and circulatory systems as it serves as a cage to protect the body's important organs. Complex chest wall defect therapy and reconstruction have significantly improved over the past few decades. Infections and mortality have significantly decreased as a result of the widespread acceptance of muscle and musculocutaneous flaps such as the latissimus dorsi, pectoralis major, serratus anterior, and rectus abdominis. A thorough understanding of the functional anatomy, blood supply, and pathophysiology of a particular disease process is necessary for successful reconstructions. An overview of fundamental ideas and research-based strategies for chest wall reconstruction will be given in this article.
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