[Full thickness reconstruction of the anterior chest wall with osteomusculocutaneous flap of the latissimus dorsi muscle].

Full thickness chest wall reconstruction must restore a leak-free and semirigid chest wall that allows good respiratory function. We present five consecutive cases of chest wall reconstruction with skeletal frame reconstruction by an osteomusculocutaneous latissimus dorsi flap. This flap allows transfer of the 11th and 12th ribs. The chest wall resection was performed for chest wall sarcomas (four cases) and radionecrosis (one case). The functional results are good. The bone scan showed the good vitality of the transferred ribs. This flap has the advantages of an autologous vascularized bone transfer. It is a useful flap for large full thickness chest wall reconstructions that need a skeletal frame reconstruction.