3D Printed Titanium Implant and TRAM Flap for Massive Anterior Chest Wall Defect Reconstruction: A Case Report

Surgical treatments of malignant chest wall tumors constitute a difficult challenge. In particular, locally advanced tumors that have already invaded important anatomical structures are associated with high surgical morbidity and can lead to full-thickness chest wall defects. Plastic surgery can reduce post-resective morbidity and reconstruct the chest wall using a variety of tissue transfer techniques. Proper reconstruction of the soft tissue of the chest wall improves the quality of life and reduces functional deterioration after extensive resection. This article aims to demonstrate a combined thoracic and plastic surgery approach for the treatment of a patient with a voluminous chest wall neoplasm. We present the case of a 64-year-old male with a voluminous chest wall defect after sarcoma resection and reconstruction with a 3D printed, anatomically designed, titanium alloy implant and TRAM flap