Rectus Abdominis Flap for Head & Neck Reconstruction

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2025-10-31

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Abstract
The rectus abdominis flap is based on the deep inferior epigastric artery. It is a composite flap and comprises muscle, over-lying fascia and skin. It is versatile and provides a large volume of soft tissue and is technically straightforward to raise. Many variations based on the inferior epigastric artery, including perforator flaps, have been described. In the head and neck it is typically used to reconstruct large oral defects, skull base defects, maxillectomy defects or whenever a large volume of soft tissue is required. In the head and neck it has more recently been largely supplanted by the anterolateral thigh free flap.
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