Abstract
The rectus abdominis free flap, based on the deep inferior epigastric artery and vein has been used extensively in breast reconstruction. It is a reliable soft tissue donor, has a long pedicle, favourable diameter vessels and is ideally suited for large defects. The distribution of perforators allow for versatility in designing the flap and a variety of patterns of the skin paddle may be used. It can be harvested as a muscle-only or myocutaneous flap. However, despite these advantages, its application in head and neck reconstruction is not widely appreciated.
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