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Deep Inferior Epigastric Artery Perforator Flaps in Head and Neck Reconstruction

Microvascular free tissue transfer has become a wellestablished technique in head and neck cancer reconstruction, offering a single-stage definitive procedure. Several flap donor sites are available, depending on the specific tissue requirements of the defect. The deep inferior epigastric artery perforator (DIEAP) flap is a relatively new flap that developed as a modification of the transverse rectus abdominis muscle (TRAM) flap, and has been predominantly used in breast reconstruction. It provides a large amount of skin and subcutaneous tissue, without the donor site morbidity of the TRAM flap. We have used the DIEAP flap in 13 cases of head and neck reconstruction and feel it is a useful addition to one’s armamentarium, particularly in cases where additional soft tissue bulk is required.