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[Multilayer myoperitoneal epigastric flap for the repair of oral and maxillofacial defects].

The multilayer myoperitoneal epigastric flap is a modification of the myocutaneous rectus abdominis flap commonly used in reconstructive surgery. By means of the microsurgical transplantation of this graft, which is supplied via the caudal epigastric vessels, it is possible to simultaneously replace oral mucosa, subcutaneous soft tissue and skin in extensive and deep cheek defects. The present article describes both the basic results of experimental animal studies and the possible clinical applications. The author's experience is based on 8 grafts for large cheek defects.