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KMID : 0377619900550080557
Korean Jungang Medical Journal
1990 Volume.55 No. 8 p.557 ~ p.562
Rectus Abdominis Myocutaneous flap in Head & Neck Surgery


Abstract
Rectus Abdominis Myocutaneous Flap (RAMC flap) is being used more frequently in management of head & neck reconstruction after cancer surgery. This flap, as with other free myocutaneous flaps, is in fore front of head & neck reconstruction. It is always thicker because of muscle and fat bulk. The rectus abdominis muscle is a long strap muscle that can be removed ipsilaterally with n inimal loss of function if the posterior rectus sheath is strong enough to prevent abdominal hernia. At its origin, the inferior epigastric artery is approximately 3 mm in diameter, and the vein is 3.5 mm. The average of length of the vascular pedicle is 15 cm.
This RAMC flap can be extermely valuable in coverage of defect area and can be conducive to exellent cosmetic results, especially in head and neck part.
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