Double free flap reconstruction using the piggyback technique for multifocal scalp radiation necrosis: a case report
Joon Hyuk Lee, Tae Gon Kim · 2026
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Description
Joon Hyuk Lee and Tae Gon Kim reported reconstructing an irradiated, necrotic scalp with two free flaps in a 2026 case report. The patient, a 62-year-old woman, had multifocal scalp angiosarcoma, a rare and aggressive cancer.
After wide excision and skin grafting, she received adjuvant radiotherapy. Seven months later, radiation necrosis with exposed bone appeared in frontal and occipital areas, while biopsies showed no cancer return. Eleven months after radiotherapy, the team rebuilt the defects using a radial forearm flap and an adipofascial thigh flap joined in a piggyback arrangement on one vessel pair. Early venous congestion was rescued with a vein graft, and both flaps survived fully. More than 2.5 years after radiotherapy she remained disease-free with stable coverage.
Catalog record
| CREATOR | Joon Hyuk Lee, Tae Gon Kim |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 11686 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |