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Removed titanium mesh, bone flap with ORN (ORN: osteoradionecrosis), and discarded scalp tissue showing characteristics of RIF (RIF: radiation-induced fibrosis).
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RIF (Figure 1). Regardless, we eventually failed to salvage the ALT flap due to infection.
Preoperative scalp wound and postoperative photo showing complete wound healing after LD muscle-free flap and STSG (LD: Latissimus dorsi; STSG: split-thickness skin graft). Published with the patient's consent.
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The wound healed well, without further complications (Figure 2).
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