What does this research mean for the field?

Successful salvage reconstruction of complex, irradiated, and infected scalp-calvarial defects can be achieved using free tissue transfer by meticulously selecting recipient vessels outside the irradiated field, such as the superior thyroid artery. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe a multidisciplinary surgical salvage strategy for a large, infected, and irradiated scalp and calvarial defect following recurrent atypical meningioma resection.

August 29, 2026Case Reports in Plastic Surgery and Hand SurgeryOpen Access

Salvage reconstruction of an irradiated and infected scalp–calvarial defect following recurrent atypical meningioma: recipient-vessel strategy and multidisciplinary decision-making

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To describe a multidisciplinary surgical salvage strategy for a large, infected, and irradiated scalp and calvarial defect following recurrent atypical meningioma resection.
Treated a 50-year-old female presenting with wound dehiscence, osteomyelitis, cranioplasty failure, and a 14 × 5 cm posterior scalp defect with exposed calvarium.
Performed neurosurgical debridement, tumor resection, titanium mesh calvarial reconstruction, and free latissimus dorsi muscle flap transfer with a split-thickness skin graft.
Carried out microvascular anastomosis utilizing the superior thyroid artery and the jugular venous system selected outside the field of previous radiation.
The postoperative recovery was uneventful, demonstrating no flap ischemia, venous congestion, or failure.
Achieved complete wound healing, stable soft-tissue and calvarial coverage, and minimal donor-site morbidity at eight months of follow-up.

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Implication

Case report demonstrates successful salvage reconstruction of an infected scalp-calvarial defect, indicating the importance of recipient vessels outside irradiated fields.

Cite This Study

Ziani et al. (2026) studied this question.

synapsesocial.com/papers/6a9299db8e5d7d1fc0c12106 https://doi.org/10.1080/23320885.2026.2721213

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Implication

Case report demonstrates successful salvage reconstruction of an infected scalp-calvarial defect, indicating the importance of recipient vessels outside irradiated fields.

Salvage reconstruction of an irradiated and infected scalp–calvarial defect following recurrent atypical meningioma: recipient-vessel strategy and multidisciplinary decision-making

Key Points

Discussion

Implication

Cite This Study

Salvage reconstruction of an irradiated and infected scalp–calvarial defect following recurrent atypical meningioma: recipient-vessel strategy and multidisciplinary decision-making

Key Points

Discussion

Implication

Cite This Study

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