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Changes in Skin Color: Clinical Perspectives01:14

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Related Experiment Video

Updated: May 5, 2026

Resolving Water, Proteins, and Lipids from In Vivo Confocal Raman Spectra of Stratum Corneum through a Chemometric Approach
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Addressing challenges in treating fluoroscopy-associated dermatitis: a case series.

Tiago G Woyciechowsky1, Pedro S Coltro1, Jayme A Farina1

  • 1Division of Plastic Surgery, Ribeirão Preto Medical School, University of São Paulo, Brazil.

Journal of Wound Care
|March 10, 2026
PubMed
Summary

Managing radiation ulcers from fluoroscopy is challenging. Surgical treatment involving debridement and flap reconstruction significantly improves pain and prevents recurrence in patients with severe radiodermatitis.

Keywords:
dermatitisfluoroscopyplastic surgeryradiation-induced dermatitisradiodermatitisreconstructionwoundwound carewound dressingwound healing

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Radiology

Background:

  • Fluoroscopy use is increasing, leading to more radiation-induced skin injuries.
  • Radiation ulcers (grade 4 radiodermatitis) cause severe pain and disfigurement.
  • Effective management strategies for these complex wounds are crucial.

Purpose of the Study:

  • To address the challenges in managing fluoroscopy-associated radiodermatitis wounds.
  • To present a surgical approach for treating radiation ulcers.
  • To evaluate pain reduction and wound healing post-treatment.

Main Methods:

  • A prospective case series of three patients with grade 4 radiodermatitis from fluoroscopy.
  • Surgical treatment included debridement, wound bed preparation, and reconstruction with local/regional flaps (bilobed, V-Y, latissimus dorsi).
  • Pain was assessed using a Visual Analogue Scale pre- and post-surgery (6 months).

Main Results:

  • All three patients experienced significant pain improvement at six months post-surgery.
  • Wound reconstruction was successful using various flap techniques.
  • No wound recurrence was observed during a mean follow-up of 10 months.

Conclusions:

  • Management of fluoroscopy-induced radiodermatitis is complex, requiring specialized surgical intervention.
  • Plastic surgeons are vital in treating radiation ulcers through debridement and flap reconstruction.
  • Surgical treatment offers significant pain relief and should be considered for radiation ulcers.