Abstract

High-tension electric calvarial burns are extremely rare and difficult to reconstruct. Invariably, these are third- or fourth-degree-deep burns involving the full thickness of the bone. Historically, these wounds have been treated conservatively, adding to morbidity and prolonged treatment. The patient with high-tension electric calvarial burns presented to us two days after the injury with subsequent loss of full thickness of parietal bone. The defect was covered with a local bipedicled scalp flap. The bipedicle flap provides a simple and reliable method of reconstruction of full thickness scalp defect.

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