PMC4864669_01
Scalp burn degradation necessitating excision at day 6, progressing to reveal extensively exposed calvarium by day 12.
eplasty16e17_fig1.jpg
PMC4864669_01_eplasty16e17_fig1.jpg
F1
On day 6 postinjury, however, his head and neck burns began to declare and degrade, necessitating excision of the scalp and dead periosteum to the level of the skull over the entire calvarium (Fig 1).
Slow and meticulous debridement of the head and neck burns resulted in a clean, granulating head and neck. Full calvarial exposure demonstrated.
eplasty16e17_fig2.jpg
PMC4864669_01_eplasty16e17_fig2.jpg
F2
It took until day 40, with meticulous small debridements designed to retain as much viable head tissue as possible before the wounds were clean around the exposed calvarium (Fig 2).