Extensive calvarial exposure and full thickness sequestration following electrical burn injury presenting after one year: case report.

Abstract

Background: Calvarial osteomyelitis is an uncommon complication of burn injury due to electricity.
Patient: A case of electrical injury that progressed from full thickness scalp loss to calvarial osteomyelitis and sequestration of outer and inner tables seen after one year of calvarial exposure is presented.
Result: The patient had calvarial sequestrectomy which exposed a four-centimetre diameter inner table defect, and a 13 cm diameter full thickness scalp and outer table defect. A single stage closure with Orticochea flaps and split skin grafts was achieved. There was an uneventful post operation course.
Conclusion: Late presentation in electrical burn injury of the scalp complicated by calvarial loss has been managed without intracranial complications.

Key words: electrical burns, calvarial exposure, sequestrectomy, late presentation