Case History
A 36-year-old female patient suffered a total scalp avulsion injury due
to her hair getting caught in the rotating shaft of a machine. The scalp
is avulsed from the galea aponeurotic, anteriorly extending from the
nasion, the mid-eyebrows, and lower eyelids bilaterally, posteriorly to
the occipital scalp, laterally reaching the bilateral auricular roots
and zygomatic arches, with an approximate area of 35.0 cm × 40.0 cm. The
left auricle is torn and severely abraded, with exposed frontal,
parietal, occipital, and temporal bones (Figure 1). The patient was
admitted almost 3.5 hours after the trauma.