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.