VARYING DEGREE OF SCALP AVULSION – CASE SERIES

*Dr. Anuj Gupta and Dr. Ajay Kumar

ABSTRACT

Background - There are so many ways, by which head injury / Scalp trauma can be sustained by the patient. Most of which are due to road traffic accident, fall from height, physical violence and even due to more rare causes such as dog bite or simple household activities such as blast in kitchen while cooking food or accident by electric cables as in one of our case. In this article we present four cases with varying degree of scalp avulsion in graded order, due to various causes. Case Reports – The first case is an elderly woman who sustained a small scalp laceration due to physical violence, by a sickle, without any tissue loss. In the second case, a 3 yr old boy sustained huge scalp laceration due to fall from height, again without loss of any tissue. The third case presents a boy who sustained scalp laceration with a significant tissue loss. For which scalp reconstruction with local advancement of flap was done to cover the defect. The last case shows a young female with complete degloving of scalp. Conclusion - Scalp trauma are very common now a days due to increased motor vehicles on the road, industrialization (leading to industrial accidents), as well as other unavoidable circumstances. As many of these incidences can not be eliminated, most of these cases can be managed by proper and timely treatment, without leaving permanent disfigurement, as they have strong physical as well as psychological impact on the patient.

Keywords: accident, case report, graft, scalp avulsion.