Summary
Small scalp defects can be repaired by mobilisation, rotation, transposition or advancement
of local flaps. Conventional ‘visor’ flaps are not sufficient for covering larger
losses. The remnant scalp even upto 50 percent can be used with advantage provided
the temporal areas are intact and are in continuity with the undamaged portion of
the scalp left out anteriorly or posteriorly. The cases of extensive loss of cranium
and scalp following electrical burns are presented here to highlight some important
observations.