Single-Stage Reconstruction of an Extensive Full-Thickness Scalp Burn Using Local Hair-Bearing Flaps: A Case Report

The scalp is a specialized anatomical structure that provides both protection to the brain and significant aesthetic value as a hair-bearing tissue. Extensive full-thickness scalp burns involving the pericranium are rare but present formidable reconstructive challenges, especially when accompanied by large areas of exposed calvarium. We report the case of a 73-year-old man with an extensive full-thickness scalp burn involving the pericranium, with defects measuring approximately 15×12 cm in the frontoparietal and frontovertex regions. Following debridement and wound bed preparation, reconstruction was successfully performed using bilateral parietal hair-bearing local flaps in a single-stage procedure. The patient achieved stable wound coverage without complications, with preservation of hair-bearing scalp and a favorable early aesthetic outcome. This case demonstrates that, in select patients, even extensive scalp defects with exposed bone can be effectively reconstructed using local flaps in a single-stage procedure, thereby avoiding the need for complex microsurgical reconstruction.