Extensive calvarial exposure and full thickness sequestration following electrical burn injury presenting after one year: case report.

Background: Calvarial osteomyelitis is an uncommon complication of burn injury due to electricity.Patient: A case of electrical injury that progressed from full thickness scalp loss to calvarial osteomyelitis and sequestration of outer and inner tables seen after one year of calvarial exposure is presented.Result: The patient had calvarial sequestrectomy which exposed a four-centimetre diameter inner table defect, and a 13 cm diameter full thickness scalp and outer table defect. A single stage closure with Orticochea flaps and split skin grafts was achieved. There was an uneventful post operation course.Conclusion: Late presentation in electrical burn injury of the scalp complicated by calvarial loss has been managed without intracranial complications.Key words: electrical burns, calvarial exposure, sequestrectomy, late presentatio