Complete scalp avulsion.

Complete scalp avulsion results in serious consequences, including hospitalization, economic loss, devasting disfigurement, and psychological effects on the patient. Three patients suffering complete scalp avulsion are discussed. Each case involved injury from farm tractors and occurred in young girls with long hair. In each of them we successfully employed split thickness skin graft for repair of the extensive scalp loss. Excellent aesthetic results were obtained with the use of a wig. Other reported experiences using replacement of the avulsed scalp have been almost uniformly unsuccessful. With recent advancements in microsurgery, the potential for replantation of a completely avulsed scalp has become a hope for the future.