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In this case there was successful development of a covering of granulation tissue and epithelium over a skull dome, the bones of which were exposed, dry and undergoing necrosis. Grafts could not be attempted because of the bones' condition, and the usual tissue and blood supply for flaps in this area had also been destroyed.
The clothing of a girl of 6 caught fire. She threw herself, face downward, under the bed and protected her face by her right arm. The lower edge of the burned area extended across her back from the right lower costal margin to the angle of the left scapula. From this line the burn extended upward and, besides the head and neck burns, involved the back of both shoulders, more especially the right, and the extensor surface of the right arm. On the head and neck the burns and resultant sloughs involved the nape and
Davison TC. REPLACEMENT OF SCALP ON A DENUDED DRY SKULL BY GRANULATIONS SECURED THROUGH HOLES DRILLED IN THE BONE. JAMA. 1918;70(19):1368. doi:10.1001/jama.1918.26010190001008