[Complete avulsion of the scalp. Apropos of a case]

The authors present a case about a traumatic totally avulsed scalp, realizing a loss of substance of 1,000 cm2. After the unsuccessful treatment with classical methods by skin grafting, a mixed myocutaneous Latissimus Dorsi and cutaneous parascapular flap allow the coverage of 25 centimetres of the scalp in his larger axis. The remaining surface is covered with full-thickness skin grafts. Though unperfect according to the esthetic aspect, the result is stable 6 months after the operation.