Use of pericranial flap in scalp wounds with exposed bone

We present two cases of traumatic loss of portions of the scalp, one by electrical burn and the other by avulsion. Both patients had large areas of osseous exposure, in which we made use of pericranial flaps taken from the back half of the skull in order to cover the exposed bone. At the same time, local flaps were made and skin grafted over the pericranial flap in a single surgical step using the usual surgical procedures.