Full thickness forehead-scalp wound 4 x 2.7 cm with necrotic bone in the base. No gross purulence in wound, regional lymph nodes clinically negative, and no other pigmented lesions of concern.
Necrotic bone in the wound bed could be due to osteitis, osteomyelitis, or osteoradionecrosis which could be partial or full thickness
Fig. 2. Debridement with, first burr, then rangeour, then curette.