Postcraniectomy Cranioplasty Using Autologous Split Calvarial Graft.

Abstract

Skull defects and craniofacial defects following head injuries may cause crippling and debilitating psychosocial ramifications on the life of a patient in terms of lost cosmesis, neurocognitive functions, and verbal expressions.[1,2] The reconstruction of large defects postcraniectomy has always been a challenge in the repertoire of maxillofacial surgeon. The maxillofacial surgeon plays an important role in decision‐making as regards to the timing of cranioplasty and counseling of the patient regarding the same. This 35‐year‐old patient who presented to us with “sinking skin flap syndrome” [Figure 1] postdecompressive craniectomy for evacuation of extradural hematoma was managed with a autogenous split‐calvarial bone graft [Figures 2 and 3] harvested from right parietal bone using the same incision [Figure 4]. An overall improvement in Letter to the Editor