Puzzling Technique for Fixation of Cranioplasty Flaps

Background: Cranioplasty, defined as the surgical repair of a defect in the cranium, has undergone many revolutions over time to improve patient prognosis. Cranioplasty offers cosmetic and protective benefits for patients with cranial defects. Aim of Study: A new method for the fixation of poly-methyl methacrylate (PMMA) cranioplasty flap is described, and the results of the technique were reported. Patients and Methods: Eighteen patients with cranial defects are included in the study. Patients were followed-up by clinical examination and periodic radiographic studies for a minimum of 6 months (range 6 to 12 months). Cosmetic appearance and solid fixation of the cranioplasty flap were evaluated. Results: Cosmetically good solid cranioplasty flaps oc-curred in all patients. There was no occurrence of infection or implant extrusion in any of the patients. Conclusion: This technique appears to be a simple, safe, economic and efficient method for PMMA cranioplasty flap fixation in reconstruction of significant cranial defects.