A new method of methyl methacrylate fixation in skull reconstruction

Fifty-two methyl methacrylate cranioplasties were performed in 47 patients over a 5-year period. The indications for the original craniectomy fell into four categories. Nine patients had a craniectomy for tumor, 32 for trauma, 5 for infection, and 1 for aneurysm. A new approach, which eliminates the need for suture or wire fixation and which facilitates intraoperative calvarial contouring, is presented. An excellent cosmetic result is the norm with this technique.