Technique for methyl methacrylate cranioplasty to optimize cosmetic outcome

Background: Cranioplasty aims to reconstruct skull defects from fractures, decompressive craniectomies, tumors, and congenital anomalies in a cosmetically acceptable manner. We present a technique in methyl methacrylate cranioplasty that gives excellent cosmetic results by maintaining patient's calvarial curvature. Method: Cranioplasty material is placed into a plastic bag and packed inside the defect. Wire mesh cut larger than the defect is held in position to take the exact skull curvature. Once solid, the implant is fixed in position using titanium plates and mini-screws. Conclusion: This is a simple, inexpensive method of achieving the most cosmetically desired cranioplasty results.