A novel method to minimizing risk of titanium mesh exposure in cranioplasty: Circumferential groove technique

Titanium mesh (TM) is frequently used in cranioplasty. Exposure to the implant is a complication that adversely affects patient outcomes. Reducing the pressure applied by decreasing the contact of sharp edges with the skin reduces this risk. In this study, we aimed to explain the details of a simple method (circumferential groove technique) that reduces the risk of exposure. An 80-year-old male patient presented with a squamous cell carcinoma on the scalp. After tumor excision, it was planned to use free anterolateral thigh flap for soft-tissue reconstruction, tensor fascia lata graft for dura reconstruction, and TM for bone reconstruction. The implant was fixed with the mentioned technique. No exposure was observed at the follow-up 1 year.