Split-rib graft cranioplasty: Our experience and tips to achieve optimum results

Abstract

Background: Calvarial defect reconstruction can be performed using a wide range of materials which can be divided into autologous and alloplastic options each with their own advantages and disadvantages. Limiting factors of available options include the risk of infection, absorption, cost, and damage to adjacent tissue. Here, we present our experience of calvarial reconstruction using autologous split-rib graft along with technical details of the surgical procedure. Materials and Methods: Our retrospective study included 22 patients over 6 years. All the patients were operated by the same team, and records were maintained. Patients were followed up for at least 2 years. Results: Results achieved were found to be excellent with no major postoperative complications. Patient satisfaction was motivating, and contour of the cranium was acceptable. There was negligible residual or recurrent deformity in our 2-year follow-up. Conclusions: Calvarial reconstruction with autologous bone graft is superior compared to alloplastic materials. Reconstruction with the rib graft gives optimum results which can be used in most clinical scenarios, including pediatric patients.

Keywords

• Calvarial defects
• cranioplasty
• split-rib graft