One-stage reconstruction of infected cranial defects using a titanium mesh plate enclosed in an omental flap.

Cranial osteomyelitis is a common complication of brain surgery. A one-stage reconstructive repair of the cranial bone is desirable, but risks active infection. The authors have developed a reconstructive technique for osteomyelitis-related cranial defects that fills the dead space with an omental flap and uses a titanium mesh plate for the structural element. This report describes the successful treatment of 8 patients using this approach.