One-stage debridement and plastic repair of compound comminuted depressed skull fractures with methyl methacrylate.

A one-stage technique is described for repair and debridement of compound, comminuted depressed skull fractures using methyl methacrylate, which appears to be simple, effective, and safe, provided that the paranasal sinuses are not involved. If so, a two-stage debridement and repair are recommended. In the series reported, of 25 patients, only one developed infection, which was successfully treated with further operative repair and antibiotics.